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 Health Record Retention In Saudi Arabia 

ASSIGNMENT 1
Health Record Retention In Saudi Arabia

Dr Sharifah AlDossary, Mohammed AlJohani

aDepartment of Health Informatics, College of Public Health & Health Informatics, King Saud Bin Abdul-Aziz University for Health Sciences, Ethics and Legal Issues in Health Informatics course, AL-Ahsa, Saudi Arabia,”

Abstract. A healthcare record retention policy is effected by multiple rules and guidelines. This policy is important in healthcare serves, legal issues and business clams. In Saudi Arabia, each record related to foundation, operation or development of a governmental institution must be retained forever. However, for a private healthcare provider, they can store the record for a ten years, after that they can remove the record when they write a summary about these record before the destroy them. However, the National Center for Archives and Records encourage to use the technology when they state in their guideline “… the record has to been copied on newest technology with high feature of resistance to destroyed”. From this point, the health informatics play a major rule to adapt the used technology in the health filed and has a significant impaction.

Keywords. Record, requirements for maintain health record, record retention, record retention
policy and guideline in KSA, record duration at ministry of health.

    Since the development of healthcare servers depend on education, research, improve patient care and other varsity methods obtained by analysis of health information for an individual, these data need to be available and retained for the stakeholder to interpret these findings to emphasis health serves [1]. Also, the retention of this information has long been influenced by both external and internal forces, like a statutory provision, regulatory, accrediting institutional or professional guidelines. However, a policy requirement is a corn stone for record retention in a health institution mainly as well as other facilities. This policy has to have general principles to determine the duration of the record to be maintained and the type of data should be stored. American Health Information Management Association (AHIMA) and American Hospital Association (AHA) suggest the duration of the retention for health record to be ten years measured from the patient’s last encounter for adults. In contrast, for the minor patient, AHIMA recommends retaining records until the patient reaches the age of majority to the statute of limitations period governing medical malpractice lawsuits [1]. On the other hand, a business record retention policy must be retained for six years according to Health Insurance Portability and Accountability Act. Furthermore, with a development in technology and the usage of electronic health records which lead a healthcare provider to raise a new consideration about the policy of record retention, due to its advantage relate to a physical space for the storage. This advantage helps in legal issue for suing the hospital and the physicians for a medical malpractice [1]

  Information relating to retention requirements of the health record in Saudi Arabia were identified from the regulation’s and governmental institution’s World Wide Web. For example, Ministry of Health, National Health Information Center, Unified National Platform, Saudi Health Council and National Center for Archives and Records. These sources mentioned a couple of main ideas regarding record retention. The first main idea which was mentioned is the retention of a health record at the governmental institutions and according to the National Center for Archives and Records, there are two types of data in these institutions either to have a data related to foundation, operation or development of this institution, so it must be retained with more copies in different area forever or data related to specific event so the institution determines the duration of the data retention [2]. The second idea, the record related to a private healthcare provider, they have to follow the guideline of the Ministry of Health which is storing patient records for ten years. However, there is an exception in death cases and they have to keep it [3]. Generally, the National Center for Archives and Records encourages to use the technology when they state in their guideline “… the record has to been copied on the newest technology with the high feature of resistance to destroyed” [2]. From this point, health informatics plays a major rule to adapt the used technology in the health field [4].

Finally, the regulation in Saudi Arabia is similar to what mentioned in Legal and ethical aspects of health information management book, but there are differences regarding a business record retention. These differences are due to the lack of a specific rule about this matter. However, A health informatics specialist can overcome these shortages by mapping and implementing a suitable system to maximize retention and store them with high features of security and confidentiality for the required duration.

References

1. McWay, D. C. (2015). Legal and ethical aspects of health information management. Cengage Learning, Ch8, 166-171.

2. National Center for Archives and Records (1996). Retention record. Riyadh, NCAR.

3. Ministry of Health (2018). Private health institution Law, 45-49. Riyadh, MOH.

4. Saudi Health Council (2002). Health Law. Riyadh, Saudi Council of Ministers.

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The assignment  Health Record Retention In Saudi Arabia 

ASSIGNMENT 1

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