COURSE DESCRIPTION

Uses an integrated approach to practicing health records skills in a simulated clinical environment. Emphasizes the use of the microcomputer in accomplishing problem solving tasks. Laboratory 6 hours per week.

GENERAL COURSE PURPOSE

The purpose of this course is to prepare the medical record technology student to competently

1. perform all routine functions inherent in a medical record department
2. cope with day to day supervisory responsibilities
3. communicate to hospital and departmental personnel new developments in medical record practice
4. recognize the ethical responsibilities inherent in the role of medical record technician.

1. word processing
2. discharge analysis
3. release of information functions.

Successful completion of HIT 100, 113, 114, or permission of instructor.

COURSE OBJECTIVES

1. Using a recognized Word processing software package, accurately transcribe 15 medical reports following correct format.
2. Using procedures established by the instructor correctly respond specified number of requests for health information.
3. Correctly analyze general medical/surgical, obstetrical and newborn records according to four different hospital discharge analysis procedures. A minimum of 40 records must be completed at an acceptable competency level.
4. Given hypothetical situations and a hospital suspension policy, correctly determine which physicians should be suspended and complete the necessary forms.
5. Given hypothetical situations and a hospital suspension policy involving suspension list problems, correctly ascertain the correct course of action in each situation.
6. Appreciate the importance of the discharge analysis function in terms of legal and educational implications and good patient care.
7. Respect the confidential nature of the information in the medical record.