Medical Records: More Than the Health Insurance Portability and Accountability Act

Hui Karen; Gilmore Carol J.; Khan Mujahed

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Medical Records: More Than the Health Insurance Portability and Accountability Act

机译：医疗记录：超过健康保险便携性和问责法

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It is the responsibility of each organization, including private practice businesses, to maintain a comprehensive medical records retention policy. While registered dietitian nutritionists (RDNs) are qualified and competent business owners, navigating through the challenges of proper medical record management can be difficult without a sound policy. A comprehensive medical record retention policy consists of 4 major components: creation, utilization, maintenance, and destruction as well as a retention schedule. Successful implementation of a comprehensive medical record retention policy promotes positive clinician-patient interaction and avoidance of potential legal ramifications.

机译：每个组织（包括私人执业企业）都有责任维护全面的医疗记录保留政策。虽然注册营养师（RDN）是合格且称职的企业主，但如果没有健全的政策，要想顺利应对病案管理的挑战可能会很困难。全面的病历保留政策包括四个主要部分：创建、使用、维护和销毁，以及保留时间表。全面病历保留政策的成功实施促进了临床医生与患者的积极互动，避免了潜在的法律后果。

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《Journal of the Academy of Nutrition and Dietetics》 |2021年第4期|共3页
作者
Hui Karen; Gilmore Carol J.; Khan Mujahed;
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作者单位

Acad Nutr &

Dietet Qual Improvement Chicago IL USA;

Acad Nutr &

Dietet Qual Improvement Chicago IL USA;

Acad Nutr &

Dietet Qual Improvement Chicago IL USA;

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原文格式 PDF
正文语种 eng
中图分类临床医学;
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Medical Records: More Than the Health Insurance Portability and Accountability Act

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