Medical Record Administrators Research Articles

Medical Record Monitoring an Administration System

Abstract— A state-of-the-art software program called the Medical Record Monitoring and Administration System offers a consolidated platform for monitoring and managing medical data, hence streamlining the management of healthcare. Healthcare personnel can effectively handle patient data, keep track of medical histories, and guarantee regulatory compliance using this system. Medical records are kept accurate, current, and easily accessible thanks to the system’s sophisticated features, which also include safe data storage, automatic alarms, and real-time monitoring. This solution improves data management, lowers mistakes, improves patient care, and boosts operational efficiency by automating administrative activities. The Medical Record Monitoring and Administration System is a vital tool for healthcare businesses looking to increase the caliber and effectiveness of their services because of its user-friendly interface and strong security features. Keywords – Pregnancy care management, Monitoring of scheduled visits, Maternal health informatics.

Telemedicine and Telehealth Solutions

Telemedicine and telehealth solutions are witnessing a dramatic shift in the global healthcare sector at a time of unprecedented technological advancements. These innovative approaches are changing the way healthcare is delivered, increasing accessibility, efficacy, and patient-centeredness. Telemedicine has evolved as a powerful technique for overcoming the geographic limits that have long prohibited patients from obtaining high-quality medical treatment. Telemedicine allows patients and healthcare providers to connect without being physically separated, whether they are in crowded cities or remote rural regions. This technical breakthrough has improved patient outcomes while also allowing for the provision of emergency treatment during times of crisis and disaster. Patients may rapidly schedule online consultations, obtain medical advice, and receive tailored treatment plans. This degree of ease encourages patients to actively manage their health, strengthening the trust- and cooperation-based doctor-patient relationship. Telehealth technologies play a critical role in improving healthcare accessible in areas with inadequate healthcare infrastructure. Medical expertise may be extended to underserved areas using telemedicine platforms, allowing professionals to consult, diagnose, and treat patients who would otherwise face major hurdles to timely medical care. Furthermore, telemedicine programs have shown to be critical in delivering mental health care, particularly in areas where mental health resources are few. The combination of telemedicine and telehealth technology has transformed the delivery of healthcare services. Remote patient monitoring gadgets and wearable technology have enabled healthcare practitioners to continually monitor their patients' health state, allowing them to discover possible issues early and respond proactively. Furthermore, telemedicine has simplified medical record administration, improved care coordination, and reduced medical mistakes. While the advantages of telemedicine solutions are obvious, difficulties remain. These include worries about data security, privacy, and the need for regulatory frameworks to properly control telemedicine operations. Addressing these issues would need the collaboration of governments, healthcare institutions, and technology suppliers. We can establish a safe atmosphere for telehealth solutions to thrive by creating strong rules and guidelines. Telemedicine and telehealth have emerged as viable options for addressing Pakistan's healthcare concerns. With a rising population and restricted access to medical facilities, these revolutionary technologies are reshaping the country's healthcare scene. Telemedicine connects patients from rural and underprivileged locations with healthcare specialists via virtual consultations, allowing for quick diagnosis and treatment suggestions [1]. Furthermore, telehealth efforts enable people to take an active role in their health management by putting medical information and services at their fingertips. Despite certain infrastructure and regulatory difficulties, the use of telemedicine and telehealth in Pakistan has enormous potential to improve healthcare access and patient outcomes across the country.

Defining career success: A cross-sectional analysis of health information managers' perceptions.

Career success can be defined as the accomplishment of desirable outcomes in an individual's work experiences. It can be divided into objective and subjective career success. Objective success refers to tangible and measurable outcomes such as promotions and position titles. Subjective career success relates to an individual's interpretations of their success or accomplishments. The career success of health information management professionals has not been explored in the literature. To determine the indicators of career success as reported by health information managers (HIMs) and identify whether there are any differences based on length of time in the profession. Using a cross-sectional study design, an online survey was administered to a sample of La Trobe University and Lincoln Institute of Health Sciences Medical Record Administration and Health Information Management graduates from 1985, 1995, 2005 and 2015, which included the following question: "How would you define success in your career?" Almost 88% (n = 63) of overall participants in the study responded to this item. Subjective factors (n = 77) of career success, compared to objective factors (n = 22), were more common. The categories of recognition (feeling valued/appreciated), job satisfaction and feelings of accomplishment/sense of achievement were commonly reported. Subjective factors of an individual's career success were deemed to be more significant than objective factors among HIMs. Factors such as recognition and appreciation at work, job satisfaction, fostering high-quality work outputs and creating a sense of achievement should be the major foci for managers, organisations and individuals.

