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1 Accreditation Agencies and Health Information Exchange Unit 4 Assignment Accreditation Agencies and Health Information Exchange Stella Myers Kaplan University HS420: Advanced Health Informatics Professor Robert Tedeschi June 5, 2017 The healthcare system in our nation is ever changing and improving. A major change that has been implemented is known as the Health Information Exchange (HIE) standard. The HIE is a system in which allows for the electronic health records to be a vital and indispensable part of today’s healthcare system. The primary purpose of the electronic health record is to improve on the effectiveness of increase in reimbursements and the overall quality of care. While the implementation of these systems is important, it is however; equally as vital to follow the
2 Accreditation Agencies and Health Information Exchange documentation standards set forth by the multitude of agencies, and consistently monitor the integrity of patient data. Organization-Wide Health Record and Documentation Guidelines The Joint Commission (TJC) is a nonprofit organization that accredits and certifies with nationwide acceptance. The mission of TJC is to evaluate and inspire facilities to providing safe and effective care of the highest quality and value, from both stakeholders and public view. ("Joint Commission Requirements | Joint Commission") They are known nationally to be the golden standard of healthcare accreditation and have set forth a set of specific requirements for medical record retention and documentation timeliness. Facilities are required to maintain complete and accurate records. These records are those which are evaluated during a performance survey. It is imperative that clinical records as they pertain to each individual patient contain the required documentation that will support the patients’ diagnosis or condition; also showing patient outcomes. Justification for treatment, care of services rendered must be included within each record. There is a retention standard for medical records required by TJC that has proven and will continue to prove vital in todays, society of medical/malpractice law suits. Each state determines the retention time of medical record information; however, seven years is what TJC recommends.

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