Medical records and health information techniciansat ACT Transcription assemble patients' health information including medical history, symptoms, examination results, diagnostic tests, treatment methods, and all other healthcare provider services. Technicians organize and manage health information data by ensuring its quality, accuracy, accessibility, and security. They regularly communicate with physicians and other healthcare professionals to clarify diagnoses or to obtain additional information.
The increasing use of electronic health records (EHR) will continue to broaden and alter the job responsibilities of health information technicians. For example, with the use of EHRs, technicians must be familiar with EHR computer software, maintaining EHR security, and analyzing electronic data to improve healthcare information. Health information technicians use EHR software to maintain data on patient safety, patterns of disease, and disease treatment and outcome. Technicians also may assist with improving EHR software usability and may contribute to the development and maintenance of health information networks.
· Filing and Retrieval Section- records for treatment and provide services for medical student, doctors, nurses and other paramedical staff who need to perform retrospective research or study.
· The Processing and Assembling Section - checks main work is to ensure that all records had a complete discharge summary; and all other notes and reports were present. Records are assembled in an orderly and timely manner and signed-in in the system.
· Admission & Registration Section- all clerks and receptionists of OPDs clinics, X-ray, Physiology, Oral health, Family & community health and the Student clinic. Registration of patients in the Accident & Emergency Department is an important part of our activity as it is a crucial and critical area in the hospital, which runs 24 hours.
· Statistics & Information Section- the statistician’s main job is to prepare statistics for administration, hospital departments, and outside agencies such as the Ministry of Health. He also provides health information for physicians, nurses and students for medical research purposes.
· Coding Section- analyze all inpatient’s discharge records and assign a numeric code to diagnostic data based on (ICD-10) the International Classification of Diseases classification system and (ICD-9-CM) for procedures.
· The Birth & Death Section- electronic birth notifications for the new born babies, and death notification for those who died in SQUH are being issued in both Arabic and English language. The Directorate of the Civil Services will issue the certificates accordingly. A copy of the register is send to the Ministry Of Health every 3months.
Some ACT Transcription medical records and health information technicians specialize in codifying patients' medical information for reimbursement purposes. Also, we specialize in cancer registry. For more information, please browse through our website or contact one of our technicians.
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