During the process of the implementation of the programme, Women's Hospital will replace their existing paper-based patient
clinical records system with a new electronic CIS.
Six sets of patient's bedside notes and a further six sets of
clinical records were deemed sub-standard.
When asked to rank emerging technologies relative to their importance for the future success of their institutions, CEOs ranked the electronic patient
clinical record extremely high, while digitized voice was rated a distant eighth.
These and many more possible concerns created an excellent opportunity for members attending to keep their
clinical records in A1 condition now that the Health Fund units are conducting audits to ensure practitioners are keeping sufficient client
clinical records.
Researchers Sabine Verkuijl and Jeanette Wessels from ICAP piloted the integration of TB screening into the adult
clinical record in public health facilities in three subdistricts in the Eastern Cape.
Similarly, Bruce Seitzer, C4's Chief Clinical Officer, explains how the performance management initiatives have improved the organization's operations: "We feel very fortunate to have automated our
clinical record and the immediate efficiencies and benefits that have been the result.
In almost all cases, federal law requires that the bases of the discharge be documented in the resident's
clinical record.
An integrated
clinical record is shared between agencies.
In the remaining 10% of the cases, no follow-up verification of lethality by interview was undertaken and/or the action taken was not documented in the patient's
clinical record.
Contract notice: Supply kits
clinical record and patient record.
The document is not designed to be a
clinical record but to give staff the information they need to help them care for their residents.
The product will support experienced researchers in leveraging the full
clinical record rather than claims or discrete data alone.
The needs of the health visiting service were very different to other disciplines within the trust as the health visiting service aimed to use this as a full health record, which had implications for
clinical record keeping and professional accountability (Nursing and Midwifery Council (NMC), 2010).
Using MDS guidelines and definitions, this review should confirm that the
clinical record supports all captured items.
We are beginning to face pressures to deal with pharmacy formularies, clinical pathways, and precertification issues, which while not parts of the
clinical record are clearly information access needs for providers.