EHR

In what decade were some of the first EMR systems developed?

1960s

When did HIPPA begin?

1996

What organization is responsible for the development and maintenance of current procedural terminology or CPT codes

AMA American medical Association

Obama's 2009 stimulus package to fund EHR is known as

ARRA American recovery and reinvestment acts

The PHR Allows patients to do all the following except

Access anyone else's records

What is one benefit of an EHR over paper charts?

Accessed from anywhere, EHR is centralized

In what ways do EHRs provide meaningful improvement with the use of e-prescribing

All costs, quality, patient safety

Why did healthcare providers perceive EHR systems to lacks safety?

All. Crashes, power outages, lack of knowledge, possible alteration without doctors knowledge.

What is a way that EHR contributes to patient safety

Allergy alerts, drag utilization review, illumination of illegible handwriting

What is another name for web based EHR

Application server provider or ASP

What is the individual who has final responsibility, legally and otherwise, for patient healthcare, even when subordinates make many of the medical decisions

Attending physician

Why do HIPAA regulations affect EHRs?

Because of the portability of the patient's protected health information

What represents methods they have consistently shown superior results and are used as a benchmark or standard until improvements are discovered or developed

Best practice guidelines

BMI

Body mass index

What organization was commissioned to credential EHR programs

CCHIT

Which organizations operates with the mission to accelerate the adoption of health information technology by creating an efficient, credible, and sustainable product certification program

CCHIT

What acronym is a code set developed by the AMA and adopted by insurance carriers in managed-care company as a means for identifying common medical procedures

CPT

CCHIT

Certification Commission for Health Information Technology

The abbreviation CQM represents what term

Clinical quality measure

What is paid by policy holders for each medical office visit or other type of medical service obtained by a patient covered under a health insurance policy

Co pay

What does HL7 enable clinical systems to do

Communicate (interface) with each other.

LAN enables multiple computers to do what

Communication through main server

What is critical and a busy medical office

Communication, completion of tasks, execute flawlessly, all

CHI

Consolidated health informatics

CCR is an acronym for which term?

Continuity of Care Record

What compromises making available all resources to ensure healthcare providers have access to all required information on a patient conditions in treatment and that the patient receives appropriate healthcare services

Coordination of care

What identifies a reason why smaller practices demonstrate reluctance in the adoption and use of EHRs

Cost of software hardware, task of data entry, change resistance

Progress of the EHR implementation has been slowed by?

Cost quality and patient safety

What contributes to greater mobility in the work cost in a healthcare delivery?

Cows, wows, wireless, all

What feature is not a positive attribute of EHRs

Decreased efficiency in savings

What is an annual amount of money the policyholder pays towards medical expenses before the insurance company pays a chair

Deductible

What are codes used by healthcare ppl to group and identify diseases, disorders, symptoms

Diagnosis codes

What info is more available to doctors because of the inception of EHRs?

Drug dosages, side effects and allergies

What are all the benefits of implementing EHRs execpt

EHRs are more time-consuming than paper charts

What is the difference between an electronica medical record and a computerized patient record?

EMR's are one time records, computerized patient records or patient portals are lifetime records

What is not a component of meaningful use, a specified by ARRA

Electronic exchange of lab reports, E prescribing, submitting quality clinical reports

EMR is an abbreviation for what term

Electronica medical record

What reflects the rationale of gathering a patient's accurate family medical history

Evaluate health issues related to family

What is a benefit of CPOE functions in an EHR

Expedient order completion, reduction in errors related to hand writing, opportunity for duplicate test

This EHR Models stores patient data on the health information system at a particular healthcare facility or with a third-party hosting company

Facility based model

FMHX Is an abbreviation for what term

Family medical history

What is a database of approved medications and drug therapy categories that include information on the preparation, safety, effectiveness, and cost of medications

Formulary, or drug formulary

What can be eliminated with the use of EHRs

Hand written notes orders and prescriptions

HIPAA

Health Insurance Portability and Accountability Act

HL7

Health Level Seven

What did the IOM identify as a key capability of an EHR

Health information, medical support, result management

When my intranet and Internet technologies benefit a healthcare provider

Hospital, nursing home, home office

What is an example of a national standard code set

ICD codes

In 1991 what organizations first called for the implementation of EHRs in the elimination of paper based patient records

IOM

What is an independent, nonprofit organization that works to provide unbiased and authoritative medical advice decision makers in the public

IOM

Which institute gives advice and information about government policies that affect human health

IOM

What is the graphic user interface or GUI

Icons, menus, subwindows, text field

A paper chart environment is less efficient and likely to produce errors because

Illegible handwriting, misfiled, lost, all

What is the catalyst that created the need of electronic health records?

