California Proton

Arizona Kidney Disease and Hypertension Centers

Manhattan VA Medical Center

Mesaview Regional Hospital

St Alphonsus Regional Medical Center and Medical Group

Atrium Health’s Carolinas Medical Center

Virginia Breast Care PLC

Health Texas

Seton Medical Center Harker Heights

Kaiser Permanente Santa Clara Medical Center

The Patient
Record Scorecard

Showing medical record providers’ compliance with the HIPAA Right of Access based on patient requests.

Providers without a score:

View the HIPAA Right of Access Survey to see an indication of compliance.

What does it mean to be compliant with the HIPAA Right of Access?

Record requests must be accepted by email or fax.

Records must be sent in the format requested – if that format can be readily produced.

Records must be sent within 30 days.

No unreasonable fees should be charged for records.

When you’re sick, and you’re frightened, and you’re fighting for your life, that is not the time to have trouble gathering your data.

YVETTE
Diagnosed with Ovarian Cancer,
September 2, 2016

Patient Stories

Play Video
"Getting my records was so difficult, it was easier to repeat the tests for every new provider I saw."

Tamira

Diagnosed with breast cancer, May 16, 2016

Play Video
"I am a cancer warrior, and data is one of my most powerful weapons."

Yvette

Diagnosed with Ovarian Cancer, September 2, 2016

Play Video
"I need to get my records in a timely fashion so I can go about planning my treatment path"

Susan

Metastatic breast cancer since March 2014

Highlighting Five-Star Providers

[The Scorecard] helps patients understand and know that we value their rights—that their right to access is very important to us and we hold it very high in terms of patient satisfaction as well as from the clinical perspective…. We understand the impact that [access to their records] may have on their overall care.

Chana Feinberg

RHIA, Director of HIM and Clinical Documentation Improvement (as reported in For the Record Magazine, March 2020)

“City of Hope Duarte Cancer Center has truly demonstrated their commitment to putting the patient first. Their medical records request fulfillment process is an excellent example of how seamless it can and should be for patients to be able to obtain all of their health information.”

Lisa Taylor

Director, Records Retrieval, Ciitizen

Our Supporters

Organizations that support putting the patient, and their right to access all of their medical information, first.

The HIPAA Right of Access Webinar Series

Join Deven McGraw, Chief Regulatory Officer at Ciitizen, to discuss HIPAA Right of Access regulations, increased OCR enforcement, removing unnecessary friction, and putting patients first.

View previous webinars.

Sign up to receive information about:

Patient Record Scorecard updates, upcoming HIPAA Right of Access webinars, personalized webinars for your team, in-person feedback about improving your score,  and more.

The Patient Record Scorecard Methodology

The Patient Record Scorecard grades health care providers on how well they comply with a patient’s request, under the HIPAA Privacy Rule, to get copies of their medical records. Although there are a number of state laws that set a higher bar for patient access to records, only compliance with the HIPAA Privacy Rule was evaluated.

The score – between 1 to 5 stars – is based on the response of health care providers to one or more actual records requests submitted by patients (the patients request that their information be sent to their Ciitizen personal health record accounts). Ciitizen helps these patients by following up with each provider to make sure the patients’ requests get fulfilled.

The goal of the Patient Record Scorecard is to encourage and guide every health care provider to ultimately reach and maintain five stars.

How we reach the score

The star ratings are based on compliance with four key components of the HIPAA Right of Access:

Accepts requests by email or fax: Providers may not create a barrier to access by requiring patients to submit requests in person or by mail. (45 CFR 164.524(b)(1), https://www.hhs.gov/hipaa/for-professionals/faq/2036/can-an-individual-through-the-hipaa-right/index.html)

Sent in format requested: The provider sends the records in the format the patient requests, which is in digital – including by email – for text, CD for images. (45 CFR 164.524(c)(2)(ii)), https://www.hhs.gov/hipaa/for-professionals/faq/2060/do-individuals-have-the-right-under-hipaa-to-have/index.html.

Sent within 30 days*: The provider responds to the request within 30 days of receipt. (45 CFR 164.524(b)(2)(i))

*Providers can get credit for meeting the “within 30 days” component if within 30 days they provide a written statement of reasons for the delay and the date by which the records will be provided, and if the records are received within 60 days of receipt.

