The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

SAINT THOMAS RUTHERFORD HOSPITAL 1700 MEDICAL CENTER PARKWAY MURFREESBORO, TN 37129 Sept. 10, 2012
VIOLATION: PATIENT RIGHTS: ACCESS TO MEDICAL RECORD Tag No: A0148
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on facility documentation review and interview, the facility failed to ensure the Power of Attorney received a patient's record in a timely manner for one (#3) of five patients reviewed.

The findings included:

Medical record review revealed patient #3 was admitted to the facility on on [DATE], and expired on [DATE], with diagnoses that include [DIAGNOSES REDACTED].

Interview with the Director of Quality Improvement (QI) on September 10, 2012, at 12:30 p.m., in the administrative conference room, revealed the spouse had requested a copy of the patient's medical record in two letters written to the QI department, with the initial request being May 6, 2012.

Interview with the Director of Health Information Management on September 10, 2012, at 3:00 p.m., revealed the department had received the spouse's request for a copy of the medical record. Continued interview revealed the request was normally forwarded to the out-sourcer who arranged for copies of medical records. Further interview confirmed no documentation the request for copies of the medical records had been sent to the out-sourcer nor was there documentation of any follow-up by a member of the Health Information Management department.
VIOLATION: CONFIDENTIALITY OF MEDICAL RECORDS Tag No: A0441
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on review of facility documentation and interivew, the facility's medical record department failed to ensure the process for obtaining medical records was followed for one (#3) of five patients reviewed.

The findings included:

Medical record review revealed patient #3 was admitted to the facility on on [DATE], and expired on [DATE], with diagnoses that include [DIAGNOSES REDACTED].

Interview with the Director of Quality Improvement (QI) on September 10, 2012, at 12:30 p.m., in the administrative conference room, revealed the spouse had requested a copy of the patient's medical record in two letters written to the QI department;.

Interview with the Director of Health Information Management on September 10, 2012, at 3:00 p.m., revealed the department had received the spouse's request for a copy of the medical record. Continued interview revealed the request was normally forwarded to the out-sourcer who arranged for copies of medical records. Further interview confirmed no documentation the request for copies of the medical records had been sent to the out-sourcer nor was there documentation of any follow-up by a member of the Health Information Management department.