eed for Medical Records and Management Structure Three Primary Reasons • Ensures continuity of care • Can be retrieved at later date on re-admission, for F/U or medico legal requirements • For medical audit, research & training Challenges Gross inadequacies of health information Cumbersome retrieval process Hosp statistics collected by paramedics e.g. nurses Medical certification of cause of death not maintained Few hospitals report data to state health authorities No proper maintenance of health statistics at state & national level. Record maintenance was emphasized by American College of Surgeons & American College of Physicians in first quarter of 20th century JCAHO (Joint Commission on Accreditation of Healthcare Organizations) Assumed responsibility of standardization, leading to improvement of medical care 1946 Bhore Committee – Stressed on it’s importance and recommended maintenance of MR 1962 Mudaliar Committee – Reiterated recommendation of Bhore CMC, Vellore first to organize MRD & hold training courses for technicians Computerized medical records in present era-GAME CHANGER