TY  - CHAP
M1  - Book, Section
TI  - Chapter 1. Introduction, Background, Purpose, and General Rules for Health Information Management (Medical Record Keeping)
A1  - Shamus, Eric
A1  - Stern, Debra Feingold
PY  - 2011
T2  - Effective Documentation for Physical Therapy Professionals, 2e
AB  - Physical  therapy  (PT),  although  not  known  by  name  until  modern  times,  has  had  a  long  history.  Oral  history,  recorded  information,  documents,  and  archaeological  discoveries  enable  tracing  the  history  of  medical  practice,  including  physical  medicine,  through  the  ages.  While  some  record  keeping  was  important  to  previous  generations,  it  is  increasingly  important  for  a  variety  of  reasons,  although  modern  standards  did  not  appear  until  the  20th  century.  The  Hospital  Standardization  Program  established  the  first  requirement  for  “complete  and  accurate  reporting  of  the  care  and  treatment  provided  during  hospitalization”  in  1918.1  Before  1918,  individual  physicians  haphazardly  maintained  records  according  to  personal  purpose  and  convenience,  unless  they  were  associated  with  research.  With  inadequate  medical  records,  it  was  difficult  to  ascertain  the  results  of  treatment.1  For  physical  therapists,  the  implementation  of  social  security  and  Medicare  in  1965  heralded  the  onset  of  record  keeping  or  documentation  as  a  component  of  the  medical  record.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessphysiotherapy.mhmedical.com/content.aspx?aid=55665001
ER  -