HEALTH CARE POLICY
As required by law every health care facility must maintain a medical record
for each patient that it treats (Pozgar, 2004). Although the exact
specifications may vary slightly across each state, there are still some basic
legal principles to remember when dealing with the medical record. As a part of
the risk-management department for an assisted living facility, it has fallen to
you to take a look at the facility- policies on medical records.
It is your responsibility to come up with a new policy that deals with the
maintenance and release of medical records.
Medical Records Policy: Part I
Develop Part I of the Medical Records Policy that
focuses on the maintenance of medical records. In this section, you should
consider things such as the following:
the contents of a medical record (i.e., what information goes in a
record)
guidelines for properly making an entry in a medical record (i.e., how to do
so, how to make a correction, etc.)
USA 
India