Degitalization of Medical Record Administration Services at Dian Rapha Medika Toraja Clinic

In the world of health, the management of administrative documents, especially medical records, is a very important thing to do. Management of medical records in collaboration with information technology can improve services effectively and efficiently in managing information data quickly and avoiding delays in service. Until now, the Dian Rapha Medika Toraja Clinic still uses manual medical record administration management with several existing obstacles. This causes health services that should be handled quickly cannot be carried out. Therefore, the researcher is interested and aims to design a website-based medical record administration management system at the Dian Rapha Medika Clinic Toraja. This study uses the waterfall model design method, which consists of 1) Needs Analysis, 2) System Design, 3) Implementation, and 4) Testing. The data collection techniques in this design are 1) Interview and 2) Observation. The results of this study indicate several advantages when using digitization of administrative services for medical colleagues at Dian Rapha Medika Toraja clinic, namely: 1) assisting in digitally documenting patient medical record data; 2) input of patient medical record data is easier and faster; 3) facilitate doctors in analyzing the patient's medical records; 4) searching for patient medical record data is easier and faster; 5) storage of medical record data is more concise and well-structured due to the integration of patient data and medical records so that it can accelerate administrative management at the clinic.

Professional identity and workplace motivation: A case study of health information managers.

The professional identity and motivation of qualified health information managers (HIMs) is largely unexplored. A larger study has investigated the motivators of HIMs in the construction of their professional identity and associated relationships to job satisfaction and engagement with their profession. The aims of this component of the study were to: (i) identify and analyse the characteristics of members of the profession who have different motivation profiles; (ii) obtain HIMs' perspectives on their professional identity; and (iii) measure correlation between HIMs' professional identity and different motivating factors. Method: A cross-sectional study design, with a convergent mixed-methods approach to data collection was employed. An online survey was administered to the 1985, 1995, 2005 and 2015 Australian health information management and medical record administration graduate cohorts from one university in Victoria. Response rate: 72.7% (n = 72). There were no statistically significant correlations between the HIMs' motivation profile and professional identity. The HIMs were largely motivated by a need for achievement (striving for excellence) and continuous improvement; maintained high standards of work quality (95.8%); valued their work (94.4%) and work collaborations (84.7%); satisfactorily applied skills-knowledge (94%); demonstrated a very strong professional association (92% were proud to belong to the profession). Key factors in motivation that were consistently reported by members of all cohorts in the open-ended questions were as follows: intrinsic motivation; colleagues and teamwork; the variety of work performed; and contribution to the bigger picture. Overall, and notwithstanding between-cohort differences: 65.3% confidently directed others, 45.8% aspired to leadership and 38% actively networked. They related difficulty in explaining the profession to outsiders. There was no correlation between motivation profile and professional identity. Significantly, the HIMs demonstrated exceptionally strong positive professional identity, reflected particularly in pride in membership of the profession and their belief in the importance of their professional work.

User Testing of an Admission, Discharge, Transfer System: Usability Evaluation

Introduction: To improve the first step of the hospitalization procedure, appropriate interaction must be established between users and the admission, discharge, and transfer system. The aim of this study was to evaluate the usability of the ADT system in some of selected Iranian non-teaching hospitals.Material and Methods: This study was cross-sectional research that has evaluated the usability of a selected ADT system using the think-aloud method by 11 medical record administrators. Users were asked to follow the provided scenario, then share and elaborate on what they saw, thought about, did, felt, and decided during their interaction with the system. Users' feedbacks were collected and organized into four main categories for further processing.Results: To evaluate the usability of an ADT system, four routine scenario tasks were followed by users and only 45.45% of them could implement all tasks. Overall, 36 independent problems were identified. All problems were related to the data entry categories that accounted for the largest share. The most important problems were related to the issues regarding "date of birth" field in this category which deals with the outpatient admission process.Conclusion: The study of the usability testing method indicated that the ADT subsystem of non-teaching hospital has many problems in interact with real users with the system. It showed that more than half of the users could not completely and successfully perform the entire real-world scenario tasks. Furthermore, the most usability problems were found in data entry categories.

Computer-based clinical coding activity analysis for neurosurgical terms.