Improvement if patient medical care

What do you providers qualify by demonstrating the ability to meet meaningful use goals and objectives

Incentive programs

What term refers to the ability of a software program to accept, send, or communicate data from its database to other software programs for multiple vendors?

Inoperability

What describes a person admitted to a healthcare facility to stay overnight for an indeterminate amount of time

Inpatient

What describes computer data that is changed from its original form to be transmitted securely

Inscription

What institute recognized the benefits of EHR and in 1991 summoned their implementation?

Institute of Medicine IOM

What is a barrier to the implementation of EHR?

Lack of standards

What is not a benefit of EHR?

Little or no training necessary

LAN

Local Area Network

Enacted by Congress in 2008, this legislation increases benefits to low-income beneficiaries and other vulnerable areas of the population.

MIPPA

What refers to demonstrably utilization of an EHR program

MU

What can lead to errors and potential injuries to patients

Manual order entry, non-standard abbreviations, illegible handwriting all

Which is a part of the federal he funded insurance program that covers hospital, skilled nursing facilities, home health agencies, and other non-ambulatory services?

Medicare part A

Which is a part of the federal he funded insurance program that covers medical providers supervision, outpatient, hospital care, diagnostic tests, and other ambulatory services

Medicare part B

What errors potentially are eliminated with the implementation of EHR technology

Medications and transcriptions

What advocates for uniform healthcare data sets for underrepresented populations

NCVHS

To which organization does the acronym NCVHS refer

National committee and vital and health statistics

What is the abbreviation NGC represent

National guidelines clearinghouse

What is represented by the acronym OV

Office visit

What is contained in the definition of the term ambulatory

Outpatient

What allows patients to make inquiries to their healthcare provider

PHR

What terms can be defined as the time and place the healthcare provider give the patient medical care

POC point of care

PMHX as an abbreviation for what term

Patient medical history

PHR is an acronym for which term?

Personal Health Record

What is defined as handheld mobile device that functions of the personal information manager

Personal digital assistant PDA

PMS is an acronym for what term

Practice management system

What are numbers or alpha numeric codes that are used to identify specific health interventions taken by healthcare professionals

Procedure codes

PHI

Protected Health Information

What represents the measure, expressed as a percentage, with a company or is it the result of investing money to make a purchase

ROI

What significant step did CHI conduct in the development of EHRs

Released EHR standards in 2003

What is the structure technique used by providers together healthcare and history covering the organ systems from the patient

Review of systems

What is information a clinician gains By asking a patient specific questions related to topics such as drug use, caffeine intake, living arrangements, and occupation

Social history

What is the definition of EHR

Software with a full range of functionalities to store, access, and use patient medical information.

What software is chosen as a training tool for this textbook

Spring charts

What did HIPAA establish?

Standards for accountability and criteria for the protection and confidentiality of health information that was transported electronically.

SOAP is an acronym for what term

Subjective, objective, assessment, plan

What terms typically contains the medical offices most common procedure and diagnosis codes and descriptions for the purposes of recording the physician selection and billing

Superbill

What describes services that use electronic communication technology to deliver medical information and services via a standard phone line

Telehealth

What describes the purpose of the mothers last name field

Track family members

What could've been a reason for the lack of EH our implementation in the 1990s

Unknown costs, data exchange with difficult, EHR difficult to operate

What organization is responsible for developing in modifying the international classification of disease or ICD codes

WHO world health organization

What is a preventative check up to test for or inoculate against significant diseases

Wellness screening

When might internet technologies benefit a health care provider?

When accessing their EHR from hospitals nursing homes home office virtually anywhere

What is the term used to describe the use of computerized tools to create and sign prescriptions

e-prescribing

EHR

electronic health record

ROI

return on investment