circulation, tracking, and security measures. The majority of small facilities are still using
paper charts and most of these facilities have a need for circulation and have different l
locations for their charts. These small facilities also have problems with having the wrong
papers in the patient’s charts and having misplaced papers. Most of the small facilities
keep their patients charts locked and secured. If these small facilities lose a chart they
really have no way to replace them since they are on paper and not electronic. As far as
the patients that no longer visit the facility they usually have them destroyed after so many
years or they are in an archive.
In the medium size facilities there is a mixture of paper charts and electronic charts.
The medium facilities that use electronic charts do not have a need for circulation or do
not have different locations for their charts. The medium facilities that have charts have
different locations for their charts and have a need to circulate. These medium facilities
have problems with misplaced charts, lost papers, or coding/billing problems. The facilities
that still use paper charts have them locked up and the ones that use electronic charts have
them password protected. The medium facilities keep their patients privacy by upholding
the HIPAA laws or having the charts where no one can see them. Most medium facilities
that use electronic records do not lose their patients chart since they have them on
computers, the ones that still use paper charts are more likely to lose the patients charts
and have a harder time reproducing them. When patients no longer visit the facilities that
have electronic records they usually archived and the ones that still use paper charts have
them shredded or stored on the offsite storage.
With the large facilities, the majority of them use electronic records. With electronic records there is no need for circulation nor is there any reason for different locations for
the patient’s charts. The biggest problem within the large facilities are the release of
medical information and having the wrong diagnosis put in for the patient. Privacy and
storage is not a major problem for the larger facilities since there computers are password
protected and only staff members have access to the patients files. If the larger facilities
happen to lose a chart they can be reproduced since everything is on the computers. As far
as the patients who no longer visit the facilities the files are stored on site or are still on the
There are several similarities and differences between the small, medium, and large
facilities. I believe that the reasons for the differences between the small, medium , and
large facilities have to do with whether they have electronic records or paper records. The
differences also have to do with how each facility runs their own facility. Each facility is
different and each doctor or administrator wants things done there way. Each facility has
adopted their own way of doing things and must be learned when working in that facility.
Each facility seems to with hold the HIPAA laws and keeps patients files secured.
If the staff members, whether they work in a small, medium, or large facility were not
follow their facilities procedures it could really mess up the way things are run in that
office. If staff members were to leave computers on or leave charts out in the open then
the patients privacy would be violated. Whether someone works in a small, medium, or
large facility they must learn the way things are ran so they can ensure that they withhold
the privacy of the patients at all time. Whether you work with paper charts or electronic