Besides improving efficiency and transparency, the G-DRG scheme has been suspected of compromising on quality of care (e.g., early discharge or cream-skimming) and documentation of service delivery (e.g., up-coding) [12].
In the health centres in this study mechanisms of answerability included documentation of service activities in medical records, hard-copy registers and tally sheets, production of summary activity reports, and performance review and feedback from District administrators.
In Zambian primary health centres, as outlined in Figure 2, mechanisms of administrative answerability included documentation of service activities in medical records, hard-copy registers and tally sheets, production of summary activity reports and performance review and feedback by District administrators.
Each of these evaluations provided a rigorous evaluation of employment outcomes and included detailed documentation of the services delivered so the findings could be replicated in other settings.
A majority of providers were not regularly using or were not highly satisfied with a few core features of the EHR, including documentation of preventive services and the health maintenance module.
The medical doctors and others responsible for the coding procedures need to introduce new traditions of documentation and registration of clinical HP activities in order to fullfil the obligation for documentation of health services and patient related activities, inclusive HP activities.
eHealth applications can be broadly categorized into two groups: the use of distance-spanning technology for health care through telemedicine/virtual visits (i.e. video consultations, remote diagnostics, telehomecare); and the use of electronic documentation of health services (e.g. electronic health records, electronic prescriptions, surveillance systems).
The first reported documentation of Stericycle servicing an abortion clinic came in 2003, one year before Bain sold its stake in the company.
Documentation of newborn clinical services especially neonatal resuscitation is generally poor, clinical reviews and perinatal audit are poorly implemented and available data are inadequate for action and decision-making.
