From a nursing perspective, medical recordkeeping is more about risk management than it is about complying with regulations. All medical records from surgery centers should tell the stories of patients and include details about their episodes of care.
Sooner or later, your HIM department probably will begin the process of moving documentation, communications, and transcription to an electronic process, and may decide to use an application service provider (ASP).
For HIM departments to successfully navigate the new Medicare and health care territory of the 21st century, its important that directors look at managing time, resources, and intellectual capital a little differently than they have in the past. This can be done by establishing best practices for data management and coding quality.
Brown County General Hospital more than doubled its up-front cash collections over the past year by offering incentives to both registrars and their bosses, says Barb Dailey, patient access director at the Georgetown, OH, facility.
As reimbursement levels fall, hospital managers are faced with the task of improving profit levels. Because increasing volume can increase profits, managers often look toward increasing the number of cases that can be handled within the workday.
Palmetto Health Baptist Hospital in Columbia, SC, has replaced its old embosser card technology with a Patient Link Up Enterprise (PLUE) system that has eliminated costly preprinted forms and increased the clarity and accuracy of the patient data flow, says Charlene Cathcart, director of admissions and registration.
When shopping for an inventory system, look for one that addresses the specific needs of your facility, suggests Terri Gatton, RN, CNOR, administrator of the Zanesville (OH) Surgery Center. Otherwise, youll invest too much time and money in a new system to try something that may not be designed for surgery, she adds.