BackgroundIt is not possible to measure how much activity is required to understand and code a medical data. We introduce an assessment method in clinical coding, and applied this method to neurosurgical terms.MethodsCoding activity consists of two stages. At first, the coders need to understand a presented medical term (informational activity). The second coding stage is about a navigating terminology browser to find a code that matches the concept (code-matching activity). Systematized Nomenclature of Medicine – Clinical Terms (SNOMED CT) was used for the coding system. A new computer application to record the trajectory of the computer mouse and record the usage time was programmed. Using this application, we measured the time that was spent. A senior neurosurgeon who has studied SNOMED CT has analyzed the accuracy of the input coding. This method was tested by five neurosurgical residents (NSRs) and five medical record administrators (MRAs), and 20 neurosurgical terms were used.ResultsThe mean accuracy of the NSR group was 89.33%, and the mean accuracy of the MRA group was 80% (p=0.024). The mean duration for total coding of the NSR group was 158.47 seconds, and the mean duration for total coding of the MRA group was 271.75 seconds (p=0.003).ConclusionWe proposed a method to analyze the clinical coding process. Through this method, it was possible to accurately calculate the time required for the coding. In neurosurgical terms, NSRs had shorter time to complete the coding and higher accuracy than MRAs.

Proposal for improving the education and licensing examination for medical record administrators in Korea.

Proposal for improving the education and licensing examination for medical record administrators in Korea.

Safety of Psychiatric Inpatients at the Veterans Health Administration.

Although reducing adverse events and medical errors has become a central focus of the U.S. health care system over the past two decades both within and outside the Veterans Health Administration (VHA) hospital systems, patients treated in psychiatric units of acute care general hospitals have been excluded from major research in this field. The study included a random sample of 40 psychiatric units from medical centers in the national VHA system. Standardized abstraction tools were used to assess the electronic health records from 8,005 hospitalizations. Medical record administrators screened the records for the presence of ten specific types of patient safety events, which, when present, were evaluated by physician reviewers to assess whether the event was the result of an error, whether it caused harm, and whether it was preventable. Approximately one in five patients experienced a patient safety event. The most frequently occurring events were medication errors (which include delayed and missed doses) (17.2%), followed by adverse drug events (4.1%), falls (2.8%), and assault (1.0%). Most patient safety events (94.9%) resulted in little harm or no harm, and more than half (56.6%) of the events were deemed preventable. Although patient safety events in VHA psychiatric inpatient units were relatively common, a great majority of these events resulted in little or no patient harm. Nevertheless, many were preventable, and the study provides data with which to target future initiatives that may improve the safety of this vulnerable patient population.

Response to pembrolizumab in patients with mismatch repair deficient (dMMR) colorectal cancer (CRC).

3558 Background: Anti-programmed death-1 (PD-1) antibodies have been shown to be effective in the treatment of dMMR CRC. We describe an updated analysis from a cohort of 19 patients (pts) with dMMR CRC treated with pembrolizumab. Methods: Pts were identified through review of the Mayo Clinic electronic medical record (EMR) and chemotherapy administration records from May 2015 through January 2017. All pts with dMMR CRC who received treatment with pembrolizumab were included. The EMR was reviewed to identify demographic, clinical, pathologic and treatment details. Overall survival (OS), progression free survival (PFS) and disease control rate (DCR = CR+PR+SD) are reported. Time to event analysis was calculated using the Kaplan-Meier method. Results: Nineteen pts were included in this analysis; median age at diagnosis was 48.6 years (range 25-93); 53% were female. Most primary tumors were right sided (n = 12; 63%), 6 (32%) were left sided and 1 (5%) was a tumor of unknown primary within the bowel. Twelve (63%) pts received ≥2 lines of therapy prior to pembrolizumab (range 1-4). Five pts received 2 mg/kg every 3 weeks, 11 received 200 mg/day every 3 weeks and 2 pts received 10 mg/kg (1 every 2 weeks, the other every 3 weeks). The most common alterations identified were loss of MLH1 (11/15) and PMS2 (12/15); 4 pts had germline mutations (mut) identified. KRAS mut was identified in 6/16 pts and 2 pts had BRAF mut. Three pts had MLH1 hypermethylation. Median number of cycles of pembrolizumab was 8 (range 1-35+), with 13 (68%) pts receiving ≥6 cycles. DCR at first assessment was 68%, with 5% CR, 47% PR and 16% SD. Median follow-up from diagnosis was 29 months (95% CI 18-42). Median OS was 103 months (95% CI 85-103); 12-month OS was 89%. Median OS from PD-1 therapy was 16.1 months (95% CI 16-NR); 12-month OS from PD-1 therapy was 79%. Median PFS was NR (95% CI 5-NR); 12-month PFS was 54%. At time of analysis, 9 pts remain on PD-1 therapy; 5 pts have died; 3 have received subsequent therapy. Conclusions: Anti-PD1 blockade with pembrolizumab can provide long lasting benefit in dMMR mCRC, even in heavily pretreated pts.

