MEDICAL RECORD  MAINTENANCE  TECHNIQUES

(MRMT)

ELIGIBILITY:

1) Candidates who have passed 10 + 2 from any Board/ CBSE/ ICSE board

2) A candidate seeking admission to MEDICAL RECORD  MAINTENANCE  TECHNIQUES

course should have 17 years of age

COURSE OBJECTIVES:

  • To train students how to manage health data in various forms.
  • To learn certain functions and procedures such as analyzing records, ensuring compliance with laws, making reports, and ensuring accuracy of data; to store and classify medical records. To analyze data and determine the appropriateness of medical

DURATION OF THE COURSE

The duration of the  Course shall be ONE Year.

MEDIUM OF INSTRUCTION

English shall be the medium of instruction for all the subjects of study

ATTENDANCE

A candidate is required to attend at least 80 percent of total classes conducted in year in all subjects prescribed for the year, separately, in theory and practical/clinical postings to become eligible to appear for the Institute examination

SCHEDULE OF EXAMINATION

CRITERIA FOR PASSING: A candidate is declared passed in an examination in a subject, if he/she secures 35% of marks in theory and 35% in practical separately, will be placed in division as under :i) 75% : Distinction ii) 60-74.9% : I st Division iii) 50- 59.9 % : 2 nd Division iii) 35-49.9% : Pass

SUPPLEMENTARY EXAM : Candidate failing may take up supplementary examination to be held after 2 months.

SYLLABUS

SUBJECT HOURS PASSING
BASIC AND BEHAVIOURAL SCIENCE 100 35/100
HOSPITAL ORGANIZATION AND ADMINISTRATION 100 35/100
COMMUNICATION SKILLS AND ENGLISH 60 35/100
MEDICAL TERMINOLOGY 80 35/100
 MEDICAL RECORDS AND GENERAL STAISTICS 120 35/100

PAPER I: BASIC AND BEHAVIOURAL SCIENCE

UNIT I: ANATOMY AND PHYSIOLOGY

  1. Introduction to Human Anatomy
  2. Cell- Tissues Properties, Different Tissues
  3. Digestive System
  4. Respiratory System
  5. Cardio Vascular System
  6. Lymphatic System
  7. Bones and Joints
  8. Nervous System
  9. Endocrine System
  10. Sense Organs
  11. Excretory System
  12. Reproductive System.
  13. Blood

UNIT II: MICROBIOLOGY

Micro organism – classification of micro organism and their characteristics – pathogenic micro organism– portal of entry – portal of exit.

Collection specimen – blood, urine, stool, sputum, discharges-hand hygiene& infection control

Immunity – types of immunity – Immunoglobulin, vaccines, types of vaccines, national immunization schedule.

UNIT III: NUTRITION

Nutrition-nutrients-carbohydrates-protein-fat-vitamins –minerals-Types of diet-mal-nutrition-obesity-BMI-diet plan Nutritional deficiencies-health education

Psychology- Definition of psychology – observing – thinking – reasoning – problem solving – goals setting –defence mechanism.

Sociology- Definition of sociology-society -Understanding and learning about community-groups-the family-structure and activities-urban and rural community

PAPER II: HOSPITAL ORGANIZATION AND ADMINISTRATION

  • Hospital Organization
  • structure and function
  • Objectives of a Hospital
  • Types of hospitals
  • Uniqueness of the hospital
  • Hospital Organizational Principles
  • Hospital Organizational Functions
  • Functions of the Governing body
  • Department Heads Hospital Committees
  • Management/Administrative committee
  • Medical Committee
  • Quality Assurance Committee
  • Medical Record Committee
  • Infection Control Committee
  • Continuing Professional Education Committee
  • Health Information Department Management
  • Overview of Management -The Planning function
  • The Organizing function
  • The Directing function
  • The Controlling function Management
  • Health Information Department Personnel
  • Communication
  • Personnel Supervision References
  • Health Information Management

PAPER III- COMMUNICATION SKILLS AND ENGLISH

Duration: 150 Hrs.

DESCRIPTION OF COURSE:

This course is designed to help students to gain the practice in English speaking skills.

