Posts Tagged Looking

Question by Disciple: Medical Records: Looking for info on the needs of information management in physical therapy?
I am a health information management student and I am writing a paper on a local physical therapy center. I’m looking for info about how records are kept/role of the health information manager. I’ve tried AHIMA and Googling but it’s hard to do a search on something this specific.

Best answer:

Answer by mistify
It really depends on the type of clinic. Small, privately owned clinics are likely to keep their own records and possibly still use paper documentation. Larger clinics might use e-doc, but be able to maintain it on their own or my source it out. Private clinics tend to keep one chart on a patient and re-open it if they return. Hospital based clinics are likely to use a series system…they have a chart open while the patient is in the clinic, but will discharge it and send it off to medical records (if on paper doc) to be scanned and archieved. Each time the patient comes in for a new problem, a new record is opened.

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