Response to pembrolizumab in patients with mismatch repair deficient (dMMR) metastatic colorectal cancer (mCRC).

714 Background: Mismatch repair deficient (dMMR) colorectal cancer (CRC) has been shown to be responsive to blockade with anti-programmed death-1 (PD-1) antibodies. We describe a cohort of 17 patients with dMMR mCRC receiving treatment with pembrolizumab. Methods: Patients were identified through review of the Mayo Clinic electronic medical record (EMR) and chemotherapy administration records from May 2015 through September 2016. All patients with dMMR mCRC who received treatment with pembrolizumab were included. The EMR was reviewed to identify demographic, clinical, pathologic and treatment details. Overall survival (OS), progression free survival (PFS) and disease control rate (DCR=CR+PR+SD) are reported. Time to event analysis was calculated using the Kaplan-Meier method. Results: A total of 17 patients were included in this analysis; median age at diagnosis was 48.5 years (range 25-93); 59% were female. Most primary tumors were right sided (n=12; 71%), 4 (24%) were left sided and 1 (5%) was a tumor of unknown primary within the bowel. Thirteen (75%) patients received 2 or more lines of therapy prior to pembrolizumab (range 1-4). All patients received 2 mg/kg every 3 weeks, with the exception of two patients on a clinical trial; one who received 200 mg every 3 weeks, the other received 10 mg/kg every 2 weeks. The most common mutations (mut) identified were loss of MLH1 (9/12) and PMS2 (10/12), 4 patients had germline mut. KRAS mut was identified in 6/15 patients and only 1 patient had BRAF mut. Number of cycles of pembrolizumab ranged from 1 to 35, with 10 (59%) patients receiving 6 or more cycles. DCR at first assessment was 57%, with 7% CR and 50% PR. Median follow-up was 28 months (95% CI 18-55). Median OS was 103 months (95% CI NR-NR); 12-month OS was 88% and 24-month OS was 81%. Median OS post-PD-1 therapy was NR (95% CI 2-NR). Median PFS was 19 months (95% CI 5-19); 12-month PFS was 64% and 24-month PFS was 0%. At time of analysis, 11 patients remain on PD-1 therapy; 4 patients have died. Conclusions: Anti-PD1 blockade with pembrolizumab can provide long lasting benefit in dMMR mCRC, even in heavily pretreated patients.

Cancer Registration Manual Understanding by Medical Record Administrators

Background:This study examined: (a) whether medical record administrators (MRAs) properly understand and apply a cancer registration manual; (b) weaknesses in cancer registration: and (c) factors influencing the accuracy of cancer registration.Methods:MRAs dealing with cancer registration in 81 national member hospitals were asked by mail to answer 17 questions about cancer information among registration items. After calculating rates of correct and incorrect answers to each question, an analysis was conducted of whether they were related to particular factors (hospital type, hospital location, number of hospital beds, experience of cancer registration, and experience of consulting cancer registration).Results:A total of 45.7% of the participants gave approximately 90% correct answers. The rates for correct answers about general rules were under 90% for objectives of cancer registration and treatment. The rate concerning histologic type was over 90%, while few correct answers exceeded 50% to questions concerning newly revised rules for the colorectal system. For questions about initial treatment, date of diagnosis, and method of final diagnosis, as well as four questions on checking the validity of registered data, the correct answer rates were 70-90%. Regarding the features of hospitals and respondents, number of hospital beds and prior experience in cancer registration questions were found to contribute to the high rate of correct answers.Conclusion:To improve the accuracy of cancer registration, the manual needs to be supplemented in areas demonstrating low correct answer rates. Education opportunities and methods for MRAs should be diversified.

