You have just assumed a position as HIM Director of a large HIM department in a different state, and you are faced with an overflowing paper file unit in the hospital. You need to determine how long various health records must be maintained. As part of your research, you would


Explore state and federal laws and regulations pertaining to health record retention.


Place record retention issues on the Medical Record Committee agenda.


Review categorical guidelines as advice in absence of state law.


All of the above.

All of the above.

As the HIM Director, it is your responsibility to determine how long various health records must be maintained in accordance with state and federal laws. To do so, you would need to engage in the following actions:

1. Explore state and federal laws and regulations pertaining to health record retention: This involves researching and understanding the laws and regulations specific to the state in which the hospital is located. State laws may prescribe a minimum retention period that health records must be maintained, and federal laws such as HIPAA may have additional requirements. This step ensures compliance with legal obligations.

2. Place record retention issues on the Medical Record Committee agenda: The Medical Record Committee is a key resource in addressing issues related to health records. By including record retention issues on the committee's agenda, you can gather input from various stakeholders, such as physicians, nurses, administrators, and legal experts. This collaborative approach helps ensure that the decision regarding how long to retain health records is well-informed and aligns with organizational needs.

3. Review categorical guidelines as advice in the absence of state law: In cases where state law does not provide specific guidelines on health record retention, you can refer to categorical guidelines. These guidelines offer recommendations based on best practices within the healthcare industry for different types of health records. While not legally binding, categorical guidelines can serve as useful advice and help ensure consistency in record retention practices.

By exploring state and federal laws, placing record retention issues on the Medical Record Committee agenda, and reviewing categorical guidelines, you can gather the necessary information and insights to determine how long various health records must be maintained. This comprehensive approach allows you to make informed decisions that comply with legal requirements and best practices.