The document provides details on the revised scheme of service for Health Records and Information Management personnel in Kenya. Key points include:
- It establishes 4 grades for Health Records Assistants and 6 grades for Assistant Health Records Officers and 7 grades for Health Records Officers.
- It provides clear job descriptions, specifications, minimum qualifications and experience required for appointment and advancement within the career structure.
- Serving officers will adopt the new designations and grading structure but must meet minimum qualifications for advancement.
- The scheme aims to attract and retain qualified personnel, provide career progression, and ensure standards in recruitment, training and performance.
check list Demonstration On Range Of Motion Exercises and Moving, Lifting and...Mathew Varghese V
Lesson plan on
Interventions for Impaired Body Alignment
&
Immobility
Demonstration On
Range Of Motion Exercises and Moving, Lifting and
Transferring Of Casualty and In-Patient
check list Demonstration On Range Of Motion Exercises and Moving, Lifting and...Mathew Varghese V
Lesson plan on
Interventions for Impaired Body Alignment
&
Immobility
Demonstration On
Range Of Motion Exercises and Moving, Lifting and
Transferring Of Casualty and In-Patient
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR IMPROVING PATIENT SAFETY Ruby Med Plus
This essay explores how Clinical governance as a process is interpreted,
understood and practiced for improving the quality of patient care and Patient
safety.
Specific Objectives-
1. To give an overview of corporate governance and Clinical governance and
to focus on Definition, principles, need, components, key features and
benefits of Clinical governance.
2. To Understand the principles and Pre-requisites of Governance and
clinical governance.
3. To comprehend Power Culture, Quality Assurance, Clinical Audit, and
Clinical Governance.
4. To analyse decision making, safety culture, Integrated pathways,
informed consent, right clinical information, Acrediation and Clinical
Governance.
UNIT-II NURSING CARE AND NURSING MANAGEMNT MHA II YEAR.pptxanjalatchi
Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. It includes the promotion of health, the prevention of illness, and the care of ill, disabled and dying people.
A presentation, describes basics of Clinical Governance
What do we have in common
as Medical Doctors/Medical
Practitioners?
1. We are technical experts in our fields
2. We are leaders
3. We are managers
4. We are accountable for the patient care and health services
5. We are change agents
6. We are respected highly in the community
7. We are responsive
8. We are good communicators and negotiators
9. We are kind and empathic
10. We are decent and disciplined
Clinical Governance is a strategic framework for the development of high quality healthcare
"A framework through which organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish" – NHS, UK
“clinical governance is a way of making sure that everyone who passes through health system is well cared for”
or
System that enable staff to work in the best possible way
+
Staff performing to the highest possible standards
Seven pillars of Clinical Governance
Patient and public involvement (PPI)
Risk management
Staffing and staff management
Education and training
Clinical effectiveness & Research
Using clinical information & IT
Clinical audit
Patient and public involvement
Ensuring services meet the need of the patients
Patient and public feedback is used to improve services
Patients and the public are involved in the development of services and the monitoring of treatment outcomes
Risk management
Complying with protocols
Learning from mistakes and near-misses
Reporting adverse events
Assessing the risks – probability of occurrence, impact
Promoting blame free culture
Staffing and staff management
Appropriate recruitment and management of staff
Ensuring that underperformance is identified and addressed
Encouraging staff retention by motivating and developing staff
Providing good working conditions
Education and Training
Providing appropriate support available to enable staff to be competent in doing their jobs and to develop their skills so that they are up to date
Professional development needs to continue through lifelong learning
Clinical effectiveness & Research
Clinical effectiveness implies ensuring that everything we do is designed to provide the best outcomes for patients
Clinical audit
Clinical audit is a quality improvement cycle that involves measurement of the effectiveness of healthcare against agreed and proven standards for high quality, and taking action to bring practice in line with these standards so as to improve the quality of care and health outcomes
Clinical audit is a systematic process of looking at your practice and asking:
What should we be doing?
Are we doing it?
If not, how can we improve?
Simple and Safe Approaches Towards Patient SafetyEhi Iden
A conference presentation on simple approaches and steps in achieving and managing patient safety in health. It talks about team approach, mutual support, just system, leadership commitment, complications of blame game and case study of the popular Kimberly Hiatt story.
Paper presentation for my MSc @ UOM. The paper was "Model-Driven Testing with UML 2.0", Zhen Ru Dai Fraunhofer FOKUS, Kaiserin-Augusta-Allee 31, 10589 Berlin, Germany dai@fokus.fraunhofer.de
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR IMPROVING PATIENT SAFETY Ruby Med Plus
This essay explores how Clinical governance as a process is interpreted,
understood and practiced for improving the quality of patient care and Patient
safety.
Specific Objectives-
1. To give an overview of corporate governance and Clinical governance and
to focus on Definition, principles, need, components, key features and
benefits of Clinical governance.
2. To Understand the principles and Pre-requisites of Governance and
clinical governance.
3. To comprehend Power Culture, Quality Assurance, Clinical Audit, and
Clinical Governance.
4. To analyse decision making, safety culture, Integrated pathways,
informed consent, right clinical information, Acrediation and Clinical
Governance.
UNIT-II NURSING CARE AND NURSING MANAGEMNT MHA II YEAR.pptxanjalatchi
Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. It includes the promotion of health, the prevention of illness, and the care of ill, disabled and dying people.
A presentation, describes basics of Clinical Governance
What do we have in common
as Medical Doctors/Medical
Practitioners?
