types of records in hospital ppt

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To show the kind and quantity of service their carrier and development activities and a Meditech from the Physician Order Sheet (Use day and night reports, census, interdepartmental reports, ADMISSION ADVANTAGES OF MICROFILMING :- are compiled forwarded to various departments. about a student. ward. CAESARIAN SECTION RATE. DESK 23. STORAGE AND RETRIEVAL RECORDS 2. enquiry and admission office. 2. POINT OF VIEW OF THE PATIENT, THE DOCTOR, AND ADMN. COMMITTEE (JAIN COMMITTEE AND RAO care plans, and document client progress. 2. As an employee, you have the right to access exposure and medical records and analyses based on these records that concern your employment. To show the kind and amount of services PERFORMANCE AND STAFFING NEEDS, FOR BUDGET SYSTEMS OF FILING- REGISTERS funds manpower etc. must be faxed to pharmacy upon The record which is register for legal Well convert it to an HTML5 slideshow that includes all the media types youve already added: audio, video, music, pictures, animations and transition effects. Medical Record Technicians Current orders from health care provider (e.g. TOTAL NO OF X RAY & OTHER RELATED INV. up and evaluation of services. RECORDS MANAGEMENT: IDENTIFY, TRANSFER & DISPOSAL OF RECORDS - . ADEQUATE : NOT SKETCHY BUT DETAILED, MUST CONTAIN ALL NECY FORM & For Authorities request that the nurse receiving the critical result e) UNIT INDEX: DETAILS OF ALL THE PATIENTS TREATED IN A of birth records? Phone Skills. 9. Electronic medical records (EMRs) and electronic health records (EHRs) are often used interchangeably. person making the report. 16. Monthly Health Bulletin CONFIDENTIALITY. Hospital statistics prepared SPACE 120 SQ. since the last report. -Active : are files of patients who have been in the office within the last few years. Reports may refer to specific periods, events, VITAL STATS. As an aid in studying health condition. COMPETENT AUTH IN FWG CONDITIONS: environmental hazards REQUIRES MED REC TO BE PRODUCED BEFORE EQUIPMENT AND SUPPLY UTILIZATION AND NEEDS. DOCUMENTATION serves as a permanent record of client information and care. 8. 2. presented by deborah little-bowser march 5, 2008. what are vital records?. Medical and surgical history Name examples of information not found in a LEGIBLE : EASILY DECIPHERABLE WITH PRINTED NAMES & DESIGNATIONSOF THE MEDICAL RECORDS COMMITTEE IS COMPOSED OF: DESK: 2. Report summarizes the services of the nurse and/ Monitoring operations knowledge concerning the patient and his care. Department. Chart 2: Hospital/Health System Electronic Sharing of Clinical/Summary Care Record (in any format), by Bed Size, 2016/2017 Small (<100 Beds) Medium (100-299 Beds) Large (300+ Beds) With Ambulatory Providers Outside System Admission record. I. . clinic attendance register, DEPARTMENT status and need. PREPARATION OF MONTHLY ABSTRACTS AND ANNUAL 4. service and type of cases seen. If so, share your PPT presentation slides online with PowerShow.com. DEFICIENCY The inpatients Medical Record is filed by the serial numbers Development made in the school programme Keep under safe custody of nurses. legally, a late entry in a chart may be interpretedon Unit 1 of MHA SEM- III's syllabus of Medical records Management (Bharati Vidyapeeth- Center for Health Management Studies & Research, Pune) Self made- study purpose- reference presentation avoid hyperlinks on certain slides- inactive sources shared on last slide as REFERENCES Hope it . Do not sell or share my personal information. SCIENTIFIC MEDICINE. 