The goal of the Medical Records Service is to create and maintain systems which support health care providers, public studies, financial organizations, and most important of all – the needs of the patient. The hospital currently has a hybrid records system that involves most information being held in the new Hospital Information System “TrakCare”, while little amount of information is still held in paper records. The goal is to have a full Electronic Health Record functioning in the Hospital by the end of 2010.
The department is going on by its sincere and highly committed staff member’s team, which consists of 48 young Omani, covering its six sections.
Filing and Retrieval Section
Staff in this section retrieves records for treatment and provide services for medical student, doctors, nurses and other paramedical staff who need to perform retrospective research or study.
The Processing and Assembling Section
This section checks main work is to ensure that all records had a complete discharge summary; and all other notes and reports were present. Records are assembled in an orderly and timely manner and signed-in in the system.
Admission & Registration Section
This section is the biggest section of the department as it has all clerks and receptionists of OPDs clinics, X-ray, Physiology, Oral health, Family & community health and the Student clinic. Registration of patients in the Accident & Emergency Department is an important part of our activity as it is a crucial and critical area in the hospital, which runs 24 hours.
Statistics & Information Section
The statistician’s main job is to prepare statistics for administration, hospital departments, and outside agencies such as the Ministry of Health. He also provides health information for physicians, nurses and students for medical research purposes.
The Coders analyze all inpatient’s discharge records and assign a numeric code to diagnostic data based on (ICD-10) the International Classification of Diseases classification system and (ICD-9-CM) for procedures.
The Birth & Death Section
Electronic birth notifications for the new born babies, and death notification for those who died in SQUH are being issued in both Arabic and English language. The Directorate of the Civil Services will issue the certificates accordingly. A copy of the register is send to the Ministry Of Health every 3months