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Legal Concerns

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Submitted By Ashleeg0107
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BAT1 Task #1
A1. Addendum to the Shadow Chart Policy:
Employees shall know that original records are always in the permanent chart of the patient. The shadow chart does contain records, but these records are only copies of the original files. After each visit a record of the visit is place in the patient’s primary chart. After this is in place a copy may be made for the shadow chart. It is essential to understand that these are only copies. The reason we have shadow charts is to treat patients at our off site clinic locations, and to be able to provide other departments a copy of the record without having to give the primary file. We want to make sure our permanent chart is ALWAYS in place, so therefore this contains all the patient information. In the shadow charts we only place copies of what is needed to be seen by other departments. These departments do not need access to the patient’s entire medical record.
Employees must know that shadow charts are to be place in the locked cabinet at all time. This maintains the confidentiality of the patient’s medical record. Even though the shadow chart doesn’t contain all patient information it is essential to treat it just like the permanent chart. It must be safe and secure at all times. A2. IT Staff & Security Breach Measures:
There are several different ways in which IT staff can help decrease incidents in security breaches. The first way is to provide limited access to employees based on the employees needs within the system. Not every employee needs access to the exact same thing. Having an audit log in place is another wonderful measure that can be put into place. This is in place in case there is a breach the IT staff can easily see who was involved in the breach, and appropriate measures to take. Another step is to provide training for all those involved within an organization. It is essential for all

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