WAC 246-320-166
Management of information. The purpose
of this section is to improve patient outcomes and hospital
performance through obtaining, managing, and using
information.
Hospitals must:
(1) Provide medical staff, employees and other authorized
persons with access to patient information systems, resources,
and services;
(2) Maintain confidentiality, security, and integrity of
information;
(3) Initiate and maintain a medical record for every
patient assessed or treated including a process to review
records for completeness, accuracy, and timeliness;
(4) Create medical records that:
(a) Identify the patient;
(b) Have clinical data to support the diagnosis, course
and results of treatment for the patient;
(c) Have signed consent documents;
(d) Promote continuity of care;
(e) Have accurately written, signed, dated, and timed
entries;
(f) Indicate authentication after the record is
transcribed;
(g) Are promptly filed, accessible, and retained
according to RCW 70.41.190 and chapter 5.46 RCW; and
(h) Include verbal orders that are accepted and
transcribed by qualified personnel;
(5) Establish a systematic method for identifying each
medical record, identification of service area, filing, and
retrieval of all patient's records; and
(6) Adopt and implement policies and procedures that
address:
(a) Who has access to and release of confidential medical
records according to chapter 70.02 RCW;
(b) Retention and preservation of medical records
according to RCW 70.41.190;
(c) Transmittal of medical data to ensure continuity of
care; and
(d) Exclusion of clinical evidence from the medical
record.
[Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 09-07-050, § 246-320-166, filed 3/11/09, effective 4/11/09.]