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Some healthcare managers think that medical record departments are not receiving the full benefits available to them from their correspondence copy service. What are they receiving and what should they be receiving? And, what are the copying service companies getting? What should they be getting? This article examines and redefines the relationship between copying services and medical record departments.
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While considered relatively unsophisticated by technological standards, office machines touch virtually every employee, and, perhaps due to their simplicity, affect hospital operations, efficiency and total costs in a similar manner as computers and telecommunications. Developing a plan for their use, maximizing their efficiency and managing them as powerful assets will produce a benefit well beyond the effort or cost expended.
Fax technology is the transmission of text and graphic data between two locations via telephone lines. The advantages of this technology include the speed with which a document can be sent anywhere in the world and the decreased cost versus traditional courier and Telex services. Several different types of machines exist, but standard operating parameters are set by the Consultative Committee for International Telephone and Telegraph (CCITT). There are four categories of machines, called Groups, which aid in classifying the various fax units. Group 3 machines are the most common comprising about 75% of the market. Standard features vary between and within groups, depending on the manufacturer and model. Features such as polling, document broadcasting, security levels, and computer linkage are discussed. The healthcare industry has been slow to adopt fax technology. Applications in hospital pharmacy are the main focus of attention of some hospital administrators and directors of pharmacy. A few studies have shown decreased medication order turnaround time after implementation of a fax-based pharmacy order system. However, problems such as order clarity and legibility, elevated nursing expectations and increased use of paper can decrease its usefulness. Overall, facsimile technology will find a place in the healthcare arena and may become an integral part of the modern pharmacy department.
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These regulations govern the programs of the National Library of Medicine (NLM). The regulations permit the Regional Medical Libraries to recover part or all of the costs of providing photocopies of biomedical materials; improve readability of the regulations; and update references to statutory authorities and uniform administrative requirements.
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A hospital materials manager is considering eliminating routine purchase orders for most items of medical supply. This is due to the increased use of the telephone and of electronic devices such as fax, transceivers and computer hookups. Written purchase orders would continue to be mailed to suppliers for capital equipment and other major expenditures. The materials manager is wondering how this time-saving practice might be affected by purchase law under the Uniform Commercial Code (UCC). In this dialogue, Dr. Decker responds to this reader's inquiry.