DUE IN 4 HOURS

DUE IN 4 HOURS
LHR/DSR Matrix (80 points )   Grading Rubric: LHR/DSR Matrix (80 points)   Excellent Good Poor LHR/DRS Designation (30 points) 30-26 points: Is able to distinguish if an element is LHR, DRS, Both or none. Provides source material to justify decision. 25-21 points: Is able to distinguish if an element is LHR, DRS, Both or none in most cases. . 21-0 points: Does not demonstrate a grasp of the differences between LHR and DRS. Retention (25 points) 25-23 points: Retention is noted for every item. The retention is consistent with federal, licensing, state, and accreditation guidelines. Justification is noted in the comment section. 22 -19 points: Most items have a retention date. The majority are consistent with federal, licensing, accreditation or state guidelines. Justification is noted in the comment section. 18-0 points: Only a few items have a designated retention date. Dates are not based on guidelines. No or little justification is provided. Reflection (15 points) 15-13 points: Reflection is well written and supports opinion regarding the importance of making these distinctions. 12-10 points: Reflection indicates some depth of thought regarding the importance of making these distinctions. 8-0 points: Reflection is not present, or does not provide any insight as to their opinion regarding the importance of making these distinctions. Mechanics (10 points) 10-9 points: No proofreading errors. Use of shading, borders, etc. Easy to read and navigate 8-7 points: 1-3 proofreading errors. Easy to read. Uses some formatting and borders. Easy to navigate. 6-0 points: More than 3 errors. There is no use of formatting to make the documents easy to follow. http://library.ahima.org/PB/RetentionDestruction#.WMGCPo6gRtN Additional Reading:  Data Mapping and Its Impact on Data Integrity.  AHIMA. 2013  http://bok.ahima.org/PdfView?oid=107154 Rubric Due Week 1 Day 7 Submit your Matrix in Assignments via the left-hand navigation menu. Submit your reflection in a journal via the left-hand navigation menu. ( LHR/DRS Matrix Reflection )
DUE IN 4 HOURS
Appendix A — Overview and Detailed Tables Table A-7. State Medical Record Laws: Minimum Medical Record Retention Periods for Records Held by Medical Doctors and Hospitals * Summary of statutory or regulatory provision by entity. State Medical Doctors Hospitals Alabama As long as may be necessary to treat the patient and for medical legal purposes. Ala. Admin. Code r. 545-X-4-.08 (2007). (1) 5 years. Ala. Admin. Code § 420-5-7.10 (adopting 42 C.F.R. § 482.24). Alaska N/A Adult patients 7 years following the discharge of the patient. Minor patients (under 19) 7 years following discharge or until patient reaches the age of 21, whichever is longer. Alaska Stat. § 18.20.085(a) (2008). Arizona Adult patients 6 years after the last date of services from the provider. Minor patients 6 years after the last date of services from the provider, or until patient reaches the age of 21 whichever is longer. Ariz. Rev. Stat. § 12-2297 (2008). Adult patients 6 years after the last date of services from the provider. Minor patients 6 years after the last date of services from the provider, or until patient reaches the age of 21 whichever is longer. Ariz. Rev. Stat. § 12-2297 (2008). Arkansas N/A Adult patients 10 years after the last discharge, but master patient index data must be kept permanently. Minor patients Complete medical records must be retained 2 years after the age of majority (i.e., until patient turns 20). 016 24 Code Ark. Rules and Regs. 007 § 14(19) (2008). California N/A (1) Adult patients 7 years following discharge of the patient. Minor patie nts 7 years following discharge or 1 year after the patient reaches the age of 18 (i.e., until patient turns 19) whichever is longer. Cal. Code Regs. tit. 22, § 70751(c) (2008). Colorado N/A (1) Adult patients 10 years after the most recent patient care usage. Minor patie nts 10 years after the patient reaches the age of majority (i.e., until patient turns 28). 