What does the statement “If it isn’t documented, it was not done.” mean in terms of compliance with health record documentation? What type of issues could lack documentation create?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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What does the statement “If it isn’t documented, it was not done.” mean in terms of compliance with health record documentation? What type of issues could lack documentation create?

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Introduction:-

Acute care is an inpatient care wheras ambulatory refers to outpatient care. An acute care is a medical facility in which patients remain under constant care. An ambulatory setting might be a non-medical facility like a school or nursing home, but it also includes clinics and medical settings that typically deal with non-emergency issues.long term care deals with long term care or home based care,dealing with the aged and often frail population thatcompris

Explanation:-

Two factors that have influenced the delivery of healthcare in united states are:

1)Technology.  It is the technology is credited as that having the most significant effect on healthcare delivery system.

2. Healthcare product and service prices. The level and growth of healthcare prices have a big impact on healthcare spending and healthcare delivery.

3. Health insurance coverage. Getting health insurance coverage can potentially reduce patients' incentives to seek the most efficient, lowest-priced care .However, the recent trend of employers and insurers placing more fiscal responsibility on patients' shoulders in the form of higher coinsurance and copayments has contributed to slower growth rates and influenced the delivery of healthcare.

 

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