1. We are technical experts in our fields
2. We are leaders
3. We are managers
4. We are accountable for the patient care and health services
5. We are change agents
6. We are respected highly in the community
7. We are responsive
8. We are good communicators and negotiators
9. We are kind and empathic
10. We are decent and disciplined
Clinical Governance is a strategic framework for the development of high quality healthcare
"A framework through which organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish" – NHS, UK
“clinical governance is a way of making sure that everyone who passes through health system is well cared for”
or
System that enable staff to work in the best possible way
+
Staff performing to the highest possible standards
Seven pillars of Clinical Governance
Patient and public involvement (PPI)
Risk management
Staffing and staff management
Education and training
Clinical effectiveness & Research
Using clinical information & IT
Clinical audit
Patient and public involvement
Ensuring services meet the need of the patients
Patient and public feedback is used to improve services
Patients and the public are involved in the development of services and the monitoring of treatment outcomes
Risk management
Complying with protocols
Learning from mistakes and near-misses
Reporting adverse events
Assessing the risks – probability of occurrence, impact
Promoting blame free culture
Staffing and staff management
Appropriate recruitment and management of staff
Ensuring that underperformance is identified and addressed
Encouraging staff retention by motivating and developing staff
Providing good working conditions
Education and Training
Providing appropriate support available to enable staff to be competent in doing their jobs and to develop their skills so that they are up to date
Professional development needs to continue through lifelong learning
Clinical effectiveness & Research
Clinical effectiveness implies ensuring that everything we do is designed to provide the best outcomes for patients
Clinical audit
Clinical audit is a quality improvement cycle that involves measurement of the effectiveness of healthcare against agreed and proven standards for high quality, and taking action to bring practice in line with these standards so as to improve the quality of care and health outcomes
Clinical audit is a systematic process of looking at your practice and asking:
What should we be doing?
Are we doing it?
If not, how can we improve?
Simple and Safe Approaches Towards Patient SafetyEhi Iden
A conference presentation on simple approaches and steps in achieving and managing patient safety in health. It talks about team approach, mutual support, just system, leadership commitment, complications of blame game and case study of the popular Kimberly Hiatt story.
Paper presentation for my MSc @ UOM. The paper was "Model-Driven Testing with UML 2.0", Zhen Ru Dai Fraunhofer FOKUS, Kaiserin-Augusta-Allee 31, 10589 Berlin, Germany dai@fokus.fraunhofer.de
Health Workforce Planning, Training and Curriculum DevelopmentPrabesh Ghimire
Declaration: The materials incorporated in this document have come from variety of sources and compiler bears no responsibilities for any information contained herein. The compiler acknowledges all the sources although references have not been explicitly cited for all the contents in this document.
The guide for Directors of Prevocation Training
This guide designed to give you a feel for the job along with practical information to support you through the time you are in the role. You’ll be helping to create a great teaching environment in your facility as you work with junior doctors, their Attending Medical Officers, administration staff and registrars.
This publication is copyrighted
The role of health information managers in the healthcare delivery systemResearchWap
The study was an “The Role of Health Information Managers in Healthcare Delivery System (A Case Study of University of Uyo Health Centre. Uyo, Akwa Ibom State). The main objective of the study was to access the academic and knowledge level of Health information managers in their practice, while specific objective are: To assess the strength of Health Information managers in academic level. To verify factors affecting the efficiency of health information managers in the hospital. To examine the availability of equipment for effective and efficient functioning of health information management staff in their practice. Related literature were reviewed base on several authors which worked into 16 sub-topics related to the role of health information managers. Descriptive survey design was adopted and 110 respondents were selected using purposive sampling to chores 20 health information management staff from unit and 90 other staff from the health centre. The finding showed that 74.5% of the respondents accepted that, the higher the health information managers academic level, the more they gained knowledge while their practice gives them experience to understand the study also revealed that inadequate storage space and equipment for killing patients records are the factors affecting the efficiency of health information managers in the health centre. While 26.5% disagree. The researcher recommended that hospital management should try to address the problems that affect health information management for them to function effectively and efficiency in the health centre. However, the researcher also found it necessary for further studies to be extended to other hospital
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
DISSERTATION on NEW DRUG DISCOVERY AND DEVELOPMENT STAGES OF DRUG DISCOVERYNEHA GUPTA
The process of drug discovery and development is a complex and multi-step endeavor aimed at bringing new pharmaceutical drugs to market. It begins with identifying and validating a biological target, such as a protein, gene, or RNA, that is associated with a disease. This step involves understanding the target's role in the disease and confirming that modulating it can have therapeutic effects. The next stage, hit identification, employs high-throughput screening (HTS) and other methods to find compounds that interact with the target. Computational techniques may also be used to identify potential hits from large compound libraries.
Following hit identification, the hits are optimized to improve their efficacy, selectivity, and pharmacokinetic properties, resulting in lead compounds. These leads undergo further refinement to enhance their potency, reduce toxicity, and improve drug-like characteristics, creating drug candidates suitable for preclinical testing. In the preclinical development phase, drug candidates are tested in vitro (in cell cultures) and in vivo (in animal models) to evaluate their safety, efficacy, pharmacokinetics, and pharmacodynamics. Toxicology studies are conducted to assess potential risks.
Before clinical trials can begin, an Investigational New Drug (IND) application must be submitted to regulatory authorities. This application includes data from preclinical studies and plans for clinical trials. Clinical development involves human trials in three phases: Phase I tests the drug's safety and dosage in a small group of healthy volunteers, Phase II assesses the drug's efficacy and side effects in a larger group of patients with the target disease, and Phase III confirms the drug's efficacy and monitors adverse reactions in a large population, often compared to existing treatments.
