Assessment Requirements for BSBMED401 Manage patient recordkeeping system

Release: 1

Assessment Requirements for BSBMED401 Manage patient recordkeeping system

Modification History

Release	Comments
Release 1	This version first released with BSB Business Services Training Package Version 1.0.

Performance Evidence

Evidence of the ability to:

manage a patient recordkeeping system and supervise its use

document how records have been accessed and archived by staff or self in accordance with organisational and legislative requirements

provide activities to others that support correct use of a patient record system.

Note: if a specific volume or frequency is not stated, then evidence must be provided at least once.

Knowledge Evidence

To complete the unit requirements safely and effectively, the individual must:

outline relevant legislation, regulations, standards and codes of practice for maintaining records in a medical environment

explain enterprise policies and procedures related to:

patient recordkeeping including archiving and records transfer

privacy and confidentiality

access to records

describe filing systems and record management processes

explain how medical coding is used to help access and maintain patient records.

Assessment Conditions

Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the medical services administration field of work and include access to:

office equipment and resources

documents and records

a records system

documented procedures

case studies and, where possible, real situations.

Assessors must satisfy NVR/AQTF assessor requirements.

Links

Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=11ef6853-ceed-4ba7-9d87-4da407e23c10