- Home
- » e-Newsletters
PPV: Ask these questions to define your legal health record
EHR Connection, July 21, 2008
Unlike clothing, “one size fits all” is not an option when defining a legal health record (LHR). Federal, state, and some local laws provide the initial framework for an LHR, but fine-tuning the definition is ultimately the organization’s responsibility.
AHIMA defines the legal health record as “generated at or for a healthcare organization as its business record and is the record that would be released upon request.”
“What we’re really talking about is what are you going to hand out upon subpoena or other legal request,” says Kelly McLendon, RHIA, president of Health Information Xperts, LLC, in Titusville, FL.
This question is not easy to answer when potentially hundreds of different electronic systems contain the requested data. But it is a question that the record custodian must answer regardless of the record’s format—paper, electronic, or hybrid.
Click here to learn more about how an EHR system affects your legal health record.
The cost is $10. Medical Records Briefing subscribers can sign on for free access.
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- QA:Coding multiple initial infusions
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- HIPAA Q&A: Level of encryption needed for email
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- What does case-mix index mean to you?
- ED-to-inpatient transfers are flawed with safety gaps
- Joint Commission Center announces handoff communication solutions
- Inside best practice: Reduce patient falls with a stoplight
- Identify modifiable risk factors to prevent patient falls
- Searched