Question

In: Nursing

what are the purposes of a medical record

what are the purposes of a medical record

Solutions

Expert Solution

Purposes of medical records

  • To keep the patients medical details safely.
  • Support patient care and improve its quality.
  • Help the physician to provide best possible medical care to the patient.
  • Act as a legal documents (especially in medical legal cases)
  • Create basis for historical data.
  • To anticipate future health problems.
  • Identify the changes from expected trends.
  • Planning and implementing quality improvement measures .
  • For accreditations.
  • Insurance companies conduct audits of medical records for reimbursement.
  • Serves complete medical history of a patient from birth to death.
  • Assess progress towards goal.
  • Enhance the productivity of health care professionals and reduce the administrative costs associated with health care delivery and financing.
  • Support clinical and health services research.
  • Accommodate future developments in health care technology, policies, management, and finance.
  • Supports the mechanisms for ensuring at all times the confidentiality of patient data.
  • For the future references.

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