Medical record course

A key part of health care, medical records management is the collection, organization, preservation and protection of health information for patients, providing the information necessary for physicians, nurses and other health care providers to make appropriate treatment decisions.

Medical records management goals:

• Ensuring quality health care: Medical record management helps ensure that health care providers have the information necessary to make appropriate treatment decisions.
• It also helps improve patient safety by minimizing medical errors.
• Improving patient safety: Medical records management helps improve patient safety by minimizing medical errors.
• It helps ensure that the right patient care is delivered at the right time.
• Improving operational efficiency: Medical records management can help improve the operational efficiency of health facilities.
• It can help speed up the delivery of health care and improve communication between health care providers.
• Promoting patient satisfaction: Medical records management can help promote patient satisfaction.
• It can help ensure that patients receive the health care they need in a timely manner.

Medical records management pursues its goals through a variety of practices, including:

• Establish strict policies and procedures to protect medical data from unauthorized access, use or disclosure.
• Provide training and support to medical records management staff.

• Definition and key purposes of the medical record
• Main sections of the medical record
• Basic principles of the medical record
• Content of the medical records
• Forms of the medical record
• Medical records policies
• Medical records procedures
• Filling of the medical records
• Medical records department
• Medico legal issues of the medical records
• Hospital statistics
• Chapter IMT of GAHAR accreditation standards
• Coding of diseases and interventions
• Medical records committee

Medical record course