Topics in health record management最新文献_第8页

The teaching of health statistics: meeting the needs of a changing practice. 卫生统计教学:适应实践变化的需要。

Topics in health record management Pub Date : 1990-09-01

E Bowman, M McCain

{"title":"The teaching of health statistics: meeting the needs of a changing practice.","authors":"E Bowman, M McCain","doi":"","DOIUrl":"","url":null,"abstract":"The findings of the study did support the faculty's hypotheses. First, only 50% of the hospitals retain responsibility for the statistical function. This finding was, however, affected by the size of the hospital, with 100% of the hospitals of 400 beds or less retaining such responsibility. Second, the findings showed that only 12.5% of the hospitals had entirely manual statistical systems. However, 50% of the hospitals did compile some statistics manually, including the daily hospital census and discharge service statistics. Finally, in looking at the UT Memphis statistics curriculum and those of 14 other medical record administration programs in the Southeast, the hypothesis that curricula did not mirror this changing practice was confirmed. Although 100% of the programs surveyed had students memorize statistical formulas, only 36% had students working with computers in the statistics course. Of the 14 programs, only 6 specifically covered QA of statistical data in the statistics course, and 9 did not deal at all with how to assess the adequacy of policies and procedures for gathering statistical information. As a result of these findings, UT Memphis has modified its statistical course to increase the emphasis on computerization, QA, and assessment of statistical policies and procedures. These changes will better prepare the UT Memphis graduate for the statistical responsibilities that they will face in the workplace.","PeriodicalId":79757,"journal":{"name":"Topics in health record management","volume":"11 1","pages":"17-24"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20979339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation of an optical disk system for medical record storage. 一种用于病历存储的光盘系统的实现。

Topics in health record management Pub Date : 1990-09-01

M E Mahoney

引用次数: 0

Managed care: quality management differentiates the product. 管理式护理:质量管理使产品与众不同。

Topics in health record management Pub Date : 1990-09-01

R Dunn

引用次数: 0

Legal review: informed consent--a shift from paternalism to self-determination? 法律评论:知情同意——从家长式作风到自我决定的转变?

Topics in health record management Pub Date : 1990-09-01

C K Smith

{"title":"Legal review: informed consent--a shift from paternalism to self-determination?","authors":"C K Smith","doi":"","DOIUrl":"","url":null,"abstract":"This shift from a paternalistic standard for determining how much information should be disclosed to a person to a standard that values the self-determination of a person is consistent with the philosophical change in decision-making in a variety of areas of health care. Haber begins his article with a discussion of the psychiatry profession's proposed change in terminology from \"patient\" to \"client.\" He argues that such a change would be more than semantic: It would serve the moral purpose of increasing such a person's autonomy. The right of patients to see their own medical records was formally recognized as part of the Patient's Bill of Rights in 1972 and has since been recognized by courts and incorporated into many state statutes. Likewise, the refusal of medical treatment has become a right more commonly recognized by the law throughout the 1970s and 1980s. For example, \"living wills\" are now a common vehicle for patients to express their views regarding the right to refuse treatment. Courts have recognized this right in cases of Jehovah's Witnesses refusing transfusions, the right to have life-sustaining procedures discontinued, and the restrictive involuntary commitment statutes that arose in the 1970s. Both the risks and benefits of medical treatments have increased with the forward march of technology. Patients have the right to choose to participate with their physicians in their own health care decision making; the trend toward the reasonable patient standard in medical malpractice suits that relied on negligent failure to obtain informed consent reflects a recognition of that right.","PeriodicalId":79757,"journal":{"name":"Topics in health record management","volume":"11 1","pages":"71-5"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20979425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recidivism in the management of medical back pain. 医疗背痛管理中的再犯。

Topics in health record management Pub Date : 1990-09-01

T T Vogel, K K Renz, M S Bennett

引用次数: 0

Technology update: computer-assisted video instruction in hospitals. 技术更新:医院的计算机辅助视频教学。

Topics in health record management Pub Date : 1990-09-01

C A Campbell, K R Gordon

引用次数: 0

Participation and persistence in a nontraditional allied health education program. 参与并坚持非传统的联合健康教育项目。

Topics in health record management Pub Date : 1990-09-01

B C Stein, W D Dowling

{"title":"Participation and persistence in a nontraditional allied health education program.","authors":"B C Stein, W D Dowling","doi":"","DOIUrl":"","url":null,"abstract":"The results of this study suggest the following three practical applications. First, adult educators and program planners in medical record administration can use the results of achievement motivation studies in recruitment, counseling, and screening efforts in both medical record technology and nontraditional ART progression programs to determine which ART candidates possess a strong need to achieve. Once identified, these individuals may be the most successful in reducing or eliminating situational, institutional, dispositional, and informational barriers to participation and persistence. Second, to increase the number of ARTs participating in nontraditional medical record administration programs, educators need to institute counseling and support programs to encourage and assist ARTs in overcoming barriers to participation that were found in this study. Lastly, based on the finding that ARTs in this study were fairly internal in their control orientations as a group, educators will need to orient counseling and advising strategies and educational activities toward this control orientation. This can be done by providing independent learning projects, correspondence learning, and other individually oriented instructional methods. Further research is needed to determine whether findings are applicable to other medical record administration nontraditional program participants and nonparticipants and to a larger, random sample of active ARTs. A study examining the characteristics of this study in other health professions is needed to determine if professionals working in other allied health fields exhibit motivational characteristics and coping strategies similar to the ARTs in this study.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":79757,"journal":{"name":"Topics in health record management","volume":"11 1","pages":"62-70"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20977319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case study: a new focus--removing barriers and building teamwork to better serve medical records customers. 案例研究:一个新的重点——消除障碍，建立团队合作，更好地为医疗记录客户服务。

Topics in health record management Pub Date : 1990-06-01

H Feather

引用次数: 0

Product-line administration: a framework for redefining medical record department services. 产品线管理:重新定义病历部门服务的框架。

Topics in health record management Pub Date : 1990-06-01

S N Postal

{"title":"Product-line administration: a framework for redefining medical record department services.","authors":"S N Postal","doi":"","DOIUrl":"","url":null,"abstract":"Product-line administration is a viable approach for managing medical records services in an environment that demands high quantity and quality service levels. Product-line administration directs medical record department team members to look outside of the department and seek input from the customers it is intended to serve. The feedback received may be alarming at first, as the current state of products usually reveals a true lack of customer input. As the planning, defining, managing, and marketing phases are implemented, the road will not be easy and rewards will be slow to come. Product-line administration does not provide quick fixes, but it does provide long-term problem resolution as products are refined and new products developed to meet customer needs and expectations. In addition to better meeting the needs of the department's external customers, the department's internal customers' needs and expectations will be addressed. The participative management approach will help nurture each team member's creativity. The team members will have the opportunity to reach their full potential while reaping the rewards and benefits of providing products and services that meet the needs and expectations of all department customers. The future of the health care industry promises more changes as the country moves toward some form of prospective payment in the ambulatory setting. Reactive management and the constant struggle to catch up can no longer be accepted as a management approach. It is imperative that the medical record department be viewed as a business with product lines composed of quality products. The planning, defining, managing, and marketing components of product-line administration afford responsiveness to the current situation and the development of quality products that will ensure that medical record departments are prepared for the future.","PeriodicalId":79757,"journal":{"name":"Topics in health record management","volume":"10 4","pages":"24-33"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20979014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Who are the customers of medical record departments? 谁是病案部门的客户?

Topics in health record management Pub Date : 1990-06-01

M M Scott

引用次数: 0