• Plans and effectively manages the operation of the Health Information Management [HIM] department.

• Manages the hospital’s patients records both in hard copy and electronic records format, from their creation through to eventual disposal, comprising the management of the creation, filing, storage, archiving and disposal.

• Maintains and secures all written and electronic medical records within the organization which includes ensuring that the information contained in the patient record is complete, accurate, and only available to authorized personnel - ensuring information security and integrity compliance [data protection, release of information, information governance]

• Ensures all regulatory requirements are met for the services under its purview and is required to monitor regulatory and legal changes in laws regarding patient record.

• Implements quality management and operational initiatives for efficient management of the HIM department functions / operational activities and ensures that the quality system is maintained at all times; with processes being constantly reviewed and developed to meet the changing requirements and expectations of the customers.

• The scope of services provided by HIM department includes:

❖ Record Management [Creating, Tracking, Retrieval, Filing, storage, archive and Disposal]

❖ Clinical Coding [ICD9 CM Procedural & ICD10 diagnosis coding]

❖ Disease Notification

❖ Data Management and clinical statistics generation

❖ Statutory Reporting to MOH as per PHFSR 2006

❖ Medical Report Request

❖ Clinical Chart Audit

❖ Transcription

❖ Forms Management

❖ Record Digitization

❖ Coordination of medical committee meetings

❖ Ensure HMIS clinical modules are in compliance to MOH data set capture requirements and

accreditation standards

❖ Ensure patient information security is maintained