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Electronic Health Record
Terms in this set (31)
percentage of the US gross national product is accounted for by the health Care costs.
*increasing need for coordination of care
*paper medical records could no longer meet patient's needs
*increase in medical errors
Reason for development and promotion of electronic medical records.
1. mislabeled lab orders
2. mishandled patient messages
3. unreadable information in a patient's record
4. misfiled paper records
Communication problems that contribute to medical errors in a medical facility.
the year goal of the presidential executive order signed in August 2006 was to give most Americans access to electronic health records
PHR(personal health record)
1. is owned by a patient
2. may be stored and maintained on secure Internet sites
Step 1 of "meaningful use" of EHR
documenting the percentage of visits,diagnosis,prescription,immunizations,and other pertinet health information electronically.
Step 2 of "meaningful use" of EHR
Sending and receiving clinical information electronically
estimated cost for the initial establishment of an EHR program per full-time provider
estimated maintenance cost for an EHR system pet year per full time provider
Advantage of EHR
legibility of records
disadvantage of EHR
staff training requirements
Patient name,Insurance information,next of kin,patient address
Required field in EHR software form for new patient
adding an addendum
a correction made once entry in an EHR is saved.
at least 2
number of identifiers required to correctly identify a patient's EHR
passwords in EHR system
on a regular basis or should be changed as directed by the healthcare facility policies.
function of EHR programs that allows the staff to make appointments for patients.
disadvantage of Electronic scheduler
if the computer is down,the day's schedule is not accessible
EHR programs simultaneously verify a patient's insurance coverage
produce a flag to alert medical office
EHR's coding software will do detects charge that does not match a diagnosis code
Use EHR software's report generator
an analysis of how much revenue is generated by each of several procedures that are commonly performed in the medical office.
EHR error :Incompatible Medication
patient is either allergic to the medication or is taking another medication that interacts with it. as a medical assistant,you should consult the physician.
an advantage of the integration of ancillary programs for labs and other diagnostic and therapeutic services with an EHR system
1. orders can be submitted to the lab at the time the patient's appointment is made
2. Test result are transmitted to the physician's office as soon as they are available
3. the patient and physician fo not have to wait as long as for test result
4. Results can be faxed,scanned,or emailed as necessary
allow patients to access and interact with certain parts of their EHR
greatest concern of EHR
protecting the Confidentiality of patient records
Reassuring patients and other staff members about EHR confidentiality and security by doing
1. never display negativity about the EHR
2. explain that patients can view a list of people whi have accessed their info
3. explain the security systems in place in the medical office
4. create a pamphlet or flyer to explain the system to patient.
type of electronic record owned and maintained by the patient
shows which patients are not paying their office claims and statement promptly.
date and time stamp
inserted in the access codes that allow users to enter patient records in an EHR system in the medical record so that office administration can tell who is accessing each medical record.
individual who enters the data into a personal health record (PHR)
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