THE STUDY ON MEDICAL RECORD

DEPARTMENT
CARRIED OUT AT RAINBOW CHILRENS
HOSPITALS, BANNERGHATTA ROAD,
BENGALURU 560076

Submited by:-
Name:-Sayantan Guria
Enrollment number:-210755187648
 INTRODUCTION
Medical Record contains the patient's
identification information, the patient's health
history and medical examination findings. Medical
Record also contains a summary of the patient's
current and previous medications a well as any
medical allergies.

Scope of Medical Records department:

It covers all In-Patient Medical records in the
Hospital.
HOSPITAL PROFILE

Rainbow Children’s Hospitals,

Bannerghatta main road, opposite
Janardhan towers, Billekahalli,
bengaluru-560076.
Rainbow Children’s Medicare Ltd, Bengaluru has
three branches 1st branch at Marathahalli, 2nd at
Bannerghatta Road & 3rd at hebbal. Rainbow
Children’s Hospital & Birthright, Bannerghatta
Road, Bengaluru, which came into inception in
2016, is a NABH-accredited, exclusive 100-bedded
Pediatric, Obstetrics and Gynecology specialty
hospital with the latest technology and world-class
services offered by experienced medical consultants
who are available 24/7. The facility is fully equipped
to provide primary, secondary and tertiary pediatric
care in major child and women care specialties. The
center also provides CPAP and transport services in
addition to being prepared to handle any emergency.
Below is the Structure of the
Hospital and the departments
located.
At basement: Has Security and Transport office,
Housekeeping dept., General Stores, Maintenance
dept. and the Medical records dept.
At Ground floor: Has ER, OBG OPD, Pead
OPD, Vaccination Room, Sample collection, IP
Billing, OP and IP Pharmacy, Radiology Dept.,
Front office, And the Fetal medicine.
At 1st floor : Has Pead Ward, Laboratory, EEG
Room and the PICU
At 2nd floor: OBG Ward and Yoga Room.
At 3rd floor: OTs, Labor Room (MICU), NICU
and Physiotherapy dept.
At 4th Floor: Has Administration dept. and
Cafeteria.
OBSERVED DEPARTMENT

NAME OF THE DEPARTMENT:-

Medical Record Department
LOCATION OF THE DEPARTMENT:-
Medical Records Departments is located at
Basement.
OBJECTIVES OF THE DEPARTMENT:-

 To study the functions of the medical record

department of the rainbow children’s Medicare
ltd, Bannerghatta road.
 To assess the daily CENSUS/CORPORATE and
RECEIVE & PENDING FILE REPORT.
 To evaluate methods of the discharge file with
proper filing.
 IMPORTANCE OF
MEDICAL RECORD
DEPARTMENT

 For The Patients-

1. Documentation of clinical history.

2. Continuity of Treatment.
3. Claiming insurance.
4. Legal Evidence.

 Medici Legal-

1. For clamming Insurance and Others benefits.

2. Evidence of Court and Law.
3. Certificate of Birth & Death.

 Research & Training-

1. Education and Training.
2. Clinical and Others Research.
 For The Doctors-

1. Medical Review of Treatment.

2. Research and Publication.
3. Assists in Medical Proceedings.

 HOSPITAL-

1. Quality, Quantity and Adequacy of Treatment.

2. Medical Audit.
3. Future Planning and Decision Making.
4. Medico Legal Protection.

5. Disease Surveillance.
Roles and Responsibilities
 To coordinate all activities related to Medical records department
 To protect Medical records
 To maintained confidentiality of Medical records
 To Review record of completes and compliance with regulation
 To provide Data for Research
 To prepare statistics data related to health care
 To Release of information to people/Agencies according to
regulation
 To supervise central works
 To maintain proper documentation as per NABH
 To maintain proper storing of Medical records as per protocol
(filing)

REGISTERS OF MRD
Birth Register
Death Register
Pest control Register
Out Going Files Register
Files Receiving from Floors Register
 TYPES OF FILES
General Files
MLC files
Death Files
MTP Files
LAMA/DAMA files

Files Storing Policy

SOP of Retention of Medical Records, All Medical Records
should be ordinarily preserved for a minimum period as
Mentioned Below
All IPD files: 5 years
Death Files: Permanent
MLC Files: Permanent
STEPS OF PATIENT FILE
RECEVING
Purpose:-
To ensure all IP & OP files have required documents from the
user departments while receiving.

Scope:-
The policy aims at completeness of documentation in patient
files.

Procedure:-
1. Check all the files received for all the required documents.
2. Place the whole file along with other reports in the cloth
Envelope.
3. Write the patient IP (In patient) Number and ICD Code, refer
ICD – 10 for final diagnosis.
4. Arrange the file for the IP number basic, then proper filing in
the rack.
DATA ANALYSIS AND
INTERPRETATION

Total Discharges
800

700 667

600 541
511
500

400

300

200

100

0
Feb-22 Mar-22 Apr-22

Total Deliveries
145
140
140

135

130
124
125
119
120

115

110

105
Feb-22 Mar-22 Apr-22
 Total IP MLC
6

5
5

4
4

1
1

0
Feb-22 Mar-22 Apr-22

Discharge Files Received

800

700 667 664

600 541 541

511 511
500

400

300

200

100

0
Feb-22 Mar-22 Apr-22

Total Discharges Total Received Discahrged Files

LAYOUT:-
PROBLEM IDENTIFICATION
MRD Discharge files are not reaching MRD on time, as per the
protocol all the discharge files should reach MRD within 72
hours, But it’s taking time to send the files to MRD by the In
charges, And Files are not completing properly where the
Names of Doctors, In charges, Patients, and the Attenders will
be missing, and also Sign, Date and time will be missing in
many forms.

: Recommendation: Maintaining Excel sheet for the

pending, delay files and for incomplete files, and the same has
been sharing to all the Nurse In charges, Nursing HOD, Nurse
Educator so from this we can educate all the staffs to send the
files in a proper manner, And the MRD is preparing the PPT and
presenting the data’s monthly once to the Doctors, Nurse In
charges, and to the management, from this can avoid the
problems occurring with the documentations.
 CONSULION
The main objective about the preparation of this project
was to put together the experiences and the findings that
gathered during the training period with my observation.
A Project is a wholehearted purposeful activity carried to
completion in its natural setting. This is a vivid
description of all the aspects of the MRD. The main
objective about the preparation of this project was to put
together the experiences and the findings that gathered
during the training period with my Qualitative study. A
Project is a wholehearted purposeful activity carried to
completion in its natural setting. This is a vivid
description of all the aspects of the Medical records
department of Rainbow Children’s Hospital, Bannerghatta
Road, Bengaluru, and Karnataka.
Thank You