Navy hospitals, clinics moving to closed-record system
November 13, 2003
CAMP LESTER, Okinawa — In the wake of too many lost or misplaced medical records, all Navy hospitals and clinics are moving to a closed-record system: Patients no longer will be permitted to hand-carry their medical records.
The U.S. Naval Hospital Okinawa started the new system earlier this year, said Kim Browning, the hospital’s outpatient records supervisor. It also will take effect by Jan. 1 in the three branch clinics, she said: Evans on Camp Foster, Bush on Camp Courtney and the Camp Kinser Clinic.
Kadena Air Base’s 18th Medical Group is planning to join the closed record program, Browning said, because many of its patients also are seen at the hospital.
Browning said the system now is mandatory in all Navy hospitals and clinics, not just Okinawa. Recent inspector general visits, she said, found some other commands “didn’t know where all their records were … there was no tracking.
“Your medical record is not personal property,” she said. “It is yours, but the government owns it. You may keep a copy of it but the official transcripts belong to the government.”
The closed-records rule applies to all patients, whether active duty, retired or a family member, she said. It applies to the facility at which a patient is treated and includes all care referred to non-military facilities.
Browning said patients either will be given copies of pertinent information or copies of their entire medical records to take to appointments in non-military medical facilities.
“The system is good,” said Petty Officer 3rd Class Crystal Nunez, customer service representative at the hospital.
Under the old system, she said, if a patient showed up without his or her record, the clinic could decide whether to treat that patient. Now she said, the clinic no longer has that option; the hospital is responsible for ensuring the record is there.
But Petty Officer 3rd Class Nicholas Mejia, temporarily assigned to the hospital while receiving medical treatment, had a different experience.
“I don’t like it because my record has been lost,” he said. It was returned eventually, he said, but not until the hospital had made him a new one. The original record, Mejia said, had been mislabeled and sent out to a ship.
Under the new rules, the only time a patient will be permitted to hand-carry a medical record is when making a permanent change of station move, Browning said.
Since implementing the “closed” system in May, the records branch’s delinquent records list — records out more than five days — has shrunk from 3,000 to less than 1,000, Browning said. She added that they hope to keep the number low by sending reminder letters to patients with records out, and if needed, to patients’ commands.