Job responsibilities
Job Summary:
The practice is moving towards becoming a paper-light environment, and the main responsibilities of the post-holder will be to manage incoming document workflows, summarise and read code relevant information from patients clinical records, hospital correspondence and other sources into the practice computer system, working strictly in accordance with the practice notes summarising and read code protocols.
Main Duties/Key Tasks:
- Managing document workflows, highlighting actions, forwarding to relevant clinicians.
- Reviewing medical records and producing an accurate summary of the patients medical history.
- Read Coding the information into the practice clinical system
- Auditing data collection standards in the practice
- Monitoring progress of notes summarising against practice targets
- Filing and retrieving paperwork
- Extraction of necessary data from clinical correspondence and input into electronic patient Record.
- File copies of hospital referrals.
- File hospital letters.
- Scanning of letters and relevant correspondence into patients notes.
- Summarisation of patients notes when requested.
- To ensure the efficient running of the practice computer system, carrying out searches, audits and recalls as required by the doctors, nurses and manager.
- Report faults to software supplier and track progress
- Pro-actively initiate data quality improvement projects
- Ensure accurate report output
- Support and guide members of staff in the use of the computer system
- Ensure security of data at all times
Confidentiality:
In the course of seeking treatment, patients
entrust us with, or allow us to gather, sensitive information in relation
to their health and other matters.
They do so in confidence and have the right to expect that staff
will respect their privacy and act appropriately
In the performance of the duties outlined in
this job description, the post-holder may have access to confidential
information relating to patients and their carers, practice staff and
other healthcare workers. They may
also have access to information relating to the practice as a business
organisation. All such information from any source is to be regarded
as strictly confidential
Information relating to patients, carers, colleagues, other
healthcare workers or the business of the practice may only be divulged to
authorised persons in accordance with the practice policies and procedures
relating to confidentiality and the protection of personal and sensitive
data
Health
& Safety:
The post-holder will assist in
promoting and maintaining their own and others health, safety and security as
defined in the practice Health & Safety policy, the practice Health &
Safety manual, and the practice Infection Control policy and published
procedures. This will include:
Using personal security systems within the
workplace according to practice guidelines
Identifying the risks involved in work
activities and undertaking such activities in a way that manages those
risks
Making effective use of training to update
knowledge and skills
Using appropriate infection control
procedures, maintaining work areas in a tidy and safe way and free from
hazards
Actively reporting of health and safety
hazards and infection hazards immediately when recognised
Keeping own work areas and general / patient
areas generally clean, assisting in the maintenance of general standards
of cleanliness consistent with the scope of the job holders role
Undertaking periodic infection control
training (minimum annually)
Reporting potential risks identified
Demonstrate due regard for safeguarding and
promoting the welfare of children.
Equality and Diversity:
The post-holder will support the equality, diversity
and rights of patients, carers and colleagues, to include:
Acting
in a way that recognizes the importance of peoples rights, interpreting
them in a way that is consistent with practice procedures and policies,
and current legislation
Respecting
the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving
in a manner which is welcoming to and of the individual, is non-judgmental
and respects their circumstances, feelings priorities and rights.
Personal/Professional Development:
The post-holder will participate in any training programme implemented
by the practice as part of this employment, such training to include:
Participation
in an annual individual performance review, including taking
responsibility for maintaining a record of own personal and/or
professional development
Taking
responsibility for own development, learning and performance and
demonstrating skills and activities to others who are undertaking similar
work
Quality:
The post-holder will strive to maintain quality within the practice,
and will:
Alert
other team members to issues of quality and risk
Assess
own performance and take accountability for own actions, either directly
or under supervision
Contribute
to the effectiveness of the team by reflecting on own and team activities
and making suggestions on ways to improve and enhance the teams
performance
Work
effectively with individuals in other agencies to meet patients needs
Effectively
manage own time, workload and resources
Communication:
The post-holder should
recognize the importance of effective communication within the team and will
strive to:
Communicate
effectively with other team members
Communicate
effectively with patients and carers
Recognize
peoples needs for alternative methods of communication and respond
accordingly
Contribution to the Implementation of Services:
The post-holder will:
Apply
practice policies, standards and guidance
Discuss
with other members of the team how the policies, standards and guidelines
will affect own work
Participate in audit where appropriate