Department of Medical Records

Overview

The Medical Records Department plays a pivotal role in maintaining an efficient medical record system within the hospital. Its primary objective is to ensure the accurate documentation and safekeeping of medical records, including the chronological sequence of events from admission to discharge. This entails recording vital information such as past medical history, diagnosis, test results, treatments, medications administered, and daily progress notes.

By maintaining comprehensive and accessible medical records, the department contributes to the continuity of patient care, supports medical research and education, and ensures compliance with regulatory and legal requirements.

Functions

  • Release of Patient files for patient care, education, research and legal purposes on appropriate authorization
  • Deficiency check, Assembling, Coding of diseases and operations.
  • Ensure Confidentiality of patient data.
  • Implementation of Medical Record Retention policy.
  • Reporting birth, deaths and notifiable diseases to Corporation / State health Authorities
  • Storage of Medico legal data liaison with police.
  • IP census and compilation of Hospital Statistics.
  • Providing data for mortality meeting.

We are conducting a two year diploma course in Medical Records Technology, recognized by the Christian Medical Association of India.

Vision

  • The Department aims at ensuring a complete, accurate and adequate data recording in medical record through a standing Medical Record Committee.
  • In order to assure the quality of medical records a system of audit is also contemplated.
  • Turn out best talents to tackle the medical recording techniques by concentrating in the training fields through existing educational programmes and other in- house continuing training programmes.

Medical Records Departments