Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 554 - NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION
Subchapter T - ADMINISTRATION
Section 554.1910 - Clinical Records
Universal Citation: 26 TX Admin Code ยง 554.1910
Current through Reg. 49, No. 38; September 20, 2024
(a) The facility must maintain clinical records on each resident, in accordance with accepted professional health information management standards and practices, that are:
(1) complete;
(2) accurately documented;
(3) readily accessible;
(4) systematically organized; and
(5) protected from unauthorized
release.
(b) Clinical records must be retained :
(1) for five years
after medical services end; or
(2)
for a minor, for three years after a resident reaches legal age under Texas
law.
(c) The facility must safeguard clinical record information against loss, destruction, or unauthorized use.
(d) The facility must keep confidential all information contained in the resident's records, regardless of the form or storage method of the records, except when release is:
(1) required by law or this
chapter;
(2) to the resident or
resident representative where permitted by applicable law;
(3) for treatment, payment, or health care
operations, as permitted by and in compliance with applicable law; or
(4) for public health activities, reporting
of abuse, neglect or domestic violence, health oversight activities, judicial
and administrative proceedings, law enforcement purposes, organ donation
purposes, research purposes, or to coroners, medical examiners, funeral
directors, and to avert a serious threat to health or safety as permitted by
and in compliance with applicable law.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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