Certificate of need (CON) records and determinations of non-reviewability
permanent
Hospital service licensure records
permanent
Surveys, deficiency citations and related plans of correction
permanent
Records of waivers from standards
permanent
Reports to licensing boards
permanent
Risk and claims management records/incident reports/accident/loss reports/expense records
7 years
Health System policies and procedures
10 years after withdrawal/revision
Reports of formal complaints, grievances, investigations and dispositions
10 years
Miscellaneous
Pharmaceutical assistance contracts for the elderly
7 years
Cost Reports/Claims under Medicare, Medicaid, or other third-party payers
4 years from closing of cost report
Dietary Service
Dietary service records
4 years
Nursing Service
Nursing patient assignment records
7 years
Minutes of nursing administration staff meetings
5 years
Nursing time/attendance schedules
7 years
Nursing policies and clinical procedures
10 years
Pharmacy Service
Pharmacy records
7 years
Records of serious, unexpected adverse drug experiences from prescription drugs for human use without approved new drug applications
10 years
Laboratory, Pathology and Blood Services
Laboratory records, unless otherwise specified
4 years
Clinical laboratory permit
permanent
Immunohematology and tranfusion test and reports
5 years
Blood and blood quality control and testing records
later of 5 years after processing records are completed or 6 months after expiration; permanent if no expiration
Policies to insure positive identification of a blood or blood product recipient
10 years
Certification of good health of donors for manufacture of Plasma Cryoprecipitated AHF or Source Plasma
7 years
Complaints of adverse reactions regarding each unit of blood or blood production arising as a result of blood collection or transfusion
7 years
Written report of investigations of each reported adverse blood collection or transfusion reaction
7 years
Blood bank compatibility records
7 years
Records or remedial actions taken to prevent future recurrences or transfusion reactions
7 years
Copy of blood donor registry sent to blood bank by PA Dept. of Health
most recent
Written procedures for collection, processing, compatibility testing, storage and distribution of blood and blood components for homologous transfusion, autologous transfusion and further manufacturing purposes
10 years
Manual of standard operating procedures and methods for blood collecting and transfusion
10 years
Manufacturing records of biological products licensed by Secretary of HHS
later of 5 years after records of manufacture completed or 6 months after the latest expiration date for individual product
Record of name and qualifications of person immediately in charge of employees who determine suitability of donors or collect blood when a physician is not present on the premises
7 years
Records related to blood collection, processing, compatibility testing, storage and distribution
later of 5 years after the records of processing have been completed or 6 months after the latest expiration date for the individual product. When there is no expiration date, records shall be retained indefinitely
Cytology slide preparations not loaned to proficiency testing programs
permanent
Pathology test reports
permanent
Written procedures for reporting imminent life-threatening laboratory results or panic values
permanent
Records of laboratory/pathology equipment maintenance and function checks
life of equipment
Premalignant and malignant section slide preparations
permanent
Histopathology stained slides
permanent
Histocompatibility records
permanent
Autopsy records
permanent
Clinical, surgical, pathology and cytology records
permanent
Radiology and Nuclear Medicine Services
Radiology records of current inspections by radiation health specialists
4 years
Mammogram records
10 years
Radiology records, films, scans and other image records
7 years
Nuclear medicine; radioisotope records
permanent or until authorized by Nuclear Regulatory Commission for disposal
Nuclear medicine instrument log books
life of instrument
Nuclear medicine annual accumulation records on personnel
becomes part of personnel file
Nuclear medicine patient records (department duplicate of medical record)
4 years
Copies of reports of nuclear medicine interpretations, consultations, and procedures and disposition of pharmaceuticals
7 years
Rehabilitation Service Records, Except Quality Improvement
Rehabilitation Service Records, Except Quality Improvement
4 years
Special Care Unit
Special care unit records, except quality improvement
