Little Elm Orthopedic & Spine Rehab, PC staff may use electronic signatures on all computer-generated documentation. An electronic signature will serve as authentication on patient record documents generated via Agency Manager.
To utilize current technology in the provision of patient care
All personnel Procedure: 1. Little Elm Orthopedic & Staff Rehab, PC staff may create patient documentation via computer system. 2.For the purpose of the electronic medical record, and documents printed from the electronic medical record, the employee's use of an Electronic Signature Passcode after authenticating with their system Log In password will serve as her/his legal signature. 3. The agency-based application administrator will issue each employee a system User Name and a temporary password. The user will create a new password upon initial log in to Agency Manager. 4.An Electronic Signature Passcode will be generated by the employee and will only be accessible to the employee. 5.Each user will be required to change their Log In authentication password: a. upon his/her password being reset by an agency-based application administrator b. every 60 days C. at the employee's discretion 6.If an Electronic Signature Passcode must be reset, only the software vendor with employee authentication may reset the Electronic Signature Passcode. 7.After completion of a clinical document by the clinician, her/his Electronic Signature Passcode must be entered to submit the clinical document to the case manager. 8.Each employee documenting electronically in the electronic medical record will be required to sign an Electronic Documentation & Signature Authenticity Agreement. This Agreement will require that he/she: a. Ensure the security of his/her Log In authentication password and Electronic Signature Passcode information, which may not be shared with anyone, b. Exit the electronic medical record software at the end of each working day, when the computer will not be used for clinical documentation, and when the computer is out of her/his possession, and C. Review all documentation prior to submission. 9. Each employee will review documentation and make necessary corrections per agency policy to documents returned by a case manager at which time the clinician will be required to re-enter the Electronic Signature Passcode to re-submit the documentation. 10.In the event of system downtime that results in the employee's inability to use the electronic documentation system, the employee will complete records manually. 11. Each user must keep his/her Log In User Name, password, and Electronic Signature Passcode confidential. Only the agency-based administrator may reset a user's LogIn authentication password. 12. Upon termination of employment; the administrator will immediately disable the employee user's credentials to prevent access to the electronic medical record.