29 terms

Training Day 7- Meaningful Use & HIPAA


Terms in this set (...)

meaningful use
centers for medicare & Medicaid services
computerized physician order entry
electronic health record
electronic medical record
submitting prescriptions electronically to local pharmacies
health insurance portability and accountability act
protected health information
7.1: what is meaningful use and how is it structured?
meaningful use is an incentive program that rewards physicians for using electronic health records to improve patient care. It is enforced by the centers for medicare and Medicaid services (CMS)
1. safety integrate technology into healthcare
2. improve pt care coordination and track data trends
3. empower patients through increased communication and transparency
Who enforces the meaningful use program?
centers for medicare and Medicaid services (CMS)
Complete the statement: medical practices will be penalized 1-5% of CMS funding for not starting the MU implementation by the year 20___.
List three goals of the meaningful use program.
1. safety integrate technology into healthcare
2. improve pt care coordination and track data trends
3. empower patients through increased communication and transparency
How many stages make up the meaningful use implementation?
7.2: What are the requirements of meaningful use stage 1?
1. core objectives (12/14)
2. menu objectives (5/10)
CPOE (Computerized Physician Order Entry)
electronic orders must be places by licensed medical practitioners. The practice will not qualify for the CPOE objective if the scribes are pending or placing orders. If your facility asks you to pend orders please check with your chief scribe or project leader to make sure they are not expecting to qualify for MU
Name 5 meaningful use objectives you can help with.
1. up-to-date problem list
2. demographics
3. vital signs
4. smoking status
5. PHI
How can you help with the core objectives of keeping an up-to-date problem list for each patient?
discontinue short-term diagnoses that have resolves since the last visit. Keep chronic diseases
Which "vital signs" are required by meaningful use? What will you do if you notice they are missing from a patient's chart?
height, weight, BP, BMI, peds growth charts. check to make sure these vital signs (including BMI) have been documented by nurse/MA
Before going into a patient's room you notice she is 22 and does not have smoking status documented. How can you correct eh oversight in order to meet the meaningful use objective?
(13+ y/o) if smoking status is not noted, prompt your doctor to ask the patient in the room so you can document it
T/F: The clinic can still meet meaningful use criteria when scribes are pending orders, as long as the scribes do not click "submit orders"
7.3: What are the requirements of meaningful use stage 2?
split into core and menu objectives
requires the facility to meet ALL previous objectives
many of the previous objectives require a higher percentage for compliance in stage 2
stage 2 also adds six new objectives
T/F: Family history is a new stage 2 objective. the FHx has to be from a first degree relative in order to meet the objective.
T. The scribe will by documenting FHx. If your provider forgets to ask the patient, kindly remind him. You will need FHx for a first-degree relative in order to meet the requirement
T/F: the provider does not need to add a scribe attestation as long as the scribe remembers to add one.
F. Your physician must enter a scribe attestation on each chart you document
What is the earliest date for meaningful use stage 3?
7.4: What are HIPAA?
HIPPA = health insurance portability and accountability act, which is a body of laws designed to protect the private health information of patients across the country
PHI = protected health information and it refers to ANY type of information that can be directly of indirectly tied to a particular patient or visit:
*first or last name
*date of birth
*medical record number
*even the fact that the patient was seen in your clinic
HITECH = heath information technology for economic and clinical health act. enacted in 2009 as an addition to HIPAA. it specifically addresses the privacy and security issues related to electronic transmission of health information. HITECH states that PHI may not be transferred electronically, copied, emailed, stored on external devices, or sent without special security known as encryption
7.5: How do scribes remain compliant with privacy regulations?
1. if a patient is not assigned to your doctor, do not touch the chart
2. there is always someone watching
3. never share your username or password
4. no cell phones or pictures
5. your job does not belong on social media
6. ask yourself, "do I need to access this for my job?"
What are the consequences for violations?
*scribe program cancellation
*fines to both clinic and employee
*blacklisted from medical/PA school
*possible jail time for intentional and harmful violations