The Importance of Quality in Health Records Essay

The Importance of Quality in Health Records - Essay Example Notably, there are strict laws that guarantee the confidentiality of the information processed in the health records. Moreover, quality matters in health records. Indeed, accurate and complete clinical documentation of health records define the quality of health records. A quality audit of health records refers to the process of conducting internal or external reviews of all the tools, policies, procedures, and techniques used in healthcare institutions to ensure that the health records are up-to-date, accurate, efficient (Holmboe, n.y), liability-free, and compliant with the federal and the Department of Health standards. A quality audit seeks to improve clinical documentation with an aim of promoting better delivery of health care as well as ensuring efficiency and accuracy in documentation. Moreover, it establishes the medical areas that need improvements and corrections (Sharma & Mahajan, 1999). The conduct of a quality audit follows various steps. It can adopt an explicit or an implicit approach. However, the explicit approach is highly recommended (Holmboe, n.y). An understanding of the audit process is fundamental in assessing the quality of medical records. Notably, quality audits focus on and evaluate the procedural and diagnosis code selection adopted by a health practitioner. Firstly, the reviewer determines the educational and evaluation purpose of the audit. He then chooses and defines the quality measures in application. Additionally, he describes the audit process with well-defined inclusion and exclusion criteria. Then, he establishes the areas of weakness, presents the audit findings, and establishes the areas of improvement and corrections in collection and processing health records. Most assuredly, the steps in the audit process determine the quality of the audit (Holmboe, n.y). The quality of documents in healthcare is very important. Various methods assure quality in documents. They include the requirement for authorization to

Losing weight Research Paper Example | Topics and Well Written Essays - 500 words

Losing weight - Research Paper Example In order to change these complex behaviors, two of the psychologists named Prochaska and DiClemente have worked upon the Stages of Change Model. Through this five-step change model, we discover the changing of the habit in the context of losing weight. Five Stage Change Model The change model given by the psychologists consists of the five steps. They include: Pre-contemplation With regards to changing the habit of losing weight, precontemplation is the first stage which counts towards the initiation of the attempts of eliminating the habit of losing weight effectively. During this stage, the individual continues to receive responses and ideas from other people in their surroundings regarding the things that they are required to change in them. However, they start to give a negative reaction and a bad response towards all these indications by the people. This is because they are currently satisfied with their bad habit of losing weight and staying malnutrition since long. But, if in this stage they listen to others’ responses, this might prove to be useful and beneficial for them (Moser, online). Contemplation During the second stage of changing the habit of losing weight, the individuals are involved in a process of active thinking regarding giving up the idea of losing weight. In this phase, they need to alter their own and others’ ideas into the firmly held beliefs.