Chapter 8: Long Term Care
- 1. Definitions
- 2. Overview
- 3. How to Use this Section
- 4. Health Information Management Service
- 5. Confidentiality of Medical Records and Information
- 6. Medical Record Guidelines
- 7. Abbreviations
- 8. Master Resident Record
- 9. Medical Record Contents
- 10. Social Services
- 11. Comprehensive Resident Assessment
- 12. MDS Retention Period
- 13. Automated Data Processing Requirement
- 14. Comprehensive Plan of Care
- 15. Telephone and Electronic Orders
- 16. Admission Orders and Physician Evaluations
- 17. Frequency of Physician Evaluation
- 18. Physician Services
- 19. Medical Information for Clinical Record
- 20. Documentation of Routine and Emergency Oral Health Services
- 21. Administration of Medications
- 22. Disposition of Medications
- 23. Transfer, Discharge and Death
- 24. Quality Measures and Indicators
- 25. Retention, Storage and Retrieval
- 26. Computerization
- 27. Penalties for Clinical Records Rule Violation