North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 14 - Director, Division of Health Service Regulation
Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS
Section .2000 - MEDICAL RECORDS
Section 14F .2001 - POLICIES AND PROCEDURES FOR MEDICAL RECORDS
Current through Register Vol. 39, No. 6, September 16, 2024
The program shall develop and implement policies and procedures to include at least the following:
(1) maintenance of a complete, accurate, and organized medical record for each patient admitted to the program;
(2) confidentiality of records;
(3) accessibility of medical record information to the patient, program staff, and non-employees; and
(4) authentication of entries in medical records including hard copy records and those kept in electronic medium such as computerized records.
Authority
G.S.
131E-169;
Eff. July 1,
2000;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. December 6,
2016.