Practice Management/Electronic Health Records Chapter 2

: single facts often used interchangeably with information

data

If a hospital uses information gathered through their EHRs to justify the purchase state-of-the-art equipment to improve patient care, it is

engaging in Meaningful Use

Which of the following is a goal of HIPAA?

establish standards for keeping of health information

: sharing of health information among various entities, using standardized and secure processes

health information exchange

The acronym HIE stands for

health information exchange

staff member whose responsibilities include management of a facility's IT functions

healthcare systems administrator

: organization-wide framework for managing information throughout its lifecycle and for supporting the organization's strategy, operations, regulatory, legal, risk, and environmental requirements

information governance

: use of health information in an effective and efficient manner to improve patient care

meaningful use

: any piece of identifying or clinical information about a patient

protected health information

In a physician's office, patient data collection begins when

the patient calls to make an appointment

: details that cannot be tracked, such as emails and voice recognition technology audio files

unstructured data

An advantage of EHRs is that patients are now able to ____ about procedures they are undergoing.

view patient education videos

Health information and data

A care provider wishes to see a history of the patient's past surgeries and hospitalizations.

Decision support

A doctor wants to be sure when making the right diagnosis on a patient.

Order management

A medical assistant needs to determine the status of a patient's lab results.

Patient support

A patient wants the ability to check own health information when desired.

Administrative processes and reporting

An office manager needs to schedule an appointment for a new patient.

Electronic communication and connectivity

An office manager wants to alert the entire staff of an upcoming HIPAA seminar.

: record of the names of all patients seen in a hospital setting

Master Patient Index

Care Provider

Diagnosing patients and ordering tests

Look at the following list of patient and provider details; each detail can be classified as either data or information. Click on every detail that represents a piece of information.

Dr. Strauss saw 500 patients in May. Of those, 56 were between the ages of 16 and 30; 125 were between the ages of 31 and 50; 244 were between the ages of 51 and 80, and 75 were over the age of 80. James P. Holt, a 21-year-old male, was given a prescription for penicillin yesterday. He broke out in a severe rash and was seen in the Emergency Department. Dr. Strauss's patient population is made up of 45% females and 55% males. An analysis of the patients seen in Dr. Strauss's office shows that their home addresses come from the following zip codes: 18169, 18170, 18171, 18172, 18173.

Coding Professional

Handling reimbursement and insurance claim management

Health Information and Informatics Professional

Implementing and managing EHRs

The ____ defined the eight core functions of an EHR.

Institute of Medicine

: the original entity to define the functions of an EHR; now known as the Health and Medicine Division of the National Academies

Institute of Medicine (IOM)

: organization that is responsible for certifying electronic health records for viability

Office of the National Coordinator (ONC)

Medical Assistant

Performing clinical duties such as patient prep and taking vital signs, and administrative duties like making appointments

Healthcare Administrator

Planning, organizing, and directing facility or department operations

Nurse

Providing direct care, such as IV insertion and bandage changing, to patients

An advantage of using screen-based data collection tools is that the layout of the information can be

customized

"Jim Smith had a heart attack when he was 53" is an example of

data

Result management

The lab has sent back blood work on a patient, and the doctor needs to decide a plan of care.

Reporting and population health

The local hospital asks the office for a listing of all patients seen for hyperthyroidism in the past year

When patients are finished with their encounter at a hospital, they

are discharged

: method of accessing current treatment options for a disease, through electronic or remote methods

clinical decision support