After successful clinical trials, a New Drug Application (NDA) is submitted to regulatory authorities for approval, including all data from preclinical and clinical studies, as well as proposed labeling and manufacturing information. Regulatory authorities then review the NDA to ensure the drug is safe, effective, and of high quality, potentially requiring additional studies. Finally, after a drug is approved and marketed, it undergoes post-marketing surveillance, which includes continuous monitoring for long-term safety and effectiveness, pharmacovigilance, and reporting of any adverse effects.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
2. Revised Scheme of Service
for
Health Records and Information Management
Personnel
3. OFFICE OF THE PRIME MINISTER
MINISTRY OF STATE FOR PUBLIC SOWItE
Telegraphic address: "Personnel", Nairobi P.O. BOX 30050 — 00100
Telephone: Nairobi 2227411 NAIROBI,
Fax: 243620 When Replying please quote KENYA.
1
Ref: No. MSPS /HRM/4/105/(5) 21st Novemberk 2012
The Permanent Secretary
Ministry of Medical Services
NAIROBI.
SCHEME OF SERVICE FOR HEALTH RECORDS AND INFORMATION
MANAGEMENT PERSONNEL
I am pleased to inform you that the Scheme of Service for Health Records and
Information Management Personnel which forms an appendix to this letter has
been finalized and is ready for implementation with effect from 1st Oetther,
2012.
The Scheme establishes four (4) grades of Health Records and Information
Management Assistants; six (6) grades of Assistant Health RecOrd8 and
Information Officers, seven (7) grades of Health Records and Information
Management Officers and provides clear and concise job descriptions and
specifications at all levels within the grading structure. Ptovision of these details
will no doubt greatly assist in the recruitment, deployment, retention and general
development of the Health Records and Information Management Perk:Mel.
Please take the necessary action and ensure that the provisions of the SCherne of
Service are brought to the attention of all officers concerned:
Titus Ndambuki, CBS—
PERMANENT SECRETARY
Copy to: The Secretary
Public Service Commission of Kenya
NAIROBI.
4. 1
1
I
1
REVISED SCHEME OF SERVICE FOR HEALTH RECORDS AND INF
MANAGEMENT PERSONNEL
ViliVISANDIDDJECTIVES
'(i) IT°, provide for a well defined career structure which will attract and retain qualified
and experienced Health Records and Information Management Personnel in the Civil
:,Service.
) To.rproVide for well designed job descriptions and -specifications with clear
delineation of duties and responsibilities at all levels within the career structure to
enable officers understand the requirements and demands of their job.
(iii) To esiablish standards for•recruitMent, training and advancement within the career
structure on the basis of qualifications, knowledge of the job., merit and ability as
...reflected. in work performance and results.
(iv) To ensure appropriate career planning and succession management.
2. ADIVUNISTRATION AND TRAINING SCOPE OF THE SCHEME
4t)
(.a) :Administration..of the Scheme
The , Scheme of Service will be administered by the Principal Secretary responsible for
the Health Services in conjunction with the Public Service Commission of Kenya. In
administering the Scheme, the Principal Secretary will ensure that its provisions are
strictly observed for fair and equitable treatment of officers and that officers are
confirmed in appointment on successful completion of their probation period.
(b) :Training-Scope
In ..administering the Scheme, the Principal Secretary will ensure that appropriate
induction:fnentoring, coaching, training opportunities and facilities are provided to assist
serving officers .acquirc the necessary additional qualifications/specialization and
experience required for both efficient . performance of their duties and advancement
-Within.the-eare-er structure: Officers should also be encouraged to undertake training for
- self-development. In all matters of training, however, the Principal Secretary
administering the Scheme will consult the Public Service Commission of'Kenya.
HEALTH RECORDS AND INFORMATION MANAGEMENT FUNCTION
The Health Records and Information Einction entails:- developing arid implementing
Health Records and Information policies; managing and administering Health Records and
',Information-Services; documenting medical, surgical and related procedures; scheduling
patients and managing bed bureau; coding and indexing of diseases and surgical
procedures in accordance with the International Statistical Classification Of Diseases
5. (ICD) and International Classification of Procedures in Medicine (ICPM); organizing for
patients appointments to medical consultants and speciality consultant clinics; receiving,
registering and scheduling of outpatient and inpatient; maintaining of Patient Master Index
(PMI); designing medical forms; taking custody of medical records and maintaining their
confidentiality; advising on medico-legal aspects in relation to health records and
information; collecting, analyzing, interpreting, disseminating and showing patterns and
trends of medical data developing health records and information quality systems;
monitoring and evaluating health records and information systems.
4. GRADING STRUCTURE AND SCOPE
(a) Grading Structure
The Scheme of Service establishes four (4) grades of Health Records and Information
Management Assistants, six (6) grades of Assistant Health Records and Information
Management Officers and seven (7) grades of Health Records and Information
Management Officers who will be designated and graded as follows:-
APPENDIX 'A'
HEALTH RECORDS AND INFORMATION MANAGEMENT ASSISTANTS
Designation Job Group
Health Records and Information Management Assistant HI `G'
Health Records and Information Assistant H 'H'
Health Records and Information Management Assistant I
Senior Health Records and Information Management AsSistant `K'
APPENDIX 'B'
ASSISTANT HEALTH RECORDS AND INFORMATION MANAGEMENT
OFFICERS
Designation Job Group
Assistant Health Records and Information Management 'H'
Officer III
Assistant Health Records and Information. Management
j,
Officer II
Assistant Health Records and Information Management 'K'
Officer I
Senior Health Records and Information Management Officer `L'
Chief Health Records and Information Management Officer 'M'
Principal Health Records and Information Management Officer 'N'
6. APPENDIVC
HEALTH RECORDS AND INFORMATION MANAGEMENT OFFICERS
Designation Job Group
Health Records and Information Management Officer 'K'
Senior Health Records and Information Management Officer `L'
Chief Health Records and Information Management Officer 'M'
Principal Health Records and Information Management Officer 'N'
Assistant Director, Health Records and Information Management `P'
Senior Assistant Director, Health Records and Infor'mation Management 'Q'
Deputy Director, Health Records and Information Management 'IV
•
(b) Conversion to the new grading structure
Serving Officers will adopt and convert as appropriate to the new grades and designations as
follows:
APPENDIX 'A'
HEALTH RECORDS AND INFORMATION MANAGEMENT ASSISTANTS
Present Designation Job Group New Designation Job Group
Health Records and
Information Technician III
`G' Health Records and
Information Management
Assistant III
`G'
Health Records and
Information Technician II
'H' Health Records and
Information Management
Assistant II
'H'
Health Records and
Information Technician I
`J' Health Records and
Information Management
Assistant I
"
Senior Health Records and
Information Technician
'K' ' Senior Health. Records and
Information Management
Assistant
"
1
7. 14,4<ii;t$4 ,010111.11111Manall
APPENDIX '13'
ASSISTANT HEALTH RECORDS AND INFORMATION MANAGEMENT -
OFFICERS
Present Designation Job Group New Designation Job Group
Health Records and
Information- .