6 Colo. Code Regs. § 1011-1, chap. IV, 8.102 (2008). (continued) A-68 Appendix A — Overview and Detailed Tables Table A-7. State Medical Record Laws: Minimum Medical Record Retention Periods for Records Held by Medical Doctors and Hospitals * (continued) State Medical Doctors Hospitals Connecticut 7 years from the last date of treatment, or, upon the death of the patient, for 3 years. Conn. Agencies Regs. § 19a-14-42 (2008). 10 years after the patient has been discharged. Conn. Agencies Regs. §§ 19-13-D3(d)(6) (2008). Delaware 7 years from the last entry date on the patient’s record. Del. Code Ann. tit. 24, §§ 1761 and 1702 (2008). N/A District of Columbia Adult patients 10 years following the date of discharge of the patient. 3 years after last seeing the patient. Minor patients 3 years after last seeing the patient or 3 years after patient reaches the age of 18 (i.e., until patient turns 21). D.C. Mun. Regs. tit. 17, § 4612.1 (2008). D.C. Mun. Regs. tit. 22, § 2216 (2008). Florida 5 years from the last patient contact. Fla. Admin. Code Ann. 64B8- 10.002(3) (2008). Public hospitals: 7 years after the last entry. Florida Department of State, General Records Schedule GS4 for Public Hospitals, Health Care Facilities and Medical Providers, (2007), http://dlis.dos.state.fl.us/barm/genschedul es/GS04.pdf (accessed September 12, 2008). Georgia 10 years from the date the record item was created. See Ga. Code Ann. § 31-33 – 2(a)(1)(A) and (B)(i) (2008). Adult patients 5 years after the date of discharge. Minor patients 5 years past the age of majority (i.e., until patient turns 23). See Ga. Code Ann. §§ 31-33-2(a)(1)(B)(ii) (2008); 31-7-2 (2008) (granting the department regulatory authority over hospitals) and Ga. Comp. R. & Regs. 290- 9-7-.18 (2008). Guam N/A N/A (continued) A-69 Appendix A — Overview and Detailed Tables Table A-7. State Medical Record Laws: Minimum Medical Record Retention Periods for Records Held by Medical Doctors and Hospitals * (continued) State Medical Doctors Hospitals Hawaii Adult patients Full medical records: 7 years after last data entry. Basic information (i.e., patient’s name, birth date, diagnoses, drugs prescribed, x-ray interpretations): 25 years after the last record entry. Minor patients Full medical records: 7 years after the patient reaches the age of majority (i.e., until patient turns 25). Basic information: 25 years after the minor reaches the age of majority (i.e., until patient turns 43). Haw. Rev. Stat. § 622-58 (2008). Adult patients Full medical records: 7 years after last data entry. Basic information (i.e., patient’s name, birth date, diagnoses, drugs prescribed, x- ray interpretations): 25 years after the last record entry. Minor patie nts Full medical records: 7 years after the minor reaches the age of majority (i.e., until patient turns 25). Basic information: 25 years after the minor reaches the age of majority (i.e., until patient turns 43). Haw. Rev. Stat. § 622-58 (2008). Idaho N/A Clinical laboratory test records and reports: 5 years after the date of the test. Idaho Code Ann. § 39-1394 (2008). Illinois N/A 10 years. See 210 Ill. Comp. Stat. 85/6.17(c) (2008). Indiana 7 years. Burns Ind. Code Ann. § 16-39-7-1 (2008). 7 years. Burns Ind. Code Ann. § 16-39-7-1 (2008). Iowa Adult patients 7 years from the last date of service. Minor patients 1 year after the minor attains the age of majority (i.e., until patient turns 19). See Iowa Admin. Code r. 653- 13.7(8) (2008); Iowa Code § 614.8 (2008). N/A Kansas 10 years from when professional service was provided. Kan. Admin. Regs. § 100-24-2 (a) (2008). Adult patients Full records: 10 years after the last discharge of the patient. Minor patients Full records: 10 years or 1 year beyond the date that the patient reaches the age of majority (i.e., until patient turns 19) whichever is longer. Summary of destroyed records for both adults and minors—25 years. Kan. Admin. Regs. § 28-34-9a (d)(1) (2008). (continued) A-70 Appendix A — Overview and Detailed Tables Table A-7. State Medical Record Laws: Minimum Medical Record Retention Periods for Records Held by Medical Doctors and Hospitals * (continued) State Medical Doctors Hospitals Kentucky N/A Adult patients 5 years from date of discharge. Minor patients 5 years from date of discharge or 3 years after the patient reaches the age of majority (i.e., until patient turns 21) whichever is longer. 