진료재료대 수가누락방지 및 비용절감 개선활동

Objectives: Because recently hospital had to faced with financial hardship, we have to have more effective hospital management. The purpose of this study was to reduce loss costs of the hospital through the systematic management of medical supplies and increase operational efficiency. Methods: The team was composed of outpatient nursing staff, medical record administrator, nurses in medical insurance, medical computer center, dermatologists for this study. We surveyed for 114 people including outpatient nursing staff, nurse aids, medical assistant, physician assistant. Pre-survey period was 2013.03.11 ~ 03.30(2 weeks), and post-survey period was 2013.09.03 ~ 09.17(2 weeks). Result: We improved this way through the computational improvement, conservation campaigns, inventory management, staff training, replaced by low-cost medical supplies. The finding of this study were as follows: Comparing before and after the activity of outpatient nursing staff`s degree of knowledge, performance, economic consciousness, the degree of knowledge, performance was increased, but there was no significant change in economic consciousness. Performance of Married person is higher than the unmarried, In addition, the high-position people were more the degree of knowleage, economic consciousness. After activity, correlation of goods and treatment, examinations is increasing, but statistically there was no mean. Conclusion: This study revealed that knowledge in a short period of activity, but also can improve, perform the same change in behavior is not easy. This one shows the intensive training required to sustained and systematic behavioral changes, such as changes in behavior, perform rituals to help the economy. Expensive medical supplies to replace a similar effect as the cost of materials just to have a lot of cost savings. Therefore, more medical supplies change is necessary to develop alternative treatment and cost cutting.

Roles of The Hospital Information System in Field-Centered Medical Record Technician Job Training

This study explored directions on how for medical record administrator as health information managers to paly their role, and presented how for health information managers to paly their role, using hospital information system at universities. With these situations as the background, this study attempted to present the following improvement plans for college education so that medical record administrators as health information managers may contribute to medical development.BR First, education on the university information system should be able to not only provide training for hospital administration tasks, but also help learners apprend data flow of the hospital information system, collect/analyze data that occur, and acquire data management techniques that can generate new information. Second, the national examination of medical record administrators should be able to test the ability of statistical knowledge and data management techniques for analysis on medical big data. Third, since the hospital information system has a wide range of utilization scope according to sizes of medical institutes, data collected and ways to collect them differ, if universities that train medical record administrators prepare/present criteria for analysis of medical big data, medical record administrators will be able to exercise their ability of utilizing big data, not influenced by sizes & tasks of medical institutes.

Prevalence and risk factors for isolation of methicillin-resistant Staphylococcus in dogs with keratitis.

To determine the prevalence of, and risk factors for, methicillin-resistant Staphylococcus (MRS) isolation in dogs with naturally acquired bacterial keratitis. All Staphylococcus spp. isolated from corneal samples of dogs with keratitis during a 2-year period were evaluated for methicillin resistance by bacteriologic methods. Each MRS isolate was subjected to in vitro susceptibility testing for systemic and ocular antimicrobials. Nasal swabs for culture were collected from all dogs with MRS corneal isolation to evaluate for nasal carrier status. Potential risk factors for MRS isolation were investigated by medical record review and administration of an epidemiological survey to dog owners. Collected information characterizing animal, client, and environmental variables was analyzed for association with MRS isolation. Seventy-one Staphylococcus spp. were isolated from seventy individual dogs with keratitis during the study period. Seventeen of the Staphylococcus isolates (23.9%) were methicillin resistant. The MRS isolates included Staphylococcus epidermidis (n = 10), Staphylococcus pseudintermedius (n = 6), and Staphylococcus aureus (n = 1). The MRS corneal isolates displayed extensive antimicrobial resistance. Four dogs (23.5%) with MRS corneal isolates had positive nasal cultures for MRS. Client occupation was significantly (P = 0.01) associated with MRS isolation, and dogs belonging to owners employed in veterinary or human healthcare fields were four times more likely to have MRS keratitis than dogs owned by clients with different professions. There were no significant associations between the other evaluated animal, client, and environmental factors. Methicillin resistance is relatively common in Staphylococcus isolates from dogs with corneal infections, particularly among dogs belonging to healthcare workers.

A Discussion on the Method of Classification of Medical Syndromes in the ICD-10

A medical syndrome is a group of disease symptoms involving multiple systems and organs, and there are various naming categories. Most of the symptoms listed in the ICD-10 (International Classifi cation of Diseases) are named by transliteration of the surnames of the discoverers, while the clinical doctors in our country often use the “ conventional name ” or “ common name ” and other names in the written diagnosis, which may be a problem for the coders. In this paper, by analyzing three situations of the naming structure for syndromes, the author elaborates the direct search method and the code search method, according to the disease classifi cation principles which are commonly used for searching for the disease code of a syndrome, and points out the issues that should be paid attention to in the work of coding disease syndromes. It also analyzes the search methods of several disease syndromes, and provides a reference for medical record administrators to help them in the process of cataloging the diseases.