Officer III
If
-
. Assistant Health Records and
Information Management
Officer III
'H'
Health Records and
Information
Officer. II
'I ' Assistant Health Records and
Information Management
Officer II
'r
Health Records and
Information
Officer I
'K' Assistant Health Records and
Information Management
Officer I
'K'
Senior Health Records
and
Information Officer
'L' Assistant Senior Health
Records and Information
Management Officer
'L'
Deputy Chief Health
Records and Information
Officer
'M' Assistant Chief Health
Rebords and Information
Management. Officer
'M'
Chief Health Records
and Information Officer
'N' Assistant Principal Health
Records and Information
Management Officer
'N'
APPENDIX 'C'
HEALTH RECORDS AND INFORMATION MANAGEMENT OFFICERS
Present Designation Job group New Designation Job Gruup
Health Records and
Information
Officer I
'K' Health Records .. and
Information
Management Officer
-K.
Senior Health Records and
Information Officer
`L'
'M'
Senior Health Records
and Information
Management Officer
Chief Health Records
and Information
Management Officer
'L'
"Deputy Chief Health
Records and Information
Officer
Chief Health Records and
Information Officer
'N' Principal Health
Records and
Information
Management Officer
'N`
cp ,
Assistant , Director,
Health Records and
Information
`P'
4
8. Management. Services
—
' .
--.
:
Senibr Assistant
Director, Health
.Records and
Information
Management
Q.
,1
I
Deputy - Director,
Health Records and
Information
Management
'
Notes:
The grades of Health Records and InfOrmation Management Assi,slant
III/IN/Senior. Job Groups 'Gill/WK . fir certificate holders will ,form a common
estoblishment for the purpose of this Scheme of Service.
The grades of' Assistant Health Records and Information Management Officer
111/11/1/ Senior Joh Groups '11/J/K/L . .fOr diploma holders will 'Orin a common
establishment for the pzupose of-this Scheme of"Service.
(iii) The grades of Health Records and Information Management Officer.
Senior/Chief/Principal, Joh Groups WIL/M/N . fOr Degree Holders will. fOrm
common establishment for the purpose of Scheme of Service.
(c) Serving Officers..
Serving officers will adopt and convert as appropriate to the new designations and grading
structures provided in the Scheme of Service, though they may not be in possession of the
minimum qualifications and/or experience for appointment to the grades. HoweVer, for
advancement to higher grades, officers must possess the prescribed minimum qualificatiOns
and/or experience required for appointment to the grade.
5, PROVISION OF POSTS
A scheme of service does not constitute the authority for creation of posts. Any additional
post(s) required under the new grading structure must be included in the ministry's
establishment proposal for conSideration and approval by the Public Service Commission of
Kenya.
6, ENTRY INTO THE SCHEME OF SERVICE
(a) Direct Appointment
Direct appointment will normally be made in the grades of Health Records and Information
Management Assistant III, Job Group 'G', Assistant Health Records and Information
Management Officer III, Job Group 'FF and Health Records and Information Management
5
1
9. Officer, Job Group `K". In exceptional cases, however, direct appointment beyond these
grades may be made by .the Public. Service Commission of Kenya on the recommendation of
the Principal Secretary responsible for the Health Services provided the candidate is in
possession of the requisite qualifications stipulated for that particular grade.
(b) Incremental Credit
Incremental credit(s) for approved experience acquired after obtaining the minimum
prescribed qualifications for the grade may be awarded at the rate of one increment for each
completed year of approved experience provided the maximum of the scale is not exceeded.
In awarding incremental credit(s), any period of service or experience stipulated as a basic
requirement for appointment to a particular grade will be excluded.
7. ADVANCEMENT WITHIN THE SCHEME
The Scheme of Service sets out the minimum qualifications and experience required for
advancement from one grade to another. It is emphasized, however, that these are the
minimum requirements which entitle an officer to be considered for appointment or
promotion to the next grade. In addition, advancement from one grade to another will
depend on:-
(i) the existence of a vacancy in the authorized establishment;
(ii) merit and ability as reflected in work performance and results; and
(iii) the approval of the Public Service Commission of Kenya.
8. RECOGNISED QUALIFICATIONS
The following are the recognised qualifications for the purpose of this Scheme of Service:-
(i) Certificate in Health Records and Information Technology or any other relevant and
equivalent qualification from a recognized institution.
(ii) Diploma in Health Records and Information Technology or any other relevant and
equivalent qualification from a recognized institution.
(iii) Bachelors degree in Health Records and Information Management or any other
relevant and equivalent qualifications from a recognized institution.
