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Medical record abstraction form and guidelines for assessing the quality of prenatal care

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Published by Rand in Santa Monica, CA .
Written in English

Subjects:

  • Prenatal care -- Evaluation -- Forms.,
  • Medical records -- Abstracting and indexing.,
  • Prenatal Care -- standards.,
  • Quality Assurance, Health Care -- standards.,
  • Data Collection.,
  • Medical Records.

Book details:

Edition Notes

StatementCarol Pindar Roth ... [et al.].
ContributionsRoth, Carol Pindar., John A. Hartford Foundation., Rand Corporation.
Classifications
LC ClassificationsRG940 .M44 1993
The Physical Object
Pagination1 v. (various pagings) :
ID Numbers
Open LibraryOL1397145M
ISBN 100833013939
LC Control Number93004622

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Title: Medical Record Abstraction Form and Guidelines for Assessing the Quality of Pre-Natal Care Author: Carol Pindar Roth Subject: This Report documents the medical record abstraction form and guidelines used to collect data on the quality of prenatal care for the HMO Quality of Care . Get this from a library! Medical record abstraction form and guidelines for assessing the quality of prenatal care. [Carol Pindar Roth; John A. Hartford Foundation.; Rand Corporation.;]. Documents the medical record abstraction form and guidelines used to collect data from the medical records of patients hospitalized with by: Get this from a library! Medical record abstraction form and guidelines for assessing quality of care for hospitalized patients with acute myocardial infarction. [Jacqueline B Kosecoff; Rand Corporation.; United States. Health Care Financing Administration.;] -- In an effort to contain health care costs, Medicare initiated a prospective payment system based on diagnosis-related groups (DRGs.

1. Author(s): Roth,Carol Pindar; John A. Hartford Foundation. Title(s): Medical record abstraction form and guidelines for assessing the quality of prenatal care/ Carol Pindar Roth. The Prenatal Medical Record: Purpose, Organization and the Debate of Print Versus Electronic. The obstetric prenatal record is one of the best, most organized medical record systems currently used in the United States. This has allowed a standardization of care and documentation that has benefited pregnant women over the past two decades. Address, phone number(s) and birth date should be recorded for all exams. – recorded in the medical record. 2. Patient name, file number and date of exam on each subsequent page. 3. Signature of attending with their stamp at the end of the exam or contact Size: 27KB. Measures Obtained from Medical Record Data 1. Screening for Clinical Depression and Follow-Up 2. Controlling High Blood Pressure 3. Comprehensive Diabetes Care • Screening for all 3 tests (HbA1c test, Eye exam and Medical attention for nephropathy) • Poor Control (>%) of HbA1c 4. Viral Load Suppression 5. Prenatal and Post Partum Care*.

a chronological sequence of prenatal care that is based on scientific evidence, recommendations of the US Public Health Service, clinical judgment regarding effectiveness of identifying and modifying risk, and the success of medical and psychosocial interventions. The sequence of prenatal care. The guideline is intended to improve patient outcomes and local management of patients who are pregnant. Disclaimer: This Clinical Practice Guideline is intended for use only as a tool to assist a clinician/healthcare professional and should not be used to replace clinical judgment.   Documentation in medical records fulfills key functions, including management of care, communication, quality assurance and record keeping. We sought to describe: 1) rates of standard prenatal care as documented in medical charts, and given the higher risks with excess weight, whether this documentation varied among normal weight, overweight and obese women; and 2) adherence to Cited by: 6. Completeness of prenatal records in community hospital charts. record abstraction forms f or the National Children Assessing the quality of medical and health data from the birth.