No unreasonable fees: Providers may only charge reasonable, cost-based (i.e., minimal) fees to cover labor costs of copying and supplies. (45 CFR 164.524(c)(4))

Star Ratings

One-Star - Non-HIPAA compliant​

Providers get one star for accepting an access request from a patient by fax or e-mail. This means the provider at least has a HIPAA-compliant process in place for accepting patient record requests (for example, the patient is not asked to mail in a request or make the request in person).

Two-Stars - HIPAA compliant Substantial intervention​

A provider earns two stars if they:

  • Meet all four of the HIPAA compliant components
  • Request had to be escalated more than once to a supervisor or the provider’s privacy official to ensure it was fulfilled in compliance with HIPAA. The need for intervention puts undue burden on the patient.

Three-Stars - HIPAA compliant with minimal intervention​

A provider earns three stars if they:

  • Meet all four of the HIPAA compliant components
  • Request required only one escalation to a supervisor or chief privacy officer to educate, and bring to their attention, that staff were not meeting HIPAA requirements.

Four-Stars - HIPAA compliant with seamless process​

A provider earns four stars if they:

  • Meet all of the HIPAA-compliant components
  • Request was processed seamlessly (i.e. without the need for any additional escalations to supervisors or privacy officials).

Five-Stars - HIPAA compliant and patient focused​

Providers who earn five stars go above and beyond to put patients first by doing the following:

  • Send records in five days or less
  • Accept external request forms (i.e., not requiring that patients use a specific form)
  • Provide patients their records for free

For those health care providers where more than one request was submitted, the score reflects the provider’s performance based on the most recent records request. The Scorecard will be revised every three to six months to include new entries and updated scores from existing providers.

