Md. Code Regs. 10.07.16.16 - Records
A. The facility
shall, either manually or electronically:
(1)
Establish a record for a resident; and
(2) Ensure that entries in the record are
dated, signed, and include the signer's degree or license, or if the signer has
no degree or license, the signer's staff position.
B. The facility shall ensure that residents'
records are:
(1) Maintained in a manner that
is consistent with the medical records confidentiality and disclosure
requirements of:
(a) Maryland Confidentiality
of Medical Records Act, Health-General Article, Title 4, Subtitle 3, Annotated
Code of Maryland; and
(2) Located so that the records are
convenient and available to designated staff;
(3) Managed by a designated staff member who
is responsible for appropriate records control, including storage, security,
and indexing of records; and
(4)
Subject to the requirements of confidentiality laws and regulations, are made
available to the Department as necessary to carry out required
activities.
Notes
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