A framework to align patient records management practices with healthcare provisions in the public hospitals in Limpopo province

Author(s):  
Ngoako Marutha
2011 ◽  
Vol 27 (4) ◽  
pp. 264-279 ◽  
Author(s):  
Esther Ndenje-Sichalwe ◽  
Patrick Ngulube ◽  
Christine Stilwell

In Tanzania, the Records and Archives Management Act of 2002 established the Records and Archives Management Department (RAMD) to provide for the proper administration and better management of public records and archives throughout their life cycle. This article is based on findings from an ongoing study of the government ministries of Tanzania which examines the current state of records management practices in fostering accountability in the implementation of the Public Service Reform Programme (PSRP) in Tanzania. A total of 120 registry personnel, 24 senior ministerial officials and National Archives personnel were involved in the study. The study established that although the introduction of the PSRP had resulted in some efforts in reforming the records management practices in the government ministries, records in the government ministries were not managed a strategic resource. The findings of the study revealed that current records management practices in the government ministries were accorded low priority. The absence of specific budgets allocated to registry sections, lack of support from senior officers, lack of records management policies and low levels of training for registry personnel were among the records management problems in the government ministries. Further, records surveys were conducted irregularly and the majority of government registries lacked records retention and disposition schedules which led to the congestion of records which were also disorganized and poorly managed. In order to manage records as a strategic resource, the article recommends the restructuring of existing records management systems.


2018 ◽  
Vol 7 (3.7) ◽  
pp. 261
Author(s):  
Zakira Imana Harun ◽  
Saiful Farik Mat Yatin ◽  
Noor Syahirah Mohamad Mobin ◽  
Nurzeelawati Norolazmi ◽  
Nur Atiqaf Mahathir ◽  
...  

This study investigates the role of records surveys in the management of public registry. The ultimate goal was to know how effective records surveys in enhancing records management practices in organizations. This study uses interview as an instrument to achieve the desired goals, to inculcate a sound record management practice in the public registry. Records surveys are a critical exercise aimed at achieving proper records management practices. This is because the amount of records in an organization is growing rapidly. Managing growth and the variety of content and location is a complex process. Records surveys are indispensable as a benchmark to make an effective records management practice.   


Author(s):  
Lungile P. Luthuli ◽  
Trywell T. Kalusopa

This study comparatively investigates the integration of medical records management requirements in the ICTs/electronic health systems in two hospitals: a public and private hospital in the Umhlathuze Area, KwaZulu-Natal Province, South Africa. The study made a comparison and examined whether the current management practices support service delivery in the context of the Batho Pele principles. In doing this, the study reviewed extensive literature on records management by assessing the depth of the integration of ICTs in the management of medical records in South Africa. The targeted study sample in both the public and private hospital was 193.


2021 ◽  
Vol 10 (4, special issue) ◽  
pp. 336-342
Author(s):  
Andreas Irodis Rodakos ◽  
Andreas G. Koutoupis ◽  
Anna Thysiadou ◽  
Christos Kampouris

This paper aims to investigate the internal audit implementation in European and non-European public hospitals or public bodies. Researchers conducted a systematic literature review based on various fields and countries (European and non-European). Our results revealed differences between countries regarding the role and effectiveness of internal audit of public hospitals in each country. European countries need to address different challenges concerning internal audit in comparison to non-European countries. For instance, European public hospitals need to implement internal audit to develop their risk management practices. In contrast, the public hospitals of non-European countries need to address challenges and issues related to the high corruption rate, the lack of transparency and accountability, and the lack of competent staff. Upon completion, this systematic literature review provided some evidence for further research on the matter under investigation. While recognizing the limitations of our analysis, we believe we have significantly contributed to the evolution of the international and Greek literature concerning the implementation of internal audit in European and non-European countries.


Author(s):  
Beatrice Wairimu Muturi ◽  
John Mungai

The provision of health care is among the social pillars in the vision 2030. The health sector has been characterized by many challenges ranging from recent strikes by health workers, poaching of workers by private hospitals and health workers looking for greener pastures outside the country because of poor management of the sector and poor infrastructure. Despite the support from the government, public hospitals in Nyeri County are straining to meet their financial obligations. Challenges ranging from inability to meet daily expenses, delayed payment of workers, delayed national government reimbursements and diminishing patient’s expectations. The objectives of the study were to investigate how budgeting, internal control systems, financial tracking, and waiver affect financial management practices and growth in government hospitals. The management and movement of funds as aligned to the budget is critical for a public hospital’s growth. But experience and exposure in finance management reveal that the financial management processes of public hospitals are generally weak and dominated by conditions of resource scarcity vis-a-vis the ever-increasing agenda of development activities on which such funds could be spent. The study used a descriptive survey design. The study targeted 202 respondents who were the employees of the four county public hospitals under study. Stratified simple random sampling was used, and a sample of 101 respondents was selected. The study used both primary and secondary data sources for data collection. Data was analyzed by the aid of the Statistical Package for Social Studies (SPSS) computer software through frequencies, means, percentages, correlation coefficient as well as regression method. Tables and graphs were used for data presentation. The findings indicated that there has been an increase in the number of operational cost in majority of the hospitals. Majority of the public hospitals experience a lot of challenges and delays before budget is approved. The findings indicated that there are several steps that should be followed before authorization of any payment in hospital. The results presented poor control of revenue in the hospital and lack of proper coordination and monitoring. The study findings indicate that financial tracking procedures are hard to follow and that the procedures are not very clear to all the employees. Majority of the respondents argued that there is lack of management support when it comes to financial tracking in the public hospitals in Nyeri County. The relationship between audit practices and growth of public hospitals is strong and positive and the relationship between financial tracking and growth of public hospitals is weak negative and significant. The study concludes that the relationship between audit practices and growth of public hospital was positive and significant and that a positive change in audit practices would result to a positive change in the growth of public hospitals.  The study recommended that sufficient funds to the public hospitals should be disbursed early enough to enable proper planning and budgeting. The study also recommended that employees working in the public hospitals in Nyeri County should consider financial tracking as a daily task and that there is need for the County officials to be trained on the audit requirements and audit procedures.  


