Wiki Offsite clinic EHR documentation

[carrieruth]

We are having an ongoing debate about our providers who rent clinic space at an offsite clinic to see patient's closer to the patient's home. The debate is that the physicians should not document these visits in the EHR of said physician but to keep a paper record for the patient and only document in the EHR when they are at their main facility.

I don't think this is what should happen, the physician should document in the EHR but state in the note where the services were provided in order to provide continuity of care and if the patient requests all of their medical records they are in one place.

Does anyone know of any laws or PHI that states the physician can't use their EHR at an offsite clinic on physician?s laptop?

Any help would be greatly appreciated.

 

[K.Elizabeth]

In my recent position at a medical center, physicians who rounded offsite (@related or unrelated facilities) were able to use a laptop to document in the EHR as long as the IT department "signed off" on the compliance of said laptop. They could also choose to document when they returned to the main facility. Either way the correct POS was always noted. Non related facilities unable to access the EHR would receive faxed notes from the encounter later, or hand written if urgent.

 

[carrieruth]

thank you