Medical Records Rc.01.01.01

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Record of Care, Treatment, and Services (RC) Standards

https://www.aornguidelines.org/joint-commission/program/46080/standard/46091

RC.01.03.01 Documentation in the medical record is entered in a timely manner. EP3 History and physical examination updates; RC.02.01.01 The medical record contains …

EP1 Components of the medical record | AORN eGuidelines+

https://www.aornguidelines.org/joint-commission/program/46081/standard/46091/ep/543558

RC.02.01.01 The clinical record contains information that reflects the patient's care, treatment, and services. EP2 Clinical information RC.02.01.03 The patient's clinical …

History and Physical - Requirements | Behavioral Health …

https://www.jointcommission.org/standards/standard-faqs/behavioral-health/care-treatment-and-services-cts/000001780/

H & P must be signed and completed within the time frame specified by the needs of the individual served, organization policy, and law and regulation (RC.01.01.01 …

Retention and Destruction of Health Information - AHIMA

https://library.ahima.org/doc?oid=300217

Intent of RC.01.05.01 Medical records are retained for the …

Required Guidelines for History & Physical - Wise Health System

https://www.wisehealthsystem.com/medical-staff/medical-staff-orientation/guidelines-for-history-and-physical/

The Joint Commission (RC 01.01.01 EP 4) History & Physical must be completed and documented within 24 hours following admission of the patient, but prior …

The Joint Commission "TJC" Looking at Medical Record …

https://www.natlawreview.com/article/joint-commission-tjc-looking-medical-record-documentation

Sunday, February 6, 2011 For the first half of 2010, The Joint Commission lists medical record documentation as one of the top ten standards in noncompliance. Citing …

Medical Record - Collecting Race and Ethnicity Data

https://www.jointcommission.org/standards/standard-faqs/hospital-and-hospital-clinics/record-of-care-treatment-and-services-rc/000001712/

As of January 1, 2023, it will also apply to organizations in the ambulatory health care (RC.02.01.01, EP 31), behavioral health and human services (RC.02.01.01, …

New & Revised Standards & EPs for Patient-Centered …

https://www.imiaweb.org/uploads/pages/275.pdf

1. The medical record contains the following demographic information: - The patient's name, address, and date of birth, and the name of any legally authorized representative - …

Information Management Elements - IM.02.02 The hospital …

https://www.studocu.com/en-us/document/western-governors-university/accreditation-audit/information-management-elements/39286021

(See also RI.01.01, EP 3) 7 All entries in the medical record are dated. 13 For hospitals that use Joint Commission accreditation for deemed status purposes: All entries in the …

eCFR :: 42 CFR 482.24 -- Condition of participation: …

https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-482/subpart-C/section-482.24

The hospital must maintain a medical record for each inpatient and outpatient. Medical records must be accurately written, promptly completed, properly filed and retained, and …

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