To promote the best possible patient outcomes, eliminate unnecessary costs, and ensure consistency in health care services, the Department of Corrections and Rehabilitation must maintain a statewide utilization management program. The program will involve a strategy to ensure that health care costs are restricted to those that are needed and appropriate by reviewing patient-inmate medical records and assessing the efficiency of the health care process.
To assess overlapping or duplicate health coverage, every health insurer shall maintain a centralized file of the subscribers' names, mailing addresses, and social security numbers or dates of birth. This information is available to the California Department of Developmental Services or a regional center upon reasonable request. The Board of Administration of the California Public Employees' Retirement System and affiliated systems can data match with the state department to identify consumers with third-party health coverage or insurance.
Prescribing or dispensing dangerous drugs without a prior examination is not unprofessional conduct if the licensee transmitted the order to a nurse at an inpatient facility. Prior to transmitting the order the following conditions must be satisfied: the practitioner must consult with the nurse who reviewed the patient's records and the practitioner was designated to serve in the absence of the patient's practitioner.
A hospital having five or more physicians must adopt certain rules, including (1) periodic review of clinical experience based on medical records of patients; and (2) maintenance of adequate and accurate medical records.
Staff self-government, involving M.D. and D.O. physicians and surgeons, shall be accomplished by holding periodic meetings of the staff to review and analyze their clinical experience on the basis of patient medical records.
The medical record of any patient cared for by a physician assistant for whom [a prescription] has been issued or carried out shall be reviewed and countersigned and dated by a supervising physician and surgeon within seven days.
Agencies shall maintain records with accuracy, relevance, timeliness, and completeness to the maximum extent possible when records are used to make a determination about the individual. When records are transferred outside of state government, the agency shall update, correct, withhold, or delete any inaccurate or untimely portion of the record.