IM - Management of Information

IM001F Medical Record Review Summary Sheet and Review Forms
Facility Type:   Acute Care Last JCAHO Survey:  May 1998
Files for viewing or downloading
The following files are available for viewing with Adobe Acrobat Reader:
Medical Record Review Summary SheetIM001Fa.pdf
Sample Collection Form 1:  IM001Fb.pdf
Sample Collection Form 2IM001Fc.pdf
Word 95/6.0 files are available in a self extracting file for downloading.  For Windows 95 hold down the shift key as you click on the file.  After downloading the file, double click on the file to cause the files to self inflate.  IM001.exe

IM002F Health Sciences Library Needs Assessment
Facility Type:   Acute Care Last JCAHO Survey:  November 1997
Files for viewing or downloading
The following files are available for viewing with Adobe Acrobat Reader:
Health Sciences Library Needs Assessment:  IM002F.pdf
Word 95/6.0 files are available in a self extracting file for downloading.  For Windows 95 hold down the shift key as you click on the file.  After downloading the file, double click on the file to cause the files to self inflate.  IM002f.exe

YOUR MEDICAL CENTER
HEALTH SCIENCES LIBRARY
NEEDS ASSESSMENT SURVEY 

Please take a few minutes to respond to the following questionnaire.

1. In the last year how often did you use the library? (Check only one)

a. ____ Daily

b. ____ Weekly

c. ____ Monthly

d. ____ Less than Monthly

e. ____ Less than Yearly

f. ____ Never

1a. If you checked "never", why?________________________________________________

___________________________________________________________________________

2. Which of the following services offered do you usually use? (Check all that apply)

a. ____ Book Collection

b. ____ Journal Collection

c. ____ Computer Literature Searches

d. ____ Interlibrary Loan

e. ____ Ready reference (answers to inquiries over  the telephone)

f. ____ Current Awareness Services (Library Newsletter, Open House, etc.)

g. ____ Circulation of Materials

3. Please rate the following services ( 1-Excellent, 2-Very Good, 3-Good, 4-Poor )

SERVICES: (Please Circle)

Ex.

V.G.

G.

P.

A. Book Collection

1

2

3

4

B. Journal Collection

1

2

3

4

C. Computer Literature Searches

1

2

3

4

D. Interlibrary Loan

1

2

3

4

E. Ready Reference (Phone Inquiries)

1

2

3

4

F. Current Awareness (Library Newsletter, etc.)

1

2

3

4

G. Circulation of Materials

1

2

3

4

Suggestions for improvement:

_________________________________________________________________________

_________________________________________________________________________

4. What subject area(s) do you frequently need information about?

____ Basic Sciences         ____ Nursing           

____ Emergency Medicine ____ Medicine (Specify)

____ Consumer Education ____ Pharmacology

____ Psychiatry (Geriatric) ____ Psychiatry (Child/Adolescent)

____ Social Sciences         ____ Surgery

____ Nutrition                     ____ Administration

____ Geriatrics                 ____ Other (Specify)

5. If we could add three items (books, journals, etc.) in your area, what would they be?

1._________________________________________________________________

2._________________________________________________________________

3._________________________________________________________________

Additional Comments:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Thank you for your assistance.
Please complete and return to Your Medical Center Health Sciences Library.

Name (Optional) ____________________________________________________

Department ________________________________________________________

 

