Medical Record Management

Medical Records Management: Meaning, functions, principles of record keeping, Importance of medical records to patients, doctors, and hospitals. Classification of records like coding systems, indexing systems, types of basic and legal forms, legal aspects of medical records.

Types of medical records, Importance of medical records, Flow chart of function, Statutory requirements of maintenance, Filing Computerization of records, Reports and returns by the record department, Statistical information in Medical Record keeping.

International Classification of Diseases (ICD), Electronic Medical Records (EMR), Changing functions of the patients’ record, Advantages of the EMR, Various Types of Registers & Forms. Retention and Preservation of Medical Record, Role of Medical Record Personnel.

Medical Registers: Meaning, types, advantages of Medical Registers, registers used in various departments, Statutory registers and reports to be maintained- specimens, Medical Audit: its process, role and importance in hospitals

Role of Medical Records in Health Care Delivery, General Medical Records Standards and Policies, Legal Aspects of Medical Records, Medical Audit Computerization of Medical Records, Information Needs in the Hospital , sources of Health Information, User of Health and Hospital Data