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Hcs430 Discussion

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Running Head: DISCUSSION 1 Name Class Institution DISCUSSION 2 1. List five purposes of the medical record. 150-200 words Medical records document the records of the patients; they keep the history of the patient from the time they are born to the time they die which includes the history of examination, treatment of a patient as well as diagnosis of the patient. In addition, medical records contain information that let the health care providers find out the patient’s medical account, as well as offer, informed care. Medical record as well acts as the central repository for documenting communication among patients as well as planning patient care. Medical records are as well acts as evidence for the provider in the event that there is a malpractice claim or any other inquiry regarding the patient. They as well serve to ensure compliance with the governmental regulations, professional bodies as well as institutional. Finally, medical records help the health care providers to tracks the patient’s health pattern as well as provide data as well as statistics concerning the patient (McGuire, 2010). 2. Discuss guidelines for effective charting in healthcare.150-200 words Any complaints as well as threats ought to be documented in a neutral manner or a nonjudgmental. In the event that healthcare personnel document their frustration as well as blame the patients, the tone is set for an unfriendly impression that will give the incorrect notion of care delivered. Family ...
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