AUTOMATED CLINIC RECORD MANAGEMENT SYSTEM: A CASE STUDY OF AHMADU BELLO UNIVERSITY SICK-BAY Hassan Usman Ph. D. Research Scholar in Library and Information Science Carrier Point University, Kota hassansamaru31@gmail.com & Alfa Mahfooz Ahmed Department of Library and Information Science, Ahmadu Bello University, Zaria. Email:almahfooz4real@gmail.com Abstract: This study was carried out to introduce the use of an automated clinic record management system in clinics, and has chosen Ahmadu Bello University Sick-bay as the case study for the first implementation with the aim of improving their services especially in this digital era. A qualitative research was adopted and the instruments used for the study are interview, observation and questionnaire. Where some questions were raised by the researcher such as, what are the challenges associated with the use of the manual/traditional record management system in the clinic. How to improve on the current record managements system to save time and minimize human error in the process of the records? How to provide more privacy to patients’ records and information in the clinic? Where Fifteen (15) respondents were randomly chosen from both the clients and staff of the clinic. And at the end of the research, the findings are analyzed and presented to promote the services in the clinic. Keywords: automated, record management system, clinic records Introduction With the advent of computers and its related technology, in which
The health record is a collection of information about a patient’s past and present health. The primary purpose of the health record is to document the health history of the patient. It helps in patient care management and patient care support process. Moreover, record’s primary purpose is to get information for billing and reimbursement. The secondary purpose of the health record is to provide a legal record of care given and act as a source of data to support clinical audit, research, resource allocation, performance monitoring, epidemiology and service planning. Sometimes health information will be de-identified before it is used for these secondary
In the medical field there have been a lot of technological advances and making health records electronic is one of them. The days of having a paper health record are almost obsolete. An electronic health record keeps a patient’s medical information and history on a computer which is accessible to more people in less time. I will explain how the continuity, communication, coordination and accountability of the electronic health record can help the medical office. I will explain what can be included in the electronic health record. As an advocate of the electronic health record I will also explain some disadvantages to the electronic system.
The use of technology in HIM department works out well and effectively. Each patient who is new is assigned a unique medical record number and it always remains the same for the patient each time he/she want to get health care from this health care system. Another system
In fact, in some instances, doctors find it more difficult to complete with their already hectic and demanding schedule. The article describes the medical records used in the UK which is an envelope of information that follows a patient their entire life. The providers know what to expect when viewing these records and are able to efficiently and effectively use them as a resource when seeing patients. A main takeaway from this article regarding medical records from the UK is that they must be well kept and organized and also keep the same geographical layout and consistency to be effective. By gathering and reporting information in this way, it allows the provider to be concise. The short notes are almost like clues for a future provider about what the previous encounter entailed and how the issue has progressed or regressed. The article discusses VAMP, the “Value Added Medical Products” computer system which is how the United Kingdom does electronic medical records. Their goal was to replace paper records with this type of system, however it did not work out that way. In this type of reporting, there is both a medical file and a therapeutic file which allow the doctors to separate what they are recording. There are many negatives and positives of a computer system such as this one such as it may remind a physician of a treatment or prescription that was given
Some health institutions believe that all the patients have the powers to control the use of their records and before any file is accessed, the patient must be consulted by the personnel responsible. To others, however, some of the patients may not know the needs of the health industry, and therefore, at least 200 people can be allowed to access their records. According to this group, the only way to improve the patient’s privacy is by reducing the number of people who access the records. Thus, despite the fact that digital files save on cost and time, there is need to focus on some of the issues affecting the privacy of records in the health sector. Therefore, as much as the current law allows sharing of patient information during payments and treatment, caution must be taken to reduce data mining and marketing using the same
Along with the new technologies applying in healthcare, the documentation processes and storages also change from paper charts to computer-based electronic health records (EHR). Many healthcare organizations currently maintain patients’ health records in both formats of paper and electronic. The combination is known as hybrid health record system, which is used to assist in different methods that patients’ information is collected. Hybrid health records (HHR) contain specific patients’ health information. HHRs are stored manually and electronically in multiple places. Current patients’ health records usually contain both digital documents and handwritten notes. Patients’ data are electronically stored, such as laboratory, radiology tests,
Quality is something that many medical care institutions have advocated for. With the innovation of Electronic Health Records, healthcare facilities as well as institutions were consumed with the concerns of how medical records were being handled. Currently there are many national organizations as well as some of the government agencies who are trying to pursue the cause of quality and patient safety (GAO, 2010). Although, Electronic Health Records are presumed to bring quality to the way healthcare data is being handled,
The Electronic Medical Record, or "EMR," is a digital version of the paper charts in a hospital or physician's clinic. The Electronic Medical Record is capable of storing all of the patient's medical history, both past and present. Prior to the creation and implementation of the EMR, all physicians were on paper records. EMR's are far superior to paper records in many ways, most notable the ability to comprehensive data collection, ease of access and transferability, and transparency.
Every day, there are multiple new inventions that are created. These creations range from new electronic devices, new automobiles, new surgical tactics, and even new ways of designing the structure, or framework, of academic buildings. Many professional disciplines bring into existence exciting breakthroughs and technological advances. These developments are vital for society in order to keep up with the fast-moving pace of the world. Perhaps, one of the most important successes of the past few decades has been the creation of Electronic Medical Records (EMR’s). According to the National Alliance for Health Information Technology, the formal definition of an Electronic Medical Record is as follows: “An electronic record of health-related information
Electronic Medical Records or Computerized Medical Record System what is it and what are the advantages along with the disadvantages of using this system? That is what we will discuss in this paper.
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.
Health Informatics created two main categories such as clinical and administrative information systems to meet the needs of one or more department within the health care organization. For the clinical information system, it is set to meet the needs in improving patient care. Therefore, the clinical information system (CIS) categories provide nurses information systems (NIS) that support the way nurses documents the care that given to the patients. However, to improve the delivery of nursing care, the healthcare organization must adopt a computer system that can successfully incorporate tools that will benefit nursing. There is two vendors’ software that implies these characteristics for the
It is important to understand that using electronic health system helps physicians to provide a more accurate diagnosis which helps to reduce medical errors and incorrect diagnosis which make patients very happy knowing that physicians have their best interest at heart (Kudyba, 2010). In electronic health system, information is structured and well organized in a manner that helps to eliminate the time spent searching for information. Moreover, patients are very happy since electronic health system helps to provide privacy and security of patients’ information and data so as to eliminate the problem of leaving patients’ information unattended on papers so that unauthorized personnel can see and
Patton-Fuller Community Hospital is a nonprofit Healthcare organization in the city of Kelsey that has provided quality
In today’s medical field technology plays a big role when it comes to patient care. Technology is huge when it comes to giving the patient the best type of quality care when they are in the hospital. In the old days people would just write it down on a sheet of paper and record it by hand, which caused mistakes. Now with the Electronic Health Record those mistakes are drastically declining. Statistics have shown that using the Electronic Health Record has lowered Nursing mistakes as well as improved patient care. Our society has progressed through the years and has been introduced with the Electronic Health Record which has drastically improved our health care system. The Electronic Health Record provides great communication between