(iv) Masters degree in any of the following disciplines:- Health Records and
Information Management, Health Systems Management, Public Health, Health
Informatics, Health Services Management, Health Economics, Health Monitoring
and Evaluation, Information Technology, Information Science, Biostatistics,
Computer Science, Epidemiology or any other relevant and equivalent
qualifications from a recognized institution.
10. (v)_ Certificate in Supervisory COurse lasting not less than two (2) weeks frorri a
recognized institution.
(vi) Certificate in Management Course lasting not less than four (4) weeks' from a
recognized institution.
(vii) Certificate: in Senior Management Course lasting not less than four (4) weeks from
a recognized institution.
(viii) Certificate in Strategic Leadership Development Programme (SLDP) lasting not
ii
less than six (6) weeks from a recognized institution.
(ix) Certificate in computer application skills from a recognized institution.
(x) Any other qualifications that may be adjudged as equivalent by the Public Service
Commission of Kenya.
9. IMPLEMENTATION OF THE SCHEME OF SERVICE
o
The Scheme of Service will become operational with effect from lst October, 2012 On
implementation, serving officers will automatically become members of the Scheme.
10. JOB AND APPOINTMENT SPECIFICATIONS
APPENDIX 'A'
HEALTH RECORDS AND INFORMATION MANAGEMENT ASSISTANTS
I. HEALTH RECORDS AND INFORMATION MANAGEMENT ASSISTANT III, JOB
GROUP 'G'
(a) Duties and Responsibilities
This is the entry and training grade for this cadre. An officer at this level will work under the
guidance of a more senior officer. Duties and responsibilities will entail:- receiving and registering
patients at hospital reception; booking appointment for patients to speciality and consultants
clinics; storing and retrieving medical records and documents; preparing clinics; updating bed
bureaus; capturing data from service points; maintaining record safety and confidentiality; and
directing patients to relevant clinics.
(b) Requirements for Appointment
For appointment to this grade, an officer must have:-
(i) Certificate in Health Records and Information Technology from a recognized
institution; and
7
1
1
11. (ii) .Certificate in computer application Skills from .a recoznized institution..
II. HEALTH RECORDS AND INFORMATION MANAGEMENT ASSISTANT H, JOB.
GROUP 'H'
(a) . Duties and Responsibilities
Duties and responsibilities at this level will entail:- receiving patients at hospital' reception;-
registering and booking appointment for patients to clinics and consultants; storing and retrieving
medical records and, documents; preparing clinics; updating bed bureaus; editing patient cases
records; gathering data from different sources; capturing data from service points; maintaining
record safety and confidentiality; balancing daily bed returns; creating and maintaining- master
index; updating patient master index; directing patients to relevant clinics; scheduling patients
the consultants and speciality clinics: assigning codes to diseases. and surgical procedures-
according to the International Statistical classification of diseases and` procedures inmedicine;- and
preparing medical records and reports.
(b) Requirements for Appointment
For appointmenno this grade, an officer must have:-
(i) Served in the grade of Health Records and Information Management Assistant III for
a minimum period of three (3) years;
(ii) Certificate in Health Records and Information Managerrient from a recognized
institution;
(iii) Certificate in computer applications skills from a recognized institution; and
(iv) Shown merit and ability as reflected in work performance and results.
III. HEALTH RECORDS AND INFORMATION MANAGEMENT ASSISTANT I, JOB GROUP
(a) Duties and Responsibilities
Duties and responsibilities at this level will entail:- receiving and registering patients; booking
appointment for patients to speciality clinics and consultants; storing and retrieving medical
records; preparing clinics; updating bed bureau; editing patient cases records; capturing data from
service points; maintaining record safety and confidentiality; balancing daily bed returns;
preparing and maintaining patient master index; creating and updating patient master index;
updating patient master index; directing patients to relevant clinics; scheduling patients to the
consultants and speciality clinics; assigning codes to diseases and surgical procedures; indexing
diseases and surgical procedures according to the international classification of diseases and
procedures in medicine; and compiling medical records and reports.
8
12. 11
(b) Requirements for Appointment
For appointment to this grade, an officer must have:
Served in the grade of Health Records and Information Management Assistant II for
a minimum period of three (3) years;
(ii). Certificate in Health Records and Infoimation Management from a recognised
institution;
(in). Certificate in computer application skills from a recognized institution; and
(iv) Shown merit and ability as reflected in work performance and results.
IV'. SENIOR HEALTH RECORDS AND INFORMATION MANAGEMENT ASSISTANT,
JOB GROUP 'IC'
I •(a), Duties and Responsibilities
I
Duties and responsibilities at this level will entail:- storing and retrieving medical records and
documents; preparing clinics; updating bed bureau; editing of patient case records; capturing data
from service points; maintaining record safety and confidentiality; balancing daily bed returns;
I
maintaining patient, master index; scheduling of patients to the consultants and speciality clinics;
assigning codes to diseases and surgical procedures; indexing diseases and surgical procedures
according to the International Classification of Diseases. and Procedures in Medicine; compiling
I
medical reports; providing, where necessary, health information with other stakeholders; compiling
bio data; analyzing medical data and preparing Health Records and Information reports.
(b) Requirements for Appointinent
For appointment to this grade, an officer must haVe:
) Served in the grade of Health Records and Information Management Assistant I for a
minimum period of three (3) years;
I'4 (ii) Certificate in Health Records and Information Management from a recognised
institution;
(iii) Certificate in computer application skills from a recognized institution; and
(iv) Shown merit and ability as reflected in work performance and results.
