In order to ensure integrity, paper charts historically required a practitioner’s physical signature. Technology enhances the ability to comply with this regulation by providing the means to have signed charts become permanently un-editable records.
Most regulating bodies require that an electronic system that stores personal health information be designed such that original notes cannot be altered, deleted or removed from view. While it is ultimately the clinic’s own legal responsibility to remain compliant, Juvonno wants to make this as easy as possible for all disciplines and therefore considers chart integrity to be a primary concern.
Technically when you sign into Juvonno and create a chart the chart records your digital signature by stamping the chart with your secure practitioner id, the IP address you are coming from, and the date and time the entry is made. Also, Juvonno uses the RSA PSS encryption with public and private keys to secure and authenticate the action. Combined this produces the necessary audit trail for a digital signature.
The practitioner can upload their signature in their profile under the Preferences tab and it will appear on the chart PDF with their name, chart date, appointment date and signature.
You also have the option to create your own custom charts which allows you to create a blank signature box where the Practitioner can physically sign the chart.
All edits made to Juvonno's charts are timestamped and logged, and charts marked as 'Locked' are saved, meaning they cannot be edited any further, thus securing the data as is.
Locked charts are clearly marked with a locked padlock icon to help you keep track of which charts are locked and which are still sitting as drafts.
All chart versions in Juvonno are saved individually, making it that much easier to view a previous rendition if you make a mistake or delete valuable data.