Every finding on record at Lhcg Lii, LLC

Based on observation and staff interview it was determined the agency failed to ensure the Information Security Department provided the State surveyors access to the Electronic Health Records (EHR) in a timely fashion as requested. This failure has the potential to negatively impact all patient care by impeding the survey process by unnecessarily delaying access to medical records. --- Entrance to the facility was made on 03/20/23 at 8:10 a.m. with the Executive Director of the agency. A request for information was given to the Executive Director to provide access to medical records for two (2) surveyors. The Executive Director was asked to immediately contact their Information Technology (IT) to start the process for access to their electronic medical records (EHR). On 03/20/23 at 11:15 a.m. access to medical records were supposed to have been granted. The computers given to the surveyors would not allow access to log on. The Executive Director was notified and IT was contacted. On 03/20/23 at 12:00 p.m. the surveyors were granted access. An attempt was made to review medical records on 03/20/23 at 1:30 p.m. This surveyor began to review bereavement records as required for the survey process. This surveyor had no access to the bereavement aspect of the medical record. The Executive Director was notified that access was needed for the Bereavement records. They notified IT. An interview was conducted on 03/20/23 at 2:15 p.m. with the Executive Director who informed this surveyor that IT stated they would not grant access and that we could not print anything from the medical record and leave the building with it. This surveyor explained the Social Security Act gives surveyors immediate unrestricted access and that if deficiencies were found in the medical record we would need to print the medical record and take it with us. The Executive Director notified IT. An interview was conducted on 03/20/23 at 2:40 p.m. with the Executive Director and they stated in part that IT still refused to give access to the Bereavement medical record. On 03/20/23 at 2:55 p.m. the Regional Vice President requested to speak to this surveyor. They asked what this surveyor needed. This surveyor explained they needed access to the Bereavement record. The Regional Vice President assured this surveyor access would be granted soon. On 03/20/23 at 3:01 p.m. this surveyor emailed the Social Security Act to the Regional Vice President. A review of an email on 03/20/23 at 3:17 p.m. from the Regional Vice President sent to this surveyor revealed it states, "Just got off the phone with IT- they are supplying access currently. I apologize for the delay." On 03/20/23 at 3:40 p.m. this surveyor still had no access. On 03/21/23 at 8:10 a.m. this surveyor still had no access to the Bereavement record. An interview was conducted on 03/21/23 at 8:30 a.m. with the Regional Quality Assurance/Performance Improvement (QA/PI). Personnel was notified we still had no access to the Bereavement Medical Record. They stated in part they will not grant access due to the medical record being editable and not read only. They would only grant the surveyor to have someone go through the medical record with them but will not grant the surveyor unrestricted access. They requested to print the Bereavement Record. The request was granted but was asked to ensure IT gave the surveyors access. An interview was conducted on 03/21/23 at 10:30 a.m. with the Regional QA/PI personnel and they concurred access had not been granted to the Bereavement medical record.