Ohio Admin. Code 3701-83-11 - General medical records requirements

(A) The Each HCF shall maintain a medical record for each patient that documents, in a timely manner and in accordance with acceptable standards of practice, the patient's needs, and assessments, and services rendered. Each medical record shall be legible and readily accessible to staff for use in the ordinary course of treatment.

(B) The Each HCF shall not disclose individual medical records except as provided by state and federal laws and regulations.

(C) The Each HCF shall systematically review the records for conformance with acceptable standards of practice and the requirements of Chapter 3701-83 of the Administrative Code.

(D) The Each HCF shall maintain an adequate medical record keeping system and take appropriate measures to protect medical records against theft, loss, destruction, and unauthorized use. The HCF shall have policies and procedures to ensure the confidentiality of patient medical records.

(E) Each HCF shall have policies and procedures to ensure the confidentiality of patient medical records.

(E) (F) The Each HCF shall maintain medical records as necessary to verify the information and reports required by statute or regulation for at least six years from the date of discharge.

Notes

Ohio Admin. Code 3701-83-11

Five Year Review (FYR) Dates: 7/15/2022 and 07/15/2027
Promulgated Under: 119.03
Statutory Authority: 3702.13; 3702.30
Rule Amplifies: 3702.12; 3702.13; 3702.30
Prior Effective Dates: 01/13/1996, 09/05/2002, 04/24/2011, 07/01/2016

Effective: 7/1/2016
Five Year Review (FYR) Dates: 02/16/2016 and 02/15/2021
Promulgated Under: 119.03
Statutory Authority: 3702.13, 3702.30
Rule Amplifies: 3702.12, 3702.13, 3702.30
Prior Effective Dates: 1/13/1996, 9/5/02, 4/24/11