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List the most important functions of health information management?
Health Information Managers are usually responsible for the development & administration of healthcare data collection and reporting systems that ensure the quality, integrity, availability, and preservation of data in support of patient safety, privacy, confidentiality and security
What is the primary data source for healthcare professionals?
the health record is considered a primary data source it contains information about a patient that has been documented by the professionals who provided care or services to that patient.
Should safety and health managers attempt to eliminate all workplace hazards why or why not?
Safety and health managers are not line managers and lack the authority to eliminate any workplace hazards. Their function is to guide, advise, and support line management. It is the line managers who should be trying to eliminate or control every workplace hazard that comes to their attention.
What does a visit diagnosis mean?
A visit diagnosis refers to the primary condition or health issue identified by a healthcare provider during a patient's visit. It is typically based on the patient's symptoms, medical history, and examination findings. This diagnosis guides the treatment plan and further management of the patient's health. It may also be documented for insurance and record-keeping purposes.
Where can I find info on guidelines for gastric bypass surgery online?
Guidelines for gastric bypass surgery include the BMI (body mass index) of the patient, the general health of the patient, the patient's ability to tolerate anesthesia and surgery, and the patient's support system.
What should a health care provider do if a patient approaches the health care provider with a personal problem?
If a patient approaches a health care provider with a personal problem, the provider should listen empathetically and validate the patient's feelings without judgment. They should assess the situation to determine if the issue affects the patient's health and well-being. If appropriate, the provider can offer resources or referrals for additional support, such as counseling or social services. Maintaining professional boundaries while ensuring the patient feels heard and supported is essential.
How Diagnostic test results are documented in how many locations?
Diagnostic test results are typically documented in multiple locations, primarily in the patient's electronic health record (EHR), which serves as the central repository for all health information. Additionally, results may be recorded in laboratory information systems (LIS) and radiology information systems (RIS). Some facilities may also maintain physical copies of results in patient charts or utilize patient portals for direct access by patients. This multi-location documentation ensures comprehensive tracking and accessibility of test results for healthcare providers and patients alike.
Why is the information gathered from the social history of a patient important?
The information gathered from the social history of a patient is important because it provides insights into the patient's lifestyle, support system, and potential risk factors. This information can help healthcare providers understand the patient's overall health status, tailor their treatment plan, and address any social or environmental factors that may impact their health outcomes.
Is a ultrasound considered a medical record?
Yes, an ultrasound is considered a medical record. It is a diagnostic imaging procedure that generates visual data about a patient's health, which is documented and stored in their medical records. This information can be used by healthcare providers for diagnosis, treatment planning, and ongoing patient care. As part of a patient's medical history, it is subject to confidentiality and data protection laws.
What is home infusion?
Home health care is changing the dynamics of the patient-provider relationship, but many home infusion providers are still using traditional and inefficient patient support and communication methods. The result is an unacceptable trend: increased costs for decreased patient satisfaction.
When a patient does have a pulse?
health
Which is assigned when the provider documents a reason for a patient seeking health care that is not a disorder or disease?
A Z code (Z00-Z99) is used for situations when a patient seeks health care for reasons other than a specific illness or disease. These codes can include routine examinations, consultations, and health screening. Depending on the specific reason documented by the provider, a relevant Z code is assigned to accurately reflect the purpose of the visit.
