As a leader in the healthcare industry, you are often faced with the challenge of managing and maintaining accurate and current electronic medical records (EMR). The importance of EMR integration within the medical care team cannot be overstated. As your practice expands the amount of information stored in your EMR system will increase, which requires an increase in staff to manage this data. Integrating your EMR into your internal organization can help to streamline the process of completing patient care and increase the accuracy and security of your EMR. By using the right indexing methods, you benefit by having medical record accuracy. OBJECTives: (1) assess whether managed care systems can improve their medical-record accuracy if effectively integrated using a networked Personal Health Record (PHR) or electronic systems; (2) manage and secure patient information for improved care quality; and (3) improve workflow efficiency and increased reliability for processing and receiving patient information. As a health information custodian, your role is to ensure accurate and up-to-date electronic systems are used to support your medical practice. Your goal is to have all of your EMR /EHR /HRM systems linked to and integrated with your clinical, administrative, and financial processes. Your staff's role is to ensure that the systems that are implemented to meet your departmental and agency standards for quality and compliance. You are also concerned with aligning the management of your EMR / EHR / HRM systems with the physicians and nurses that provide your services. When all of the pertinent parties are in full agreement and working together, you can enjoy seamless integration and communication that increase your services' recognition within your organization. How to asses the accuracy of your medical-record data? Medical record systems are designed with the specific information for each patient as well as the care giving hospital or other specific information needed by the physician. Certain information is considered confidential and protected by HIPAA laws while other information is shared with those authorized to receive it. Ensuring that all parties have an access code that allows them to review the specific information for their records is a critical element in keeping your EMR / EHR /HRM software's accurate and up-to-date. Another important detail is making sure that all parties have an access code that allows them to make corrections and updates to their personal health information files. The second facet is making sure that your EMR / EHR / HRM systems support the creation, maintenance, and archiving of resident's observations. Good EMR / EHR / HRM systems must be able to efficiently capture, store, and print observations for every resident during their shift. Appropriate documentation is needed to document the information from residents, including notes on bedside manner, routines, assessments, medications, vital signs, complaints, social environment, and interactions with staff, in order to produce accurate information to assist in resident treatment decisions. In addition to documentation, good systems must be able to efficiently create a schedule for residents. With the scheduling function, it is easy to maintain a scheduled workflow that can include reminders about medications or reminders about reminders. The schedule function can be tied into other scheduling functions such as reminder calls or automatic email alerts. The third aspect is making sure that the observations and the procedures created from them accurately reflect patient care quality. Most health care quality improvement methods involve using a complex algorithm to evaluate the observations and generate reports. However, evaluating the procedures and observations requires not only storing large amounts of data, but storing them for a long period of time as well. While some systems allow for short-term storage, these systems are not practical for storing long time periods of care quality data. A better approach is to implement a system that has a data warehouse that stores large quantities of observations over a long period of time, allowing for periodic refreshed images of those same observations. When indexed, patient documents can be accessed with ease. Fourth, the data stored must be reliable. Medical observations should meet all of the following criteria: they should be drawn from real-time situations; they should be observed by a trained health care professional; they should be documented in an accurate and organized manner; and they should provide important and relevant information for the physician to make better decisions about patients. To this end, the system should have an observational protocol that includes information about respondivity and adverse effects, recovery time, toxicity, demographics, and morbidity. By creating a reproducibility index, the documentation can be validated and the accuracy of the documentation can be improved. If you want to avoid patient data disappearance, visit this site for more info: https://en.wikipedia.org/wiki/Indexed_file.
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