2021 ◽  
Vol 54 ◽  
pp. 24-42
Author(s):  
Lefose Makgahlela ◽  
Zawedde Nsibirwa

This article assesses records management in municipalities with adverse audit opinions in the Limpopo province, South Africa. Audit reports issued by the Auditor-General of South Africa (AGSA) yearly indicate that poor recordkeeping is one of the factors contributing to adverse audit opinions in the public sector. The high level of corruption and maladministration, and lack of accountability and transparency in municipalities have become endemic and are a cause for concern in South Africa. Access to relevant and comprehensive information from records is essential for municipalities to perform their constitutional duties effectively. For this study, a quantitative research approach was employed using the survey design. Six municipalities in Limpopo that had adverse audit outcomes in the auditor-general’s report of 2015/2016 were targeted. A total of 92 questionnaires were distributed to registry staff employed in the municipalities and 86 of these were completed and returned. Findings revealed that the selected municipalities in the province face numerous challenges relating to records management practices, including staff shortages, lack of training and poor storage facilities. The study recommends that municipalities’ management and political office-bearers take all the necessary steps to prioritise records management by employing more people. The study further recommends that more universities in South Africa should provide formal qualifications in records management, and government officials should make funding available for records management practices.


2018 ◽  
Vol 35 (4) ◽  
pp. 551-563 ◽  
Author(s):  
Ngoako Marutha

Medical records management needs to be governed using a legal framework to avoid records being lost, modified, altered, misfiled and/or damaged, since that may result in a struggle to locate them and wasting time. Medical records management, like any other field, has to be guided by a sound legislative framework. The application of legislation in the management of medical records can help safeguard privacy and confidentiality and curb the loss, modification, alteration, damage and misfiling of records. The study sought to assess the extent to which public hospitals in the Limpopo Province, South Africa apply legislation in the management of medical records. Quantitative data were collected using questionnaires completed by records management staff members in the hospitals of Limpopo. This study applied a quantitative research methodology and a survey research design. The study revealed that legal prescripts were not appropriately followed in the healthcare institutions due to a lack of fundamental resources. The study recommended, among other things, the provision of adequate resources and the appointment of suitably qualified records managers and staff or the development of staff capacity to ensure that appropriate legal frameworks are implemented adequately.


Author(s):  
Maria Lebeko Moshidi ◽  
Rambelani Nancy Malema ◽  
Livhuwani Muthelo ◽  
Tebogo Maria Mothiba

The battle against the Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) epidemic are still raging in South Africa (SA) despite all the preventive strategies implemented via the five-year strategic plan (2011–2015). The intensity of the AIDS pandemic in SA creates additional challenges for the health workers as they have to deal with an increasing number of people who suffer from this disease. Professional nurses are a critical part of the workforce. The qualitative, explorative, descriptive, and contextual study design was conducted in five public hospitals from each district of Limpopo Province. The purpose of the study was to explore and describe experiences regarding support received by professional nurses while providing care to HIV and AIDS patients in the public hospitals of Limpopo Province. Purposive sampling was employed to select the participants who provided care to HIV and AIDS patients for 24 months or more. The recruitment of participants continued until data saturation was reached at participant number 20. Data were collected through face-to-face individual interviews using a semi-structured guide. Data were analyzed using Tech’s qualitative data analysis method. Trustworthiness was measured through credibility, dependability, confirmability, and transferability. Findings: Emotional and physical strain due to a shortage of staff, heavy workload, staff turnover, and high absenteeism were experienced by the nurses fulfilling these tasks. Exhaustion, fatigue, increased levels of stress, and lack of training, counselling, debriefing sessions, recognitions, and reward systems were also experienced. Recommendations: A program for support of all professional nurses providing care to HIV and AIDS patients should be conceptualized and implemented.


Mousaion ◽  
10.25159/2054 ◽  
2017 ◽  
Vol 35 (1) ◽  
pp. 46-67
Author(s):  
Mahlaga Johannes Molepo ◽  
Linda M. Cloete

The way in which an institution treats its records is crucial for its survival in a rapidly changing society. The purpose of the study was to investigate the records management practices and challenges faced by traditional institutions of leadership and governance in Ga Molepo, Limpopo, South Africa. The researcher employed a cross-sectional survey in order to quantitatively examine the challenges faced by members of traditional councils. A researcher administered questionnaire was used as a data collection tool to study a stratified sample of 35 members from an estimated population of 350. The findings revealed patterns and trends of non-compliance with records management standards and guidelines. Although there were sporadic cases of record keeping, a greater number of respondents revealed that traditional institutions lack the facilities, equipment, education and trained/skilled personnel to apply correct records management procedures in their daily administration of their traditional communities. The main value of the study is to create awareness of records management as one of the neglected areas in traditional institutions – which are by current legislative arrangement, the closest form of leadership and governance for rural communities in light of their relationship with local municipalities and the Department of Cooperative Governance and Traditional Affairs.


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