8/11/2019 Clinical Records Management Policy

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Clinical Records Management Policy

Version 5

Name of responsible (ratifying) committee Information Governance Steering Group

Date ratified 12 ctober 2!11

Document "anager (#ob title) Information Governance "anager

Date issued 1$ November 2!11

%evie& date ctober 2!1' (unless reuirements cange)

*lectronic location +linical ,olicies

%elated ,rocedural Documents

Non-+linical %ecords "anagement ,olicies. %ecords%etention and Disposal ,olicy. Information and%ecord "anagement Strategy. /rust Staff +ode of,ractice on +onfidentiality

0ey ords (to aid &it searcing)ealt %ecords. +linical %ecords. %ecords"anagement

CONTENTS

+linical %ecords "anagement ,olicy Version 5 1$ November 2!11%evie& Date3 ctober 2!1' (unless reuirements cange)

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8/11/2019 Clinical Records Management Policy

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QUICK REFERENCE GUIDE

! INTRODUCTION

" PURPOSE

# SCOPE

$ DEFINITIONS

% DUTIES &ND RESPONSI'I(ITIES

) PROCESS

* TR&INING REQUIREMENTS

+ REFERENCES &ND &SSOCI&TED DOCUMENT&TION

, EQU&(IT- IMP&CT &SSESSMENT

!. MONITORING COMP(I&NCE

&//endices

ppendi6 3 Standard 7etter for Submission of Ne&8%evised Document

ppendi6 93 Guidance on te Design of a Specialty Document

ppendi6 +3 %ecord 0eeping udit /ool

+linical %ecords "anagement ,olicy Version 5 1$ November 2!11%evie& Date3 ctober 2!1' (unless reuirements cange)

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QUICK REFERENCE GUIDE

:or uic; reference te guide belo& is a summary of actions reuired< /is does not negate teneed for te document autor and oters involved in te process to be a&are of and follo& tedetail of tis policyalert? information is contained &itin te ealtrecordalert? may refer to yper-sensitivity. e6istence of living &ill etcSummary of "issing ealt%ecords? and present tis summary to te Information Governance Steering Group in teuarterly report