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
