Inviolate to inappropriate and unauthorized use and disposal of medical information.

 

For this assessment you are required to develop two new policies (with procedures) for a health information service.
The type of policie could be

  • Health record storage,

the policy that I chose it is (Medical records must have appropriate security safeguards in place to prevent unauthorised use, disclosure, loss or other misuse), but

 

Please, I need from you to write about the procedures only of this policy.

You will see example below, but please I need new ideas not only paraphrase.

 

The assessment also needs to contain information relating to the development of the policies and procedures. This should include the reason for development, i.e. legislative requirements,risk management requirements etc. who the policy and procedure will affect, some information on how you will let staff know of the new policy and when the policy will be released.

 

Example:

Key Principles pertinent to Record Retention and Disposal:

 

  1. Satisfactory compliance to legislative requirements which govern the Curtin Hospitals record management protocols (Patient Information Retention and Disposal Schedule, 2008; other listed above).
  2. To support health information governance in alignment with the FOI (2000) and other relevant policies.
  3. Accountable for the appropriate retention and disposal as per the policies that govern these processes.
  4. Inviolate to inappropriate and unauthorized use and disposal of medical information.
  5. Documented accuracy of retention and disposal schedules in compliance with the Patient Information Retention and Disposal Schedule (2008).

14.0 Procedures

 Purpose of Retention and Storage:

 

  1. To classify records into categories and specify conditions for transfer, storage or archiving.
  2. To ensure consistent and uniform access confidentiality and security of records.
  3. To comply with applicable legal requirements.

 Procedures for Retention and Storage of Paperback Medical Records:

  1. Paperback records are to be stored in the designated onsite storage facility within the Health Information Services Department.
  2. This area must be adequately maintained and free of clutter to ensure accessibility.
  3. Records must be stored at an appropriate temperature, in an environment free of vermin; to ensure longevity of records.
  4. Offsite storage should be sought by the commercial company who manages Curtin Hospital’s storage facilities. This should be conducted in alignment with the guidelines prescribes by the SRO of WA, Standard 2: Guidelines for use of commercial repositories.
  5. Records will be transferred to the SRO if older than 25 years.
  6. Records that have not been accessed in over 5 years will be transferred to Curtin Hospitals secure offsite storage facility.
  7. Criteria for retention beyond the allowable minimum period shall be records required for research or other specified scientific purposes or shall be required in contemplation of legal proceedings against the hospital or due to an existing law or policy requiring extended retention.
  8. Retention beyond the minimum period shall require application and the approval of the Hospital Board of Trustee

On-Site Storage:

 

  1. All paper records shall be stored in the main registry and two other satellite registries (dry, accessible and lockable location) within the hospital.
  2. All electronic records shall be stored within the hospital management system managed by the information and governance manager.
  3. All non-clinical hospital records shall be stored locally within each department an in the hospital management system.

 Off-site Storage:

 Records stored outside of the hospital premises shall be sub-contracted to an external contractor offering storage facilities.

  1. All records stored off-site shall require the consent and approval of the information and governance manager and shall have a disposal date.

Retention and Storage of Electronic Medical Records:

Storage of electronic health information including x-rays, video footage, and additional medical imaging resources should follow the guidelines for paperback medical records.

  1. Stored electronic data should be updated and backed up prior to hardware and software modifications or renewals to prevent loss of vital patient information.

Retention and Storage of Indigenous Patient Records:

  1. All Indigenous records that relate to Indigenous Australians must be brought to the attention of the Family Information Record Bureau (FIRB) for advice prior to performing any actions (as per the Premiers Circular No. 2003/02).
  2. Due to the significance of Indigenous history in Australia Operation Directives published by the DOH must be sought for additional advice (OD0051/07).
  3. All Indigenous patient files with a DOB prior to, or including 1970 must be indefinitely retained.
  4. All other consideration regarding the retention of Indigenous medical information is to be guided by the above procedures for non-indigenous medical records.

 

Retention of Psychiatric Patient Records:

Psychiatric patient file retention should be considered separate from the general retention procedures.

  • Medical records of a patient that has been diagnosed with a mental illness must be retained for 7 years post-death.

 

 

 

 

 

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