Western Kentucky University

WKUHS AAAHC Accreditation : Clinical Records and Health Info.

I.D. Chapter Evidence Notes

6.A 

Clinical Records &
Health Information 

 Clinical Records and Health Information

WKUHS uses an Electronic Health Records system. 

6.B

Clinical Records &
Health Information 

Clinical Records and Health Information 

See 6.A 

6.B.1

Clinical Records &
Health Information 

Clinical Records and Health Information 

 See 6.A

6.B.2 

Clinical Records &
Health Information 

 Clinical Records and Health Information

 See 6.A

 6.B.3

Clinical Records &
Health Information 

 Clinical Records and Health Information

See 6.A 

 6.B.4

Clinical Records &
Health Information 

 Clinical Records and Health Information

See 6.A 

6.B.5 

 Clinical Records &
Health Information

 Clinical Records and Health Information

 See 6.A

6.C 

 Clinical Records &
Health Information

 Clinical Records and Health Information

See 6.A 

6.D 

Clinical Records &
Health Information 

 Clinical Records and Health Information

 See 6.A

 6.E

 Clinical Records &
Health Information

 Clinical Records and Health Information

 See 6.A

 6.F

Clinical Records &
Health Information

Coordinator for Patient Services, Medical Records 

& HIPAA 

The WKUHS Coordinator for Patient Services,
Medical Records & HIPAA is responsible
for clinical records.

6.F.1 

Clinical Records &
Health Information

Coordinator for Patient Services, Medical Records

& HIPAA

 See 6.F

 6.F.2

Clinical Records &
Health Information 

 Coordinator for Patient Services, Medical Records

& HIPAA

 See 6.F

 6.F.3

Clinical Records &
Health Information 

Coordinator for Patient Services, Medical Records

& HIPAA

 See 6.F

 6.F.4

Clinical Records &
Health Information

 Coordinator for Patient Services, Medical Records

& HIPAA

See 6.F 

6.F.5 

Clinical Records &
Health Information 

Coordinator for Patient Services, Medical Records

& HIPAA

See 6.F 

6.G 

Clinical Records &
Health Information

 Clinical Records and Health Information

 

 6.G.1

Clinical Records &
Health Information

Clinical Records and Health Information 

Records Management

 WKU follows the Ky. State University Model

Schedule for record management.

6.G.2 

Clinical Records &
Health Information

Clinical Records and Health Information

Records Management

See 6.G.1 

6.G.3 

Clinical Records &
Health Information

Clinical Records and Health Information 

 

 6.G.4

Clinical Records &
Health Information 

Clinical Records and Health Information 

Release of PHI

Acounting of Disclosures

 

 6.H

 Clinical Records &
Health Information

 

WKUHS uses an Electronic Health Records system. 

 6.I

Clinical Records &
Health Information

Quality of Care 

 

 6.J

Clinical Records &
Health Information

Clinical Records and Health Information

Quality of Care 

A summary of a patient's visit history can be

found in the EHR on the face sheet. 

 6.K

Clinical Records &
Health Information

Quality of Care

 

 6.L

Clinical Records &
Health Information

Clinical Records and Health Information 

WKUHS uses an Electronic Health Records system

and uses templates to capture necessary information

in a consistant manner at each visit.. 

 6.L.1

 Clinical Records &
Health Information

Clinical Records and Health Information 

 See 6.L

 6.L.2

Clinical Records &
Health Information 

Clinical Records and Health Information 

See 6.L 

 6.L.3

 Clinical Records &
Health Information

Clinical Records and Health Information 

 See 6.L

6.L.4 

Clinical Records &
Health Information

 Clinical Records and Health Information

 See 6.L

 6.L.5

Clinical Records &
Health Information

 Clinical Records and Health Information

See 6.L 

6.L.6 

Clinical Records &
Health Information

Clinical Records and Health Information 

 See 6.L

6.L.7 

Clinical Records &
Health Information

Clinical Records and Health Information 

See 6.L 

6.L.8 

 Clinical Records &
Health Information

Clinical Records and Health Information 

See 6.L 

 6.L.9

Clinical Records &
Health Information

Clinical Records and Health Information

 

The EHR used at WKUHS utilizes electronic signature

capturing and user tracking to identify when

employees access and review patient records.

6.L.10 

Clinical Records &
Health Information

 

 Missed appointments are documented in

patient records and follow up is provided.

6.L.11 

Clinical Records &
Health Information

 Clinical Records and Health Information

 See 6.L.9

 6.M

Clinical Records &
Health Information

Documenting Clinical Calls 

 

6.N 

Clinical Records &
Health Information

 

WKUHS does not conduct or participate 

in experimental clinical research.

 6.O

Clinical Records &
Health Information

Quality of Care 

 Records are sent to external facilities related

to visits and records are requested for

follow up of referrels and continuity of care purposes.

 6.O.1

Clinical Records &
Health Information

 Quality of Care

See 6.O 

 6.O.2

Clinical Records &
Health Information

 Quality of Care

See 6.O

 

6.P 

Clinical Records &
Health Information

 Quality of Care

Informed Consent

 
 Last Modified 7/22/13