Florida Statutes 400.491 – Clinical records
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Terms Used In Florida Statutes 400.491
- Agency: means the Agency for Health Care Administration. See Florida Statutes 400.462
- Client: means an elderly, handicapped, or convalescent individual who receives companion services or homemaker services in the individual's home or place of residence. See Florida Statutes 400.462
- Home health agency: means a person that provides one or more home health services. See Florida Statutes 400.462
- Home health services: means health and medical services and medical supplies furnished to an individual in the individual's home or place of residence. See Florida Statutes 400.462
- Patient: means any person who receives home health services in his or her home or place of residence. See Florida Statutes 400.462
- Skilled care: means nursing services or therapeutic services required by law to be delivered by a health care professional who is licensed under part I of chapter 464; part I, part III, or part V of chapter 468; or chapter 486 and who is employed by or under contract with a licensed home health agency or is referred by a licensed nurse registry. See Florida Statutes 400.462
(1) The home health agency must maintain for each patient who receives skilled care a clinical record that includes pertinent past and current medical, nursing, social and other therapeutic information, the treatment orders, and other such information as is necessary for the safe and adequate care of the patient. When home health services are terminated, the record must show the date and reason for termination. Such records are considered patient records under s. 400.494, and must be maintained by the home health agency for 6 years following termination of services. If a patient transfers to another home health agency, a copy of his or her record must be provided to the other home health agency upon request.
(2) The home health agency must maintain for each client who receives nonskilled care a service provision plan. Such records must be maintained by the home health agency for 3 years following termination of services.