This document provides SOPS to ensure appropriate data and information management at health facilities. These SOPs are an updated version of the 2013 SOPs. These SOPs aim to clarify the responsibilities and procedures for effective management of aggregated routine health service dat

Consistent, current and complete documentation in the medical record is an essential component of quality patient care. The following 21 elements reflect a set of commonly accepted standards for medical record documentation. An organization may use these elements to develop standards for medical record documentation. NCQA considers 6 of the 21 elements as core components to medical record documentation. Core elements are indicated by an asterisk (*)

Checklist

Guidelines for patient interviews

Information about interviewing patients

Compliance with the standards is monitored as part of our Quality Improvement Program. Practitioner refers to physicians or other health professionals who provide health care services.

A network provider's office records must be made available to MPHC. This access allows MPHC to monitor compliance with regulatory requirements.

May 17,2022 MEDBOX Issue Brief no.21