| The healthcare record is: -Chronological
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| | for reimbursement and third-party payer
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| -Documents of a patient's initial
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| | requirements. The healthcare record is
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| database -Initial evaluation -Identified
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| | kept for legal protection for: -The
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| problems and needs -Objectives of care
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| | medical care facility -The patient -The
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| -Prescribed treatment -Results The
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| | staff -The physician The healthcare
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| healthcare record belongs to the
| |
| | record can be used for: -Research
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| hospital, medical facility or office
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| | -Compiling statistics -Evaluation of
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| where it originated. It cannot be removed
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| | healthcare delivery The healthcare record
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| from the premises without a subpoena or
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| | originates: -In the admissions department
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| court order. Although much of the
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| | of hospitals -Outpatient registration
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| healthcare record is maintained through
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| | -Emergency department -Private physician
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| computer software systems, most medical
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| | facilities reception area The major role
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| care facilities still maintain a "paper"
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| | of all departments of healthcare record
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| healthcare record of some sort. The
| |
| | origins is to: -Collect patient
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| healthcare record is maintained by the
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| | identification and demographic
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| Health Information Department of
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| | information -Correct spelling of
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| hospitals and medical facilities and
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| | patient's legal name and birth date is
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| usually headed by a registered record
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| | critical The information collected is
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| administrator or an accredited record
| |
| | used to assign healthcare record numbers
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| technician. A former term for the
| |
| | and is maintained for the lifetime of the
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| healthcare record for over fifty years
| |
| | patient. It is vital that the medical
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| was "Medical Record." The new term of
| |
| | transcriptionist transcribe the
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| healthcare record denotes both illness
| |
| | identification and demographic
|
| and wellness. The Medical Record
| |
| | information concerning a patient with
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| Department name has also changed to
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| | complete accuracy as well as all other
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| Health Information Department. What is
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| | physician dictated reports. A transcribed
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| the purpose of a healthcare record? It is
| |
| | incorrect date of birth or patient number
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| a measurement and documentation of care
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| | can produce chaos in the Health
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| rendered in a medical facility. The
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| | Information Department and throughout the
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| healthcare record is used to plan,
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| | medical facility. This article is FREE to
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| communicate and evaluate the quality of
| |
| | publish with the resource box. © 2007
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| care given to each patient. It provides
| |
| | Connie Limon All Rights Reserved
|
| "proof" of work done for each patient.
| |
| | Connie Limon, Medical Transcriptionist.
|
| Documents are required to meet federal,
| |
| | Visit us at for more information about
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| state, and JCAHO (Joint Commission on
| |
| | the unique and rewarding career choice of
|
| Accreditation of Healthcare
| |
| | Medical Transcription. Visit Camelot
|
| Organizations) standards and regulations.
| |
| | Articles for a variety of FREE reprint
|
| In addition the documents contained in a
| |
| | articles for your newsletter, web sites
|
| healthcare record must meet regulations
| |
| | or blogs.
|