9
,S.T7141,37A^1,1701,er,"••= F.7
13. APPENDIX 'B'
ASSISTANT HEALTH RECORDS AND INFORMATION
OFFICERS
I. ASSISTANT HEALTH RECORDS AND INFORMATION
OFFICER III, JOB GROUP 'H'
(a) Duties and Responsibilities
MANAGEMENT
MANAGEMENT
This is the entry and training grade for this cadre. An officer at this level will work under the
guidance of a senior officer and experienced officer.. Duties and responsibilities at this level will
entail: receiving and documenting patients at hospital reception; registering and booking
appointment for patients to clinics and consultants; storing and retrieving medical records
documents; preparing clinics; updating bed bureau; editing of patient case records; gathering data
from different sources; capturing data from service points; maintaining record safety and
confidentiality; storing and retrieving medical records; balancing daily bed returns; creating and
maintaining master index; updating patient master index; directing patients to relevant clinics;
scheduling of patients to the consultants and speciality clinics; assigning codes to diseases ani
surgical procedures according to the International Classification of Diseases and Procedures in
Medicine; and preparing Health records and reports.
(b) Requirements for Appointment
For appointment to this grade, a candidate must have:-
(i) Diploma in Health Records and Information Technology from a recognized institution; and
(ii) Certificate in computer application skills from a recognized institution.
II. ASSISTANT HEALTH RECORDS AND INFORMATION MANAGEMENT OFFICER II,
JOB GROUP 'X
(a) Duties and Responsibilities
Duties and responsibilities at this level will entail:- receiving and registering patients; bookht
appointment for patients to speciality clinics and consultants; storing and retrieving medical records;
preparing clinics; updating bed bureau; editing of patient cases records; capturing data from service
points; maintaining record safety and confidentiality; balancing daily bed returns; preparing and
maintaining Patient Master Index; creating and updating of Patient Master Index; directing patients
to relevant clinics; scheduling of patients to the consultants and speciality clinics; assigning codes to
diseases and surgical procedures; indexing diseases and surgical procedures according to the
International Classification of Diseases and Procedures in Medicine and compiling medical records
reports.
10
14. (b) Requirement's l'or Appointment
For appointment to this grade, an officer must have:-
(i) Served in the grade of Assistant Health Records and Information Management Officer III for a
minimum period of three (3) years;
(ii) Diploma in Health Records and Information Technology from a recognized institution;
(iii) Certificate in computer application skills from a recognized institution; and
(iv) Shown merit and ability as reflected in work performance and results.
III. ASSISTANT HEALTH RECORDS AND INFORMATION MANAGEMENT OFFICER I,
JOB GROUP `1('
(a) Duties and Responsibilities
Duties and responsibilities at this level will entail:- editing patient cases; analyzing medical records
data; updating bed bureau; capturing data from service points; maintaining record safety and
confidentiality; balancing daily bed returns; maintaining Patient Master Index; scheduling of
patients to the consultants and speciality clinics; assigning codes to diseases and surgical
procedures; indexing diseases and surgical procedures according to the International Classification
of Diseases and Procedures in Medicine; compiling medical reports; sharing of health information
with other stakeholders; analyzing data; compiling patients bio data; and preparing medical records
and reports.
(b) Requirements for Appointment
For appointment to this grade, an officer must have:
(i) Served in the grade of Assistant Health Records and Information Management
Officer II for a minimum period of three (3) years;
(ii) Diploma in Health Records and Information Technology from a recognized institution;
(iii) Certificate in computer application skills from a recognized institution; and
(iv) Shown merit and ability as reflected in work performance and results.
11
15. IV. ASSISTANT. SENIOR HEALTH RECORDS AND INFORMATION MANAGEMENT
OFFICER, JOB GROUP 'V
(a) Duties and Responsibilities
Duties •and responsibilities at this level will entail: implementing health records and.. informatibn
policies and guidelines; proViding advice on disclosure, confidentiality, security and exchange of
health records and information; analyzing medical records data; carrying out health records and
information system review; capturing data from service points; disseminating health information;
preparing medical records and reports; maintaining record safety and confidentiality; balancing
daily bed returns; maintaining diagnostic and surgical indices; maintaining Patient Master Index;
coding diseases and surgical procedures according to the International Classification of Diseases
and Procedures in Medicine; and indexing diseases and surgical procedures.
(b) Requirements for Appointment
For appointment to this grade, an officer must have:
(i) Served in the grade of Assistant Health Records and Information Management
Officer I or Senior Health Records Information Management Assistant for a
minimum period of three (3) years;
(ii) Diploma in Health Records and Information Technology from a recognized
institution;
(iii) Certificate in computer application skills from a recognized institution; and
(iv) Shown merit and ability as reflected in work performance and results.
ASSISTANT CHIEF HEALTH RECORDS AND INFORMATION MANAGEMENT
OFFICER, JOB GROUP 'M'
Duties and Responsibilities
Duties and responsibilities at this level will entail: implementing health records and information
policies and guidelines; providing advice on disclosure, confidentiality, security and exchange of
health records and information; analyzing medical records data; carrying out health records and.
information system review; designing.meclical and surgical indices; developing data quality audit
tools; designing monitoring and evaluation tools; disseminating health information; preparing
medical records reports; maintaining health records safety and confidentiality; maintaining
diagnostic and surgical indices; maintaining Patient Master Index; coding diseases and surgical
procedures according to the International Classification of Diseases and Procedures in Medicine;
and indexing diseases and surgical procedures.
I
V.
(a)
12
16. (b) Requirements fOr Appointment
For appointment to this grade, an officer must have:-
(i) Served in the, grade of Assistant Senior Health Records and Information Management
Officer for a minimum period of three (3) years;
(ii) Diploma in Health Records and Information Technology from a recognized institution;
(iii) Certificate in Supervisory Skills/Management Course lasting not less than two (2) weeks from
a recognized institution;
(iv) Certificate in computer application skills from a recognized institution; and
(v) Demonstrated merit and ability as reflected M work performance and results.