Discussion on the Necessity of Making Quality Presentation of Medical Records

The quality presentation of medical records has important implications for the department of medical records in a hospital, and the accurate information could provide a reference both for the decision-making by leaders and for the purposes of treatment, teaching and research; it is a new breakthrough in improving the work efficiency of the medical record staff and also an effective publicity method to promote the overall image of the department. Medical record administrators should pay full attention to this work and give full play to their advantages; through carefully studying the needs of “users”, screening valuable original information, designing reasonable statistical report tables, collecting accurate data and analyzing them, the medical record administrators can assist the hospital leaders to straighten out the workflows in the hospital, improve the work efficiency of each position, ensure the accuracy of medical information data and provide powerful data support.

The intermountain risk score predicts mortality in trauma patients

PurposeIntermountain Risk Score (IMRS) uses the admission complete blood count and basic metabolic profile to predict mortality. Intermountain Risk Score has been validated in medical patients but has not been evaluated in trauma. This study tested whether IMRS is predictive of mortality in a trauma population at a level I trauma center. MethodsAdmitted trauma patients with complete blood count and basic metabolic profile from October 2005 to December 2011 were evaluated. Thirty-day and 1-year IMRS were calculated using multivariable modeling. Mortality was determined using the medical record and Social Security Administration death data. ResultsThree thousand six hundred thirty-seven females and 5901 males were evaluated. Intermountain Risk Score was highly predictive of death at 30 days (c-statistics, c = 0.772 for females; c = 0.783 males) and 1 year (c = 0.778 for females; c = 0.831 males). Cox regression analysis, adjusted for injury severity score, blunt vs penetrating, and length of stay, showed increased mortality risks among patients in the moderate- and high-risk IMRS-defined groups at both 30 days and 1 year, with hazard ratios ranging from 4.96 to 57.88 (all P < .001). ConclusionIntermountain Risk Score strongly predicts mortality in trauma patients at this single level I trauma center. The ability to accurately determine a patient’s mortality risk at admission makes IMRS a potentially clinically important tool.

Frequency of tuberculosis among diabetic patients in the People&amp;#39;s Republic of China

The People’s Republic of China has nearly the highest incidence of both diabetes mellitus (DM) and tuberculosis (TB) worldwide. DM increases the risk of TB by two to three times and adversely affects TB treatment outcomes. The increasing epidemic of DM in the People’s Republic of China is due to decreased physical activity, unhealthy diet, and obesity. Over the last 20 years, the excellent free China National Tuberculosis Program has been set up, and the “DOTS” (directly observed treatment + short-course chemotherapy) model for TB control has successfully reduced the burden of TB, but the disease is still a considerable problem. Given the high burden of TB and DM in the People’s Republic of China and the relationship between the two diseases, it is sensible to screen DM patients for TB. A bidirectional screening of the two diseases was conducted in the People’s Republic of China from 2011 to 2012, which identified a TB incidence in patients with DM of about 958 per 100,000. Here, we report the findings of our recent study on the incidence of TB among diabetic patients in the People’s Republic of China. The data agree with those of previous reports.

The health and medical statistics survey in Medical Records Offices required by the outside institutions

Abstract This study was conducted in order to examine the quantity of health and medical statistics survey in Medical Records Offices which was required by outside institutions and whether it is profitable for the hospitals or not. The thirteen outside institutions required health and medical statistics of the 24 types of the survey to Medical Records Offices. 16.7% of health and medical statistics of the survey was paid to medical records offices such as the National Cancer Registration Survey, Patient Survey, Tuberculosis Patient Survey, and Hospital Discharge Patients Injury Survey. Medical Records Offices' total length of time for the health and medical statistics survey was over 200 hours per year like the National Cancer Registration Survey, Healthcare Accreditation System and Hospital Discharge Patients Injury Survey. The Medical Record Administrators in the hospitals with fewer than 500 beds work full time from 1 to 3. It is indicated in the study that it is necessary to improve the health and medical statistics survey system in Medical Records Offices required by the outside institutions and to employ additional Medical Record Administrator for more accurate Health and Medical Statistics Survey.