3-2 Milestone One: Analysis Of Health Record And Joint Commission

3-2 Milestone One: Analysis Of Health Record And Joint Commission
Name
South New Hampshire University
Date
The joint committee (JCAHO) reviews the information to ensure that it is timely, consistent, readable, complete, accurate and of high quality. JCAHO then reviews the patient- specific data, aggregate data the relevant expert knowledge and performance data. Information is vital to improving the quality of care, and information systems that are properly managed are crucial in health care service provision (Farley, et al., 2008). Diagnosis data is also provided after physician evaluation with emphasis on procedures, findings, date and time. The medical records include demographic details, and they are dated, timed and signed as they reflect the patient care treatment or services (The Joint Commission, 2016)
The correct patient name was not included on every page, since in page three the records capture the details of Sara Jones, instead of Pam Ray as in the other pages. The insurance details were recorded as no applicable, and it is not clear where the patient is insured. The attending physician did not authenticate the medical records and the records are inaccurate. In the record for Seger, Sam, the first page of the patient details did not capture the date of birth, but only included the age and birth date on other pages. Patient’s record three did not contain any insurance details, and even as the patient was the mother’s details were captured as the guarantor. The missing documentation is a concern since the records are incomplete, while the date of birth was wrongly recorded on page two.