902 Ky. Admin. Regs. 20:016 (2007). Louisiana 6 years from the date a patient is last treated. La. Rev. Stat. Ann. § 40:1299.96(A)(3)(a) (2008). 10 years from the date a patient is discharged. La. Rev. Stat. Ann. § 40:2144(F)(1) (2008). Maine N/A Adult patients 7 years. Minor patients 6 years past the age of majority (i.e., until patient turns 24). See 10-144 Me. Code R. Ch. 112, § XII.B.1 (2008). Patient logs and written x-ray reports— permanently. 10-144 Me. Code R. Ch. 112, § XV.C.5 (2008). Maryland Adult patients 5 years after the record or report was made. Minor patients 5 years after the report or record was made or until the patient reaches the age of majority plus 3 years (i.e., until patient turns 21), whichever date is later. MD. Code Ann., Health–Gen. §§ 4-403(a)–(c) (2008). Adult patients 5 years after the record or report was made. Minor patients 5 years after the report or record was made or until the patient reaches the age of majority plus 3 years (i.e., until patient turns 21), whichever date is later. MD. Code Ann., Health–Gen. §§ 4-403(a)–(c) (2008). Massachusetts Adult patients 7 years from the date of the last patient encounter. Minor patients 7 years from date of last patient encounter or until the patient reaches the age of 9, whichever is longer. 243 Mass. Code Regs. 2.07(13)(a) (2008). 30 years after the discharge or the final treatment of the patient. Mass. Gen. Laws ch. 111, § 70 (2008). (continued) A-71 Appendix A — Overview and Detailed Tables Table A-7. State Medical Record Laws: Minimum Medical Record Retention Periods for Records Held by Medical Doctors and Hospitals* (continued) State Medical Doctors Hospitals Michigan 7 years from the date of service. Mich. Comp. Laws § 333.16213 (2008). 7 years from the date of service Mich. Comp. Laws § 333.20175 (2008). Minnesota N/A Most medical records: Permanently (in microfilm). Miscellaneous documents: Adult patients 7 years. Minor patients 7 years following the age of majority (i.e., until the patient turns 25). Minn. Stat. § 145.32 (2007) and Minn. R. 4642.1000 (2007). Mississippi N/A Adult patients Discharged in sound mind: 10 years. Discharged at death: 7 years. (2) Minor patients For the period of minority plus 7 years. (3) Miss. Code Ann. § 41-9-69(1) (2008). Missouri 7 years from the date the last professional service was provided. Mo. Rev. Stat. § 334.097(2) (2008). Adult patients 10 years. Minor patients 10 years or until patient’s 23rd birthday, whichever occurs later. Mo. Code Reg. tit. 19, § 30-094(15) (2008). Montana N/A (1) Adult patients Entire medical record—10 years following the date of a patient’s discharge or death. Minor patie nts Entire medical record—10 years following the date the patient either attains the age of majority (i.e., until patient is 28) or dies, whichever is earlier. Core medical record must be maintained at least an additional 10 years beyond the periods provided above. Mont. Admin. R. 37.106.402(1) and (4) (2007). (continued) A-72 Appendix A — Overview and Detailed Tables Table A-7. State Medical Record Laws: Minimum Medical Record Retention Periods for Records Held by Medical Doctors and Hospitals * (continued) State Medical Doctors Hospitals Nebraska N/A Adult patients 10 years following a patient’s discharge. Minor patie nts (under 19) 10 years or until 3 years after the patient reaches age of majority (i.e., until patient turns 22), whichever is longer. Neb. Admin. Code 175 § 9-006.07A5 (2008). Nevada 5 years after receipt or production of health care record. Nev. Rev. Stat. § 629.051 (2007). 