When should the patient be notified of purging of archaic or inaccurate information? Patient should be notified of purging of archaic or inaccurate information before information is actually purged and also after information is purged. Process of purging such information should be established and documented. Besides, every necessary personnel should be informed about purging of patient information along with exact time and date of purging. Purged information should be available in a recycle bin for certain duration of time to ensure that some amount of recovery can take place if needed.
There should not be any mixing of patient’s medical records with those of different patients or clients. There should be some instruments also existing to prevent inadvertent purging of vital information and inadvertent deletion of patient information, records or reports (William L. Manning, 2008 & Mark A. Levine, 2008). When should the computerized medical database be on line to the computer terminal? Database should be connected online to computer terminal, only if certain computer software which has been authorized for use would be utilizing medical data present in medical database.
Strict procedures, security devices and instruments should be installed to ensure that no unauthorized access is permitted. Other organizations, professionals and individuals should not be permitted access to database online as this information present contains identifiers of patient which could lead to the huge security lapses. Several devices should be installed to help protect patient information including use of encryption devices, username/passwords, scanners, user identifiers, encoding, etc (William L. Manning, 2008).
when the computer service bureau destroys or erases records, should the erasure be verified by the bureau to the physician? It is important that computer service bureau informs physician in writing of erasure of information. If re is a need to put an end to computer or electronic services provided to physician, electronic files can be deleted and a physician copy needs provided to physician. It is important that whilst destroying information of patient, another copy is present (in electronic, physical or other forms).
This would ensure that no vital information is lost of the patient, and treating physicians do not experience any problem with provision of care. Only physician has right to delete patient information, and that too after taking permission of patient. The Authorized computer service bureau cannot delete any patient information independently (William L. Manning, 2008, & Bill Manning, 1997). Should individuals and organizations with access to the databases be identified to the patient?
It is very important that databases and individuals having the access to patient information be notified not only to patient, but also to physician. Permission for transmission of such information to database or individuals should be taken before actual transmission occurs. Name and address of organizations and individuals having access to information, and extent of access to information needs to be specified. It is vital that complete disclosure of parties that could have access to information be revealed to patient.
Depending on sensitivity of information, different extent of access can be awarded to various parties. All reports and patient identifiers should be made known to patient and physician. Expressive permission of patient is required in all cases. In whichever cases possible, patient identifiers may have to be omitted. Only necessary data needs to be transmitted over and should be utilized for specific purpose for which consent has been taken. Further, organization or individuals to whom information has been transmitted to should utilize information for specified purpose (William L. Manning, 2008 & Mark A. Levine, 2008).