Electronic Health Records.

(1)

Have access control measures defining who has authorized access to medical records stored in the system.

(2)

Have a process for tracking all electronic health record documentation including, but not limited to, dates, times, authors, corrections, amendments, addendums, and change or late entries, for the purpose of creating an audit trail that may be requested by the Department.

(3)

Perform regular backups no less than every 24 hours to ensure personnel have access to current and accurate information at all times.

(4)

Develop, implement, and maintain documented electronic health record authentication policies and procedures.

(5)

Develop, implement, and maintain a documented disaster recovery policy and procedure for manual clinical documentation if the electronic health record system becomes non-functional. Manual documentation must continue until the hospice's electronic health record system resumes the ability to document and transmit medical record entries.

(6)

Ensure that patient electronic health information from multiple providers within the hospice's organization are linked and accessible in the hospice's primary electronic health system.