HI 410 CH 2

clinical decision support system

CDSS

Certified electronic health record technology

CEHRT - To use the EHR in a meaningful way for calendar year 2022, eligible hospitals and critical access hospitals (CAHs) may use the existing 2015 Edition certification criteria, the 2015 Edition Cures Update criteria, or a combination of the two

computerized physician order entry

CPOE - a process where a clinician enters and sends care instructions via electronic system; electronic medication administration records (eMARs) (use of technology and bar coding to track medications from when ordered to when given to the patient); clinical data repositories; clinical decision support; document imaging; and PACS.

policies must be updated, patient logged info can be inaccurate

Cons of Tethered PHRS

health information technology for economic and clinical health

HITECH - 2009 - created tax funded incentives for using & implementing EHRs

c

Identify the HI function that was required of providers in the later (third phase) of the Meaningful Use program. a. Placing orders for clinical testing b. Accurately identifying a patient record c. Sending a finite number of messages to patients using the PHR d. Using the EDIS system to treat patients in the emergency department

LIS

Laboratory information system

PHR

Modules within the EHR that allow the secure transaction of data, services such as visits and scheduling, prescription management, and home device monitoring directly with the consumer

PACS

Picture Archiving and Communication System - allow the ubiquitous viewing of radiology and other images, such as EKGs outside of the radiology department, and significantly reduced operational challenges related to the printing and manipulation of expensive film-based images.

patient care delivery, patient care management, patient care support processes, financial, administrative, & patient self-management

Primary uses of EHR system/data

regulatory compliance, organizational expense management, chronic disease management, & increased consumer engagement.

Pros of Tethered PHRs

Education, regulation, research, public health policy, & policy support

Secondary uses of EHR system/data

EHR

The platforms that integrate the data and functions of specialized CIS solutions in hospitals, ambulatory environments, long-term care environments, and consumers' homes

PHR software that is engineered into the database of an EHR

What is a tethered PHR - often called a patient portal

a

Which is an example of clinical decision support? a. The EHR highlighting an out-of-range potassium result for a prescribing physician b. A nurse charting a patient's vital signs c. An order being sent to the pharmacy d. A training physician resident using the EHR to view a patient's latest white blood cell count

d

Which item is not a key function of the EHR? a. Clinical decision support in a doctor's office b. Hospital pharmacy orders c. Patients downloading their archived medication record d. Hospital payroll

b

Which of the following phrases most accurately describes the intention of the federal government's Meaningful Use (MU) program? a. A program providing support for rural doctors to receive dollars in their budgets for demonstrating effective use of the EHR b. A program providing support for select doctors and hospitals to receive dollars in their budgets for demonstrating effective use of the EHR c. A program designed to penalize physicians who do not purchase specific technology platforms d. A program designed to provide dollars in hospital budgets for demonstrating the effective use of administrative systems to reduce cost

Inpatient EHRS

____________ are generally comprised of integrated, interoperable multiple applications.

e-prescribing

a process by which medication orders and insurance information are digitally passed between physicians, pharmacies, and insurance companies.

CIS

clinincal information system platforms - Technology platforms including software, servers, secure Internet services databases, and devices that administer clinical care and support clinical organizations' administrative processes

Outpatient EHRS

longitudinal rather than episodic, has fewer practitioners documenting in the record, may not have in-house diagnostics (lab, x-ray, and such) and so requires a link to this information, and has more referrals made to outside practitioners than seen in the hospital.

RIS

radiologic information system