5 years after receipt or production of health care record. Nev. Rev. Stat. § 629.051 (2007). New Hampshire 7 years from the date of the patient’s last contact with the physician, unless the patient has requested that the records be transferred to another health care provider. N.H. Code Admin. R. Ann. Med 501.02(f)(8) (2008). Adult patients 7 years after a patient’s discharge. Minor patie nts 7 years or until the minor reaches age 19, whichever is longer. N.H. Code Admin. R. Ann. He-P 802.06(h) (1994). (4) New Jersey 7 years from the date of the most recent entry. N.J. Admin. Code § 13:35-6.5(b) (2008). Adult patients 10 years following the most recent discharge. Minor patients 10 years following the most recent discharge or until the patient is 23 years of age, whichever is longer. Discharge summary sheets (all) 20 years after discharge. N.J. Stat. Ann. § 26:8-5 (2008). New Mexico Adult patients 2 years beyond what is required by state insurance laws and by Medicare and Medicaid requirements. Minor patie nts 2 years beyond the date the patient is 18 (i.e., until the patient turns 20). N.M. Code R. § 16.10.17.10 (C) (2008). Adult patients 10 years following the last treatment date of the patient. Minor patie nts Age of majority plus 1 year (i.e., until the patient turns 19). N.M. Stat. Ann. § 14-6-2 (2008); N.M. Code R. § 7.7.2.30 (2008). (continued) A-73 Appendix A — Overview and Detailed Tables Table A-7. State Medical Record Laws: Minimum Medical Record Retention Periods for Records Held by Medical Doctors and Hospitals * (continued) State Medical Doctors Hospitals New York Adult patients 6 years. Minor patie nts 6 years and until 1 year after the minor reaches the age of 18 (i.e., until the patient turns 19). N.Y. Education § 6530 (2008) (providing retention requirements in the definitions for professional misconduct of physicians). Adult patients 6 years from the date of discharge. Minor patients 6 years from the date of discharge or 3 years after the patient reaches 18 years (i.e., until patient turns 21), whichever is longer. Deceased patients At least 6 years after death. N.Y. Comp. Codes R. & Regs. tit. 10, § 405.10(a)(4) (2008). North Carolina N/A Adult patients 11 years following discharge. Minor patie nts Until the patient’s 30th birthday. 10 A N.C. Admin. Code 13B.3903(a), (b) (2008). North Dakota N/A Adult patients 10 years after the last treatment date. Minor patie nts 10 years after the last treatment date or until the patient’s 21st birthday, whichever is later. N.D. Admin. Code 33-07-01.1-20(1)(b) (2007). Ohio N/A N/A Oklahoma N/A Adult patients 5 years beyond the date the patient was last seen. Minor patients 3 years past the age of majority (i.e., until the patient turns 21). Deceased patients 3 years beyond the date of death. Okla. Admin. Code § 310:667-19-14 (2008). Oregon N/A (1) 10 years after the date of last discharge. Master patient index—permanently. Or. Admin. R. 333-505-0050(9) and (15) (2008). (continued) A-74 Appendix A — Overview and Detailed Tables Table A-7. State Medical Record Laws: Minimum Medical Record Retention Periods for Records Held by Medical Doctors and Hospitals * (continued) State Medical Doctors Hospitals Pennsylvania Adult patients At least 7 years following the date of the last medical service. Minor patie nts 7 years following the date of the last medical service or 1 year after the patient reaches age 21 (i.e., until patient turns 22), whichever is the longer period. 49 Pa. Code § 16.95(e) (2008). Adult patients 7 years following discharge. Minor patie nts 7 years after the patient attains majority (5) or as long as adult records would be maintained. 