Health and Social Care Services: Reporting and Record Keeping Methods

This report delves into the crucial aspects of effective reporting and record keeping within health and social care services. It highlights the use of technology, including automated health records, computer-based records, and the utilization of personal health tools like smart devices and apps. The report emphasizes the importance of data security and patient privacy, discussing methods to protect sensitive information. It also explores the benefits of involving service users in record keeping, promoting shared decision-making, and personalized care and support planning. The report covers various technologies used in healthcare organizations and their impact on patient care and management. Finally, the report emphasizes the importance of improved communication and information sharing, and the benefits that come with it.

Use of technology in recording and reporting health
care setting
A record is considered as the permanent written
communication that is done so as to capture the relevant
information about the health care and management. It is
seen that the record keeping in the health and social care
department is one of the main task so that the records of
the customers are maintained and nourished for the
future use. It is the principal repository for acquiring the
information which concerns a patient’s health care.
The term health care technology is a broad term which
helps in describing the technology and the infrastructure
which should be used to record or analyse the patients’
health care data. These technology includes the health
record systems which includes the personal, paper and
electric forms.
Hence various types of technology that is used while setting
the health care organisation includes the following:
Automated health records: This is the technology is used to
describe the collection of the computer based stored images
as compared to the traditional recording of the documents.
In this technology the documents are scanned into a
computer and the images are stored on the optical disks.
This helps the health care organisation to access the space
and control the problems that are related to paper records.
This does not include the input or the output of the patients
care level which is the issue related to this technology.
Computer based records: The term computer based record
means that collection of the data of patients. This helps in
providing the integrated data on a patient’s registration. This
also collects the patient’s financial information so that the
treatment can be done accordingly. Although this form of
computer based patients record helps in implementing the
variety of settings so that faster and quick treatment can be
given to the patients. The organisation can use the
smartphone application so that the patients are able to apply
for the meeting with the doctor. These can be developed in a
way that if user enters its name and mobile number than all
the information is shown on the mobile app. This helps the
patients to have the information on the mobile phone. Also
the patients can check the reports and the prescriptions
which are given by the doctor. Also this helps to get the
knowledge of the things that are required to be eaten and are
not required to be taken.
Also personal health tools including the smart devices
and the apps that should be taken care of while
performing the task of recording the data of the customers
and the clients.
This helps the practitioners to check the data which is
required for the application of the professional service so
as to improve the health of the patient. As now a days the
health care centres are using the health information
technology which helps in improving the care and also
increases the outcomes so that the older adults are able to
grow the programme of research that is propelled by the
recent transformative policies. The basic structure of
electronic health record helps the organisation to have a
automated health records of the patients with the help of
which they are identify the patients and found the
prescriptions that were given to them. Also this helps to
recall the laboratory test that were done of the patients. It
is seen that the electronic health record is not considered
as simple replacement of the paper records but it can
identify the problems that are not taken care of due to the
paper records. As the paper record are considered as the
documents that have various problems that are identified,
some of which includes privacy and the confidentiality
issue which would be addressed if the electronic form of
data is maintained. As it is seen that in number of years
the term has been used to describe the move from the
manual to the electronically generated form.
Effective Reporting and Record keeping in Health and Social Care Services

Also this would help to get the consultation from the
doctor virtually without going to the doctor’s clinic.
While maintaining the data on the computerised record
it is utmost important for them to protect the data from
being leaked. Hence various Java scripts should be used
so as to protect the data from being leaked. The
software should be used in a way that it is only
accessible by the patient with his or her identity. This
would help in securing the data of the customer
ethically.
Through these processes the recording and reporting of
the client’s information can be done which would be
kept for the eternity on the server of the hospitals and it
would also help the patients to not to keep the records
in the paper format which is very difficult for them.
Benefits of Involving service users in record keeping
processes: The term involving people in the own health
care means supporting the managers to manage their
own health and wellbeing on the daily basis. This
means supporting the patients in being involved in
deciding about their care and the helping them ion
choice and control over the NHS service that they
would receive. This means that focusing on the matters
which are related to the patient’s life.
This means that providing the commissioning service
that helps the individuals to have the information and
the care and support that they require. There are
different ways that helps in involving the people in their
own health and care. These ways include:
Personalised care and support planning: this is the
way that helps the organisation and the patients to have
a systematic way so as to ensure that individuals living
with one or more long term diseases are supported
through proactive conservations. These should focus on
what are the things that matters most to the patients.
There should be process of sharing the information and
identifying the medical and non-medical needs and
documenting the information on behalf of the patients
so that proper treatment can be given to them. This
should also include the house of care approach where
the work has to be done so that they are able to provide
patient a support while at their home.
Shared decision making: Here the patients and the
organisation are required to provide a shared decision
making where the people who experience the change in
their health work together with the clinicians so as to
select the tests, treatments or support the packages. In
any of the decision where there is more than one
options, this should include values and the preferences
of the person and the risk attitude that are related to it.
This would be important as the clinical evidence in
choosing which of the option should be followed.
Improved communication and the information sharing: This is
one the best way which helps in sharing the information which
is related to the patients’ health information sharing process.
Communication skills are especially important in a hospital
setting, which patients often perceive as more impersonal than
a visit to their primary care physician’s office. While
communicating with the patients it would help in achieving the
objective of knowing the problems that are faced by patients in
their daily life through which the medical practitioner would be
able to know about the treatments that should be given to the
patients.
Also there are certain benefits that are related to the
involvement of care users. These includes various benefits
which means:
Involvement of patients can improve the quality of public
health activities. For example, patients with long-term illnesses
often have insights about their care that health care providers
and policy makers lack.
Users and carers may not have the same conflicts of interest as
medical professionals and policy makers.
User involvement acknowledges people’s capacity for self-
determination, providing them with a say in the planning of
their care. The WHO Declaration of Alma Ata states that
“people have a right and duty to participate individually and
collectively in the planning and implementation of their health
care”
In a setting of prioritised and rationed health care services (like
the NHS), including users and carers in service planning can
encourage: Participatory Democracy, Public Accountability,