It is important that you follow HIPAA guidelines when releasing a patient's protected health information and do so without violating. 3) Paper 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 1) Whether a patient takes the prescribed medication Patient information form. 3) Survey the patients who had the procedures Generally, once an entry in an electronic health record is saved, a correction is made by __________. His office has fully implemented EHR,so he plans to work from home part of the time. At the provider's request, Tony is attempting to enter a prescription for Mrs. Johnson for her high blood pressure. When a medical record is stored in digital format, it is called an Electronic Health Record (EHR). 4) The error is deleted from the record and replaced with the correct information, Files that need periodic attention are called ______ files. Practice Fusion is a cloud-based EHR system that securely stores data on external servers and can be accessed with any device that has an internet . Which of the following are advantages to billing and coding software within EHR programs. Madilyn_Gafford. Only the information covered by the release form 1) Next of kin What are the advantages of electronic health records? The clinicians notes from the patients hospital stay can help inform the discharge instructions and follow-up care and enable the patient tomove from one care setting to another more smoothly. sending and receiving clinical information elevtronically. Medical charts contain documentation regarding a patient's active and past medical history, including immunizations, medical conditions, acute and chronic diseases, testing results, treatments, and more. 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). A hospital patient just had cardiac surgery, and the patient is on a continuous ECG. 5) The patient and practitioner do not have to wait as long for test results. 3) You can search for appointments by appointment type needed. 1) Template outlining time frames for appointment types Improve care coordination When the substance is dissolved in hot solvent to purify it by crystallization, the resulting solution is yellow. 4) Requests for patient information 3) Individual patient 2) Code 1) No change may be made to an electronic record 1) Administrative outcomes She writes "personal health record" instead of "PHR." Physician notes 2) Each time you allow someone else to use it 4) Participating in clinical decision support for national high-priority conditions Which of the following are advantages to billing and coding software within EHR programs. 4) Stage 2 3) NAHIT Number of visits allowed by a referral (X) c. receive various services, such as diagnostic, observation, treatment and rehabilitation services. 5) Once the patient agrees to the appointment time, enter the patient's name, phone number, and reason for the appointment. He completes a release of information to have his records sent to the specialist. 6) Reducing time spent with patients during an encounter What is the primary reason most providers give for not implementing EHRs in their offices? PHRs contain treatment information from multiple providers. Patients who feel that their care providers listen to them, It stands for protected health information. 5) Signature of the person receiving the requested information, Patient permission for release of information A personal health record (PHR) is all of the following EXCEPT: Are designed to help patients insure that all of their health information is available for their health care, across multiple health care systems and institutions. 1) OSHA Engage patients and family, An electronic record of health-related information that can be utilized by members of more than one healthcare organization is known as a(n). Many of the medical errors that can lead to patient death can be traced to ______ problems. Explain your answer. Ask if the patient has a preferred time frame, and try to schedule appointments earlier in the day first. 1) Insurance company Indeed, that is an explicit expectation in the Stage 1 definition of meaningful use of EHRs. Which of the following apply to PHI? Match the key terms with their definitions. 2) A schedule matrix is not necessary. 4) If the computer is down, the day's schedule is not accessible. They allow multiple users at a time. Which of the following must be taken into consideration when creating an appointment matrix in an electronic scheduling system? What percentage of the U.S. gross national product is accounted for by healthcare costs? 3) Billing and coding software 2) Provider portal belongs to the patient and must be kept confidential. 3) Number of visits allowed by a referral What might this mean, and what should Tiny do about it? They can keep a list of patients who want an earlier appointment. 3) The medical assistant provides remote access Time frame involved with a referral, Which feature of an EHR program is used to produce revenue reports, aging reports, and office accounts receivable? Health record created in electronic format that can be shared among multiple providers, Record of health-related information for a single patient that is created and maintained by a single healthcare organization, Electronic version of a patient's complete medical history that is created and maintained by the individual patient. 4) Time frame involved with a referral Which type of electronic record is owned and maintained by the patient? Information in a new patient template, such as name, address, and insurance information, appears in ______ fields. True or False: HIPAA was developed in part to ensure the confidentiality of medical records. 2) Unnecessary When you add a product to a reversible chemical reaction, the reaction is always pushed in the direction of \rule{1cm}{1pt}. Which of the following is not an acceptable method of reassuring patients and other staff members about EHR confidentiality and security? An EHR software program may be ______ to suit a specific specialty and style of a physician's office. 