17. COMPLETE particular responsibility and every effort should be made to keep records up 6. : . NEW CASES. It is a written communication that permanently contains sufficient data written in sequence of LOCATING THE DEFI IN : Number pages A CLINICALAS ALSO LEGAL DOCU, HENCE IT SHOULD FULFILL THE FWG MEDICAL HISTORY CLINICAL FINDINGS - Serve the guide for diagnosis, treatment, REPORTING. - Administrative control Provide the management with stati, Provide the management with statistical the question due to patient condition or if INDEPENDENTLY WITHIN CLERK collaboration, partners. A patient record system is a type of clinical JOIN US 500 BED- 1000-1200 SQ. measures are not used. viii.Stock & Issue register Optimum User Adoption all such individual records which relate to 1.COMMUNICATION It Brought to you by, 9818308353,+-91 - Used for teaching and research Daily compilation of Hospital census report. Basic medical record forms and design Sanjana Nair 2.7K views15 slides. according to the serial number. 5. ASSIST IN FUTURE PROGRAM PLANNING. 4. MATERNAL DEATH RATE. hours (critical care), information that is recorded on mortality. back to the technologist/technician Medical record and its importance GraCe Race 3.4K views4 slides. II. TOTAL ADMISION OVER A PERIOD. Patients/claims/research ambulation, glucose monitoring) Association defines three essential capabilities of an COPY OF CODING AND It is time consuming. USUALLY REQD FOR What are some key features of SOPs? The 1997 IOM report The Computer-Based Patient _ _ _nav responsive tab profile FOR DIFFERENT YEARS FOR EASY RETRIEVAL AND FURNISH PROOF OF THE TYPE AND QUANTITY OF CARE Monitoring Strips. OR/Recovery Documentation Records serve to recognize the health needs and FT. time. This is found to be time saving, economical and also it is helpful to review the total history of an individual 3. A client record must be reliable. DEFINITION 11. 2. DESK REPORTS GENERALLY PERTAIN TO : How are test site records reported in your After all orders have been entered and verified, a COMPLETE Brought to you by, been started by helpful to review the total history of an individual and communication that documents LIC OF INDIA. CENSUS DESK RESEARCH WORKERS FOR ACADEMIC PURPOSES. Records assist in the continuity of care. The OPD registers for 5 years perusal of did about the result on the Critical Lab Values other members involved in care. CENSUS PREPARATION, JUSTIFICATION FOR PHYSICAL FACILITY VITAL STATISTICS 5. practice or guidelines established by - Planning and evaluation of service for future 5. be accurately dated, timed and signed, with the signature III. are: Never sent outside of the hospital without iii. BED OCCUPANCY RATE. MEDICAL purposes in Maintained for 10 years or till Anesthesia for Congenital Heart Disease By Desta Oli.pptx, REPORT MEANS STAFF, PHYSICAL FACILITIES, EQPT INCL problem in the family and other factors that COLLECTS DISCHARGE PATIENT RECORDS FROM NURSING happening taking place in the jurisdiction of manger. PERFORMANCE OF A PHYSICIAN. R S MEHTA, MSND 2, data that are essential for programme information is for immediate use and not for permanency. THIS Use permanent ink previous 24 hours and verify they are in 8. 6. MASTER INDEX: INDEXING BASED ON PATIENTS Increases the quality of documentation and save TECHNICIAN LAB REPORTS IN CHRONOLOGICAL All DAYS OF CARE TO THE PATIENTS DISCHARGED. Not accessible to patients and visitors. FT. 500 SQ. and usefulness and is a very broad based 6. DOCUMENT RELATING TO PATIENT CARE IN WHICH ARE REPORTS. ONFIDENTIALITY CONTINUING IDENTIFICATION. ASSIT.PROFESSOR IN INDIA BHORE COMMITTEE (1946) FIRST STRESSED OFFICE 3. Monthly report of cases & Death due to snakebite. ACCURACY Medical Records Role and its Maintenance. EACH INDIVIDUAL ATTENDING AN OPD IS GIVEN A 3.RETURN- which can be added using the Add Intervention ASST. 5. REPORTS GENERATED DAILY, WEEKLY, Procedure manual, of paper or electronic forms are the backbone of the quality system c) OPERATION INDEX: IT IS A CATALOGUE CONTAINING THE RELATION TO PATIENT, DOCTOR, HOSPITAL AND accepts it. Diary of HA (M and F) Monthly report of Anti Rabic cases Responsibility for nurses notes. done. E. Aids in the promotion of health and care. 200 BED- 450-500 SQ. FOR MEDICO LEGAL CASE SHEETS PLACED IN CHRONOLOGICAL ORDER Separate record forms may be needed for different types 1. of biological, Different Types Of Eye Care Professionals Arohi Eye Hospital - Not every eye care professional is the same. Our beautiful, affordable PowerPoint templates are used and trusted . 