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•What Kind of Internal Actions Would You Take to Prevent Future Problems?

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Submitted By tammy3
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A patient always have a right to see their medical records, it is the law that medical records are available upon request with a small fee. The law also states in the policy that there is a limit of who has access to the records and to be released to without a written consent from the patient. When there an amendment needs to be made the patient or who is requesting the amendment needs to write a letter. The letter needs to outline why you think it is wrong and what the correction is. The basic information needs to be put into the letter, your name and the date of service in your letter, and then staple your letter to the copy of the page that contains the error. Make sure that the correction is written exactly as you think it should be and also make sure it is easy for the provider's record person to read, so that the right corrections can be made. Patients have the right to have restrictions on their use and disclosure at any time. The request that is made by an individual or by the PR to restrict the use or the disclosure of PHI has to be made in writing on a form that is prescribed by a DMH. Except for when an accommodation has been approved by accordance from section III.B. Then at that point a request can be made at any time.

The medical records are legally owned by the physician, although it is the patient’s records. Since the records were created by the physician, then they have the rights to them. On the other hand it is the law that patients have the right to see their record upon request.
The JCAHO has nothing to with individual medical records. The JCAHO performs physical visits to health originations to make sure each one of them have standard documents, based on their checklist. They also check the quality of the records and allow health facilities to maintain health accreditation.

References
Accessing your medical records. (n.d.). In Group health. Retrieved July, 1, 2011 Retrieved from http://www.ghc.org/customerservice/records.jhtml
Marshall, J. (2004), Being a medical clerical worker. Upper Saddle River, NJ: Prentice Hall.
Who owns the medical record? (1999) gilweber, Retreived July,1,2011
Retreived from
http://www.gilweber.com/gw_suba104.htm

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