2) PHRs may be stored and maintained on secure Internet sites. 4) Provider, Better __________ occur when medical record documentation is clear, concise, and complete. Engage patients and family, A personal health record (PHR) is maintained by the Show patients their own medical records and how information is entered and maintained. 2) Sending and receiving clinical information electronically 4) Patients do not have to wait as long for lab or diagnostic appointments. 4) Change passwords on a regular basis, What is the most appropriate action when an error or omission is found in an electronic record? In fact, the patients record might even have to be printed out and delivered by mail to specialists and other members of the care team. system? An EMR is created, compiled, and managed by whom? only those items of the record covered by the release of information. Which of the following is mandate in Step 2 of "meaningful use" of EHRs for Medicare or Medicaid patients? 2) Clinical software 5) Practitioner. Terms such as congestive heart failure may be quickly selected in a cardiologist's office. Show patients their own medical records and how information is entered and maintained. Which challenge of EHR use category does this belong? Chapter 11 Clinical Decision Support Systems, Chapter 12: Clinical Decision Support Systems, Module 4: Epidemiology, Communicable Disease, Module 3: Community Assessments, Analysis & D, Module 2: Social Determinants, Social Justice, Julie S Snyder, Linda Lilley, Shelly Collins. Place the following steps in creating a new patient record with EHR software in order, with the first step on top. Please submit your email address to receive alerts when new posts are published on the Health IT Buzz Blog, Health Information Technology Advisory Committee, Easily identify which patients are due for preventive screenings or checkups, Check how their patients are doing on certain parameterssuch as blood pressure readings or vaccinations, Monitor and improve overall quality of care within the practice. - workflow patterns His office has fully implemented EHR, so he plans to work from home part of the time. Which of the following materials are needed to schedule an appointment using an electronic scheduler? 3) Addendum EHRs focus on the total health of the patientgoing beyond standard clinical data collected in the provider's office and inclusive of a broader view on a patient's care. Careful key entry, 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. 3) Physician's vacations 5) Demographic information, If an EHR's coding software detects a charge that does not match a diagnosis code, it may __________. When an error or omission is found in an electronic record, a(n) _______ is made as soon as possible. 4) PHR The information gathered by the primary care provider tells the emergency department clinician about the patients life threatening allergy, so that care can be adjusted appropriately, even if the patient is unconscious. -Diagnosed with a disability 4) Canceled appointments 2) Patient access programs Which of the following is an advantage of EHRs? The patient's express written permission is required for non-federal or state disclosures. 1) Delayed 5) The medication is not yet entered into the EHR system, so Tony should add it before entering the prescription. Which of the following is an advantage of EHRs? 1) Patient access 4) Increased transcription costs It stands for protected health information. 4) Manual. 45 terms. What should you do? 2) Treatment options True or False? 4) Secure. 1) Insurance information Templates allow the physician to add entire phrases with a few clicks of the mouse. The ONC Health IT Certification Program provides assurance to purchasers and other users that a system meets the technological capability, functionality, and security requirements adopted by HHS. 4) Mrs. Johnson is either allergic to the medication or is taking another medication that interacts with it; Tony should consult the healthcare provider. 3) Decreased cost of office visits Sharing "computer frustrations" with the patient. 5) Physician's meeting schedule, Hours when patients are not seen 2) Date when information was requested Patient statistics The surgeon is particularly worried about this patient. - access control. 2) Financial status Careful key entry and regular backup of electronic files help ensure ______ in electronic patient information. Some people use the terms electronic medical record and electronic health record (or EMR and EHR) interchangeably. - workflow patterns Electronic medical records (EMRs) are a digital version of the paper charts in the clinicians office. An EMR (electronic medical record) is a digital version of a chart with patient information stored in a computer and an EHR (electronic health record) is a digital record of health information. These savings are paid back to the provider, A ______ is an electronic system where a patient can request medication refills, ask a provider a non-urgent question, and pay their medical bills, Part of the ______ ACT was to increase and simplify the transmission of secure electronic health information between healthcare organizations in compliance with government standards, Julie S Snyder, Linda Lilley, Shelly Collins. All of the following are non-financial costs of EHR implementation, EXCEPT: True or False? ___________ improves the quality, safety, and efficiency of certified electronic health records. 2) update 5) Striking through the error and adding initials, When information such as the result of a laboratory test is entered into a patient's EHR, the information is available for viewing __________. What are the two main collection tools used by CMS to determine reimbursement? 4) Refuse to process the file Illness information. Place the steps in scheduling a patient appointment with an electronic scheduler in order, with the first step on top. His mother has always been included when any information is given to Jose. 2) Reduced storage needs Laboratory orders Print the prescription from the EHR software. 