The chapter introduces us to the users of health records. It is important work that the HIM professional does in supporting critical roles and users of the data and the information contained in the health record. Note that privacy, confidentiality, and security of the health information is discussed here. HIM professionals are patient advocates to safeguard an individual's health information from unauthorized access.
The chapter also explains the functions required by the processing of paper records, hybrid records, and the electronic health record. Storage an maintenance of the health record is the most fundamental HIM function and affects all other functions. If records and information are not stored and maintained appropriately, then it is almost impossible to perform other tasks. The chapter also discusses filing system, storage systems, microfilming, remote storage, chart tracking , and quality monitoring of paper based record systems, as well as screen design and forms.
1. After reading the chapter and reviewing the power point presentation, please answer the following questions.
What is a health record?
Who are the different users of the health record and how do they use it?
Explain the health record processes.
Explain the health information management information systems.
What quality controls can be put into place to manage health information management functions ?
2. Please define the following:
Computer assisted coding
Serial numbering system
Terminal digit filing system
Unit number system
Voice recognition technology
3. Check your Understanding answers.
4. Answer the following:
What is the purpose of the Health Record.
upload your answers.
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