Five-Star Providers

Institution

Location

  • 21st Century Oncology
  • Fort Myers, FL
  • 21st Century Oncology – Andalusia
  • Andalusia, AL
  • 5th Avenue Millennium Aesthetic Surgery
  • New York, NY
  • ABC medical
  • Dallas, TX
  • Adena Regional Medical Center – Chillicothe
  • Chillicothe, OH
  • AdventHealth Cancer Institute – Altamonte Springs
  • Altamonte Springs, FL
  • Advocate Illinois Masonic Medical Center
  • Chicago, IL
  • Alazar Medical Group
  • Cleburne, TX
  • Allergy, Asthma and Immunology : Dr Iraklis Livas
  • Lexington, KY
  • Anne Arundel Urology
  • Annapolis, MD
  • Aras Zlioba
  • Joliet, IL
  • Art of Medical Care
  • Englewood, CO
  • Asante Rogue Regional Medical Center
  • Medford, OR
  • Asante Three Rivers Medical Center
  • Grants Pass, OR
  • Atrium Health?s Carolinas Medical Center
  • Charlotte, NC
  • Banner Casa Grande Medical Center
  • Casa Grande, AZ
  • Banner Heart Hospital
  • Mesa, AZ
  • Barnes-Jewish West County Hospital
  • Creve Couer, MO
  • Bay Area Hospital
  • Coos Bay, OR
  • Boca Raton Regional Hospital
  • Boca Raton, FL
  • Boone Hospital Center
  • Columbia, MO
  • Bowden Eye Associates
  • Jacksonville, FL
  • Bristol Regional Medical Center
  • Bristol, TN
  • Brownwood Regional Medical Center
  • Brownwood, TX
  • Bryn Mawr Hospital
  • Bryn Mawr, PA
  • California Proton
  • San Diego, CA
  • Cancer Care Northwest – South Office
  • Spokane, WA
  • Cancer Center at Northwestern Medicine Lake Forest Hospital
  • Lake Forest, IL
  • Cancer Treatment Centers of America, Atlanta
  • Newnan, GA
  • Capital Surgical Clinic
  • Frankfort, KY
  • Caring Center for Women
  • New Braunfels, TX
  • Caris Life Sciences
  • Phoenix, AZ
  • Cedars-Sinai Medical Center
  • Los Angeles, CA
  • Central Maine Medical Center
  • Lewiston, ME
  • Central Park Hematology and Oncology
  • New York, NY
  • Central Texas Medical Center
  • San Marcos, TX
  • CHI Health Immanuel
  • Omaha, NE
  • CHI St. Vincent Primary Care Jacksonville
  • Jacksonville, AR
  • Choice Cancer Care
  • Irving, TX
  • Christiana Care Breast Center
  • , DE
  • City of Hope Duarte Cancer Center
  • Duarte, CA
  • Coast Community Health Center
  • Bandon, OR
  • Color Genomics
  • Burlingame, CA
  • Columbus Oncology and Hematology Associates
  • Columbus, OH
  • Community Health Network
  • Indianapolis, IN
  • Community Hospital Anderson
  • Anderson, IN
  • Conemaugh Memorial Medical Center
  • Johnstown,, PA
  • Consulting Audiological Associates, c/o Dr. Robert C. Beiter Inc.
  • Oak Park, IL
  • Danyo & Gillespie Plastic Surgery
  • Greenville, DE
  • Dermatology Surgery Center – Florida and Alabama
  • Andalusia, AL
  • Desert Valley Gynecology: Dr. Lisa Bodon
  • Palm Springs, CA
  • Digestive Health Specialists
  • Dothan, AL
  • Doylestown Health: Doylestown Hospital
  • Doylestown, PA
  • Dr Bernard Mason c/o Abramson Cancer Center
  • Philadelphia, PA
  • Dr Gerald Nueberg
  • The Bronx, NY
  • Dr Harvey Kramer
  • Southbury, CT
  • Dr Mark Anderson at Healthcare Associates of Texas
  • Irving, TX
  • Dr Nabil Sayegh
  • New City, NY
  • Dr Oscar T. Ortiz
  • Lakewood, NJ
  • Dr Patrick Chiasson
  • Tucson, AZ
  • Dr Scott Kramer
  • Fremont, CA
  • Dr. Ari Baron
  • San Francisco, CA
  • Dr. Charles Roeth
  • San Antonio, TX
  • Dr. Douglas Rosen
  • Bronx, NY
  • Dr. Kinan Rahal at Intercoastal Medical Group
  • Sarasota, FL
  • Dr. Peter Lloyd
  • Encinitas, CA
  • Eastside Radiation Oncology
  • New York, NY
  • Einstein Medical Center Montgomery
  • East Norriton, PA
  • El Camino Hospital Mountain View Campus
  • Mountain View, CA
  • ENT Associates East Texas
  • Tyler, TX
  • Family Care of the Bluegrass
  • Russell Springs, KY
  • Family Dermatology of Albemarle
  • Charlottesville, VA
  • Family Health Associates
  • Auburn, ME
  • Family Health Centers of San Diego
  • San Diego, CA
  • Family Practice Center
  • Atlanta, GA
  • Florida Cancer Specialists – Guillermo Abesada-Terk
  • Stuart, FL
  • Florida Keys Medical Associates
  • Key West, FL
  • Fox Chase Cancer Center
