Description
This program is aimed at training candidates for the job of a “Working in Hospital as Medical Record keeper and able to review patient records and able to maintain patient database”, in the “Health Care Sector Skill Council” Sector/Industry and aims at building the following key competencies amongst the learner
| 1. Assist, Review and Maintain Patient Records for Completeness, Disease Registries and Clinical Database.
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2. Able to maintain Statistical Database and Statutory Compliance, confidentiality of Records and records for medico legal cases. |
| 3. Able to manage and maintain the details of medical store such as stock, track and maintain all the product of medical store.
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4. Management of Medical Record Department. |
| 5. Understanding the values of Good Medical Record to various users, medical record forms and their contents, Analysis of Medical Records.
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6. Preparation of Medical records for different patient encounters with healthcare facility. |
| 7. Able to manage and plan the man power according to the need and requirement, maintain the staff attendance, engage the management for performing task. | 8. Understanding of the important hospital laws and its implementation, legal aspects relating to transplantation of Human Organ, Legal requirement under the medical council act and clinical establishment act.
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This course encompasses 10 out of 10 National Occupational Standards (NOS) of “HSS/ Q 5501/Medical Records and Health Information Technician” Qualification Pack issued by “Health Care Sector Skill Council”.
| S.
No |
Topic/Module | Duration
(in Hours) |
Key Learning Outcomes | Corresponding NOS Code |
| 1 | Preparation, Review and Maintenance of Medical Records | 90 Hrs | · Review patient records for Completeness
· Maintain the disease registries and clinical database · Maintain medical record for statutory compliance · Maintain medical record for statistical Database · Store medical records · Maintain confidentiality of medical Records · Maintain medical records for medico legal cases |
HSS / N 5501
HSS / N 5502 HSS / N 5503 HSS / N 5504
HSS / N 5505 HSS / N 5506 HSS / N 5507 |
| 2 | Hospital Culture, Protocols and Code of Conduct | 90 Hrs | · Act within the limits of your competence and authority
· Maintain a safe, healthy and secure environment · Practice Code of conduct while performing duties |
HSS/ N 9603
HSS/ N 9606 HSS/ N 9609
|
| 3 | Communicative English and Official Communication
(Written and Oral)
|
16 Hrs |
· Candidate should able to Communicate in English. · Candidate should able to read and write so that he/she should able to understand the prescription. |
Additional as Required for the Job Role |
| 4 | Computer Fundamentals | 13 Hrs | · Candidate should able to use computer for maintaining records for statistical database
· Candidate should able to use computer for maintaining records for medical store. |
Additional as Required for the Job Role |
| 5 | Medical Store Management | 13 Hrs | · To maintain the details of medical store such as stock.
· To able to track and maintain all the product of medical store. · To able to deliver the medicine to the patient according to prescription. · To understand the dosage of drugs according to the age and health of patient.
|
Additional as Required for the Job Role |
| 6 | Staff Management | 13 Hrs | · To able to manage and plan the man power according to the need and requirement.
· To maintain the staff attendance. · To engage the management for performing task. · To divide the organisation into specialized management. · To able to supervise and manage the activity of staff. · To assign staff for the particular job role in which they are skilled.
|
Additional as Required for the Job Role |
| 7 | Quality of Medical Records
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13 Hrs | · Definition, Characteristics of ‘Good’ Medical Record
· Values of ‘Good’ Medical Record to various users · Required Characteristics of entries in medical Records · Responsibility for Medical Record Quality · Source-oriented, Problem-oriented, and Integrated medical records · Medical Record Forms and their Content · Standard Order of Arrangement of Medical Record forms · Analysis of Medical Record-Quantitative & Qualitative · Incomplete Record
|
Additional as Required for the Job Role |
| 8 |
Medical Records for different Patient Encounters with Health Care Facility |
13 Hrs | · Ambulatory Care Records {Emergency & Outpatient Records]
· Clinical Records in Long Term Care and Rehabilitation Facilities · Mental Health
|
Additional as Required for the Job Role |
| 9 |
Filing Methods, Storage and Retention
|
13 Hrs | · Numbering and Filing Systems
· Filing · Storage – Microfilming and Disk Storage · Retention · Registers & Indexes · Record movement control & Tracking System
|
Additional as Required for the Job Role |
| 10 | Medical Record Department Management | 13 Hrs | · Planning, Organizing, Directing and Controlling
· Personnel · Principal Responsibilities and Duties of the Medical Record Administrator/ Director · Tools of Management in the Hands of the Medical Record Administrator/ Director
|
Additional as Required for the Job Role |
| 11
|
Hospital Laws | 13 Hrs | · To understand the importance of hospital laws and its implementation
· To understand the legal aspect relating the transplantation of human organ · To understand the legal requirement under the medical council act and clinical establishment act · To understand the basic drug and cosmetic act · To understand the consumer protection law for hospital management · Law Governing Storage / Sale of Drugs and Safe Medication · Law Governing The Safety of Patients, Public and Staff within the Hospital Premises and Environmental Protection
|
Additional as Required for the Job Role |
On Job Training: 150 Hours
Total Programme Duration: 450 Hours (300 Hrs Theory & 150 Hrs OJT)
(This syllabus/ curriculum have been approved by Health Care Sector Skill Council (name of relevant Sector Skill Council or NSDC designated authority).
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