Electronic Health Record (EHR) - ACCURATE ANSWERS computerized lifelong record health care record w/ data from all sources
technology that intertwines health info from a variety of sources
every encounter an ind has w/ the health care system is documented (labs, scripts, ER visits, etc...)
New...
Electronic Health Record (EHR) - ACCURATE ANSWERS✔✔
computerized lifelong record health care record w/ data from all sources
technology that intertwines health info from a variety of sources
every encounter an ind has w/ the health care system is documented
(labs, scripts, ER visits, etc...)
New position created by EHR - ACCURATE ANSWERS✔✔ *Clinical
Analyst *Health Information Technician * Records and info coordinator
What setting may a CHERS work? - ACCURATE ANSWERS✔✔ * Dr
office labs * Ref Labs * Urgent Care Centers * Nursing Home Facilities
* Wellness Clinics * Hospitals
Why were chances in technology made? - ACCURATE ANSWERS✔✔
from realization that medical records were not meeting the needs of dr's
& pt's. Increase in errors, rising health care costs and missing link in a
pt's coordination of care.
Medical Errors - ACCURATE ANSWERS✔✔ -among most common
causes of death, occur b/c:
*Lost medical records
*Miscommunicated pt request/messages
*Unreadable info due to poor handwriting
,*Mislabeled lab specimens
many of these errors could be overcome if info tech were applied
throughout healthcare system.
What potential does HIT have? - ACCURATE ANSWERS✔✔ improve
the quality of care and possibly reduce the number of deaths attributed to
medical errors
What was HIPPA designed for? - ACCURATE ANSWERS✔✔ enacted
in 1996, designed to protect pt's private health info, ensure health care
coverage when workers change or lose their jobs, and uncover fraud and
abuse in health care systems.
HIPPA requires the use of electronic rather than paper ins claims? -
ACCURATE ANSWERS✔✔ True
Standards - ACCURATE ANSWERS✔✔ commonly agreed upon
specifications, are what helped establish the requirements necessary for
agencies to follow
When did Pres Bush recommend the use of Health Information
Technology (HIT)? What was the goal? Who was established to meet
this goal? - ACCURATE ANSWERS✔✔ In 2004, set 10 yr goal for all
americans to be using EHR's, and established the OFFICE OF
NATIONAL COORDINATION FOR HEALTH INFORMATION
(ONCHIT) to meet this goal.
,HITSP? - ACCURATE ANSWERS✔✔ department/organ that identified
standards for exchange of health info
CCHIT? - ACCURATE ANSWERS✔✔ developed certification criteria
for EHR software
What does the Nationwide Health Information Network (NHIN)
provide? - ACCURATE ANSWERS✔✔ links medical records across the
country
What 8 core functions does the Institute of Medicine suggest an EHR
should include? - ACCURATE ANSWERS✔✔ 1) Health Info and data
elements
2) Results Management
3) Order Management
4) Decision Support
5) Electronic communications and connectivity
6) Patient Support
7) Administrative Processes
8) Reporting and population management
Medical Record - ACCURATE ANSWERS✔✔ an important business
document
used to support treatment decisions
documents services provided
, could also be used in court of law for evidence purposes
Electronic Medical Record (EMR) - ACCURATE ANSWERS✔✔
computerized records of one dr's encounter w/ a pt over time including
medical history, diagnosis, treatment and prognosis
What is the contrast between EMR's and EHR's? - ACCURATE
ANSWERS✔✔ EMR's reflect treatment of a pt by one dr as EHR
reflects data from ALL sources that have treated and ind
Personal Health Record (PHR) - ACCURATE ANSWERS✔✔
maintained & owned by the pt, pt makes decisions whether to share
contents w/ their dr.
Acute Care - ACCURATE ANSWERS✔✔ most often refers to a
hospital, treats pt's w/ urgent problems that cannot be handled in another
setting (hospital records keep track of time-limited episodes where dr
charts reflect the ongoing health of ind) ***Inpatient treatment***
Ambulatory Care - ACCURATE ANSWERS✔✔ refers to treatment w/o
admission to hospital
What are the advantages of EHR's? - ACCURATE ANSWERS✔✔
*Safety *Quality of Care *Efficiency *Cost Reduction
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