The Download List

The Download List is a pick of my selected references and resource documents from my collection of references and resource documents related to healthcare in general and to health information management/medical records management specifically, to share with you and which might be of interest to you.

Each link below will open in a new tab of your current window. You can then choose to read online, print, or download for free the reference or resource document and save it to your computer.

ACCREDITATION STANDARDS FOR HOSPITALS
Joint Commission International (JCI)
1 Medical Records Review Form flipbook, JCI Hospital Survey Process Guide, 5th Edition, Effective 1 April 2014
The Malaysian Society for Quality in Health (MSQH)
1 SERVICE STANDARD 7 Health Information Management System, Malaysian Hospital Accreditation Standards, 4th Edition, Effective January 2013
 
SOME SELECTED MALAYSIAN LAWS RELATED TO HEALTH INFORMATION MANAGEMENT / MEDICAL RECORDS MANAGEMENT
1 Act 56 Evidence Act 1950
“An Act to define the law of evidence.”
2 Act 254 Limitation Act 1953
“An Act to provide for the limitation of actions and arbitrations.”
3 Act 586 Private Healthcare Facilities And Services Act 1998
“An Act to provide for the regulation and control of private healthcare facilities and services and other health-related facilities and services and for matters related hereto.”
4 Act 629 National Archives Act 2003
“An Act to provide for the creation, acquisition, custody, preservation,use and management of public archives and public records; and for other matters connected therewith.”
5 Act 709 Personal Data Protection Act 2010
“An Act to regulate the processing of personal data in commercial transactions and to provide for matters connected therewith and incidental thereto.”
 
SOME SELECTED MINISTRY OF HEALTH MALAYSIA GUIDELINES / MANUALS RELATED TO HEALTH INFORMATION MANAGEMENT / MEDICAL RECORDS MANAGEMENT PRACTICES
1 INCIDENT REPORTING & LEARNING SYSTEM: “From Information to Action” Manual, January 2012
This manual maybe used by Health Information Management (HIM) / Medical Records (MR) practitioners to facilitate HIM / MR management to set up systems for identifying, reporting and managing “incidents” i.e. reportable events to provide a basis for which HIM / MR  practitioners concerned can review and further improve on their own event reporting system.
2 Pekeliling Ketua Pengarah Kesihatan Bil 17/2010 Garispanduan Pengendalian Dan Pengurusan Rekod Perubatan Pesakit Bagi Hospital-Hospital Dan Institusi Perubatan Kementerian Kesihatan Malaysia
A Ministry of Health Malaysia guideline in Malay (Bahasa Malaysia) on the practice and management of medical records for public hospitals and institutions issued through the Director General Health Circular No. 17/2010
3 Jadual Pelupusan Rekod Perubatan KKM MOHPAK121.06.(GU) Mac 2007
The standardised medical records retention and disposal schedule for all public hospitals and health facilities in Malaysia was circulated through a MoH circular MOH/PAK/121.06.(GU), Mac 2007 in March 2007 in Malay (Bahasa Malaysia).
 
WORLD HEALTH ORGANISATION (WHO) PUBLICATIONS
1 Medical Records Manual: A Guide for Developing Countries
A World Health Organisation (WHO) Regional Office for the Western Pacific publication “intended to help medical/health record workers in developing countries to develop and manage the medical record/health information service in an effective and efficient manner. It has been written for clerical staff with a basic understanding of medical/health record procedures and is designed to aid medical record officers (MROs) and medical record clerks by describing appropriate systems for Medical Record Departments.”
2 Electronic Health Records Manual for Developing Countries
A World Health Organisation (WHO) Regional Office for the Western Pacific publication “designed as a basic reference for use when exploring the development and implementation of Electronic Health Record (EHR) systems. It provides a general overview, some basic definitions and examples of EHR practices. Also covered are points for consideration when moving towards the introduction of an EHR, some issues and challenges which may need to be addressed and some possible strategies, along with steps and strategies to implementation.”
 
EDUCATIONAL MATERIALS AND BEST PRACTICE GUIDELINES
1 A compilation of educational modules for health records/health information management professionals around the world provided on the web site of the International Federation of Health Information Management Associations (IFHIMA). Go to the Learning Center page of the IFHIMA web site to access the educational modules.

Recent Posts

ICD-11 2018 version: Part 1 – The Launch

The 11th Revision of the International Classification of Diseases (ICD-11) is here!

ICD-11 was launched Monday, 18. June 2018 from Geneva, Switzerland at 11:45 Europe Summer Time (GMT+02:00), i.e. from 5:45pm Malaysia Time.

I attended the webinar for this launch via WebEx. The webinar was about three (3) hours long.

The webinar started with a video message from Dr Tedros Ghebreyesus, the Director General, WHO. This opening video was followed by several  key presenters who presented the following topics:

  1. Dr Hiroyuki Suenaga , Vice President Japan Hospital Association who spoke on ICD-11 Resource allocation and clinical documentation;

  2. ICD-11 Modern use of health information by Dr Christopher G. Chute, who is the Bloomberg Distinguished Professor of Health Informatics, Professor of Medicine, Public Health, and Nursing, Chief Research Information Officer, Johns Hopkins Medicine,  and also the Deputy Director, Institute for Clinical and Translational Research. Johns Hopkins University;

  3. ICD-11 – what is new was presented by Dr Robert Jakob, Team Leader Classifications, Terminologies and Standards;

  4. Dr Lale Say, Coordinator Adolescents and at-Risk Populations who briefed on ICD-11 Maternal and sexual health with special emphasis on gender issues;

  5. Dr Shekhar Saxena, Director Mental Health and Substance Abuse elaborated on gaming disorders in ICD-11 and Mental health;

  6. Dr Wansa Paoin, Head of CC, Thailand spoke on implementing ICD in a country;

  7. implementation package presentation was given by a WHO representative; and

  8. ICD-11 – Global action plan for implementation and regional focal points for health information by the various WHO Regional Offices representatives

All of the above was followed-up by a Question & Answer Period that lasted about 30 minutes, from members of the floor as well as from online attendees.

Before closure, Dr Soumya Swaminathan, Deputy Director General for Programmes WHO did the closing remarks, followed by Dr John Grove, Director, IER – WHO doing the closure.

This new release is to allow Member States to prepare for implementation, including translating ICD into their national languages. Member States will start reporting using ICD-11 on 1 January 2022 i.e. about 3 years and 6 months from now, after due endorsement from the 72nd World Health Assembly in May 2019.

The reader can access the ICD-11 website for more details at https://icd.who.int/. A screenshot of the ICD-11 homepage is displayed below.

More details about what is ICD-11, how ICD-11 works, and what’s new in ICD-11 among other topics will be posted shortly here.

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