VI. ASSISTANT PRINCIPAL HVALT1-1 RECORDS AND INFORMATION
MANAGEMENT OFFICER, JOE GROUP 'N'
Duties and Responsibilities
Duties at this level will entail: implementing health records and information policies and guidelines;
providing advice on disclosure, confidentiality, security and exchange of health records and
information; coordinating analysis of medical records data; carrying out health records and
information system review; designing medical and surgical indices; developing data quality audit
tools; designing health records monitoring and evaluation tools; developing data quality audit
tools; disseminating health information; maintaining health records safety and confidentiality;
maintaining diagnostic and surgical indices; maintaining Patient Master Index; coding diseases
and surgical procedures according to the International Classification of Diseases and Procedures in
Medicine and; indexing diseases and surgical procedures.
(b) Requirements for Appointment
For appointment to this grade, an officer must have:-
(i) Served in the grade of Assistant Chief Health and Information Management
Officer for a minimum period cif thtee (3) years;
(ii) Diploma in Health Records and Information Technology from a recognized institution;
(iii) Certificate in Management course lasting for not less than four (4) weeks from a
recognized institution;
(iv) Certificate in computer.pplication Skills from a recognizedinstitution;.and
13
4a)
18. APPENDIX C'
1
HEALTH RECORDS AND INFORMATION MANAGEMENT OFFICERS
I. HEALTH RECORDS AND INFORMATION MANAGEMENT OFFICER, JOB GROUP
'K'
(a) Duties and Responsibilities
This is the entry and training grade for this cadre. An officer at this level will work under the
guidance of a more senior and experienced officer. Duties and responsibilities at this level will
entail: storing and retrieving medical records and documents; preparing clinics; updating bed
bureau;
editing Patient case records; capturing data from service points; maintaining record safety
and confidentiality; balancing daily bed returns; maintaining patient Master Index; scheduling of
patients to the consultants and speciality clinics; assigning codes to diseases and surgical
procedures; indexing diseases and surgical procedures according to the International Classification
of Diseases and Procedures in Medicine; compiling medical reports; sharing of health information
with other stakeholders; analysing data; compiling bio data; and preparing medical records and
reports.
(b) Requirements for Appointment
For appointment to this grade, a candidate must have:-
(i)
Bachelors degree in Health Records and Information Management from a recognized
institution; and
(ii)
Certificate in computer application skills from a recognized institution.
IL SENIOR HEALTH RECORDS AND INFORMATION MANAGEMENT OFFICER, JOB
GROUP 'V
(a) Duties and Responsibilities
Duties and responsibilities at this level will entail: implementing health records and information
policies and guidelines; providing advice on disclosure, confidentiality, security and exchange of
health records and information; analysing health records data; carrying out health records and
information system review; capturing data from service points; disseminating health information
where necessary; preparing medical record reports; maintaining record safety and confidentiality;
b
alancing daily bed returns; maintaining diagnostic and surgical indices; maintaining Master
Index; coding diseases and surgical procedures according to the International Classification of
Diseases and Procedures in Medicine; and indexing diseases and surgical procedures.
15
19. (b) Requirements for Appointment
For appointment to this grade an officer must have:-
(i) Served in the grade of Health Records and Information Management Officer for a
minimum period of three (3) years;
(ii) Bachelors degree in Health Records and Information Management from a recognized
institution;
(iii) Certificate in computer application skills from a recognized institution; and
(iv) Shown merit and ability as reflected in work performance and results.
III. CHIEF HEALTH RECORDS AND INFORMATION MANAGEMENT OFFICER,
JOB GROUP 'DX
(a) Duties and Responsibilities
Duties and responsibilities at this level will entail: implementing health records and information
policies and guidelines; providing advice on disclosure, .confidentiality, security and exchange off,
health records and information; analySing :health ;records data; carrying out health records and
information system review; designing medical and surgical indices; developing health data quality
audit tools; designing health records monitoring and evaluation tools; disseminating health
information; preparing 'medical records and reports; maintaining_ record safety and confidentiality;
maintaining diagnostic and surgical indices; maintaining Patients Master Index; coding Diseases
and Surgical Ptocedures according to the International Classification of Diseases and Procedures in
Medicine; and indexing _diseases ,and surgical,procedures.
(b) Requirements for Appointment
For appointment to this grade,.anofficermustihave:-
(i) Served in the grade of Senior Health Records and Information Management Officer' for
a minimum period of three (3) years;
(ii) Bachelors degree in :Health Records and 'Information Management from a recognized
institution;
(iii) Certificate in computer application skills-from a recognized institution; and
(iv) Demonstrated merit and ability as reflected in work performance and results.
16
20. 1
I VI. PRINCIPAL HEALTH RECORDS AND INFORMATION MANAGEMENT
OFFICER, JOB GROUP 'N'
(a) Duties and Responsibilities
Duties at this level will entail:- implementing health records and information policies and
guidelines; providing advice on disclosure, confidentiality, security and exchange of health records
and information; analyzing health data; carrying out health records and information system review;
designing medical and surgical indices; developing health data quality audit tools; designing
monitoring and evaluation tools; designing medical and surgical indices; developing data quality
audit tools; designing monitoring and evaluation tools; disseminating health information;
maintaining record safety and confidentiality; maintaining diagnostic and surgical indices;
maintaining master index; coding diseases and surgical procedures according to the International
Classification of Diseases and Procedures in Medicine; and indexing diseases and surgical
procedures.
(b) Requirements for Appointment
For appointment to this grade, an officer must have:-
1
(i) Served in the grade of Chief Health Records and Information Management Officer for
a minimum period of three {3) years;
(ii) Bachelors degree in Health Records and Information Management from a recognized
institution;
(iii) Certificate in Management Course lasting • not less than four (4) weeks from a
recognized institution;
(iv) Certificate in computer application skills from a recognized institution; and
(v) Shown merit and ability as reflected -in work performance and results.
