Confidentiality, Privacy and Security

Utilization of EMR as a Data Repository

  • 1.  Utilization of EMR as a Data Repository

    Posted 8 days ago
    We are onboarding a large physician practices that has a large nursing home patient population.  In the physician's practice, they are currently using their EMR to maintain a copy of their nursing home notes.  They are doing their professional billing for these services.   When they become a member of our  physician group, we will be doing the professional billing for the nursing home visit.  The nursing homes are not owned by my organization and we are trying determine if we should maintain a record of these physician nursing home visits. If we do the billing, we will have to do a complete patient registration (including providing the NOPP).  However, the only note would be the nursing home note.  Does anyone have a similar situation.  The legal record will be the nursing home.

    Elisa R. Gorton, MAHSM, RHIA, CHPS, CHC
    Sys. Director, Compliance
    Hartford Healthcare

  • 2.  RE: Utilization of EMR as a Data Repository

    Posted 7 days ago
    I would say the notes need to stay with the nursing home record as a single source of truth. Its redundant and compromises data integrity to maintain them in two source systems or locations.

    Lori Black, RHIA, CCS, CHTS-IM
    HIM Director
    INTEGRIS Health