Skip to main content

i need a desk. i need my basics. im almost ready to settle for bodies.

A.What is an “audit trail”? 

An audit trail can be defined in basic terms as a “record that shows who has accessed a computer system, when it was accessed, and what operations were performed.”  Brodnik, Melanie, et al., Fundamentals of Law for Health Informatics and Information Management. Chicago, IL: AHIMA, 2009, 215.  Pursuant to the Health Insurance Portability and Accountability Act (HIPAA), medical providers who use EHRs must have systems in place to review and audit access to records, as well as prevent unauthorized access.  45 C.F.R. §§ 164.308(a)(1)(ii)(D), (a)(3)(i), 164.312(1)(b).  Compliance with HIPAAs requirements is routinely obtained through the use of audit trails, which track the information required by HIPAA and provide a mechanism for determining if there has been a security breach.   

One of the problems is that there are a variety of different vendors of EHRs and thus, a variety of different formats for audit trails.  If you are using audit trails in litigation, you cannot count on the audit trail from Hospital X to look anything like, or contain the information contained within, the audit trail from Hospital Y.  EHR certification requirements mandate that the following data be recorded in an audit trail: type of action (additions, deletions, changes, queries, print, copy); date and time of event; patient identification; user identification; and identification of the patient data that is accessed.  Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology, Final Rule (September 4, 2012).  Beyond these basic requirements, there is a wide variety of information recorded among different EHR vendors. 

I figured the last line would be the case a while back. 

It sort of looks like each org has the audit logs locally (at least to the org) Also i havent found mns policy yet. i havent looked. i found mane first. but mane gives all the providers a choice if a audit log request is valid. 

idk how wide spread this is but sure looks like we put a pay wall around HIPPAA


Popular posts from this blog

unchanged needs with Mal nutrition and poisoning still present 2020 27 10

Immediate  Tangible Asset Needs for basic security health and to end the terror going forward  this totals about $300 for things actually needed purchased most of it os things stolen and held from me  this is an expenditure to reduce money burnt and days hungey. actual new purchases to accomplish that about $400 usd mn police may think it's OK to allow someone robbed repeatedly moved under threat to 43k of assets they help a retired union leader steal and destroy but on a very practice level such as cooking a meal or managing my time this is hell. for the duration it's continued it may be lethal  I really look forward to a meal and dread it. but I'd rather not end up diabetic heart disease or dead. what I mean is 3 years isolated and abused losing all of my pets either seeing my parents who gaslight and threaten or no one. cooking and eating alone... not great but I seriously need to.  my hair and nails are falling out and apart. I'm usualy in enough physical pain I can

What Actual Peace Officers Look Like vs Many of MNs less than finest.

  Heres me traveling alone in Germany in 2006. 

Public Pretenders Are Not Like Real Lawyers in MN | Rule 8(b)

I'm not a judge.  That said and as far as I can see: MN has removed a check and balance from it's legal system.  Most definitely a route of appeal.  Most definitely an external review. Probably a safe guard against corruption in courts  this change is also most likely to affect low income citizens. Title is a bit of an exaggeration(public pretenders). They are real lawyers but if you take one you will lose a key protective feature of the justice system.