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I have a few questions about how other offices are handling confidential notes/visits. Who has the privilege to see them? (Psych visits, employee visits, etc.) Currently our nursing/MA and providers can see all documents regardless if they are confidential or not, except for geropsych notes. This is across 23 offices, with many specialty offices, that use the EMR. Do you have special document types that only certain offices, certain staff, can see?
How do you handle the charts of employees, who are also patients in the office? Are they marked sensitive?
How are your audits done?
Posted : March 11, 2014 10:16 pm
Hi - we utilize the "Sensitive Chart" option in Registration - we're on CPS 12 - and I check each employee who has an active patient record manually and give all clinical staff access, but with a reason. As the EMR manager and Compliance Officer, I handle this monthly when our patient lists are distributed and then audit regularly (usually once a quarter) to see if there are any outliers - access when no appointment scheduled, accessing a relative, accessing their own chart, etc.
We offer Behavioral Health services as well as primary care and dental, but pretty much all providers (medical and BH) have access view to sensitive documents. We do utilize special confidential document types for BH visits, substance abuse visits, etc. All other documents are marked as normal sensitivity.
Hope this helps!
Jessica
Posted : November 4, 2014 6:08 am
