health information managers some questions to help get you started1 what do the a

Some questions to help get you started:
1. What do the authors see, from a clinician-user perspective, as the main purposes of the medical record?
2. Do you think that the long-standing views (from other non-clinical disciplines [e.g. the scientist, Korzybski]) that ‘the map is not the territory’ and ‘the representation of reality is not reality itself’, are (or are not) legitimate in this situation, i.e. where the ‘map’ here is the medical record and the ‘territory’ is the patient care? What does this mean, in fact? For instance (1) how ‘real’ is the ‘reality’ of the medical record? For instance (2) the perspective might be that the record embodies the patient, i.e. is the embodiment of the patient, and another that it is not. Consider these aspects in your discussion.
3. What are the stated purposes of the contemporary medical record? Can you add to those listed by the authors?
4. What functions associated with the medical record ‘distract’ clinicians’ focus away from the business of communicating with and treating the patient? Is this a legitimate argument? Justify your position.
5. The medical record, according to the authors, has been co-opted by multiple non-clinical interests. They believe that it serves several masters and, in doing so, has become unwieldy and flawed. Is the situation in Australia as problematic as that in the USA, as portrayed by the authors? Are Australian HIMs, for instance, guilty of re-appropriating the functions of the medical record? For what purposes? Can you justify these actions?
6. The consequences of current documentation practices are spelt out by the authors and these appear to be quite dire. Comment, amongst your team, on each of those listed and compare and contrast with your knowledge of the Australian situation.
7. As HIMs, how would you justify to these authors the need for lengthy, detailed documentation and the other purposes of the medical record? Indicate aspects that you do not think are justifiable, or that need to be changed in the Australian context.
The intention is that this becomes a robust, online discussion of all the issues. Do feel free to comment on more than one aspect, as they are all interlinked in some way

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