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PhilHealth Benchbook

2005

 

5. Information Management

 

5.1 Data Collection, Aggregation and Use

 

Goal: Collection and aggregation of data are done for patient care, management of services, education and research.

 

Standards

Status

5.1.1 Relevant, accurate, quantitative and qualitative data are collected and used in a timely and efficient manner for delivery of patient care and management of services.

 

Criteria

 

- The organization defines the relevant aspects of its operations from which data will be collected.

 

- The organization defines data sets, data generation, collection and aggregation methods and the qualified staff who are involved in each stage.

 

- The organization defines policies and procedures to monitor and improve the accuracy, completeness and reliability of relevant qualitative and quantitative data relating to its operations.

 

- The organization provides resources and opportunities to enable management and staff to use data in their decision and policymaking activities.

 

- Policies and procedures on record storage, retention and disposal are documented and monitored.

 

 

Standards

Status

5.1.2 The collection of data and reporting of information comply with professional standards, statutory and PhilHealth requirements.

 

Criteria

 

- The organization collects and submits reports required by the Department of Health and PhilHealth.

 

Standards

Status

5.1.3 Every patient has a sufficiently detailed patient chart to facilitate continuity of care, and meet education, research, evaluation and medico-legal and statutory requirements.

 

Criteria

 

- Care providers document management details in the patient chart. All entries are promptly accomplished, accurate, legible, dated and duly signed by the care providers whose designations are clearly indicated.

 

- Patient charts are routinely checked for completeness and accuracy, and action is taken to improve their quality.

 

 

Standards

Status

5.1.4 Data in the patient charts are coded and indexed to ensure the timely production of quality patient care information and reports to PhilHealth.

 

Criteria

 

- Data from the patient charts are routinely collected, aggregated and reported for use in quality improvement activities, for administrative purposes and for mandatory reporting to the Department of Health and PhilHealth.

 

 

5.2 Records Management

 

Goal: Integrity, safety, access and security of records are maintained and statutory requirements are met.

 

Standards

Status

5.2.1 Clinical records are readily accessible to facilitate patient care, are kept confi dential and safe, and comply with all relevant statutory requirements and codes of practice.

 

Criteria

 

- When patients are admitted or are seen for ambulatory or emergency care, patient charts documenting any previous care can be quickly retrieved for review, updating and concurrent use.

 

- The organization has policies and procedures, and devotes resources, including infrastructure, to protect records and patient charts against loss, destruction, tampering and unauthorized access or use. Only authorized individuals make entries in the patient chart.

 

 

 

Information Management

 

DATA COLLECTION, AGGREGATION AND USE STANDARDS

 

timely and efficient data collection

standardized information

detailed medical charts

coding and indexing of data

 

Goal: Collection and aggregation of data are done for patient care, management of services, education and research.

 

 

RECORDS MANAGEMENT STANDARD

accessible records of data are done for patient care, management of services, education and

 

Goal: Integrity, safety, access and security of records are maintained and statutory requirements are met.