IM003F Medical Record Review Form for Behaviorial Health
Facility Type:   Mental Health Facility Last JCAHO Survey:  November 1998
Files for viewing or downloading
The following files are available for viewing with Adobe Acrobat Reader:
Medical Record Review Form for Behavioral Health:  IM003F.pdf
Word 95/6.0 files are available in a self extracting file for downloading.  For Windows 95 hold down the shift key as you click on the file.  After downloading the file, double click on the file to cause the files to self inflate.  IM003f.exe
Materials to be Available for Survey:
  1. Policies and procedures (especially as they relate to age and disability populations served; educational, activity, recreational, and other services provided; confidentiality guidelines; nutritional assessments, dietetic counseling, and special diet orders).
  2. Statement of program goals and objectives.
  3. Evidence of competence of individuals who provide treatment service criteria for determining competence.
  4. Medical records
  5. Contracts for services; referral agreements and logs (if applicable).
  6. Description of patient population.
  7. Directories of treatment resources.
  8. Schedules of patient activities and family activities.
  9. Performance improvement materials and any TQM/PI plans
  10. Infection control or infection monitoring reports.
  11. Incident reports.
  12. Utilization review materials.
  13. Performance evaluations.
  14. Drug usage evaluation reports.
  15. Agency and patient feedback reports.
  16. Information on high risk programs.
  17. Discharge planning materials.
  18. Individual and family education resources.
  19. Reports of any major adverse incidents.
  20. Previous JCAHO findings, if any.
  21. Any state, federal, or reimbursement reviews.

IM004F Information Management Needs Assessment
Facility Type:   Acute Care Last JCAHO Survey:  November 1998
Files for viewing or downloading
The following files are available for viewing with Adobe Acrobat Reader:
Medical Record Needs Assessment FormtIM004F.pdf

 

IM005P Medical Records Policy
Facility Type:   Acute Care Last JCAHO Survey
Comments:  The Medical Records Policy includes policy that addresses electronic signatures
Files for viewing or downloading
Because of the length of the document, the policy is available for downloading or for viewing with Adobe Acrobat Reader: IM005P.pdf
To download the file right click on the above link and chose "Save File as..." and select your the desired directory to download the file.
The Medical Records Policy can be downloaded in Word 95 format in a self-extracting downloadable file:  IM005P.exe
For Windows, right click on the above download file and choose "Save Link As..." and save the file to your directory of choice. Once downloaded, double-click on the downloaded file to extract the file into its original Word format.

 

IM006O Information Management Plan
Facility Type:   Acute Care Last JCAHO Survey
Comments:  The Medical Records Policy includes policy that addresses electronic signatures
Files for viewing or downloading
Because of the length of the document, the policy is available for downloading or for viewing with Adobe Acrobat Reader: IM006O.pdf
To download the file right click on the above link and chose "Save File as..." and select your the desired directory to download the file.
The IM Plan can be downloaded in Word 95 format in a self-extracting downloadable file:  IM006O.exe
For Windows, right click on the above download file and choose "Save Link As..." and save the file to your directory of choice. Once downloaded, double-click on the downloaded file to extract the file into its original Word format.

 

IM007P Internet Policy
Facility Type:   Acute Care Last JCAHO Survey
Comments:  
Files for viewing or downloading
The policy is available for downloading or for viewing with Adobe Acrobat Reader: IM007P.pdf
To download the file right click on the above link and chose "Save File as..." and select your the desired directory to download the file.
It can be downloaded in Word 97 format in a self-extracting downloadable file:  IM007P.exe
For Windows, right click on the above download file and choose "Save Link As..." and save the file to your directory of choice. Once downloaded, double-click on the downloaded file to extract the file into its original Word format.

 

IM008F Employee Injury/Illness Documents
Facility Type:   Acute Care
Bed Size:  421
JCAHO Survey:  September 2002
Comments:  Submitted by Leeann L. Sammons, Director of Safety & the Center for Occupational Medicine 
Files for viewing or downloading

Form available for downloading or for viewing with Adobe Acrobat Reader:
Employee Injury/Illness Report: IM008F.pdf
To download the file right click on the above link and chose "Save File as..." and select your the desired directory to download the file.

Forms available for downloading in Word format in a self-extracting downloadable file:
Smart Chart, Physician's Report of Work Ability, Medical Record Request Summary, SOAP Note Form, Patient Visit Summary:  IM008F.exe
For Windows, right click on the above download file and choose "Save Link As..." and save the file to your directory of choice. Once downloaded, double-click on the downloaded file to extract the file into its original Word format.

 

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