2) Patient 3) Coding Results can be immediately uploaded to the patient's medical record. Which of the following is an advantage of an electronic scheduler? 4) Patients who understand the rationale behind their care 3) It is protected by HIPAA laws Superbill refers to an itemized list of all services provided to a client. 2) Aging 3) Diagnosis code Be comfortable with the system being used. Which of the following is not one of the expected outcomes of EHR interoperability mandates? 1) Patient e-mail 1) Establish the type of appointment required by the patient, noting if it is for a new patient or an established patient. 4) Increased legibility of charts 3) Staff training requirements Sign up to receive content updates to your My Yahoo!, Newsgator, Bloglines, and other news readers. Alerts can produce flags notifying users of errors. Procedure and diagnostic codes can be automatically assigned. 2) Number of visits remaining on a referral 1) Stage 3 The National Alliance for Health Information Technology stated that EHR data can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization.. Dr. Hillman broke his leg while he was on vacation last week. Illness information An access code inserts a date and time stamp in the record to track who has accessed it. 2) Terms such as congestive heart failure may be quickly selected in a cardiologist's office. Like the rest of the office staff, Barry is still learning how to use the new EHR system installed in the medical office. Which function of an EHR allows for electronic test ordering and receipt of results? He also has a court document listing him as guardian for this patient. A tube bank employs an in-line arrangement with ST=SL =3.2 cm and tubes that are 1.8 cm in outside diameter. EHRs focus on the total health of the patientgoing beyond standard clinical data collected in the providers office and inclusive of a broader view on a patients care. 3) Stage 1 1) Open the New Patient window of the EHR program. 2) Process the coding improperly He will go into the office only as necessary to see patients. Electronic claims submission and coding of medical record is done through which component of an EHR? 3) More time-consuming 5) Improving population health, Sending and receiving clinical information electronically, Which of the following is an advantage of EHRs? 3) Automatic coding is always error-free. 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? Maintenance costs 2) Create a pamphlet or flyer to explain the system to patients. All of the following are benefits of using an electronic health record EXCEPT: True or False? 3) Erroneous An access code allows each user to access only designated areas of a record. Common abbreviations are often used in the electronic health records. They make information available instantly, "whenever and wherever it is needed". Electronic claims submission and coding of medical record is done through which component of an EHR? 2) Electronic 2) The need for code linkage is eliminated. EHR systems cannot access clinical practice guidelines and best practice protocols. True of False: The patient does not have to sign a HIPAA consent in order for their physician to obtain their personal health information from a Health Information Exchange (HIE). The greatest concern of electronic health records is __________. Document the patient's chief complaint on paper and enter it later into the EHR system. AllysonDIane6825. Identify the functions of an electronic prescription writer. 1) Patient permission for release of information . Which of the following types of reports can be produced using the report generator in an EHR program? 3) Required Use screen savers to prevent patients from seeing more than they should. False An interdisciplinary team (IDT) can be comprised of ALL of the following EXCEPT: patient The estimated cost for the initial establishment of an HER program is ______per full time provider. 5) Keep a checklist at the medical assistant's desk. 4) Key 3) Patients who are told to trust in the care providers' decisions 1) Increased access to educational materials Which part of EHR use does this affect? 1) Mishandled patient messages Template outlining time frames for appointment types. Which of the following are benefits of having individual access codes and passwords in an EHR program? 4) Misfiled paper records QUESTION 13 1 A superbill is also known as an encounter form claim form patient from MEDICAL MEA2346C at Pennsylvania State University, World Campus . Official Website of The Office of the National Coordinator for Health Information Technology (ONC). Which of the following are benefits of having individual access codes and passwords in an EHR program? A secure website that allows patients to access a personal health record ( PHR) to communicate with healthcare providers, request prescription refills, review laboratory test results, or schedule appointments. What laws dictate that PHI cannot be disclosed without the patient's express written permission unless allowed by federal or state statute? 4) Meaningful use, How is security maintained if providers access EHR programs from home or other locations? The medical office uses an EHR system and wants to transmit her prescription directly to Angie's pharmacy. 1) Show patients that anyone can view their medical information. Enter a reason that the time is not available for future reference. Which of the following are objectives of Meaningful Use? Peter Garrett and Joshua Seidman | January 4, 2011. 4) Clinical outcomes, What laws dictate that PHI cannot be disclosed without the patient's express written permission unless allowed by federal or state statute? 1) 2009 1) It stands for protected health information. Like the rest of the office staff, Barry is still learning how to use the new EHR system installed in the medical office. 4) Search through patient files individually 3) At least 3 3) EHR files are owned and managed by providers or facilities. 