This would be the second monthly bRound-ups segment/category post after the last one in early June.

In July, posts about medical information that must documented in a medical record dominated the blog. I rounded up all the medical information that require documentation in medical records and composed about them in the post Medical information that require documentation in medical records (this link will open in a new tab of your current browser window). This post ended all about medical documentation a Health Information Management (HIM) / Medical Records (MR) practitioner must know to ensure the quality of medical records as well to meet the quality standards set by the Joint Commission International (JCI), if his or her hospital is seeking JCI accreditation status or continues maintaining such standards for future surveys.

July was also when I embarked on bringing together posts that relate to anaesthesia and surgical documentation in the medical record.

I started off with my first post related to anaesthesia and surgical documentation in the medical record about the need for a preanesthesia assessment and a separate preinduction assessment performed to re-evaluate patients immediately before the induction of anaesthesia by a qualified individual who conducts a preanesthesia assessment and preinduction assessment for every patient prior to surgery.

More posts follow in August on Anaesthesia Care and Surgical Care from the standards contained in the appropriately named ASC chapter of the 4th Edition Joint Commission International Accreditation Standards For Hospitals, effective 1 January 2011. I do hope to finish covering posts on Anaesthesia Care and Surgical Care by end of August 2012.

In completing these posts on Medical and Nursing Care as well as Anaesthesia Care and Surgical Care, I must confess and I have already confessed in all my previous posts, that I am no expert in Medical and Nursing Care or Anaesthesia Care and Surgical Care. I am only blogging based on my experiences in the healthcare industry and also providing evidence to support my posts from literature review of relevant medical text-books I own or I need to resource from libraries, and of course strictly referring to the 4th Edition Joint Commission International Accreditation Standards For Hospitals, effective 1 January 2011 manual.

Apart from the medical and surgical documentation posts in July, I wanted to cover casemix as well and so I did with one post describing how hospitals in Wales, the United Kingdom used some casemix concepts to bring about efficiency and order to the hospital system there. I do not intend to bring text-book material here but I shall endeavour to relate to text-book content and evaluate real situations when casemix is seen in action.

I did not want to miss out covering topics from time to time on standards  that refer to the Management and Communication of Information (MCI) chapter of the 4th Edition Joint Commission International Accreditation Standards For Hospitals. So the post JCI Standard MCI.16 – Leadership and Planning, records and information are protected (this link will open in a new tab of your current browser window) covered the Standard MCI.16 which requires that “Records and information are protected from loss, destruction, tampering, and unauthorized access or use”.

To the reader, I hope to focus and continue to finish as soon as possible all the standards covering surgical documentation in the medical record by end of August, and also include any interesting and worthy post(s) on any other subject matter, alongside issues of medical record documentation and medical record leadership and planning issues from the MCI chapter as part of my August 2012 postings.

Thank You for reading this blog!