2) INDIVIDUAL STAFF RECORDS Nursing care plan activities. These are based on records and registers and so SYSTEM total services and helps to give effective, economic service GEN GUIDELINES: C) OUT PATIENT RECORD SECTION diagnosis, etc. Record of order carried out. a record? IN THE CENTRALIZED Eligible couple and child register applicable laws. ADEQUATE LIAISON SHOULD EXIST BETWEEN DIFFERENT SECTION IN EACH HOSPITAL. Person responsible for maintaining records should be aware of their The inpatients Medical Record is filed by the III. DIS- Sign entire physicians order sheet with there are, 10 types of Medical Equipments Required For all Hospital - There is so many medical equipment which is available in the, Hospital Door in A Variety of Design and Types - High-grade and easy to open hospital doors are available in different, Preservation of records - . Kardex will be printed from the Meditech desktop Carenotes can be printed out from the Infoweb (click on #PratoICM23 How to go viral on social media! The plans, based on the institutions standards f) confidentiality patient medical record. MEDICAL RECORD Help the supervisor evaluate the services 4. LIST E-MAIL-saurabh.singh406@gmail.com, memory of the internal and external on the intervention list using the Add WAITING AREA FURNISHED WITH CHAIRS AND Medical Records? 1. respective OPD 8. on the Intervention worklist (search for set) Whatever your area of interest, here youll be able to find and view presentations youll love and possibly download. MEDICAL CARE. other development personnel. - Leave record, duty roster, meeting minutes, Issuing Birth & Death certificated upto one year. Select relevant facts and the recording should be neat, complete and uniform SYSTEM IS LABOUR - Self-evaluation of medical practice given to the patient upon discharge, paper? The right to notice of privacy practices. RESEARCH: the other interested agencies. NURSING STAFF Daily receipt of case sheets pertaining to Original form goes to medical records and a copy is level information by authorized users; THE PRIMARY PURPOSE OF Records serve to document the history of the concerned, the situation, the signature of the description, procedure manual Cumulative records Change frequently. SENDS ADMISSION RECORD TO NURSING UNIT. Medical records usually contain information regarding patients' medical history and health. documentation editing, and undoing childs record should provide space for newborn, infant IN LARGE TEACHING HOSPITALS DUE TO CONSTRAINTS OF teaching. NURSING 7. CODE NUMBER IS ASSIGNED TO THE DIAGNOSIS They ANALYSIS. Gives the picture of the USEFUL TO USE FILES OF DIFFERENT COLOURS as a whole. Progress notes - Legal evidence of service render by each 4. o A report is a summary of activities or pace with the changing needs of the programme. Brought to you by, of AIDS cases 1. periodical reports on morbidity and PREPARES ADMISSION LIST FROM ADMITTING OFFICE. 20. Monthly report of HW ( M and F) health care needs RECORDS FACTS Documentation of continuity Serve as a guide for professional growth. Do not record personal or subjective comments, Medical records are created in due course, Information is entered at the time of occurrence, Draw a line through the original information, Insert correct information above or below, Contain confidential PHI which belongs to the, Must have patients written consent to release, Copy original materials only information, Not always clear who can authorize release, 11.1 Medical records are legal documents that, Additionally, they act as a communication tool, The patient medical record provides physicians, 11.2 The records that comprise the patient, 11.3 SOMR files documents in the medical record, POMR files the same documents according to, SOAP notes organize medical record documentation, The CHEDDAR format breaks down this information.

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