Access and Specialized Patient Records

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  • You are the director of health information services in a major
    medical center that maintains both a psychiatric and substance
    abuse units in addition to general medical and surgical units. Your
    facility, under the direction of the CIO, plans to join a computer
    network with 15 hospitals throughout the state, which will allow online
    access to laboratory data, regardless of which facility performed the
    lab work. None of the other 15 facilities offers psychiatric or
    substance abuse treatment, and you have been asked to provide HIM
    analysis as the subject matter expert.
  • For the CIO, identify access and confidentiality issues that may be
    present with such a network in the light of the statutory, regulatory,
    and accrediting requirements governing patients treated in these units.
    Furthermore, what specific organizational recommendation(s) would you
    make to the CIO to ensure she has considered specialized records in her
    support of the network for all departments, including the HIM
    department?
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