The Important of the Health Information Management The Form of the Medical Record Done By Health Information Management Health information management is the very important component in caring health system. If you pay attention in this information management, you will know the way in getting, organizing, and keeping the medical record. The form of the medical record that is made of health information management (HIM) can be in traditional or modern technology. The form of the traditional medical report is written on the paper. Then, the form of the modern one is written on the electronic record using the computer. The form that is used today is both of them that can be paper and the electronic medical record. The function of the medical …show more content…
Some of them are written by hand, and then the others are written on the computer database. This can be function to make the guarantee in caring the medical care patient so the quality of it is in high quality. So, the work of some professional medical care can be evaluated regularly because there is the information written by health information management. Besides, evaluating it, HIM also coordinates with physicians in treating the sick people, making the administration about the medication in detail, deciding the medication that is appropriate, and retained as needed. The important function of health information The function of the health information management is so important. Even, it has the vital function for the medical industry. For that, in this modern era, the form of the health information has the transition from the traditional that is using the paper to the digital form to make it more efficient. Of course, the information about it really needed for every person. Every country in the world will need the information about the health care so in five years this profession n health information management will have a good opportunity because this sector will need some people to work in this field. How to become of a health information management
It was just yesterday when Electronic health records was just introduced in healthcare industry. People were not ready to accept it due to higher cost and consumption of time associated in training people and adopting new technology. Despite of all this criticism, use of Internet and Electronic Health records are now gaining its popularity among health care professionals, as it is the most effective way to communicate with patient and colleagues. More and more hospitals and clinics are getting rid of paper base filling system and investing in cloud base storage.
Health care information system (HCIS) is an arrangement of information (data), processes, people, and information technology that interact to collect, process, store, and provide as output the information needed to support the health care organization (Wager, Lee, Glaser, 2013, p. 105). Having ready access to timely, complete, accurate, legible, and relevant information is critical to health care organizations, providers, and the patients they serve (Wagerm Lee, & Glaser, 2013). In the health care industry, the quality of care is one of the most important objectives for most health care organizations. The growing developments in health information technology have a great impact on the delivery of health care and have changed the systems used to record and share information. It has the potential to improve the quality of care if it is appropriately used. Health care organizations routinely apply computers and other technologies to record and transfer health information such as diagnoses, prescriptions, and insurance information.
Jethani,J. (2004). Medical records – its importance and the relevant law. Vision 2020, IV(1), Retrieved from http://laico.org/v2020resource/files/medical_records_Jan>mar04.pdf
Paper based health record was considered as gold standard during the early period because it was the main source of patient’s health information, was easy to use and it requires just minimal skill. The patient health records were kept by their providers attached to the bed for the easy access of the documents for patient care. The paper records can be lost during storage affecting patient care, duplication of tests making it more expensive care, doubtful as any person can make an entry without signing the paper and most often it is hard to read. So with the growth of advancement in medicine and technology, paper based health record cannot handle which led to the implementation of electronic health record (EHR), which is in digital format, accessible at any time, convenient, accurate and complete information, reliable, improves productivity as well as reduce health care cost of the patient. It also provides better clinical decision making thus providing better outcomes in patient health, which is the goal of the
If a patient has a lot of problems and has been treated, then their file will have more information. Certain records also contain history of complaints and procedures, few records have photographs with a short summary of what is present. Medical records can be electronically stored, traditionally handwritten and even voice recorded. Medical records that are written on paper and kept in folders are divided into informative sections. It contains medical terminology terms that any person in the medical field can read.
Learning Experience Journal Entry – Director of Health Information Management and the Supervisor of Medical Records Coder
Price for storage media, paper and film per unit for information is a dramatic difference. Medical records are typed into a computer and are legible so everyone can read and understand. Electronic medical records can be continuously be updated. It allows for quality improvement and public health surveillance hundreds of miles away to evaluate charts and by doing this allows help for improving quality care by reviewing their charts.
According to the American Health Information Management Association, Health information is the data related to a person’s medical history, including symptoms, diagnoses, procedures, and outcomes. Health information records include patient histories, lab results, x-rays, clinical information, and notes. The data can be analyzed to see how a patient’s health might have changed. I took interest in Health Information Management when it was brought to my attention by a doctor. He told me that is a very interesting field and it is in high demand as they have more jobs than people to fill them. I went home, researched it and now here I am making my entry into the field.
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
My perception of case is that the use of electronic health records will improve the quality of healthcare for healthcare professional and patients. It will allow patients to view their information online. It will also allow healthcare professionals, with consent, to exchange
Collecting data and organizing information so it could be analyzed was the focus for health information management. Technology assists managers in all department of a facility with workloads. Information technology is more beneficial to HIM professionals and providers. Some technology decreases work and paper loads of records. If management utilize technology to the best of their advantage it will create more success in an acute or non-acute
The last type of health record is the Hybrid record. The Hybrid record is a combination of paper based records and electronics records. With this type of record, it happens to be very organized in its filing information. In the Hybrid health record only the labs results, and certain test results are stored electronic. And notes from the nurse, and updates on the patience are filed paper
The purpose of the Electronic Health Record is to provide a comprehensive, standardized and universal digital version of a patient 's health records. The availability of a patient 's digital health record provides health information and data for critical thinking and evidence based decision-making, aggregates patient data for quality assurance and research. The Electronic Health Record has been, "identified as a strategy for effectively and efficiently coordinating and maintaining documentation of patients health histories and as a secure method of providing more informed clinical decision making" (MNA, 2006).
Yignesh Ramachandran states in an article that health informatics “manages all aspects of the effective and efficient planning, collection, organization, implementation, analysis and use of data to create information within the healthcare system.” It gives easier access of client information to the interprofessional team. This system can improve the quality of health care, lowers paperwork and increase productivity. It also decreases the interpersonal time with clients.
In other words, ICT basically promotes professionalism and reduce human effort as well as reducing the chances of erring. Healthcare simply means preventing, diagnosing and curing ailments that terminate life and reduce lifespan of human and all living things. In other words, the prevention, treatment, and management of illness and the preservation of mental and physical well-being through the services offered by the medical and allied health professions. Information and Communications Technology (ICT) play a vital role in improving health care for humanity. It is efficient in providing, communicating and storing certain information about users and uses. ICT helps in bridging the gap created in health sector and may be used to enhance efficient relationships between the healthcare providers and health researchers. In other words, through the development of databases and other applications, ICT enhances health research and; this provides the capacity to improve health system efficiencies and prevent medical errors. The use of ICT can never be evaluated without