GENERAL OBJECTIVES:

  • Use grammar for speaking
  • Develop the communication skill

UNIT I:  Communication Skills

  • Definition, Importance, Elements, Types and barriers of communication

UNIT II:  Basic Grammar

  • Parts of Speech, Tenses, Voices, Degrees of Comparison, Sentences, Question Tag

UNIT III: Letter writing

  • Types of letter, Model letters, Essay Writing, Effective Public Speaking,

Interview Skills, Time Management, stress Management, leadership

UNIT IV: Spoken English

  • Greeting, Introducing oneself, Inviting someone, Seeking Permission, Expressing
  • Gratitude, Complaining, Apologizing, Asking for information and describing something, Problem Solving and Decision Making

UNIT V: Computer

  • Introduction, workflow of computer, Parts of Computer, Characteristics of Computer, Advantages and Disadvantages.

PAPER IV: MEDICAL TERMINOLOGY

1 . Introduction to Medical Terminology
2. Definition and Origin of Medical Terms.
3.External Anatomy and Internal Anatomy
4. Additional Lists and Body Fluids Body Substances
5.Pathologic conditions (Inflammations and Infections)
6.Hereditary, Congenital and Developmental Disorders
7.Fractures
8.Metabolic and Deficiency Diseases
9.Symptomatic Terms 6.Diagnostic Terms
10.Oncology Terms 8.Operative Terms
11 Laboratory Tests and Procedures
12. Standard Abbreviations Pathologic Conditions
13. Degenerative and Innervative Disorders
14. Hereditary, Congenital and Developmental Disorders
15. Symptomatic Terms
16. Diagnostic Terms
17. Operative Terms
18.Laboratory Tests and Procedures.

PAPER V: MEDICAL RECORDS AND GENERAL STATISTICS

Medical Records: Definition, Characteristics of ‘Good’ Medical Record Values of ‘Good’ Medical Record to various users Required Characteristics of entries in medical Records Responsibility for Medical Record Quality Source-oriented, Problem-oriented, and Integrated medical records Medical Record Forms and their Content Standard Order of Arrangement of Medical Record forms Analysis of Medical Record-Quantitative & Qualitative Incomplete Record Control -. Medical Records for different patient encounters with health care facility

Ambulatory Care Records -Emergency & Outpatient Records-. Clinical Records in Long Term Care and Rehabilitation Facilities iii. Mental Health Records – Filing Methods, Storage, and Retention Numbering and Filing Systems Filing Storage- Microfilming and Disk Storage Retention Registers & Indexes Record movement control –

Organizational Aspects of Medical Record Department/Services Policies Functions Location, Space and Layout Equipment Forms Designing and Control Medical Records Flow and Processing -Organizational Aspects of the Centralized Admitting Services Principles of Identification of a Patient Methods of Collection of Identification Data Types of Central Admitting Services Admitting Policies Procedure Outlines for Admissions Flow of Records following Admissions Advantages of good Admitting Policies and Procedures Pre-requisites for smooth & efficient functioning of the Centralized Admitting Services

 Medical Record Department Management:

  1. Planning, Organizing, Directing and Controlling
  2. Personnel

iii. Principal Responsibilities and Duties of the Medical Record Administrator/ Director

  1. Tools of Management in the Hands of the Medical Record Administrator/ Director-. Medico-Legal Aspects of the Medical Records – Medical Ethics , and Code of Ethics for the Medical Record Professionals – Ownership of the Medical Record Privileged Communication.

S.NO SUBJECT NAME Theory

(in Hours)

 Internal Marks Theory Exam Total Mark
1. BASIC AND BEHAVIOURAL SCIENCE 100 15 85 100
2. HOSPITAL ORGANIZATION AND ADMINISTRATION 100 15 85 100
3. COMMUNICATION SKILLS AND ENGLISH 100 15 85 100
4. MEDICAL TERMINOLOGY 100 15 85 100
5 MEDICAL RECORDS AND GENERAL STAISTICS 100 15 85 100
6. PRACTICAL 1420 25 75 100
TOTAL 1920 (240 DAYS*8 HRS/DAY) 100 500 600

EXAMINATION SCHEMES

EXAMINATION MONTH SYLLABUS
First Internal – I December First 50% of total syllabus
Second Internal – II April Second 50% of total syllabus
Model May Total Syllabus
Final Exam June Total Syllabus
INTERNAL MARK PATTERN: THEORY
Average of 2 Internal Examination Written 10  Marks
Assignment 05  Marks
Model examination 10  Marks
Student Conduct 05  Marks
Total Mark 30  Marks
50 % of this score to be sent as their Internal Marks (Max of 15 marks)
INTERNAL MARK PATTERN: PRACTICAL
Log Book 05
Record Book 10
Model Practical 10
Total Mark 25
EXTERNAL MARK PATTERN: PRACTICAL
Log Book 10
Record Book 15
Final Practical 50
Total Mark 75