M.A 106: CH 12 Electronic Health Records

Dr. Ehrlinger and Dr. Copas are partners who own and operate a small medical practice in rural Kentucky. They are considering upgrading their practice to use electronic health records, but they are concerned about the costs involved. Including the initial startup cost and the estimated cost to maintain the system, how much will upgrading to an EHR system cost the practice in the next 5 years?

$156,000

The estimated cost for the initial establishment of an EHR program is ____ per full-time provider.

$44,000

The estimated maintenance cost for an EHR system is approximately ____ per year per full-time provider.

$8,500

Advantages of EHR

-Fewer Loss Of Records -Increased Legibility of charts -Ease of chart access for multiple users

Steps for making a correction in an electronic health record in order

1.Open pt record that requires the correction or addendum 2.Fllow the software program instructions to obtain the "Edit" feature for this health record 3.Answer YES when pop-up window ask if an Addendum is required 4.The program will automatically date and time stamp the new entry with the current user's initial when saved

What are the steps in creating a new pt record with EHR sophtwhere in order with the first step on top

1.Open the New Patient window of the EHR Program 2.Enter the Pt's Full Name 3.Carefully Inspect all information entered for accuracy 4.Save the New Pt information

What percentage of the U.S. gross national product is accounted for by healthcare costs?

15%

The goal of the presidential executive order signed in August 2006 was to give most Americans access to electronic health records by the year ____.

2014

Medical errors due to communication problems are the __________ leading cause of deaths in the United States.

8th

Face Page

A screen that provides an -Overview "Snapshot" of the pt Demographic information in the EHR System

Face Sheet

A screen that provides an -Overview "Snapshot" of the pt Demographic information in the EHR System

Which of the following are materials required to make a Addodeum and EHR

Acces to EHR And Doccument needed fpr

When an error or mission is found in an electronic recored a(n) is made as soon as possible

Addendum

Generally, once an entry in an electronic health record is saved, a correction is made by ____.

Adding an Addendum

In order to find out which patients are not paying their office claims and statements promptly, you could ask the EHR report generator to create a(n) ____ report.

Aging

Customized

Alter something to meet individual specifications

Which functions of an EHR allows for electronic test ordering and receipt of results

Ancillary Order Integration

How often should passwords be changed in the EHR system?

As directed by the healthcare facility policies

How many identifiers are required to correctly identify a patient's EHR?

At least 2

Most programs include a patient________ component so the Administrative staff can produce a billing statement for the pt

Billing

What is the primary reason offices give for not implementing EHR in their office

Cost

An EHR Program can be ________ to suit a specific specialty and style of a physician's office

Customized

The access codes that allow users to enter patient records in an EHR system insert a(n) ____ in the medical record, so that office administration can tell who is accessing each medical record.

Date and time stamp

Many EHR programs can verify a patient's insurance coverage and simultaneously capture the patient's __________.

Demographic information

Dr. Hillman broke his leg while he was on vacation last week. His office has fully implemented EHR, so he plans to work from home part of the time. He will go into the office only as necessary to see patients. Which of the following is not possible for Dr. Hillman using the EHR system?

Diagnose software problems on his home computer

Like the rest of the office staff, Barry is still learning how to use the new EHR system installed in the medical office. He is with a patient and is attempting to document the patient's chief complaint in the EHR system, but he cannot get the system to accept the information. What should Barry do?

Document the patient's chief complaint on paper and enter it later into the EHR system

An electronic record of health-related information that can be utilized by members of more than one healthcare organization is known as a(n)

EHR

EHR software programs allows for____________ transmission of referrals among the PCP, Specialist, and insurance plan involved

Electronic

The abbreviation EHR stands for

Electronic Health Record

The abbreviation EMR stands for

Electronic Medical Record

Which function of EHR programs allows the staff to make appointments for patients?

Electronic scheduler

Define HITECH

Expansion of HIPAA Coverage through increased regulations & Enforcement Penalties related to EHR & Practice Management Systems

TRUE OR FALSE: An electronic health record increases physical storage in the medical office

False, Large amount if storage is Decreased

Identify the characteristics of EHR

Files owned & managed by providers of facilities Accesses are controlled by the provider with pt authorization

The abbreviation HITECH stands for

Health Information Technology for Economic & Clinical Health

Define PHR

Health Record that gives summary of

Which of the following is a disadvantage of using an electronic scheduler?

If the computer is down, the day's schedule is not accessible.

When information such as the result of a laboratory test is entered into a patient's EHR, the information is available for viewing ____.

Immediately

Which of the following was not a reason for development and promotion of electronic medical records?

Increasing age of the general population

Which of the following is an advantage of EHRs?