28 Pa. Code § 115.23 (2008). Puerto Rico N/A N/A (6) Rhode Island 5 years unless otherwise required by law or regulation. R.I. Code R.14-140-031, § 11.3 (2008). Adult patients 5 years following discharge of the patient. R.I. Code R. 14 090 007 § 27.10 (2008). Minor patie nts 5 years after patient reaches the age of 18 years (i.e., until patient turns 23). R.I. Code R. 14 090 007 § 27.10.1 (2008). South Carolina Adult patients 10 years from the date of last treatment. Minor patie nts 13 years from the date of last treatment. S.C. Code Ann. § 44-115-120 (2007). Adult patients 10 years. Minor patie nts Until the minor reaches age 18 and the “period of election” expires, which is usually 1 year after the minor reaches the age of majority (i.e., usually until patient turns 19). S.C. Code Ann. Regs. 61-16 § 601.7(A) (2007). See S.C. Code Ann. § 15-3-545 (2007). (7) South Dakota When records have become inactive or for which the whereabouts of the patient are unknown to the physician. S.D. Codified Laws § 36-4-38 (2008). Adult patients 10 years from the actual visit date of service or resident care. Minor patie nts 10 years from the actual visit date of service or resident care or until the minor reaches age of majority plus 2 years (i.e., until patient turns 20), whichever is later. See S.D. Admin. R. 44:04:09:08 (2008). (continued) A-75 Appendix A — Overview and Detailed Tables Table A-7. State Medical Record Laws: Minimum Medical Record Retention Periods for Records Held by Medical Doctors and Hospitals * (continued) State Medical Doctors Hospitals Tennessee Adult patients 10 years from the provider’s last professional contact with the patient. Minor patie nts 10 years from the provider’s last professional contact with the patient or 1 year after the minor reaches the age of majority (i.e., until patient turns 19), whichever is longer. Tenn. Comp. R. & Regs. 0880-2-.15 (2008). Adult patients 10 years following the discharge of the patient or the patient’s death during the patient’s period of treatment within the hospital. Tenn. Code Ann. § 68-11-305(a)(1) (2008). Minor patie nts 10 years following discharge or for the period of minority plus at least one year (i.e., until patient turns 19), whichever is longer. Tenn. Code Ann. § 68-11-305(a)(2) (2008). Texas Adult patients 7 years from the date of the last treatment. Minor patie nts 7 years after the date of the last treatment or until the patient reaches age 21, whichever date is later. 22 Tex. Admin. Code § 165.1(b) (2008). (8) Adult patients 10 years after the patient was last treated in the hospital. Minor patie nts 10 years after the patient was last treated in the hospital or until the patient reaches age 20, whichever date is later. Tex. Health & Safety Code Ann. § 241.103 (2007); 25 Tex. Admin. Code § 133.41(j)(8) (2008). (8) Utah N/A Adult patients 7 years. Minor patie nts 7 years or until the minor reaches the age of 18 plus 4 years (i.e., patient turns 22), whichever is longer. Utah Admin. Code r. 432-100-33(4)(c) (2008). Vermont N/A (1) 10 years. Vt. Stat. Ann. tit. 18, § 1905(8) (2007). Virginia Adult patients 6 years after the last patient contact. Minor patie nts 6 years after the last patient contact or until the patient reaches age 18 (or becomes emancipated), whichever time period is longer. 18 Va. Admin. Code § 85-20-26(D) (2008). Adult patients 5 years following patient’s discharge. Minor patie nts 5 years after patient has reached the age of 18 (i.e., until the patient reaches age 23). 12 Va. Admin. Code § 5-410-370 (2008). (continued) A-76 Appendix A — Overview and Detailed Tables Table A-7. State Medical Record Laws: Minimum Medical Record Retention Periods for Records Held by Medical Doctors and Hospitals * (continued) State Medical Doctors Hospitals Washington N/A Adult patients 10 years following the patient’s most recent hospital discharge. Minor patie nts 10 years following the patient’s most recent hospital discharge or 3 years after the patient reaches the age of 18 (i.e., until the patient turns 21) whichever is longer. Wash. Rev. Code § 70.41.190 (2008). (9) West Virginia N/A N/A Wisconsin 5 years from the date of the last entry in the record. Wis. Admin. Code Med. § 21.03 (2008). 