Confidentiality, Privacy and Security

HELP! Mailing Labels placed over scanned EKG results

  • 1.  HELP! Mailing Labels placed over scanned EKG results

    Posted 07-11-2019 17:42

    ​​​Hello -

    I'm a BRAND new compliance manager at a small health system.  Someone reported to me that nurses were putting mailing labels at the top of the EKG results/printouts because it was too time consuming to enter the patient name.  The problem is, these labels were covering up many of the details, including the patient identifiers and the EKG.  This is what was scanned into the medical record and the ONLY copy we have.​​

    My question is - how big of a problem is this from a documentation standpoint?  What laws/regs/statutes were violated?  I'm working on a policy and training to fix the issue, but how far do I need to go back to fix this? 

    Thanks,

    Sarah



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    Sarah Jackson
    Compliance Manager
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  • 2.  RE: HELP! Mailing Labels placed over scanned EKG results

    Posted 07-12-2019 08:44
    I would think you would want to go back to HIPAA and maintaining the confidentiality, INTEGRITY, and AVAILABILITY of patient protected health information - it compromises 2/3 of the three critical attributes.   45 CFR Parts 160 and 164.


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    Nancy Davis, MS, RHIA, CHPS
    Director of Compliance & Safety
    Door County Medical Center
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  • 3.  RE: HELP! Mailing Labels placed over scanned EKG results

    Posted 07-12-2019 16:00
    Thank you- that's what I thought to.  Do you think I need to do a full audit to pull all EKGs?  These are the only copies - we can't reprint them from the machine like was mentioned, so if they are incomplete, they are incomplete.​

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    Sarah Jackson
    Compliance Manager
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