I V. ASSISTANT DIRECTOR, HEALTH RECORDS AND INFORMATION
MANAGEMENT, JOB GROUP `P'
I a) Duties and Responsibilities
Duties and responsibilities at this level will entail:- implementing health records and information
policies and procedures; implementing medico legal rules and regulations; providing and
disseminating policy guidelines/procedures that affect the health records and information services;
initiating policy issues and procedures; designing health records monitoring and evaluation tools;
organizing field• supervision; formulating; monitoring and evaluation frameworks; measuring
performance of health records management indicators; .providing guidelines on disclosure,
1
17
21. confidentiality, safety, security and exchanges of health records and information; coding dise
and surgical procedures according to the International classification of diseases and procedure:
medicine; indexing diseases and surgical procedures; coordinating and implementing _train
institutions.programs; and instructing/lecturing on health records and information in medical train
(b) Requirements for Appointment
For appointment to this grade, an officer must have:-
(i) Served in
the grade of Principal Health Records and Information Mana
for a period of three (3) years; ge ment Officer
(ii)
Bachelors degree in Health Records and Information Management from a recognisedinstitution;
(iii)
Masters degree in any of the following disciplines:-Health Records and Information
Management Health Systems Management Public Health, Health Informatics, Health
Services Management Health Economics, Health Monitoring and Evaluation,
Epidemiology, Information Technology, Information Science, Biostatistics or
Computer Science from a recognized institution;
(iv)
Certificate in Senior Management Course lasting for not less than four (4) weeks froma recognized institution;
(v)
Certificate in computer application skills from a recognized institution; and
(vi)
Demonstrated outstanding administrative capabilities in work performance
and results.
VI. SENIOR ASSISTANT DIRECTOR, HEALTH RECORDS A
MANAGEMENT, JOB GROUP 'Q' ND INFORMATION
(a) Duties and Responsibilities
Duties and responsibilities at this level will entail:- formulating health records and information
and information
policies and procedures; formulating and interpreting
medico legal rules; providin adevise
rvic ot
policy issues and procedures that affect the health records
ses;communicating policy issues and procedures on health records and information management;
developing health records standard operating sprocedures; providing guidelines on disclosure,
confidentiality, safety, security and exchange of health records and information; coordinating thee
designing, printing and distribution of the medical forms; coordinating training and development
of health records ,and information personnel in collaboration with relevant government departments
and agencies; coordinating performance management in health records and information
management; instructing/lecturing on health records and information in medical training
institutions and collaborating with other health workers in the provision of health records services.
18
22. Requirement for Appointment
For appointment to this grade, an officer must have:-
(i) Served in the grade of Assistant Director, Health Records and Information
Management fora minimum period of three (3) years;
(ii) Bachelors degree in Health Records and Information Management from a 'recognised
institution;
(iii) Masters degree in any of the following disciplines:-Health Records and Information
Management, Health Systems Management, Public Health, Health informatics,
Health Services management, Health Economics, Health Monitoring and Evaluation,
Epidemiology; Information Technology, Information Science, Biostatistics or
Computer Science from a recognized institution;
(iv) Certificate in Strategic Leadership Development PrograrV(SLDP) lasting for not
less than six (6) weeks from a recognized institution;
(v) Certificate in computer application skills from a recognized institution;
(vi) Clear understanding of the National Development Goals Vision 2030, Millennium
Development Goals and the role of Health Records and Information in achievement
of the same; and
(vii) Demonstrated professional competence, managerial and leadership capability as
reflected in work performance and results.
VII. DEPUTY DIRECTOR HEALTH RECORDS AND INFORMATION MANAGEMENT,
JOB GROUP 'IV
(a) Duties and Respausibilities
The Deputy Director, Health Records and Information Management will be responsible to the
Principal Secretary through. the Director of Medical Services. Duties and responsibilities at
this level Will entail: providing policy direction in Health Records and Information
Management intim managing health records and information management services;
formulating health records and information policies and procedures; formulating medico legal
rules and regulations; providing advise on policy issues and procedures that affect the health
records and information services; overseeing the development of health records monitoring
and evaluation frameworks; formulating guidelines on disclosure, confidentiality, safety, and
security of health records and information; overseeing the designing and distribution of
medical forms; managing health records and information management services; and
formulating, monitoring and evaluation frameworks.
19
(b)
23. Further, duties and responsibilities will entail:- overseeing the development of standard
operating procedures; ensuring capacity building and development of Health Records and
Information Personnel; coordinating performance management in health reoords and
information management; coordinating training and development of Health Records and
Information Personnel in collaboration with relevant government departments and other
agencies; and instituting operational accountability and transparency.
(b) Requirements for Appointment
For appointment to this grade, an officer must have:-
(i) Served in the grade of Senior Assistant Director, Health Records and Information
Management for a minimum period of three (3) years;
(ii) Bachelors degree in Health Records and Information Management from a recognized
institution;
(iii) Masters degree in any of the following disciplines:-Health Records and Information
Management, Health Systems Management, Public Health, Health Informatics, Health
Services Management, Health Economics or Health Monitoring and Evaluation,
Epidemiology, Information Technology, Information Science, Biostatistics or
Computer Science from a recognized institution;
(iv) Certificate in Strategic Leadership Development Programme (SLDP)lasting for not
less than six (6) weeks from a recognized institution;
(v) Certificate in computer application skills from a recognized institution;
(vi) Demonstrated professional ability, high integrity and competence matched by a proper
appreciation of the country's socio-economic development needs at the national,
sectoral and local levels; and
(vii) Clear understanding of the National Development goals, Vision 2030, Millennium
Development Goals and the role of Health Records and Information in achievement of
the same.
20