Annual Report 2017

Medical Information Management Office

Masahiro Tsuboi, Tokiko Inagaki, Miyako Terada, Rie Sato, Mayu Aonuma

Introduction

 The role of the Medical Information Management Office is the management of the medical records of hospitals by professional medical information management officers.

Our team and what we do

 The following members were listed as the committee of medical information management.

Routine activities

1. Auditing Discharge Summary (quantitative inspection)

 Data on discharge summaries should be entered and approved by the attending physician. Approved discharge summaries within two weeks after patient's discharge should be over 95%. We inspected and checked the summaries and, where required, gave some advice for correct input.

2. Maintenance of disease codes based on ICD-10

3. Analysis of medical contents on DPC (Diagnostic Procedure Combination) and recommendation for efficiency

Future prospects

 Our goal is to make recommendations and proposals of good and effective medical care based on DPC data. Each clinical department has held an annual "DPC round" to make quality control and quality assurance for each medical practice.