Using as references:
and any other, respond:
Locate the licensure regulations for the state of Florida in the United States of America. What are the provisions for the content of a health record? What are the rules regarding the timeliness of completion of a record? Locate any state laws regarding health information or medical records for your state. Are there retention statues? Are references to the costs of providing copies of medical records? Share your thoughts on whether you feel these are quite liberal or too strict. Examine your state’s regulations in relation to some of your peer’s posts.
Using their same reference in two different paragraphs give your personal opinion to Felita Daniel-sacagiu and Marla Stuck
Michigan Medical Records
Medical Records in Michigan for licensing purposes per MCL §333.16213 “must keep and maintain a record for each patient for whom he or she has provided medical services, including a full complete record of tests and examinations performed, observations made, and treatments provided” (Michigan State Medical Society, 2017). Other than this statute, there is no additional specificity of the content that must be part of the medical record.
The medical record must be kept for seven years. There are requirements for destruction or transfer of medical records covered in the same MCL §333.16213 statute that address the sale of practices and so forth. Records must be kept in a manner that retains their confidentiality, integrity, and availability to patient’s access as provided by law.
Timeliness of Completion.
In the acute care setting, CMS regulations state thirty (30) days as the deadline for timeliness of record completion. It might be challenging to remember all the pertinent information if records took longer than the near-immediate to complete. Oaklawn will suspend provider privileges if their records are not complete within the thirty-day window. Currently, CMS has waived this requirement, and according to our HIM Manager, there will be a lot of suspensions when the waiver is exhausted.
From other discussions and assignments, research shows this is different in long-term care settings. Records must be initiated within 24 hours of admission and completed no later than 72 hours after that intake. Plus, in the long-term care setting, the residents/patient’s record is on-going over their average 2-5 year stay.
Costs to provide copies of medical records in Michigan as retrieved from MDHHS site for 2020 fees:
The costs are based on the CPI for Detroit. These prices are reasonable considering the wages of the employees that are making the copies. The reason for the copies is probably for a lawsuit, so one may believe that cost could be recuperated in a lawsuit settlement.
It is interesting to learn after all the years, too, that the medical record belongs to the Provider or Healthcare Institution and not the patient. Patients have access rights but not ownership—naive thoughts about information and who owns that information.
MDHHS. (2020, February 7). Medical Records Access. Retrieved from michigan.gov: https://www.michigan.gov/mdhhs/0,5885,7-339-73970_7701_76674—,00.html
Michigan Legislature. (2006, December 22). Public Health Code Act 368 or 1978. Retrieved from legislature.mi.gov: http://www.legislature.mi.gov/(S(srmy03y3qsk5ko4qyqgjeerm))/mileg.aspx?page=GetObject&objectname=mcl-act-368-of-1978
Michigan State Medical Society. (2017, July). Medical Records Guide for Physician Practices. Retrieved from msms.org: https://www.msms.org/DesktopModules/MSMS.AlertGuideChecklist/Guides/7/Medical_Records_Guide_2017.pdf
My State: Tennessee
Licensing: Tennessee Medical Records Act, T.C.A. §§ 68-11- 301, et seq.
Provisions for the content of a health record. Medical records must include such items:
State Medical Record Laws:
Costs of copies (Physicians)
Costs of copies (Hospitals)
Share your thoughts on whether you feel these are quite liberal or too strict.
I was surprised to find out that a provider can impose an additional fee (legally) if a patient requests a summary or explanation of his or her health information in addition to copies of health information.
Health IT Dashboard Catalog. (May 2020). Retrieved from https://dashboard.healthit.gov/help/dashboard-catalog.php
Legal Issues in Healthcare (December 2007). Retrieved from = https://www.uthsc.edu/Medicine/legaledu/UT/factsheets/MedicalRecords.pdf
Statutes and Rules. (n.d.). Retrieved May 18, 2020, from https://www.tn.gov/health/health-program-areas/health-professional-boards/me-board/me-board/statutes-and-rules.html
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