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HCR/210

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Happy Health Medical ClinicBrittany Letterlough HCR/210 November 4, 2012 Kimberly Kirby-Bass

Introduction Indexes for

Administering Health Care Information Centralized Records Management Creation of Manual Records Straight Numeric Filing System Temporary and Permanent Insertion of Loose Reports

Storage of Patients

Files Circulation of records Retention ScheduleDestruction of Records and File Security Legal and Ethical Responsibilities

Indexes for Administering Health Care Informationo Master Patient Index Identification data Record retrieval

Centralized Records Management Responsibility for record keeping is easily

identified Use of equipment, supplies, space, and personnel is made A single filing location Improved security

Creation of Manual Recordso Face Sheet

o Problem Oriented Record Database Problem List Initial Plan Progress Notes

Straight Numeric Filing System Office staff can be

easily and quickly trained. Records are more secured Additional file space File numbers are in order from lowest to highest.

Temporary and Permanent insertion of loose reportso Clinical Data Permanent

o Administrative Data Temporary

Storage of Patients Fileso Short Term Two to Three Days

o Permanent Currently Under Care

o Archive Has not been used

Circulation of Records Within and Between X-ray Routing and tracking

records Storing lab reports

that comes in for a patient

Retention Schedule-Destruction of Records and File Security Archived Records Shredding Certificate of

o Records Protection Locked file cabinets

or roomo Theft guarded records Approved personnel Lock file room

Destruction Maintained Permanently

Password protection

computer

Legal and Ethical Responsibilities Preserving the Patient admission to

Patients Records Privacy of Information Issue of Protected

records Secure Health

Information must be traced

Health Information

Conclusion Indexes for Storage of Patients

Administering Health Care Information Centralized Records Management Creation of Manual Records Straight Numeric Filing System Temporary and Permanent Insertion of Loose Reports

Files Circulation of records Retention ScheduleDestruction of Records and File Security Legal and Ethical Responsibilities

Reference Green, M. A. and Bowie, M. J. (2005). Essentials

of health information management: Principles and practices. Clifton Park, NJ: Thomson.