  • Philadelphia, PA
  • Fred Hutchinson Cancer Research Center
  • Seattle, Washington
  • Gastroenterologist Associates
  • Hagerstown, MD
  • Genesee Orthopaedics
  • Batavia, NY
  • Good Samaritan Hospital – San Jose
  • San Jose, CA
  • Grady Memorial Hospital
  • Atlanta, GA
  • Grossmont Surgical Associates
  • La Mesa, CA
  • Gynocology and Wellness Center – Dr Sharma
  • Auburn, AL
  • Hackensack Meridian Ocean Medical Center
  • Brick Township, NJ
  • Harris Regional Hospital
  • Sylva, NC
  • Health First Holmes Reg Medical Center
  • Melbourne, FL
  • Heart of Florida Regional Medical Center
  • Davenport, FL
  • Heavens Medical
  • Apache Junction, AZ
  • Hematology Oncology Associates
  • Medford, OR
  • High Valley Dermatology
  • Idaho Falls, ID
  • Hoag Hospital Irvine
  • Irvine, CA
  • Hobson Family Medical
  • Naperville, IL
  • Hospital of the University of Pennsylvania
  • Philadelphia, PA
  • HSHS St Vincent Hospital
  • Green Bay, WI
  • Idaho Skin Surgery Center
  • Boise, ID
  • Indiana University Health
  • Indianapolis, IN
  • Intermountain Cancer Center
  • St George, UT
  • Internal Medicine Associates of Opelika
  • Opelika, AL
  • Interventional Spine & Sports Medicine
  • Middlebury, CT
  • Invision Sally Jobe
  • Englewood, CO
  • Ironwood Cancer and Research Centers
  • Chandler, AZ
  • IU Health Ball Memorial Hospital
  • Muncie, IN
  • IU UNIVERSITY Hospital
  • Indianapolis, IN
  • John H Stroger Jr Hospital
  • Chicago, IL
  • Kaiser Permanente – Virginia
  • Renton, WA
  • Kaiser Permanente-Antioch Medical Center
  • Antioch, CA
  • Kamath Medical Clinic
  • Valley, AL
  • Karmanos Cancer Institute
  • Detroit, MI
  • Lake Wales Medical Center
  • Lake Wales, FL
  • Lee Memorial Hospital
  • Fort Myers, FL
  • LewisGale Hospitals: Montgomery, Pulaski and Alleghany
  • Blackburg, VA
  • Lexington Surgeons
  • Lexington, KY
  • Life Care for Women
  • Gilbert, AZ
  • Lifecare Medical Center
  • Roseau, MN
  • Lipson Cancer Institute
  • Batavia, NY
  • Litchfield Hills Orthopedics
  • Torrington, CT
  • Louis P. Bucky Plastic Surgery
  • Philadelphia, PA
  • Lourdes Hospital
  • Binghamton, NY
  • Lower Keys Medical Center
  • Key West, FL
  • Manhattan VA Medical Center
  • New York, NY
  • Marietta OB/GYN Affiliates
  • Marietta, GA
  • Martha Jefferson Hospital
  • Charlottesville, VA
  • Mary Washington Hospital
  • Fredericksburg, VA
  • Mayo Clinic – All Locations, All Facilities
  • Rochester, MN
  • MD Anderson – All Locations
  • Houston, TX
  • Mease Countryside Hospital
  • Safety Harbor, FL
  • Medical City Dallas Hospital
  • Dallas, TX
  • Medical City Plano Hospital
  • Plano, TX
  • Memorial Hermann Southeast Hospital
  • Houston, TX
  • Memorial Hospital – Chattanooga
  • Chattanooga, TN
  • Memorial Regional Cancer Center
  • South Bend, IN
  • Memorial Sloan Kettering Cancer Center
  • New York, NY
  • Mercy Medical Center – Springfield MO
  • Springfield, MO
  • Mercyhealth Hospital and Medical Center?Harvard
  • Harvard, IL
  • MercyOne North Iowa Medical Center
  • Mason City, IA
  • Methodist Ambulatory Surgery Hospital
  • San Antonio, TX
  • Millennium Physicians
  • Kingwood, TX
  • MomDoc Women for Women
  • Tempe, AZ
  • Mount Sinai Hospital
  • New York, NY
  • Mount Sinai St Luke’s
  • New York, NY
  • Multicare Covington Medical Center
  • Covington, WA
  • National Institutes of Health Clinical Center
  • Bethesda, MD
  • Nebraska Cancer Specialists
  • Omaha, NE
  • Nevada Brain and Spine
  • Las Vegas, NV
  • New York Presbyterian Allen Hospital
  • New York, NY
  • Newton Medical Center
  • Newton, NJ
  • NIH – Dr. Steven Rosenberg
  • Bethesda, MD
  • Norman Regional Hospital
  • Norman, OK
  • North Chatham Pediatrics and Internal Medicine
  • Chapel Hill, NC
  • Northeastern Eye Institute
  • Scranton, PA
  • Northern NJ Endoscopy Center
  • Newton, NJ
  • NorthShore Glenbrook Hospital
  • Glenview, IL
  • NYU Langone Health – Perlmutter Cancer Center
  • New York, NY
  • OHC
  • Blue Ash, OH
  • Ohio Gastroenterology Group Inc
  • Columbus, OH
