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The effects of positive incentive programs on physician chart completion

M E Mahoney1, M R Schiller, M L Johns

  • 1Maine Medical Center, Portland.

Topics in Health Record Management
|August 7, 1990
PubMed

Insights

Many hospitals lack data to assess medical record programs. Combining positive incentives with punitive action effectively reduces incomplete medical records, improving healthcare data quality.

Area of Science:

  • Health Information Management
  • Healthcare Administration

Background:

  • Concurrent review and positive incentive programs are common in hospitals for medical record completion.
  • However, many facilities lack robust monitoring and data collection for these initiatives.

Purpose of the Study:

  • To evaluate the effectiveness of concurrent review and positive incentive programs in improving medical record completion rates.
  • To highlight the need for better data collection and analysis in medical record administration.

Main Methods:

  • The study surveyed hospitals regarding their implementation and monitoring of concurrent review and incentive programs.
  • Data collection focused on statistics related to medical record completion, delinquency, and the impact of implemented strategies.

Main Results:

  • Many hospitals could not provide comprehensive statistics on program effectiveness, indicating poor monitoring.
  • Concurrent review programs showed limited reported data on completion rates.
  • Positive incentive programs, especially when combined with punitive measures, demonstrated effectiveness in reducing incomplete medical records.

Conclusions:

  • There is a critical need for medical record administrators to rigorously evaluate program effectiveness through consistent data monitoring.
  • Innovative strategies, particularly incentive-based approaches coupled with accountability, can significantly improve medical record completeness.

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