Sec. 16.4. (a) An ombudsman must be provided access to a resident’s medical, financial, and social records. Except as provided in subsections (c) and (d), the ombudsman must obtain consent under subsection (b) before having access to the records.

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Terms Used In Indiana Code 12-10-13-16.4

  • legal representative: means :

    Indiana Code 12-10-13-3.3

  • ombudsman: means an individual or entity designated by the state ombudsman to investigate and resolve local complaints and concerns regarding the health, safety, welfare, or rights of residents. See Indiana Code 12-10-13-4.5
  • state ombudsman: refers to the individual appointed by the secretary or the secretary's designee to run the state long term care ombudsman program and office under Indiana Code 12-10-13-6
     (b) Consent to have access to a resident’s medical, financial, and social records shall be given in one (1) of the following forms:

(1) In writing by the resident.

(2) Orally by the resident.

(3) Through the use of auxiliary aids and services.

(4) In writing by the legal representative of the resident if:

(A) the resident is incapable of giving consent, as determined by the attending physician or as otherwise determined under state law; and

(B) the legal representative has the authority to give consent.

(5) Visually by the resident.

     (c) If consent to have access to a resident’s medical, financial, and social records cannot be obtained under subsection (b), an ombudsman may inspect the records of a resident if the resident is incapable of giving consent, as determined by the attending physician or as otherwise determined under state law, and:

(1) has no legal representative;

(2) has a legal representative but the legal representative cannot be contacted within three (3) days; or

(3) has a legal representative but the legal representative does not have the authority to give consent to have access to the records.

     (d) If an ombudsman has:

(1) been denied access to a resident’s medical, financial, and social records by the resident’s legal representative;

(2) reasonable cause to believe that the resident’s legal representative is not acting in the best interests of the resident; and

(3) received written approval from the state ombudsman;

the ombudsman may inspect the records of the resident.

As added by P.L.139-1993, SEC.17. Amended by P.L.168-2018, SEC.22.