From a quality-of-care and patient-safety perspective, Harvard Pilgrim views accurate and up-to-date medical record documentation as a key to maintaining the health of patients. Harvard Pilgrim sets standards for medical record documentation, availability and confidentiality.
Harvard Pilgrim Medical Record Standards*
Contains Harvard Pilgrim's standards for documentation, availability and confidentiality. Medical record standards are also included in Harvard Pilgrim’s Provider Manual.
Strategies to Improve Medical Record Documentation*
Includes helpful suggestions to improve the documentation of medication allergies and adverse reactions.