  • Ohio Health-Riverside Methodist Hospital
  • Columbus, OH
  • Olathe Medical Regional Hospital
  • Olathe, KS
  • One Medical Group – All US Locations
  • San Francisco, CA
  • OneOme
  • Minneapolis, MN
  • OptumCare Cancer Care at Mountain View
  • Las Vegas, NV
  • Outer Cape Health Services
  • Provincetown, MA
  • Overlake Hospital and Clinics
  • Bellevue, WA
  • Peninsula Diagnostic Imaging
  • San Mateo, CA
  • Peninsula Gastroenterology Medical Group
  • Redwood City, CA
  • Peninsula Pathologists Medical Group
  • South San Francisco, CA
  • Penn Medicine, Dr. Tara Mitchell
  • Philadelphia, PA
  • Phoenixville Hospital
  • Phoenixville, PA
  • Plastic Surgeons of Lexington
  • Lexington, KY
  • Polyclinic (Madison)
  • Seattle, wA
  • Pontiac General Hospital
  • Pontiac, MI
  • Preventative Health
  • Eagle, ID
  • Providence Saint John’s Health Center
  • Santa Monica, CA
  • Quick Care Mesquite
  • Mequite, NV
  • Reedsburg Area Medical Center
  • Reedsburg, WI
  • Rochester General Hospital
  • Rochester, NY
  • Roper St. Francis Cancer Center
  • Charleston, SC
  • San Juan Regional Health Partners
  • Farmington, NM
  • Seattle Cancer Care Alliance – South Lake Union DOWNTOWN
  • Seattle, WA
  • Seattle Cancer Care Alliance Northwest Hospital
  • Seattle, WA
  • Shannon Medical Center
  • San Angelo, TX
  • Shasta Regional Medical Center
  • Redding, CA
  • Shenandoah Oncology
  • Winchester, VA
  • Shodair Childrens Hospital
  • Helena, MT
  • South Bend Medical Foundation
  • South Bend, IN
  • South County Hospital
  • Wakefield, RI
  • St Lukes The Woodlands Hospital
  • The Woodlands, TX
  • St Mary’s Hospital – Tuscon (Carondelet )
  • Tucson, AZ
  • St Vincent’s Medical Hospital Jacksonville
  • Jacksonville, FL
  • St. Anthony’s Hospital
  • Saint Petersburg, FL
  • St. Francis Hospital and Health Center – South Campus
  • Indianapolis, IN
  • St. Francis Medical Center – Monroe
  • Monroe, LA
  • Stanford Healthcare – All Locations
  • Redwood City, CA
  • Stillwater Medical Center
  • Stillwater, OK
  • Stopwatch Urgent Care
  • Opelika, AL
  • Strong Memorial Hospital
  • Rochester, NY
  • Summit Medical Group
  • Florham Park, NJ
  • Sunrise Hospital and Medical Center
  • Las Vegas, NV
  • Susan B Allen Memorial Hospital
  • El Dorado, KS
  • Teton Cancer Institute
  • Idaho Falls, ID
  • The Institute For Digestive Health And Liver Disease
  • Baltimore, MD
  • The Leever Cancer Center Radiation Oncology
  • Waterbury, CT
  • The University of Kansas Health System St. Francis Campus
  • Topeka, KS
  • Think Whole Person Healthcare
  • Omaha, NE
  • Thomas Jefferson University Hospital
  • Philadelphia, PA
  • TriStar Summit Medical Center
  • Hermitage, TN
  • Ultimate Medical Group
  • Woodridge, IL
  • Unison Behavioral Health
  • Toledo, OH
  • University of Chicago Medicine
  • Harvey, IL
  • University of Miami Health System
  • Miami, FL
  • University of Tennessee Cancer Institute
  • Knoxville, TN
  • University of Tennessee Medical Center
  • Knoxville, TN
  • University of Vermont Medical Center
  • Burlington, VT
  • UPMC Montefiore
  • Pittsburgh, PA
  • UPMC Presbyterian
  • Pittsburgh, PA
  • UT Health Tyler
  • Tyler, TX
  • UTMB Health John Sealy Hospital, Galveston
  • Galveston, TX
  • UW Cancer Center at ProHealth care
  • Waukesha, WI
  • UW Health and Clinics
  • Madison, WI
  • UW Health University Hospital
  • Madison, WI
  • Valley Area Medical Pavilion
  • Valley, AL
  • Valley Internal Medical Associates
  • Valley, AL
  • Valley View Medical Center
  • Fort Mohave, AZ
  • Vanderbilt University Medical Center
  • Nashville, TN
  • Virginia Breast Care PLC
  • Charlottesville, VA
  • Virginia Urology
  • Richmond, VA
  • Volm Cancer Center – Aspirus Langlade Hospital
  • Antigo, WI
  • Wadley Regional Medical Center
  • Texarkana, TX
  • West Dermatology
  • Redlands, CA
  • Western Arizona Regional Medical Center
  • Bullhead City, AZ
  • Women Partners in OB/GYN
  • San Antonio, TX
  • Women’s Wellness: Charlton
  • Charlton, MA
  • Your Family Practice
  • Show Low, AZ