Variance of Chapter HFS 124, Wisconsin
Administrative Code, Extending Time for Authentication of Physician Orders to 72
hours. Effective Date - Immediate.
PDF Version
of BQA 98-050 (PDF, 6 KB)
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Date: September 4, 1998 DSL-BQA 98-050
To: Hospitals HOSP 19
From: Judy Fryback, Director, Bureau of Quality Assurance
The Department of Health and Family Services has examined issues involved
in application of the current rule governing physician authentication found at
Section HFS
124.12(5)(b)11, Wisconsin Administrative Code (exit DHS), which states that:
Numerous hospitals and physicians have claimed that strict interpretation
of this code presents an unreasonable hardship on Wisconsin hospitals and that
authentication in 72 hours, rather than 24 hours, will not adversely affect the health,
safety or welfare of any patient.
The Bureau of Quality Assurance concurs with this position, and intends a
future revision of this administrative code. It is the Bureau's opinion that 72 hours is a
reasonable time for authentication.
In lieu of granting facility-specific variances of this requirement, the
Department has decided to issue a statewide variance of Section HFS 124.12(5)(b)11, Wis.
Adm. Code. Accordingly, HFS 124.12(5)(b)11, Wis. Adm. Code, is deemed to be met if medical
staff by-laws and rules include the requirement that all verbal and telephone orders shall
be authenticated by the prescribing member of the medical staff in writing within 72 hours
of receipt. The phrase, "in writing," includes electronic authentication that
meets the intent of the confidentiality requirements of Chapter HFS 124 found in Section
HFS 124.14, Medical record services.
The Department reserves the right to revoke this variance at any time,
either through rule making or for other reasons of patient health, safety or welfare.
Any questions regarding this memo may be directed to Beth Stellberg,
Chief, Health Services Section (replaced by Cremear Mims).
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