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Data Analytics and Information Governance C803 Melody Hoskins Instructor Performance Assessment 3: Health Records UHM1

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Data Analytics and Information Governance C803 Melody Hoskins Instructor Performance Assessment 3: Health Records UHM1

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1


Nichole Penhollow


Data Analytics and Information Governance C803


Melody Hoskins Instructor


Performance Assessment 3: Health Records UHM1


January 11, 2024

, 2


A


The characteristics of paper, hybrid, and fully electronic health records are compared along with

the storage, accessibility, and how to amend the record.


Paper health records are the original way healthcare providers would obtain health information

from patients. The paper form was handwritten and stored in a secured area to be referenced. To

change or amend a paper document, the provider would draw a straight line through the error, then

add a written note explaining the mistake with their initials and the date it was discovered, and then

write the correct information with initials and date once finished. Paper records can cause issues

because only one person can access the record at a time, limiting use for effective continuity of care.


Hybrid records exist in paper-based and electronic formats. The two formats accommodate

different ways the patient information is gathered and stored. Hybrid health records include

handwritten notes, digital images, and electronic data transfers. Paper format is scanned and indexed

into the electronic system, which takes extra processing time and effort compared to the original paper

chart.

After scanning, the paper format is stored in a secure filing room. The electronic aspect of hybrid

records is that they are stored in a mainframe computer like the cloud. Many providers can access the

patient's information simultaneously, giving a better quality of care as long as the paper format has

been scanned into the system. To amend a hybrid record, the paper portion is the same as stated

previously; the electronic format is amended by ensuring the original entry is viewable, adding a note

with the current date, provider's name, and the reason for the change.


Fully electronic health records are entirely electronic. Electronic records can be costly to

implement and train staff. Still, the benefits of allowing any provider (with approval) to access a patient

record at any time or location will enhance patient continuity of care. The storage is also stored in a

central mainframe system using software like the cloud. In research, abstract data can be compared

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