HEALTH INFORMATION LIBRARY
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The document discusses the role and functions of a health records library. It describes how a health records library stores chronological records of a patient's medical history, examinations, tests, treatments, and procedures. The library is responsible for storing records of both current and deceased patients and supplying records for admissions and appointments. It also outlines various units within health information management, including ward service, coding, admissions/discharges/deaths, and the library section itself. The library preserves records to allow for continuity of care, research, and training of medical professionals. Records are filed and retrieved upon legitimate requests and tracked using tracer cards.
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Medical records ppt
The document provides information on medical records including what they are, their components, functions of the medical record department, and processes for receiving, retrieving, completing, and releasing medical records. Some key points:
- Medical records chronicle a patient's medical history and care, including notes, test results, reports, and other documentation entered by healthcare professionals over time.
- Records are used for documenting treatment, communication between providers, collecting health statistics, and legal/insurance matters.
- The medical record department is responsible for filing, retrieving, completing, coding, and evaluating medical records as well as compiling statistics.
- Strict processes are followed for receiving records at discharge or death, retrieving records for care or authorized
Resume
Lindsey Lucero has over 10 years of experience in various medical roles. She currently works as a patient care technician at Lovelace Medical Center, where her duties include assisting with daily living activities, taking vital signs, transporting patients, and operating monitoring equipment. Previously, she held several medical assistant and technician roles, where she performed tasks like phlebotomy, administering injections, processing lab tests, and assisting providers with procedures. She has certification as a nursing assistant and has acquired over 60 credit hours toward her RN license.
Documentation &.pptx
I. Documentation and reporting are professional responsibilities of healthcare practitioners that provide written records of patient care, assessments, interventions, and responses.
II. Effective documentation requires clear, concise, accurate, and organized recording of all patient information and events in a chronological fashion while maintaining confidentiality.
III. The purposes of documentation include professional accountability, communication, care planning, education, research, and meeting legal standards.
PROCESSING OF MEDICAL RECORD DEPARTMENT.pptx
The document describes the flow of medical records through a hospital's Medical Records Department. It outlines the key stages: registration, consultation, treatment in outpatient or inpatient departments, admission, medical documentation in wards, assembling records, deficiency checking and coding, indexing, computer entry, scanning, and permanent filing. Maintaining accurate and complete medical records at each stage is important for proper patient care, statistical analysis, and legal requirements.
Jessica Mellenthin Resume 6-14-2016
Jessica Mellenthin is seeking a position as a certified medical assistant with strong clinical and communication skills. She has over 5 years of experience in various medical settings such as physician offices, home health care, and nursing homes. Her resume highlights her many qualifications including certification as a clinical medical assistant and nursing assistant, proficiency with electronic medical records, and experience with patient intake, vitals, injections, and assisting providers with various procedures.
Similar to HEALTH INFORMATION LIBRARY (20)
Medical Records: Intro, importance, characteristics & issues
Medical Records: Intro, importance, characteristics & issues
Types of records and common record keeping forms & computerized documenta...
Types of records and common record keeping forms & computerized documenta...
HEALTH INFORMATION LIBRARY
- 2. • Health records library is a storehouse of chronological written account of patient examination and treatment that include the patient medical history, complaint, the physician physical findings, the result of diagnostics test, and procedures, medication and therapeutic procedures are required, preserved, stored, and disseminated upon request. • Health Records Library is also a section or unit in Health Information Management which is responsible for storing all live and deceased patients health records and supplying medical records for all emergency and elective inpatient admission and clinic appointment.
- 3. Ward Service Unit (scrutinizing of patient records) Coding and Indexing (Assign code to diagnosis & operation) Admission, discharges & deaths (Data entry) Library Section (Filing of patient records on shelve)
- 4. Sorting patient records numerically. Entering patient hospital number into library dispatch register in numerical sequence. Filing the folders chronologically and consciously into its rightful position on the shelve. Documenting request(s) made by legitimate users sequentially for easy point of reference.
- 5. • To preserve and make health records accessible for continuity of treatment. • For research, teaching, training of medical and Para- medical students, staff and scholars. (H/R library holds patients’ folders in custody and retrieves folders for legitimate users. Requests for folders are released in batches and tracer card must be filled for every case note; which will indicate the patient hospital Number, patient’s name, date borrowed, name of borrower and destination).
- 6. THANK YOU
- 7. THANK YOU