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a h aye] <br />your indepeMen heclthwm choice. <br />c. NaphCare will continue to implement our established policies and procedure regarding inmate <br />medical files and access subject to the approval of the Jail Administrator or designee. <br />Access/Disclosure <br />We understand the importance of ensuring security and privacy in the protection of inmate records <br />as well as restricting unauthorized user access to these records. TechCare® controls access to and <br />within the system at multiple levels (User, Role, Patient and Chart Section/Area) through a <br />consistent method of identification and authentication of all users in accordance with the NIST <br />developed, Role Based Access Control (RBAC), standard. Examples include the following: <br />• If doctors are the only users who are allowed to prescribe medications, then no user Role <br />except for Doctors have access to the Drug Order section of TechCare°. <br />• If policy restricts access to the charts of family members, User X can be restricted <br />completely from their brothers entire chart. <br />• Users such as Security Technicians should never view PHI, so their Role can be set to only <br />access the Reports section of TechCore®. <br />• The role Administrative Assistants can be granted view only access to TechCare® for Quality <br />Assurance purposes. <br />d. NaphCare will continue to maintain inmate records using our electronic health record system, <br />TechCare®, which we implemented upon our initial transition to NaphCare in 2014. NaphCare <br />scanned and attached all existing active files in medical records office into TechCare® to improve the <br />overall continuity of care provided to patients. This process has also reduced the risk involved in <br />managing medical paper charting systems. We will ensure continued compatibility with the SAJ's <br />existing jail management system (ATIMS). <br />The following pages provide a detailed description of the TechCare® EHR system. <br />Inmate Medical Services <br />City of Santa Ana <br />25F-57 <br />RFP No. 17-051 <br />58 <br />