12. Electronic Health Records. Learning Outcomes (cont.). 12.1 List four medical mistakes that will be greatly decreased through the use of EHR. 12.2 Differentiate among electronic medical records, electronic health records, and personal health records
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Electronic Health Records
12.1 List four medical mistakes that will be greatly decreased through the use of EHR.
12.2Differentiate among electronic medical records, electronic health records, and personal health records
12.3Contrast the advantages and disadvantages of electronic health records
12.4Illustrate the steps in creating a new patient record and correcting an existing record using EHR software.
12.5Describe some of the capabilities of EHR software programs.
12.6 Explain how you might alleviate a patient’s security fears surrounding the use of EHR.
What are the four errors that stem from communication problems?
PHI that is collected an maintained by the patient
conforms to national interoperability standards
not a legal record
used by a single healthcare organization
covered by HIPAA
Government mandate steps
What is the main reason medical practices are not implementing EHRs?
Which statements are true and which are false?
____ All EHR programs will be the same.
___The basic rules for working with an EHR are the same as for a paper record
____ Once you make a mistake in an EHR, there is nothing you can do to correct it.
Although programs must communicate with each other, they may not be the same.
You can make an addendum with the correct information.
Match the following:
checks insurance coverage
sends an alert for follow-up care
may send a reminder to the patient
allow for electronic claims to insurance companies
make an appointment or pay a bill
submits orders to the lab
What does the use of access codes enable medical practice do?
12.1Medical mistakes that will be greatly decreased or eliminated with EHR include:
12.2 The electronic medical record is an electronic record of health-related information for an individual patient.
An electronic health record is created, managed, and gathered in a manner that conforms to nationally recognized interoperability standards.
A personal health record is an electronic version of the comprehensive medical history and record of a patient’s lifelong health that is collected and maintained by the individual patient.
12.3Advantages of EHR include: (not inclusive)
12.4The same rules apply with EHR as for paper- based medical records when initiating or documenting in a patient’s electronic health record.
Follow the basic steps in Procedure 12-1 for setting up a new patient EHR and 12-2 for correcting or making an addition in an existing patient’s electronic health record.
12.5Aside from housing patient electronic health records, many EHR programs also can perform the following functions: tickler files, specialty-specific software, electronic scheduler, eligibility verification and referral management, billing and coding capabilities, report generation, electronic prescriptions and ancillary order integration, and a patient access portal.
12.6Be knowledgeable of the office EHR program and never display a negative attitude about it.
Assist in preparing written information for the patients regarding the EHR program.
Show the patient his EHR, and explain how the information is entered, maintained, and kept secure.
Understand and be able to explain the backup process for the EHR program.
Understand the office access policy as it pertains to HIPAA and explain it to the patients.
The over-all point is that new technology will not necessarily replace old technology, but it will date it. By definition. Eventually, it will replace it.
~ Steve Jobs