What Does a Medical Records Administrator Do?

The composition and functions of the medical records management committee

Medical Record Management Committee

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The composition and functions of the medical records management committee

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The hospital medical record management committee is composed of the dean, the heads of relevant functional departments (medical department, nursing department, quality control department, etc.) and some business backbones. The dean is the chairman of the committee, and the medical record quality review team is set up to be responsible for the medical record quality. Review.

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The members of the case management committee are discussed and approved by the hospital office, and adjusted in a timely manner in accordance with the changes in the personnel of the hospital.

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The medical records management committee is responsible to the hospital office. The medical department is its daily specific office. It is mainly responsible for the quality management of medical records, bears the responsibilities of archiving medical records, filing, borrowing, keeping, etc., and provides photocopying services according to law.

The medical records management committee is the highest management organization for medical records management in the hospital. Its main functions are as follows:

1/

In accordance with relevant laws and regulations and other regulations, formulate a hospital-wide medical record writing and medical record management system, and supervise its implementation and implementation of the new "Shandong Province Medical Record Writing Basic Standards";

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In accordance with the unified requirements and standards of superior authorities, formulate and continuously improve our hospital medical quality scoring standards and evaluation rules.

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Instruct the medical record quality review team to regularly organize the quality and various prescription inspections of the current inpatient records, archived medical records, and outpatient medical records in the hospital, and provide specific rewards and punishments based on the results of the inspections;

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Develop a system for learning and training about the quality of medical records, strengthen the staff's quality awareness, ensure that the rate of Class A medical records is above 95%, and eliminate Class C medical records;

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Draw up the medical record management system of our hospital, review the printing of medical forms throughout the hospital, and supervise the implementation.

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Bridge between clinicians and case managers,

Promote close collaboration with each other,

Promote the continuous improvement of the quality of medical record writing and management.