Journalmedarbejder
Medarbejdere i journalstyring sikrer, at patientjournaler og administrative journaler oprettes, opbevares, spores, genfindes og kasseres korrekt, uanset om de er på papir eller i digitale systemer. De holder journaler tilgængelige til pleje, beskytter dem mod tab og uautoriseret adgang og understøtter overgangen fra papirjournaler til digitale journaler.
Denne tekst er oversat fra engelsk af en AI-assistent og er endnu ikke gennemgået af en modersmålstaler. Citater fra den britiske regerings kompetencerammeværk for digitale og datarelaterede fag (UK GDaD PCF) og fra ESCO står fortsat på engelsk.
- Familie
- Informationsstyring
- Rolle i UK GDaD PCF
- Ingen: denne reference definerer rollen
- Erhverv i ESCO
- medical records clerk (ISCO-08 3252); medical records manager (ISCO-08 3252)
- På GitHub
- Roledokument · Roledata
Niveauer
| Lønramme | Rolleniveau | Niveau i UK GDaD PCF | Lønklasser i den britiske statsforvaltning | Point i jobvurderingen |
|---|---|---|---|---|
| 2 | Journalassistent | — | — | 181 |
| 3 | Journalmedarbejder | — | — | 234 |
| 4 | Senior journalmedarbejder | — | — | 291 |
| 5 | Chef for journalstyring | — | — | 376 |
I en organisation inden for digital sundhed og pleje
- Patientjournaler skal være tilgængelige, når klinikere har brug for dem, så forsinkelser eller tabte journaler direkte kan påvirke plejen.
- Journaler indeholder yderst fortrolige oplysninger, så medarbejderne følger strenge regler for fortrolighed og adgang og kan regelmæssigt læse belastende indhold.
- De fleste organisationer har både papirjournaler og digitale journaler, så rollen omfatter scanning, indeksering og styring af hybride journaler.
- Journaler skal opbevares i bestemte perioder efter opbevaringsplaner og derefter arkiveres eller destrueres sikkert med et revisionsspor.
- Journalteams behandler ofte anmodninger om indsigt i patientjournaler, som har lovbestemte frister.
Erhverv og kompetencer i ESCO
ESCO opregner den viden og de kompetencer, som arbejdsgivere som regel har brug for (væsentlige) eller kan have brug for (valgfrie) til hvert erhverv. Brug dem som tjekliste til udviklingssamtaler.
medical records clerk
Medical records clerks organise, keep up-to-date and archive patients` records for medical staff availability. They transfer medical information from a patient’s paper records to an electronic template.
Væsentlige kompetencer og viden (30)
Færdigheder og kompetencer
- adhere to organisational guidelines
- apply organisational techniques
- archive healthcare users' records
- collect healthcare user's general data
- collect statistics on medical records
- comply with quality standards related to healthcare practice
- deliver case notes
- display medical problems
- follow clinical guidelines
- identify patients' medical records
- maintain healthcare user data confidentiality
- manage digital archives
- manage healthcare users' data
- perform backups
- perform clinical coding procedures
- process data
- type on electronic devices
- use electronic health records management system
- work in multidisciplinary health teams
Viden
Valgfrie kompetencer og viden (16)
Færdigheder og kompetencer
- answer patients' questions
- communicate in foreign languages with health service providers
- communicate in healthcare
- communicate with customers
- handle paperwork
- manage digital documents
- participate in medical records' auditing activities
- review patient's medical data
- send samples to laboratory
- transfer medical information
- use communication techniques
- use databases
- work in a multicultural environment in health care
Viden
medical records manager
Medical records managers are responsible for managing activities of medical records units which maintain and secure patient data. They supervise, oversee and train employees while implementing medical department policies.
Væsentlige kompetencer og viden (30)
Færdigheder og kompetencer
- apply organisational techniques
- archive healthcare users' records
- collect statistics on medical records
- communicate in healthcare
- comply with legislation related to health care
- follow clinical guidelines
- identify patients' medical records
- manage digital archives
- manage healthcare users' data
- manage information in health care
- oversee record management
- participate in medical records' auditing activities
- perform clinical coding procedures
- recruit employees
- supervise staff
- undertake clinical audit
- use e-health and mobile health technologies
- use electronic health records management system
- work in a multicultural environment in health care
- work in multidisciplinary health teams
Viden
Valgfrie kompetencer og viden (28)
Færdigheder og kompetencer
- advise on medical records
- answer patients' questions
- collect healthcare user's general data
- evaluate employees
- formulate a treatment plan
- interview people
- maintain healthcare user data confidentiality
- maintain treatment records
- manage budgets
- manage workflow processes
- meet the requirements of social security reimbursement bodies
- monitor regulations in social services
- perform backups
- perform records management
- process data
- record healthcare users' billing information
- record treated patient's information
- review patient's medical data
- supervise daily information operations
- transfer medical information
Viden
Contains ESCO v1.2.1 data (https://esco.ec.europa.eu/). © European Union. Reuse authorised under Commission Decision 2011/833/EU.