13 Jun ! Policy On De-Identification Of Copies Of Health Records
The HIM department is responsible for responding to requests for copies of records that required De-Identification prior to release. An example might be a request for copies of medical records from a drug company is conducting studies on patients with a diagnosis of Alzheimer’s. Copies of the patients’ records will be printed and sent to the drug company. Names, addresses, identifying information must be obliterated from the printed copies. Because the copies will not contain identifying patient information a patient authorization is not required.
Select policies, procedures and guidelines provided for benchmarking in Module 01 under Benchmarking Resources based on appropriateness to this topic, or you may research policies, guidelines and standards on your own to use as a benchmark. Review your selected policies, procedures and guidelines and select the information after comparing those resources that you will include in your policy and write your policy on de-identification of health records.
The completed typed policy should be 1 page. If you use a source for the policy, state the source at the end of the policy under a heading titled references.
Benchmarking against other organizations polices and/or available guidelines is an important step in the process of developing or revising polices and guidelines for a healthcare organization. Below is a list of benchmarking resources links to policies and guidelines and standards which relate to the topics you will be preparing policies for during the course project. You may select from the list for sources you would use to benchmark in each module and cite those that you use as a reference at the end of your policy or you may research policies, guidelines and standards on your own to use as a benchmark.
Banner Health “Documentation Requirements for the Medical Record-Policy and Procedure
Kansas County Health Department- Medical Records Policy
Joint Commission – “Do Not Use” List
UTMB Health Procedure – Prohibited Abbreviations
UTMB Handbook of Operating Procedures-Policy Patient Right and Responsibilities
Creighton Health Sciences School Policy_ Patient Rights and Responsibilities
TennDent Policy HIPAA Access Control
University of Tennessee Health Science Center: Access to Protected Health Information
University of California – Legal Medical Record Standards Policy
Federal Register – Security and Electronic Signature Standards
AHIMA Practice Briefs and Papers Electronic Signature, Attestation, and Authorship
Clinical Documentation Toolkit (AHIMA Body of Knowledge)
An additional source to perform you own external review of policies, procedures, guidelines and standards is through:
Textbook: Health Information Management Concept, Principles and Practice – Appendix D Web Resource
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