5 years. Wis. Admin. Code Health & Family Services §§ 124.14(2)(c), 124.18(1)(e) (2008). Wyoming N/A N/A (9) * = All years are minimum periods (e.g., “at least” 7 years). Chart does not address retention of original x-rays or tracings, which may be subject to other requirements. Minor = Person under 18 years old unless otherwise noted. N/A = No statute or regulation found. Notes: (1) No statutory or regulatory requirement bu t state medical board or medical association recommends as follows: Alabama: At least 10 years. See “Medical Records,” available on the website of the Medical Association of the State of Alabama (MASA) at: http://www.masalink.org/uploadedFiles/Practice_Management/policy_Medicalrecords.pdf (accessed September 15, 2008). California: Indefinitely, if possible. See CMA ON-CALL: The California Medical Association’s Information-On-Demand Service, available at http://www.thedocuteam.com/docs/retention_medicalrecords.pdf (accessed August 14, 2008). Colorado: Adult patients 7 years after the last date of treatment and the records of minor patients 7 years after the last date of treatment or 7 years after the patient reaches the age of 18, whichever is later. See Colorado Board of Medical Examiners, Policy 40-7: “Guidelines Pertaining to the Release and Retention of Medical Records.” Available at: http://www.dora.state.co.us/Medical/policies/40- 07.pdf (accessed September 16, 2008). Montana: Seven years from the date of last contact with the patient. Birth and immunization records: Until the patient’s 25th birthday. See Montana Boar d of Medical Examiners, Statement on Physician Obligation to Retain Medical Records (2004), available at http://www.mt.gov/dli/bsd/license/bsd_boards/med_board/pdf/patient_medrec.pdf (accessed July 17, 2008). Oregon: In accordance with Oregon’s statute of lim itations, at least 10 years after the patient’s last contact with the physician. If space permits, inde finitely for all living patients. See Oregon Medical Board, available at http://www.oregon.gov/OMB (accessed August 8, 2008). Vermont: Patient’s lifetime if possible. Minors’ re cords: at least until the child reaches age 21 and decedent’s records at least 3 years after the patient’s death. See Vermont Guide to Health Care Law , available at http://www.vtmd.org/ (accessed September 16, 2008). (2) If a patient dies in the hospital or within 30 da ys of discharge and is survived by one or more minors who are or claim to be entitled to damages for the patient’s wrongful death, the hospital must retain the patient’s hospital record until th e youngest minor reaches age 28. Miss. Code Ann. § 41-9-69(1) (2008). A-77 Appendix A — Overview and Detailed Tables (3) A person under the age of 21 is generally co nsidered a “minor” in Mississippi. However, for purposes of consenting to health care, an “adult” is a person age 18 or older. See Miss. Code Ann. §§ 1-3-27 and 41-41-203(a) (2008). (4) Hospital licensure rules have expired, but, as of June 2008, they were still in current use by the state Bureau of Licensing & Certification, which licenses health care facilities. (5) The age of majority in Pennsylvania is 21. See 1 Pa. Cons. Stat. § 1991 (2008). However, minors over 18 may consent to health services in thei r own right. See 35 Pa. Cons. Stat. § 10101 (2008). (6) Based only on statutes, not on regulations, which currently are publish ed only in Spanish. (7) The period of election is the time during which a person may elect to bring a law suit for malpractice that occurred while the patient was a minor, generally a maximum of 1 year after the minor reaches the age of majority. See S.C. Code Ann. § 15-3-545 (2007). (8) The physician may not destroy medical records that relate to any civil, criminal, or administrative proceedings unless the physician knows the proceeding has been finally r esolved. 22 Tex. Admin. Code § 165.1(b) (2008); Tex. Health & Safety Co de Ann. § 241.103 (2007); 25 Tex. Admin. Code § 133.41(j)(8) (2008). (9) Must maintain a record of a patient’s health care information: for at least 1 year following receipt of authorization to disclose that health care inform ation; and during the pendency of a request for examination, copying, correction, or amendment of that health care information. Wash. Rev. Code § 70.02.160 (2008); Wyo. Stat. Ann. § 35-2-615 (2008). A-78