All students (medical, graduate, PhD, master’s, Genetic Counseling, etc.) have special protection on their Epic healthcare records. This means that any access to their Electronic Medical Records (EMR) will be recorded, and an automatic, random audit of all charts in the system will be conducted every three to four weeks. While this process is random, you can always contact the Epic maintenance office to request a full audit of your chart at any time, should you suspect inappropriate access.
All student EMR charts are also equipped with an exclusive "alert system." This program sends an automatic "red flag" by email to those who monitor and maintain Epic records at Mount Sinai any time a student accesses another student's EMR. This new program allows a much higher degree of security for students' health care information, as a red flag email will trigger a manual audit of that student's chart.
There will be full transparency and accountability any time a student reviews another student's chart. Inappropriate access will result in severe penalties, up to and including expulsion.
You should also be aware of these other HIPAA stipulations:
- It is a HIPAA violation for students to review EMR of family members.
- It is a violation of New York State law for students to review their own children's EMR if their child is over 10 years old.
- Children and family members of Icahn School of Medicine students who receive health care at Mount Sinai should request to have special protection extended to their charts.
- Students may contact the Epic maintenance office to ask questions or express concerns regarding EMR privacy at the following extensions: x4-4669 and x4-5146.
In the near future, this alert system will also be in place any time a faculty member at Mount Sinai accesses a student's chart. While most of this access will be appropriate (e.g., for care received by a student from a physician at the hospital), an internal audit of the student's chart will occur to make sure nothing inappropriate has occurred.
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