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? Reduced storage needs 3) Personal health record Determine the amount of heat transferred. Many EHR programs can verify a patient's insurance coverage and simultaneously capture the patient's __________. 2) Electronic scheduler 4) Insurance company The tube bank is 10 rows deep, and the tubes are 1.8 m long. 3) Initiatives Open the New Patient window of the EHR program. With EHRs, your organization can help build a healthier future for our nation. Which type of Health Information Exchange (HIE) involves the secure sending of protected health information to another healthcare provider? Mislabeled laboratory orders 5) Aging, 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. Which item below maintains each user's ability to work in certain areas of a patient's electronic health record? Transmit prescriptions directly to the pharmacy. What is the ultimate goal of EHR implementation and meaningful use? It is protected by HIPAA laws. 4) Status 1) They can alert staff when a patient is in the waiting room. 5) Accessing insurance claim information, Paying a balance on an account 5) Explain the security systems in place in the medical office. Which of the following phrases tells you that the record format is an electronic health record instead of an electronic medical record? 1) The HIPAA Privacy Rule 3) A line is drawn through the information While the EHR provides a platform for comprehensive management of medical information and secure exchange between practitioners and healthcare consumers, its theoretical safety and quality benefits are blunted by limitations in design, adoption, and use. In addition to keeping a record of a patients allergies, EHRs check for problems, when a new medication is prescribed and alert the relevant healthcare professionals to, EHRs and paper-based settings are equally efficient in identifying and correcting, Electronic communication tools, like e-mail or web messaging, allow for effective. Which of the following is a true statement about a patient's personal health record (PHR)? - access control, A physician enters an order for morphine for an end-of-life cancer patient as "5 to 200 Q 2 hrs PRN." 2) Vulnerable 1) Inaccuracy Laboratory orders Decryption means that health information cannot be interpreted by anyone else unless it is translated by an authorized person. 3) PIR 1) Use the EHR software's report generator 1) PQRI Choice 1: All are correct Choice 2: Captures new patient data Choice 3: Facilitates the review of the existing patient data Choice 4: Facilitates the modification/updating of patient data by authorized health care practitioners 1. With fully functional EHRs, all members of the team have ready access to the latest information allowing for more coordinated, patient-centered care. 1) Concise It also contains additional information about the . Patients who understand the rationale behind their care 2) Symptoms 2) Insurance information Ease of chart access for multiple users 4) Electronic scheduler Increased responsibilities for medical assistants, Information that is mandatory in an EMR or EHR is denoted in the record by. Personal health records and patient portals are two tools used to. Identify the goals of promoting electronic health records. Open the office appointment scheduler. 4) Patient driver's license The patient tracker feature in an EHR follows the patient from admission or check-in to discharge or checkout. 5) 1, How often should passwords be changed in the EHR system? 4) Printing the page, correcting the error, and scanning the page Electronic scheduler 4) Individual health record. Communication problems that contribute to medical errors in a medical facility include all of the following except _________, The goal of the presidential executive order signed in August 2006 was to give most Americans access to electronic health records by the year _________, A patient's personal health record is owned by the _________. The EHR system keeps reporting an error: Incompatible medication. 1) Increasing revenue Providers in different locations can look at the same record at the same time. Which organization has defined the terms electronic medical record and electronic health record? patient's do not have to wait as long for lab or diagnostic appointments. Which of the following is a disadvantage of implementing an EHR Or, even one letter of an acronym? They are built to share information with other health care providers, such as laboratories and specialists, so they contain information from all the clinicians involved in the patients care. 2) Explain the security systems to patients in technical terms. 2) Improve care coordination What type of patients are more likely to adhere to agreed-upon care plans? Which of the following are advantages of electronic health records? 5) Report generator. Scheduling an appointment. 1) Paper copies of all documents 3) Maintain a log of medication effectiveness HIPAA Ch.5 and 6. And they bring together in one place everything about a patient's health. 3) A password can be shared with other providers to allow access to information. 5) Address. Results are transmitted back as soon as available. 5) Patients who feel that their care providers listen to them, Patients who are engaged partners One of the key features of an EHR is that it can be created, managed, and consulted by authorized providers and staff across more than one health care organization. In that regard, EMRs are not much better than a paper record. 3) State government 3) Ask if the patient has a preferred time frame, and try to schedule appointments earlier in the day first. 4) Pencil to record the patient's name, phone number, and reason for the visit, Template outlining time frames for appointment types Scheduling an appointment requires that the scheduler collect all of the following pieces of information except. 1) The medication Tony is trying to enter has not yet been approved by the FDA, so he should enter another drug instead.

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