Care Record Management

To provide, co-ordinate and integrate services, healthcare providers must rely on information about individual patients/residents, care provided, results of care/service and their own performance, be that from computerised or paper based systems. Today the legislative and regulatory requirements enforce the need to have sound information management systems.

Most importantly however, a secure and integrated information system is central to the provision of safe and high quality care to the individual patient/resident. Health Care Informed assists organisations in assuring that they have such systems in place.

The Health Information Systems services provided by Health Care Informed are focused on the needs of the organisation, the clinician, and ultimately the patient/client. Examples of these services include:

• Medical/Clinical Record Audit – auditing for comprehensiveness, appropriateness and legislative requirements.
• Residential Care Resident Records – developing integrated care records, incorporating care plans, for the residential care sector.
• Needs Assessment and Strategic Planning – identifying what is required and how to implement it.
• Security and Confidentiality Assessment – ensuring the security, confidentiality and integrity of information.
• ICT Systems Integration – linking paper and technology.
• Process Flow Design – reduce lost records or data through process redesign.

• Quality Management
• Risk Management
• Policies & Procedures
• Integrated Care Pathways
• Accreditation/Certification
• Health Technology Assessment
• Clinical Audit & Evaluation
• Patient/Resident Involvement
• Care Record Management
  • ResRAM™
• Q-Pulse
• Training Programmes