Best Practice in Medical Records Management

• To understand document and records management lifecycle
• To understand records management standard
• Review how to implement a records management system
• Help create business case and requirements for the selection and procurement of document and records management
• Create a document and records management plan of action to implement in their organization and learn from best practice implementations
• Concepts for managing information and content, such workflow, business process and collaboration
• Review industry leading solutions and vendors in this marketplace
  Using metadata, business classification scheme, taxonomy and setting retention plans
• Learn about legislation, standards and regulation
• Set up search and retrieval
• Setting up access controls and security
• Develop storage models, audit trail and storage technologies

CONTENT:

• Principles of Good Documentation
• Creating an Ideal Progress Note
• Essential Elements of the Outpatient Note and Chart; Office Systems
• Strategy and understanding key elements of Documents & Records Management Compliance
• Electronic Medical Records Intro
• The Hospital Chart; Inpatient and Procedure-related Charting
• Electronic Documentation, including Medico-legal Issues
• Pitfalls of Charting, Coding & Billing
• Essentials of Time Management
• Implementation Planning

FOR WHOM:

Relevant Healthcare Practitioners

TRAINING METHODOLOGY

The training methodology combines lectures, discussions, group exercises and illustrations. Participants will gain both theoretical and practical knowledge of the topics. The emphasis is on the practical application of the topics and as a result participant will go back to the workplace with both the ability and the confidence to apply the techniques learned to their duties.