Joint Commission does not approve of auto authentication of entries in a health record. The
primary objection to this practice is that
A. it is too easy to delegate use of computer passwords.
B. evidence cannot be provided that the physician actually reviewed and approved each report.
C. electronic signatures are not acceptable in every state.
D. tampering too often occurs with this method of authentication.
B Auto authentication is a policy adopted by some facilities that allows physicians to state in
advance that transcribed reports should automatically be considered approved and signed (or
authenticated) when the physician fails to make corrections within a preestablished time frame
(e.g., "Consider it signed if I do not make changes within 7 days."). Another version of this
practice is when physicians authorize the HIM department to send weekly lists of unsigned
documents. The physician then signs the list in lieu of signing each individual report. Neither
practice ensures that the physician has reviewed and approved each report individually.
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