COURSE CONTENT AND OBJECTIVE OF STUDY FOR PROFESSIONAL EXECUTIVE DIPLOMA, HOSPITAL AND HEALTH RECORDS MANAGEMENT
A good medical record system is essential for a hospital to provide quality treatment, continuity of care and data for decision making and research.
A good medical record is the backbone document of the quality of treatment delivered to the patient. And medical records management is a science that can be learned.
What you will learn in this course:
This 22-week course home study will guide you through developing a comprehensive medical record system from generation of the record to analyzing the information in the records.
At the end of the course you will be able to establish a Medical Records Department including best practices: from data organization to IT- driven processing.
Course content spans four major parts: PLANNING ADMINISTRATION GLOBAL MRD STANDARDS – Purpose, value and need for medical records – Planning for and creating a sustainable Medical Record Department – Applying information technology (IT) for records management – Organizing Records by job and by function – Safety and Security of Records – Legal aspects of Medical Records development – Records Department Administration – Quality Control in Medical Records – Numbering and filing systems including ICD code – Data Index Method – International Disease classification – Collection and preparation of reports – Introduction to Electronic Medical Records
Teaching Methods is a combination of lectures and case discussion complemented with significant exposure to the Medical Record Department within several hospital case studies and activities, with matching images.
Why this study pattern is best for you?
We have used a wide variety of research patterns and interviewed various professionals, who have poured themselves into this study material, to enrich our students in offering the best practices in this field of hospital and health record management.
Our study and lecture pattern which could be referred as a home study, have gained wide acceptance for busy executives and working class who want to get quality education without the need to interfere with their work hours.
Who is this course for?
This course is for those who have deep interest in the medical field and want to start or go higher into the area of medical records and, who are concerned with the day to day, management of Medical Records.
Candidates are expected to be able to speak in English and have basic computer skills
COURSE CONTENT
Week 1
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Introduction of study and assessment
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What resources will you need
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Case studies
Week 2
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The concept of hospital records management
Week 3
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Types of records required in hospitals
Week 4
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Pharmacy and drugs records
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Central administrative records
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Administrative records in chemical departmants
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Nursing and ward record
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Educational records
Week 5
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Principle and practice of hospital records management
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Records management and the management of health information
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Data collection and diagnostic coding
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The hospital record manager
Week 6
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Legal status of hospital records
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Hospital record services and the records and archives institution
PART TWO 2ND SEMESTER
WEEK 7
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Management of patient case notes
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Unitary file system for hospital – based case notes application
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Numbering schemes
Week 8
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Case notes file design and content
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The file cover
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Forms and forms design
Week 9
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Internal arrangement of files
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Closure of files
Week 10
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The master patient index
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Identification of patient
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Patient registration
Week 11
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Hospital registration procedures
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Common registration problems and how to avoid them
Week 12
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Clinical procedures and registration of out – patient attendance
PART 3 3RD SEMESTER
Week 13
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Management of other Hospital records
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X-rays
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X-rays requests and reports
Week 14
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Patient register
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Pharmacy and drugs records
Week 15
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Administrative and policy records
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Financial and personal records
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Records of Nursing activities
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Educational records
Week 16
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Appraisal, storage and access issues
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Appraisal of Hospital records
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Determining retention period
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Approving the record schedule
Week 17
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Storage of hospital records
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Paper storage
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Case note storage
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Storage of x-ray films and pathological laboratory preparations
Week 18
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Operation of simple – site record service
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Moving current records within the Hospital
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Issuing records
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Return of records
PART 4, 4TH SEMESTER
Week 19
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Operation of a multiple site record service
Week 20
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Destruction of obsolete records
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Transfer of Archives
Week 21
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Access issues and Hospital records
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Providing electronic access
Week 22
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Electronic Hospital records
Week 23
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What to do next
Week 24
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Establishing priorities for action
Week 25
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Getting help
Week 26
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International Organizations
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Non – regional organizations
Week 27
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References and further readings
GOOD LUCK