Chapter 12 Electronic Health Records

Which of the following is an advantage of an electronic scheduler?

It allows multiple users at any time.

The goal of George W. Bush's executive order was that most Americans would have access to electronic health records by ______.

2014

What is the primary reason most providers give for not implementing EHRs in their offices?

Cost

Information in a new patient template, such as name, address, and insurance information, appears in ______ fields.

required

Files that need periodic attention are called ______ files.

tickler

-Customized -Electronic health record -Electronic medical record -Personal health record

-An EHR software program changed to suit a specific specialty and style of a physician's office -Electronic record of health-related information for an individual patient that is created, managed, and gathered in a manner that conforms to nationally recognized interoperability standards -Electronic record of health-related information for an individual patient that is created, compiled, and managed by providers and staff members in a single healthcare organization -Electronic version of the complete medical history and record of a patient's lifelong health that is collected and maintained by the individual patient

Which of the following are benefits of having individual access codes and passwords in an EHR program?

-An access code allows each user to access only designated areas of a record. -An access code inserts a date and time stamp in the record to track who has accessed it.

Which of the following are strategies for focusing on the patient, not the computer, during a patient encounter.

-Be comfortable with the system being used -Take notes and enter them in the computer later

In which of the following ways can a medical assistant help reassure patients that the office EHR program and the information it contains are confidential and secure?

-Be knowledgeable about the confidentiality and security aspects of the program. -Show patients their own medical records and how information is entered and maintained.

Identify the goals of promoting electronic health records.

-Create record uniformity -Decrease medical errors

Which of the following are objectives of Meaningful Use?

-Engage patients and family -Improve care coordination -Reduce health disparities -Better clinical outcomes

Which of the following are advantages of electronic health records?

-Increased access to educational materials -Efficiency in records transfers -Reduced storage needs

A template for a new patient record would most likely include which of the following required fields?

-Insurance information -Name -Address

Identify the functions of an electronic prescription writer.

-Maintain a list of commonly prescribed medications and dosages -Transmit prescriptions directly to the pharmacy -Flag an ordered prescription as a potential allergy interaction

Which of the following are examples of communication problems that may lead to medical errors?

-Mishandled patient messages -Mislabeled laboratory orders

Which of the following types of reports can be produced using the report generator in an EHR program?

-Patient aging reports -Accounts receivable -Patient statistics

1. EHR 2. EMR 3. PHR

1. Health record created in electronic format that can be shared among multiple providers 2. Record of health-related information for a single patient that is created and maintained by a single healthcare organization 3. Electronic version of a patient's complete medical history that is created and maintained by the individual patient

Place the steps in scheduling a patient appointment with an electronic scheduler in order, with the first step on top. Instructions

1. establish 2. consult 3. ask 4. use 5. once

An EMR is created, compiled, and managed by whom?

A single healthcare organization

What is the most appropriate action when an error or omission is found in an electronic record?

An addendum is made as soon as possible

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

Ancillary order integration

Which of the following is a way to keep password information secure?

Change passwords on a regular basis

Electronic claims submission and coding of medical record is done through which component of an EHR?

Coding software

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.

An electronic record of health-related information for an individual patient that is created, compiled, and managed by providers and staff within a single healthcare organization is called a(n)

EMR.

___________ improves the quality, safety, and efficiency of certified electronic health records.

Meaningful use

Which of the following allows the entry of prescriptions, which can be transmitted directly to the pharmacy or printed and given to the patient?

Prescription writers

Which feature of an EHR program is used to produce revenue reports, aging reports, and office accounts receivable?

Report generators

Careful key entry and regular backup of electronic files help ensure ______ in electronic patient information.

accuracy

When an error or omission is found in an electronic record, a(n) _______ is made as soon as possible.

addendum

Many of the medical errors that can lead to patient death can be traced to ______ problems.

communication

An EHR software program may be ______ to suit a specific specialty and style of a physician's office.

customized

Many EHR programs make insurance verification ______ by assisting with online verification.

easier

A personal health record (PHR) is maintained by the

individual patient.

An electronic health record must contain information that is created, managed, and gathered in a manner that conforms to ______ standards.

interoperability

An EHR program can be used to verify a patient's insurance coverage

online.

All users of an EHR program must have individual

-access codes. -passwords.

Explaining the office access process to patients, showing patients their own medical records, and maintaining a positive attitude about a new EHR program can help reassure patients that their information is

-confidential. -secure.

A ______ allows a patient to access routine information and perform tasks such as making appointments online.

patient portal

Identify the advantages of electronic health records.

-Fewer lost records -Ease of chart access for multiple users -Increased legibility of charts

Identify the tasks that a patient can do using a patient portal.

-Paying a balance on an account -Accessing a child's immunization record -Scheduling an appointment

Which items may be needed to create a new patient record in an EHR program?

-Physician notes -Laboratory orders -Patient information form

Which of the following must be taken into consideration when creating an appointment matrix in an electronic scheduling system?

-Physician's vacations -Physician's meeting schedule -Hours when patients are not seen

Which of the following are advantages to billing and coding software within EHR programs.

-Procedure and diagnostic codes can be automatically assigned. -Alerts can produce flags notifying users of errors. -Electronic claims can be submitted directly to insurance carriers.

Which of the following are ways to ensure the accuracy of patient information in an electronic health record?

-Regular backup of electronic files -Careful key entry

Identify the advantages of ancillary programs for labs, X-rays, and other diagnostic services.

-Results are transmitted back as soon as available. -Results can be immediately uploaded to the patient's medical record.

Which of the following are potential deterrents for implementing electronic health records?

-Staff training requirements -Possible damage to the system -Maintenance costs

Which of the following materials are needed to schedule an appointment using an electronic scheduler?

-Template outlining time frames for appointment types -Electronic scheduler

Which of the following are characteristics of a customized EHR software program?

-Templates allow the physician to add entire phrases with a few clicks of the mouse. -Terms such as congestive heart failure may be quickly selected in a cardiologist's office.

In which ways can computerized records also be useful as tickler files?

-They can alert staff about patients who are due for yearly checkups. -They can alert staff to patients who require follow-up care.

Identify the advantages of electronic schedulers.

-They can easily look up a patient's appointment. -They allow multiple users at a time. -They can keep a list of patients who want an earlier appointment.

Place the steps for creating an appointment matrix using an electronic scheduling system in order, with the first step on top. Instructions

1. open 2. block 3. enter 4. specify

Place the following steps in creating a new patient record with EHR software in order, with the first step on top. Instructions

1. open 2. enter 3. carefully 4. save

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

personal health record.