Confidentiality, Privacy and Security


  • 1.  DocuSign

    Posted 06-18-2019 19:57
    I recently received a request for records that came from a records retrieval company, on behalf of a legal firm, and the patient's signature was obviously electronic, and had the words "Docu Signed" next to the signature.   My issue with this is, when comparing the signature to our signature on file for the patient, it doesn't look anything like the patient's signature.    I have replied to the company requesting the records that we will not release them until we can verify the patient's signature.   Has anyone else come across this DocuSignature in your facilities, and how are you handling it?​​

    Karen Evans
    Him Director
    Yuma District Hospital

  • 2.  RE: DocuSign

    Posted 06-19-2019 08:23

    Hi Karen – The ESIGN Act of 2000 grants electronic signatures the same legal status throughout the US.  We have recently updated our authentication policy to reflect the acceptance of digital signatures.  We are seeing an uptick in DocuSign type digital signatures. 


    Stephanie Luthi-Terry, MA, RHIA, CHPS, FAHIMA

    Director, Enterprise HIM Integration • Health Information Management• Allina Health

    Phone (Primary): 612-863-7982•

    Mail Route 20300 • 2828 10th Avenue So. • Minneapolis, MN  55407    




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  • 3.  RE: DocuSign

    Posted 06-19-2019 08:51
    ​Our facility had received a request for records from an attorney with an electronic signature of the patient.  I wrote a letter to the attorney's office to inform them that an electronic signature is not excepted by our facility because it does not allow us to verify that is the patient, via their handwritten signature. The attorney's office called the patient, the patient came to our facility to sign the request which allowed us to compare the patient's signature for release.

    Mary Dowler
    Vice President of Support Services

  • 4.  RE: DocuSign

    Posted 06-19-2019 10:18

    I have seen that dozens of times. It is an electronic signature which is being used a great deal.  I have used that same program to sign my mortgage documents.  It is a valid, legal way to get signatures when they cannot be in the office.  The Social Security office does that also. 


    Valerie L. Berkebile, RHIT | Medical Records Director/HIPAA Privacy Coordinator

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