Health Records

Warning

Do not follow the records retention schedule to destroy records that are currently part of–or you are aware that they are going to be part of–any legal action or proceeding, litigation, audit, investigation, or review. For more information, see the Subpoenas for University Records Policy.

Student Medical Records

Schedule Number
1010

Document student medical histories including evaluation and treatment of physical and mental health. Records may include physician notes, immunization records, prescription medication records, disabilities documentation, medical leave documents, and correspondence.  

Student Medical Records info
Record HolderRetention PeriodDisposition
Official Copy Health Service

Last patient encounter +10 years.  

Exception: If the patient is a minor on the date of the last patient encounter, the retention period is last patient encounter + 10 years or until the patient reaches 18 years of age, whichever longer. 

Confidential destruction

Unofficial Copy N/A

N/A

N/A

Notes

These records are created and stored electronically in Medicat.

References
20 U.S.C. § 1232g; 111 M.G.L. § 70; 243 M.C.R. 2.07(13)(a)
Approved
Health Service, Office of Information Security, University Counsel, and Tufts Archival Research Center
Effective Date

Chart Peer Review Records

Schedule Number
1020

Document Medical Director’s review of staff’s work, demonstrating quality assurance of care provided at Health Service. 

Chart Peer Review Records info
Record HolderRetention PeriodDisposition
Official Copy Health Service

Last patient encounter +10 years.  

Exception: If the patient is a minor on the date of the last patient encounter, the retention period is last patient encounter + 10 years or until the patient reaches 18 years of age, whichever longer. 

Confidential destruction

Unofficial Copy N/A

N/A

N/A

Notes

These records are managed separately from student medical records. 

References
260 M.G.L. § 4
Approved
Health Service, Office of Information Security, University Counsel, and Tufts Archival Research Center
Effective Date

Medication/Prescription Pickup Records

Schedule Number
1030

Document the filling of individual prescriptions for patients, signed by Health Service staff at the time of pickup.

Medication/Prescription Pickup Records info
Record HolderRetention PeriodDisposition
Official Copy Health Service

Delivery date +1 year

Confidential destruction

Unofficial Copy N/A

N/A

N/A

Notes

References
21 CFR 1304.04 (2005); 94c MGL 15 (2004); and 105 CMR 700.006(B) (2004)
Approved
Health Service, Office of Information Security, University Counsel, and Tufts Archival Research Center
Effective Date

Employee Training and Credentialing Records

Schedule Number
1040

Document the training and credentialing of Health Service employees, including but not limited to training certificates, Drug Enforcement Agency (DEA) licenses, and Massachusetts Controlled Substances (MCS) registrations. 

Employee Training and Credentialing Records info
Record HolderRetention PeriodDisposition
Official Copy Health Service

Separation +6 years

Confidential destruction

Unofficial Copy N/A

N/A

N/A

Notes

These records are managed separately from employee personnel records.

References
HIPAA
Approved
Health Service, Office of Information Security, University Counsel, and Tufts Archival Research Center
Effective Date

Employee Immunization and Immunity Records

Schedule Number
1050

Document the immunization and/or immunity of staff.

Employee Immunization and Immunity Records info
Record HolderRetention PeriodDisposition
Official Copy Occupational Health

Separation +30 years

Confidential destruction

Unofficial Copy N/A

N/A

N/A

Notes

Occupational Health is the official record holder for employee immunization and immunity records. They retain all employee health records for separation +30 years, citing the OSHA retention requirement for exposure records (29 C.F.R. § 1910.1020(d)), in their SOP: Medical Documentation and Protection of Records. 

References
29 C.F.R. § 1910.1020(d)
Approved
Occupational Health, Health Service, Office of Information Security, University Counsel, and Tufts Archival Research Center
Effective Date

Accident/Incident Reports

Schedule Number
1060

Tufts Accident/Incident Report Forms used to report any accident that resulted in bodily injury/illness, an incident that could have resulted in bodily injury (a near miss) or an incident that resulted in property damage. 

Accident/Incident Reports info
Record HolderRetention PeriodDisposition
Official Copy Risk Management

6 years

Confidential destruction 

Unofficial Copy Offices and Departments

Until no longer needed after submission to Risk Management

Confidential destruction

Notes

Risk Management is the official record holder. Offices and Departments submit their reports to Risk Management and hold unofficial copies. 

References
152 M.G.L. § 41
Approved
Risk Management, Health Service, Office of Information Security, University Counsel, and Tufts Archival Research Center
Effective Date

Student Insurance Enrollment and Waiver Records

Schedule Number
1070

Document compliance with Minimal Creditable Coverage standard required by the Massachusetts Health Care Reform Law, through enrollment in student health insurance with United Healthcare StudentResources or a waiver providing proof of comparable coverage.  

Student Insurance Enrollment and Waiver Records info
Record HolderRetention PeriodDisposition
Official Copy UnitedHealthcare

Permanent

Managed in UnitedHealthcare Student Resources system 

Unofficial Copy Health Service

Completion of waiver +2 years. See Notes for exception

Confidential destruction

Notes

Waivers submitted to Health Service after the state’s submission deadline are filed with the student medical record and retained accordingly (last patient encounter +10 years with an exception for minors). 

Approved
Health Service, Office of Information Security, University Counsel, and Tufts Archival Research Center
Effective Date

State Insurance Reports

Schedule Number
1075

Copies of Student Health Insurance Program (SHIP) Filings which demonstrate Tufts’ compliance with Massachusetts student health insurance requirements. Filings are comprised of three surveys documenting enrollment, performance, and benefits.  

State Insurance Reports info
Record HolderRetention PeriodDisposition
Official Copy Massachusetts Division of Insurance

6 years

Confidential destruction

Unofficial Copy Health Service

Until no longer needed after submission to Massachusetts Health Connector 

Confidential destruction

Notes

These reports are submitted annually to Massachusetts Health Connector and retained by the state for six years. (See Massachusetts Statewide Retention Schedule L12-11a). The state is the official record holder. 

Approved
Health Service, Office of Information Security, University Counsel, and Tufts Archival Research Center
Effective Date

College Immunization Surveys

Schedule Number
1080

To be revised

College Immunization Surveys info
Record HolderRetention PeriodDisposition
Official Copy
Unofficial Copy

Notes

Clinical Laboratory Records

Schedule Number
1085

Document Clinical Laboratory operations including laboratory requisitions, worksheets (including but not limited to quality assurance, quality control, and proficiency testing), and reports.  

Clinical Laboratory Records info
Record HolderRetention PeriodDisposition
Official Copy Health Service

4 years

Confidential destruction

Unofficial Copy N/A

N/A

N/A

Notes

Retention period is based on state requirement of 4 years, which is longer than the federal requirement of 2 years. (See https://www.mass.gov/service-details/record-retention-policies-for-clinical-laboratories).  

References
Centers for Medicare and Medicaid Services (CMS) records retention policy; Massachusetts Clinical Laboratory Program records retention policy
Approved
Health Service, Office of Information Security, University Counsel, and Tufts Archival Research Center
Effective Date