Great question and hope there are lots of answers as I would like to know also. Our health system does what is required but personally wish there was more robust monitoring of many categories. We have approx. 11,500 employees and are in 2 states. Due to minimal staff to perform audits and follow through, we currently do 100% review of same name audits. Random audits are done on a quarterly basis on a different topic each month (high profile & "newsworthy", odd situations such as a trauma victim not in media yet, Managers, FMLA empl pts (with back up from HR), termed employees for cause). Also monitor 100% of any complaints or empl suspicions brought to our attention by staff. There is talk about contracting in the future for more robust monitoring of red flags such as: 1) average access is 30 pts. per day and on one day pt. accessed 300 pts. 2) Neuro Unit nurse looking at OB or Newborn record, other pts not on their unit, 3) demographic comparisons between empl. & pts, 4) access by caregiver not associated as part of the care team, 5) employees accessing remotely when not working, on PTO or other leave. Just ideas and the "nice to have" type of monitoring,
My organization implemented a software for monitoring EHR access from Cognetyx at the end of last year; it has lots of capabilities. You can run reports daily, weekly, or monthly; you can choose to receive email notification; and you can customize to your preferred criteria.
Barbara - thank you for the details and examples. That helps.Any others?