Sinclair Hospital Case Study

SINCLAIR HOSPITAL’S HEALTH INFORMATION DEPARTMENT
Information by Karen Motley who is part of Health Information Management at Sinclair Hospital.
Introduction
Sinclair hospital is a part of six hospital network which have other medical offices and as well as clinics. The hospital is an acute medical facility with 305 beds, per year it attends to 6300 inpatient, 17000 emergency patients, 8500 outpatient and 13600 clinics visit. Inpatient visit is where patients stay and sleeps in the hospital as they receive treatment. Other terms used in the hospital includes inventory visit this occurs when a patient comes to the hospital and receives an outpatient surgery e.g. appendectomy and goes home after a short recovery period.25000 case of diagnostic

For example, consider a patient who is in an emergency situation and he is brought to Sinclair hospital by means of the ambulance, information about the patient will be recorded following a number of steps. Typically the patient will be received from the ambulance and a nurse will enter the heath data of the patient into electronic records document. As the patient continues to be seen by other health providers e.g. physicians, their health data will be recorded in electronic health care data. The computer in turn will build the data record of the patient. Assuming that the patient had been admitted in the facility sometimes ago, these will have a unique record number that will always be assigned to that patient. Apart from this unique code, the patient will also be given an account number which will be different in all encounters. The essence of using different account numbers will be to facilitate group charges. For example, consider a patient who had been admitted a week ago with malaria, he will be given an account on that day. A week after, if he is admitted to the same facility with a different kind of illness say allergic reactions he will be given a different account with same unique code. When finding the charges of the patient it will be in form of groups since it represents different

Its responsibilities includes deficiency verification, assigning physician notices of deficiency record. This process requires to be time, if the physician does not comply with the given notice, they are reported to the chief of staff. The record are stored in accordance to the completion standards which is defined by the federal regulation for persons with the age above 18years, their records should be kept for a minimum of 6 years, while children who are under 18years their records should be kept until they attain an age of 21years plus a minimum of 6