Medical Records Organization and Management

by GD Mogli

This is an invaluable resource for medical and health care professionals including medical, nursing, paramedical, particularly medical records, administrative, insurance, billing, legal and software development personnel. The important features of the book are classified into three parts following as Part 1: Deals with traditional medical records organization and management procedures―history of medical records administration, role of medical records in health care delivery, general medical records standards and policies, legal aspects of medical records and electronic health records (EHRs), medical audit, International Classification of Diseases 10th revision together with the information on ICD-10 CM and ICD-10 PCS revision, hospital information system, how to economize health service expenditure, organization and management of the medical record department, medical record procedures. Part 2: Contains design and development of hospital information system (HIS) for software production―computerization of the medical records, challenges of the health care delivery in 21st century, domain for designing the hospital information system (HIS) software, designing the hospital ward nursing administrative activities, blood transfusion service, pediatric center, diabetic center, dialysis center, dental clinic, IVF (in vitro fertilization) clinic, occupational health and safety, biomedical equipment maintenance. Part 3: Includes development and implementation of electronic health record (EHR)―perspective of information technology (IT) in hospital information system, challenges in hospital IT and networking design, tips for evaluation of electronic health record software, roadmap for successful implementation of EHR, amalgamation of manual record (MR) with electronic health record (EHR), health record manager (HRM) revolves around patient as a good leader, modern trends and issues of developing countries in maintaining medical records, health information management (HIM) professionals endurance in 21st century, implementation of personal health records (PHR). This book would be of immense use to medical educational institutions for medical, dental, nursing, paramedical, administrative, patient relation services, medical legal and consumer courts, insurance, accounts, etc.

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