evaluation of medical record services outsourcing of ayat o allah kashani hospital

introduction: hospitals, like most executive agencies have scarified the importance of policy, planning and supervision with their executive actions. with their errors, they waste the resources and remain away from development and competitive arena.so during recent years the ministry of health and medical education as well as other areas, in order to make rational government size, strengthening accountability of the system and efficiency of the health services, has considered the strategy of supply sources from outside of the organization on its agenda.. therefore in this study outsourcing of medical records services unit was evaluated from different angles. methods: in this descriptive applied before-after study, the medical records unit of kashani educational center was evaluated. data collected by a questionnaire (internal customers), a check lists (process evaluation unit, medical records defects, fulfill the requirements of 88 bylaw), semi- structured interviews with officials and by checking of financial and administrative documents and records related to the topic. results: the findings indicated decreased medical cost per case and files defects in 4.5% and 37% of cases and improvement in unit processes in 37.4% of cases, after outsourcing the medical record unit. other results of outsourcing medical record unit were 59% increase in customer satisfaction and 70% fulfillment of the requirements of 88 by laws. conclusion: keep patients information is one of fundamental principles of patient privacy rights, and combined private sector presence and the above mentioned fundamental is important point in outsourcing in this section. success in promoting private sector efficiency, reduce unit costs and increase customer satisfaction and improve service quality indicates that if the legal principles implemented, outsourcing of this unit could be considered efficient and effective