Massengill S P
Top Health Rec Manage. 1992 Mar;12(3):40-8.
Using image scanning as a document capture mechanism at time of treatment or on day of discharge automates the medical record to achieve the larger objectives of simultaneous concurrent access to an electronic chart. This form of keyless document capture, although appearing labor intensive, is justified for improving business management and quality of care. Coupled with optical character recognition or barcode recognition for keyless data capture, medical information may be more easily made available for clinical research. Not merely a microfilm alternative, a medical record management system accelerates chart completion. Labor reduction is realized by eliminating filing and retrieval of active charts, loose sheet handling, photocopying, chart assembly, and chart location control. By reducing the reasons for chart completion delays, accelerated billing of Medicare accounts will occur, resulting in a reduction in receivables. Image-based document management systems accomplish the three things required of a senior manager in health care: (1) solve problems, (2) save money, and (3) make money.
在治疗时或出院当天使用图像扫描作为文档捕获机制，可使病历自动化，以实现同时并发访问电子病历这一更大目标。这种无键文档捕获形式虽然看似劳动强度大，但对于改善业务管理和护理质量是合理的。与用于无键数据捕获的光学字符识别或条形码识别相结合，医学信息可能会更易于用于临床研究。病历管理系统不仅仅是缩微胶片的替代品，它还能加速病历的完成。通过消除活动病历的归档和检索、散页处理、复印、病历组装以及病历位置控制，实现了劳动力的减少。通过减少病历完成延迟的原因，医疗保险账户的计费将加速，从而减少应收账款。基于图像的文档管理系统实现了医疗保健高级管理人员所需的三件事：(1)解决问题，(2)省钱，(3)赚钱。
