Healthcare Leadership and Innovation

Timely completion of patient records

  • 1.  Timely completion of patient records

    Posted 11-14-2019 08:56
    Our HIM department is proposing our Medical Staff Bylaws be updated to require a shorter period of time for medical record completion.  Our current language requires records to be completed within 30 days post discharge before they are considered delinquent.  We would like to propose reducing that to 15 days. Please comment with your organization's name if you have a record completion requirement that is 15 days or less, what your time frame is, and any advice you have in making the transition.  Thank you.

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    Bonnie Stejskal
    Him Manager Provider Support, Regulatory
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  • 2.  RE: Timely completion of patient records

    Posted 11-15-2019 10:49
    Bonnie

    Are your providers pretty timely with the 30 day timeline currently or are they delinquent? We changed our bylaws from 30 days post discharge to 10 days with no problems. Our providers generally will do the discharge that day or next day. We discussed it at med staff and other meetings prior to changing and they all agreed. Most patients will come back for follow up in the clinic within 7-10 days and it is nice to have the discharge available. When a provider doesn't have the discharge (when it was 30 days) they don't really know everything that happened.

    Good luck.

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    Beth Kosman, RHIT, CCS, CCS-P
    HIM Director/Privacy Officer
    Compliance Officer
    Ringgold County Hospital
    Mount Ayr, Iowa
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