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How hospital medical record departments can benefit from retrospective DRG review.

DRGs and PPS have had a major, negative effect upon hospital reimbursement. Hospitals now focus upon methods for improving and increasing reimbursement from third-party payers. More payers are using DRG-based reimbursement methods. DRG payment review offers a viable solution to the problems brought by stringent payment plans and has potential benefits for the MRD as well. MRD directors should investigate DRG payment review alternatives and from such efforts, attempt to maximize the benefits to the hospital and their own departments. Success with DRG payment review identifies the MRD as an objective, results-oriented revenue generator and, thereby, can improve performance throughout the hospital and among the medical staff.

Diagnosis-Related Groups↗

A study of leadership and satisfaction variables in medical record departments of general hospitals.

Twenty-nine hospital medical record departments participated in a study to measure specific leadership and satisfaction variables. The variables studied were leader consideration, leader initiating structure, satisfaction with job, and satisfaction with department head. Medical record directors were characterized by a moderate degree of initiating structure and a moderately high degree of consideration. Medical record department employees expressed low levels of satisfaction. The results are discussed and recommendations made.

Costs and Cost Analysis↗

Preparing for prospective payment. Part IV: Organizational issues & ideas.

This article has discussed several strategies for organizational placement of the hospital medical record department. The article has touched on the role of the DRG Coordinator and issues related to that role. Consideration was also given to the Data Manager's role in the medical record department. Hospital organizational changes usually do not occur overnight, but long-range planning may now be underway for future restructuring. Regardless of any organizational changes, medical record professionals must meet the new demands upon the hospital by working closely with administration, the medical staff and finance department. It is this commitment to teamwork that will ensure and maintain high quality services which are cost-effective, a requisite for survival under prospective payment.

Hospital Departments↗

Computerization in the medical record department at Pioneer Valley Hospital.

In fully utilizing the Code 3 System, Pioneer Valley Hospital's medical record department and administration focused on two questions: 1) How can PVH obtain optimum productivity from the computer? and 2) How can PVH maximize the use of stored information? Finding the answers to these questions is a continuous process. As PVH further explores the potential of the computer systems, they realize that the uses go well beyond original expectations. Even in today's rapidly changing health care industry, demands for information are being effectively managed at Pioneer Valley Hospital. According to PVH staff, Code 3's insight into the needs of medical record departments has played an important part in helping them to meet those needs.

Computers↗

Transcription technology today.

A fascination with telecommunications and technology has enabled this author and her corporate information systems department to achieve system integration and simple functionality in a comprehensive and diverse medical transcription unit.

California↗