Health records management

The procedures and importance of record keeping in a healthcare system such as hospitals or clinics, the information systems used to keep and process records and how to achieve maximum accuracy of records.

health information management
health records and information management
health records record keeping
record keeping in a medical environment

knowledge

sector-specific

Health records management is an essential knowledge of the following occupations:

Doctors’ surgery assistant: Doctors’ surgery assistants support doctors of medicine in medical measures, in performing simple support activities during medical procedures, standardised diagnostic programmes and standardised point-of-care tests, ensuring surgery hygiene, cleaning, disinfecting, sterilising and maintaining medical devices and performing the organisational and administrative tasks required for operating a doctor`s surgery under supervision, following the orders of the doctor of medicine.
Medical records clerk:
Medical records clerks organise, keep up-to-date and archive patients` records for medical staff availability. They transfer medical information from a patient’s paper records to an electronic template.
Picture archiving and communication systems administrator: Picture archiving and communication systems administrators manage picture archiving and communication systems (PACS). They store images taken by various types of medical equipment, such as X-rays, in order to enable easy access to these images for medical. PACS administrators ensure the day-to-day management and maintenance of the system.”
Front line medical receptionist: Front line medical receptionists greet clients and patients as they arrive at the medical facility and check them in, collect patient notes and make appointments work under the supervision and direction of healthcare institution manager.
Podiatry assistant: Podiatry assistants help the podiatrist by carrying out supportive tasks such as assisting in diagnosing and treating the disorders, diseases and deformities of the feet, advising people on foot care techniques and the importance of foot care for promoting better mobility and general well-being. They also perform small tasks such as cutting toe nails, applying plasters and general clerical duties.
Medical transcriptionist: Medical transcriptionists interpret dictated information from the doctor or other healthcare professionals and convert it into documents. They create, format and edit medical records for patients based on the provided data and take care to apply punctuation and grammar rules.
Waiting list coordinator: Waiting list coordinators guarantee the day to day management of waiting list time. They plan when operation rooms are available and call patients in to be operated. Waiting list coordinators make sure to optimise the use of rescources.
Medical records manager: Medical records managers are responsible for managing activities of medical records units which maintain and secure patient data. They supervise, oversee and train employees while implementing medical department policies.

Health records management is optional for these occupations. This means knowing this knowledge may be an asset for career advancement if you are in one of these occupations.

Clinical coder: Clinical coders read patients’ medical records. They analyse and interpret medical statements about diseases, injuries and procedures. Clinical coders convert this information into health classification codes in order to calculate treatment reimbursements, to produce statistics and to monitor health care performance.
Medical practice manager: Medical practice managers manage the day-to-day operations of a medical practice. They oversee the staff and business side of the practice.
File clerk: File clerks are in charge of maintaining records of a company and managing forms and information. They organise and retrieve documents when necessary and ensure an efficient working system.

References

1. Health records management – ESCO