St. John’s Health Information Management

St. John’s Health Information Management Department (Medical Records) maintains all patient medical records. The medical record is a permanent document of the history and progress of every patient’s medical care. The record is a compilation of observations and findings recorded by the patient’s physician and members of the hospital healthcare staff, the entries and reports originate at various points in the hospital. Physicians’ dictated medical records are transcribed and added to the medical record.

Records are used for continuity of patient care, to verify insurance claims for medical care rendered, as a legal/business document outlining the course of a patient’s medical care, to provide statistical and factual information for hospital administration and medical staff committees, for hospital accreditation, for licensing and other regulatory bodies and for medical research.