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  Section: A | B 

B. CHAPTER SUMMARY

As public entities, hospital districts are subject to state laws mandating public meetings and accessible records. The meetings and records requirements for public hospital districts are substantially the same requirements that govern all local governments in Washington state.

Open Public Meetings and Public Records
This chapter provides the reader with two comprehensive publications on open meetings and public records. First, the Attorney General of Washington’s Open Records & Open Meetings Desk Book provides a very good overview of the meetings and records requirements for all public entities, including public hospital districts. Second, the Municipal Research Services Center’s Public Records Disclosure for Washington Cities and Towns provides an excellent overview of the Public Records Act and its application to local governments. This chapter also provides the reader with a sample public records policy from the City of Des Moines that hospital districts may consider using as a guide in developing their own public records policies as required by law.
Updated versions of the Attorney General’s Office Hand Book and the Municipal Research Services Center Public Records publication can be found at:
Hospital District Specific Issues
The publications contained in this section of the legal manual include nearly all the information hospital districts require about the Open Public Meetings Act and the Public Records Act. However, there are a couple of hospital district specific issues that must be mentioned in this context.
First, hospital districts (unlike other local governments) enjoy an additional exemption to the open meetings requirement. Hospital districts may convene an executive session when dealing with certain issues related to clinical privileges. RCW 70.44.062 states:
All meetings, proceedings, and deliberations of the board of commissioners, its staff or agents, concerning the granting, denial, revocation, restriction, or other consideration of the status of the clinical or staff privileges of a physician or other health care provider as that term is defined in RCW 7.70.020, if such other providers at the discretion of the district’s commissioners are considered for such privileges, shall be confidential and may be conducted in executive session: PROVIDED, that the final action of the board as to the denial revocation or restriction of clinical or staff privileges of a physician or other health care provider as defined in RCW 7.70.020 shall be done in public session.
Another area of particular importance to public hospital districts concerns medical records. Medical records are not subject to public inspection and copying. Chapter 70.02 RCW, which governs the release of medical information, applies to public hospital districts. [See RCW 42.17.312] Public hospital districts also enjoy a unique exemption to the Public Records Act for quality improvement and peer review documents. [See RCW 42.17.310(hh)]
With respect to the Public Records Act it should be noted that hospital districts, are subject to the requirement that the district either make available a current index providing information about the records kept by the district or produce a resolution specifying why compliance with the requirement would be unduly burdensome. The district must also develop procedures concerning public records requests. [See RCW 42.17.260] An example of one municipality’s procedures is provided in the materials for this chapter.
Records Management and Retention
Various laws require hospital districts to retain records for various periods of time. The Washington Secretary of State’s Archives and Records Management Division, in cooperation with the Association of Washington Public Hospital Districts, has developed a Records Management Manual and General Records Retention Schedule for Public Hospital Districts. The Manual may be accessed on the Association of Washington Public Hospital Districts web site at www.awphd.org.
The Archives and Records Management Division insures the proper management and safeguarding of public records. The state archivist manages the archives of the State of Washington, and among other things is responsible for keeping interested agencies informed on current techniques for efficient and economical records preservation. [RCW 40.14.020]

 

 
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