Legibility of records

Identify the advantages of an electronic schedules

List pt who want early appointments Multiple users Easily look up pt's appointment

At the provider's request, Tony is attempting to enter a prescription for Mrs. Johnson for her high blood pressure. The EHR system keeps reporting an error: Incompatible medication. What might this mean, and what should Tony do about it?

Mrs. Johnson is either allergic to the medication or is taking another medication that interacts with it; Tony should consult the physician.

Which organization has defined the terms of electronic medical record and electronic health record?

NAHIT NAHIT is the National Alliance for Health Information Technology, which defined the terms electronic medical record and electronic health record.

Which type of electronic record is owned and maintained by the patient?

PHR

An electronic version of the comprehensive medical history a pt lifelong health that is kept by the individual pt is called a(n)

PHR Personal Health Record

Which of the following is a true statement about a patient's personal health record (PHR)?

PHRs may be stored and maintained on secure Internet sites.

All users of an EHR program must have their individual

Passwords

All users of an EHR program must have their individual

Passwords & Accesses Codes

A patient's personal health record is owned by the ____.

Patient

Who enters the data into a personal health record (PHR)?

Patient

Which of the following is not likely to be a required field in your EHR software's form to be completed for each new patient?

Patient driver's license

Which of the following is not an advantage of the integration of ancillary programs for labs and other diagnostic and therapeutic services with an EHR system?

Patients do not have to wait as long for lab or diagnostic appointments.

What can a pt do using their pt portal

Paying insurance on account Schedule an appointment Look up their kid's immunization record

The abbreviation PHR stands for

Personal Health Record

Communication problems that contribute to medical errors in a medical facility include all of the following except ____.

Poor telephone etiquette

Many offices and EHR systems today allow patients to access and interact with certain parts of their EHR by providing a patient ____ to the system.

Portal

Angie is a new patient at Dr. Vander's office. She has an ear infection and the physician is prescribing an antibiotic. The medical office uses an EHR system and wants to transmit her prescription directly to Angie's pharmacy. She filled out the standard patient information sheet, but unfortunately, she cannot remember the name or phone number of her pharmacy. What should Dr. Vander's office do?

Print the prescription from the EHR software

If an EHR's coding software detects a charge that does not match a diagnosis code, it may ____.

Produce a flag to alert the medical office

The greatest concern of electronic health records is ____.

Protecting the confidentiality of patient records

Define EHR

Pt Health record stored and created in an -Compute Or -Electronic device

Items may be needed to create a new pt record in an EHR Program

Pt Information Notes Physician Notes Lab Orders

What types of reports can be produced using the EHR program

Pt aging reports Pt statistics Accounts receivable

Define EMR

Pt medical record stored and created in an -Computer OR -Electronic device

which feature of an EHR Program is used to produce revenue reports, againg reports, and office account recivable

Report generatiors

Information in a new patient template such as -Name -Address -Insurance Info show in

Required Fileds

Which of the following is mandated in Step 2 of "meaningful use" of EHRs for Medicare or Medicaid patients?

Sending and receiving clinical information electronically

Which of the following is not an acceptable method of reassuring patients and other staff members about EHR confidentiality and security?

Show patients that anyone can view their medical information

What list the Total Amount of Charges, The Amount Paid by Insurance, Deductibles, Copayment or Coinsurance balance due from pt

Statment

Which step of "meaningful use" of EHRs for Medicare and Medicaid patients includes documenting the percentage of visits, diagnoses, prescriptions, immunizations, and other pertinent health information electronically?

Step 1 Step 1 of "meaningful use" of EHRs, the provider must document the percentage of visits, diagnoses, prescriptions, immunizations, and other pertinent health information electronically; use EHR clinical support tools; share patient information; and report quality measures and public health information electronically.

Common abbreviations are often used in the electronic health records. What does the abbreviation SX stand for?

Symptoms

TRUE OR FALSE: With a full function EHR System a Physician can access pt information from any computer

TRUE, They have an -Accesses Code -Password

Files that NEED PERIODIC ATTENTION are called

Tickler Files

Identify the functions of an Electronic Prescription Writer

Transmit perception to pharmacy Flag ordered prescription as a potential allergy interaction Maintain a list of commonly prescribed medication and dosages

EHR/Billing and Codeing softwear can be used to subit claims to insurance carries

True

Meaningful Use

Use of certified -Electronic Health Record Technology to improve *Quality, *Safety, *Efficiency, *Reduce Health Disparities, *To engage pt and family, *Improve Care Coordination and Population and Public Health and Maintain Privacy and Security for the pt information

In this morning's monthly financial status meeting, the office manager asked Cheryl for an analysis of how much revenue is generated by each of several procedures that are commonly performed in the medical office. To accomplish this in the most accurate and efficient manner, Cheryl should ____.

Use the EHR software's report generator