Medical Records

What are the Signature Requirements for Medical Records?

One of the more common causes of Government Investigations into possible HIPAA violations are patient complaints.

When we discuss HIPAA most of the articles have been on security and breaches, but HIPAA goes well beyond privacy and Security.  One aspect of the HIPAA rule is the “Right of Access”.   OCR (The Office for Civil Rights – the branch of HHS the enforces HIPAA) is enforcing this law even more strongly since the 21 Century Cures Act was published.  OCR has begun to levy fines against organizations that are in violation of the “Right of Access” rule.

Universal Health Systems was hit with a ransomware attach this week. Their servers began to fail over the weekend and Hospitals across the country completely lost access to their EHR systems. As a result of this attack many facilities were forced to go to pen and paper for medical record keeping. In many locations the nursing staff did not have access to medication lists and had no way ok knowing which medications patients needed, how much to dose, or even who needed medications.