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Seeing that each patient's medical record is complete, kept confidential, and safeguarded from individuals not involved with the medical care of the patient are primary responsibilities. [ 4 ] A RHIA certification is a preferred qualification for positions including health information management director, clinical documentation improvement ...
The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care. An increasing purpose of the medical record is to ensure documentation of compliance with institutional, professional or governmental regulation.
Health information management's standards history is dated back to the introduction of the American Health Information Management Association, founded in 1928 "when the American College of Surgeons established the Association of Record Librarians of North America (ARLNA) to 'elevate the standards of clinical records in hospitals and other medical institutions.'" [3]
Traditionally focused mainly on hospitals and paper medical records, the field presently covers all health information technology systems, including electronic health records, clinical decision support systems, and so on, for all segments of health care. As of 2013, the association has more than 71,000 members in four membership classifications.
Take for example electronic health records (EHRs) and their widespread use in the field today. Ever since the implementation of these electronic databases, EHRs have made it easier for physicians and medical professionals to gain access to the patient's records, and have made managing and storing the records safely. [17]
Technicians will perform basic cardiology reports such as, electrocardiograms and will have basic understanding of bodily function. The technician is an integral member of the unit-based healthcare team, they contribute to the continuity of care by decreasing fragmentation through decentralization of selected diagnostic and therapeutic ...