Minn. Stat. 144A.4794 - Client Record

What this rule requires your agency to do

• 1The provider must ensure authorized personnel can readily access client records in a format allowing timely access, printing, or transmission. (Minn. Stat. 144A.4794, subd. 2)(Minn. Stat. 144A.4794, subd. 2)
• 2The provider must, upon the client's request, facilitate a coordinated transfer by sending a copy or summary of the client's record to the new provider or facility. (Minn. Stat. 144A.4794, subd. 4)(Minn. Stat. 144A.4794, subd. 4)
• 3The provider must include in each client record the required contents, including identifying and emergency-contact information, health care provider details, medical history and allergies, advance directives, assessments and service plans, documentation of status changes and incidents, verification of service provision, bill of rights acknowledgment, complaint records, and discharge summaries. (Minn. Stat. 144A.4794, subd. 3)(Minn. Stat. 144A.4794, subd. 3)
• 4The provider must retain each client's record for at least five years following the client's discharge or termination of services, and must arrange for secure storage if the provider ceases operations. (Minn. Stat. 144A.4794, subd. 5)(Minn. Stat. 144A.4794, subd. 5)
• 5The provider must protect client records against loss, tampering, or unauthorized disclosure in compliance with state and federal law, and limit disclosure to legally required recipients, authorized employees/contractors, persons with the client's written authorization, and the commissioner during investigations. (Minn. Stat. 144A.4794, subd. 1)(Minn. Stat. 144A.4794, subd. 1)
• 6The provider must maintain a client record for each client that is current, legible, permanently recorded, dated, and authenticated by the person making each entry. (Minn. Stat. 144A.4794, subd. 1)(Minn. Stat. 144A.4794, subd. 1)