ACCESS TO YOUR MEDICAL RECORDS

HIPAA is the Health Insurance Portability and Accountability Act. This act includes the HIPAA Privacy Rule created to establish national standards to protect individuals' medical records and other protected health information (PHI).

These new regulations require the average provider like BAPTIST HEALTH to:

1. Provide information to patients about their privacy rights and how their information can be used.

2. Adopt clear privacy procedures for its practice or hospital.

3. Train employees so that they understand the privacy policies and procedures.

4. Designate a Privacy Officer to be responsible for seeing that the privacy policies and procedures are adopted and followed.

5. Secure patient records containing PHI so that the records are not readily available to those who do not need them.

To read more about how HIPAA impacts your privacy, Click Here.

To get a copy of your medical records, please download and print the Form H-229, complete the information, sign and fax it to the appropriate Medical Records deparment.

BAPTIST HEALTH MEDICAL CENTER - LITTLE ROCK 501-202-1914 for questions 501-202-1555 fax	This document requires Acrobat Reader to open. Click here to download a free copy.
BAPTIST HEALTH REHABILITATION INSTITUTE 501-202-1914 for questions 501-202-1555 fax
BAPTIST HEALTH MEDICAL CENTER - N. LITTLE ROCK 501-202-3081 for questions 501-202-3079 fax
BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA 870-245-1120 for questions 870-245-1155 fax
BAPTIST HEALTH MEDICAL CENTER - HEBER SPRINGS 501-887-3282 for questions 501-887-3385 fax

Information regarding the retrieval of your health information

Patients and Third party requesters can retrieve medical records for patients seen at all BAPTIST HEALTH facilities (*1excluding our North Little Rock location and *2Select Specialty Hospital) from the Release of Information Office in our Little Rock facility. We hope the information below can assist you when requesting your health information.

When requesting medical records please provide the following information:

• Sufficient patient information. (ie: all names used, DOB, or SS#)
• The facility that provided care. (ie: BRI, BHMC-LR, Baptist Therapy Cabot)
  
• The date of service. (ie: exact date or general time frame)
• The information you need. (ie: abstract, entire, or individual report)
  
  • Abstract chart: discharge summary, history/physical, labs, radiology, operative reports, procedure notes, EKG, consultations, and any other tests performed.
    
  • Radiology includes: X-Rays, CT, MRI, Doppler, Mammography, any other scans. These are reports only. *3For actual films contact the film library.

In order to complete a request for medical records an authorization signed by the patient along with a valid form of identification is required. In cases where the patient is unable to sign, a legal power of attorney or death certificate must be provided.

Arkansas Code 16-46-106 allows the ROI Office to charge requesters for the cost of copying medical records. The charges are as follows:

• Patients can receive up to 49 pages at no charge. After 49 pages, billing begins at page 1 at 25 cents per page. (Ex: a 70 page chart will cost $17.50.)
• Third party requesters are charged $1.00 for the first 5 pages and 25 cents per page for any pages following. (Ex: a 10 page chart will cost $6.25.)
• Requesters needing information stored on micro-film will be charged a preparation fee of $15.00 and 25 cents per page. (Ex: a 10 page 1998 chart will cost $17.50.)
• Patients and Third party requesters can ask to receive medical records via CD-ROM for the flat charge of $25.00 (There is a MAXIMUM OF 1200 PAGES PER CD! Each additional CD will be an additional $25.00, and records prior to April 1999 are excluded from this offer.)
• Records requiring certification will have an additional charge of $6.50.
  

It is the policy of the ROI Office to complete requests in the order in which they are received. All requests are processed in a timely manner; however, certain circumstances may cause delays in processing. Records dated prior to April of 1999 are stored on micro-film and can take up to 30 days to process. In addition, BAPTIST HEALTH allows physicians 30 days from date of discharge to complete chart information on their patients.

Contact Information:

Baptist Health Medical Center Attn: ROI 9601 1-630, Exit 7 Little Rock, AR 72205 Phone: 501.202.1914 Fax: 501.202.1555

*1North Little Rock Facility: 501.202.3081 *2Select Specialty Hospital: 501.603.8334 *3Film Library: 501.202.2683