This module provides an overview of medical record activities, including preparation, maintenance, handling, and storage. Students also examine record control policies and procedures and purging and long-term storage of files.
Unit: Medical Records Word Search
In this activity, students complete a word search game with medical record terminology. A class discussion about terms can follow.
Unit: Medical Records
In this unit, students will learn about: the importance and types of medical records and maintaining their accuracy and confidentiality. They will understand electronic medical records and their advantages and disadvantages.
1. Introduction to Medical Records
2. Types of Medical Records
3. Electronic Medical Records
Unit: Filing Equipment and Systems
In this unit, students will learn about: the basics of filing systems, including the necessary equipment and supplies, the five steps of the filing procedure, and the benefits of a color-coding system.
1. Filing Equipment and Supplies
2. Filing Systems and Processes
Unit: Alphabetical and Numerical Filing
In this unit, students will learn about: filing medical records alphabetically and numerically, including indexing and alphabetizing names; straight numeric, terminal digit, and middle digit numeric filing; and creating cross-references.
2. Alphabetical Filing
3. Numerical Filing
Unit: Medical Records Management
In this unit, students will learn about: daily records maintenance, including creating, finding, editing, and deleting files; active, inactive, and closed records; and guidelines for purging and storing old records.
1. New Medical Records
2. Maintaining Medical Records
3. Medical Records Retention
Unit: Reflection Questions
In this activity students will journal about how to keep medical records complete and accurate, describe situations where EMR might not be the best option, and debate alpha vs numerical filing. A class discussion can follow.
Unit: Medical Records Practice
In this activity students will assemble a folder and a record, label the folder, and then appropriately file the folder alphabetically and numerically.
Unit: Current Event
Students will review articles for information related to a topic in the module. Once an article is found, students complete a Current Event form.