QUICK REFERENCE GUIDE:  ELECTRONIC ACCESS TO PATIENT MEDICAL RECORDS

Posted on Jul 2, 2018 in Announcements | 0 comments

Access, Use and Disclosure of Patient Health Information (PHI) Pursuant to Authorization:

 Must be limited to the minimum necessary to facilitate legitimate Treatment, Payment, or Healthcare Operations (TPO), or as required by law. Any other access, information required, use, or disclosure purpose(s) of PHI requires prior written authorization from the patient.

Access to Patient Medical Records

You may access a Patient’s electronic health record:

  • When you are the treating provider for the Patient
  • When conducting Institutional Review Board (IRB) approved research
  • For approved quality review purposes.

Documentation is essential to understanding the purpose for accessing a record. Ensure you document thoroughly, especially when the Patient is a family member.

 Access to Adult Family Member(s)/Friend(s) Medical Record(s)

Electronic access to an adult family member’s and/or a friend’s medical record is ONLY permissible if:

  • You are a health care provider and the access is for purposes of treating the family member or friend. Applicable documentation policies must be followed.
  • There is a prior signed authorization present in the EHR.

Access to Your Personal Medical Record

  • Recommend using ‘My Health Online’ to access your personal records. It is not recommended that you access your personal health records via Epic.

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