At Steward Health Care System, we are committed to improving the health of our communities by delivering exceptional, personalized health care with dignity, compassion and respect. Our continued focus on the patient experience informs our caregivers in how to provide care that is respectful of and responsive to individual patient and family preferences, needs and values.
We dedicate ourselves in the communities we serve to delivering affordable health care to all and being responsible partners. No matter what your role, as a member of the Steward family, you are a specialist in the making every patient and family feel right at home, every co-worker a key to our success, and every referring practice, a team of prized colleagues.
In support of this, we commit ourselves to the following values:
- Analyze each ambulatory surgery record (within 5 days of discharge) according to departmental procedures with 95% accuracy.
- Analyze the medical record and carefully determine which reports need to be dictated and/or signed by a physician.
- Assign each deficiency in the record to the appropriate physician.
- Check for any missing reports which are indicated as having been previously dictated prior to assigning a dictation deficiency.
- Enter all deficiencies into the department's computerized record deficiency system according to the departmental procedure with 95% accuracy, and produce a deficiency slip for each admission.
- Input or update the record deficiencies in the computerized record deficiency system correctly including the changing of chart date when appropriate.
- Print a deficiency slip, and attach it to the admission.
- Color tag all items requiring signature within the record.
- File the record in the appropriate area within the department.
- Perform other functions related to discharge analysis according to departmental procedure as necessary.
- On a daily basis, verify that all discharged records for a particular discharge day have been received in the department, and if necessary, successfully locate any that have not been returned.
- Assemble the discharged record according to the department's order of the medical record guidelines as necessary.
- Create medical record folders for reactivated microfilmed records or volume expansion record folders as necessary according to departmental guidelines.
- Attach all types of medical reports to the appropriate discharged record according to departmental procedure and guidelines.
- Notify supervisor of any registration information errors which need to be corrected in the hospital's computerized database.
- Other responsibilities
- Locate medical records according to departmental procedures in a prompt and efficient manner especially for areas that have been designated as primary responsibility, i.e. medical procedures etc.
- Demonstrate knowledge and understanding of all the department's computerized systems including the registration and patient index system and other office machinery.
- Receive daily from the Laboratory Department all completed HIV testing results and insert these results into the record in the designated manner to assure confidentiality of this sensitive information.
Important COVID message
Please note, Carney Hospital is taking additional, necessary preparations to ensure patients can receive compassionate care in a safe, carefully managed environment - with confidence and without fear. Our Safe and Ready program consists of a rigorous [five-point] standard ensuring patient safety, confidence and convenience: Expanded hours will allow previously canceled procedures to be scheduled as quickly as possible. Any COVID-19 related care takes place in designated areas away from other patients and their families. Emergency Departments are reorganized to be a safe place to treat all emergency patients. A stringent cleaning policy has been implemented throughout the hospital. A strictly controlled visitor and masking policy is required for patient safety. You can rest assured that we have made the necessary preparations to provide care in a safe, controlled and professional way.
Steward Health Care is an Equal Employment Opportunity (EEO) employer. Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.