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