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ALLEVIATE

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to partly or correct; to reieve or lessen

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ELECTRONIC HEALTH RECORD (EHR)

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more than one healthcare organization

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ELECTRONIC MEDICAL RECORD (EMR)

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within a sinlge health oragization

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INTEROPERABLE

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the capability of a system to work with or use the parts or equipment of another system

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PARAMETERS

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any set of physical properties, the values of which determine characterics or behavior

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PERSONAL HEALTH RECORD (PHR)

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an electronic health record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed and controlled by the individual

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PREVALENT

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generally or widely accepted, favored, or practicedfi

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FIVE REQUIREMENTS LISTED IN PRESIDENT GEORGE W. BUSH ORDER:

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1.) tthe agencies and providers eill participate in the development of information about the overall cost of healthcare services and treatmenthe agencis involved will implement interoperable systems as their current systems are upgraded 2.)providers and paers with whom the agencies do business also will implement inteoperable systems as their 3.)the prices paid by health insurance issuers will be avialable both to beneficiaries and enrollees in the health plan. 4.)the agencies and providers eill participate in the development of information about the overall cost of healthcare services and treatment 5.)the agencies and providers will develop and identify, for beneficiaries, enrollees, and providers, approaches

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THE FIVE ADVANTAGES OF THE EMR

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1.) Reduces medical errors 2.) Keep record s organized 3.)Helps to avoid duplicate testing 4.) Less concerns for illegilbe records 5.)Requires individual names and passwords for security

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THE FIVE DISVANTAGE OF THE EMR

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1.) Reluctance of employees to embrace change 2.) Patint's concerns for confidentially 3.) High starts -up costs 4.) Extensive training necessary 5.)space for equipment needed

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EMR CAPABILITY

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1.) Specially Software 2.) Appointment Scheduler 3.) Appointment Reminder and Confirmation 4.) Prescribtion Writer 5.) Medical Billing system 6.) Change Capture 7.) Eligibilty Vertication 8.) Referral Management 9.) Laboratory Order Integration 10.) Patient Portal

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THE PATIENT AND THE EMR

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Expect hesitation and reluctance from patients

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NONVERBAL COMMUNICATION AND THE EMR

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1.) eye contact 2.) maintain timely communication with the patient 3.)make sure that the patient understands instrutions by wating body languge sigals

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NATIONWIDE HEALTH INFORMATION NETWORK

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Developed to provide a secure, national, interoperable health information infrastucture that will connect providers, comsumers, and others in supporting health care services

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BACKUP SYSTEMS FOR THE EMR

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1.) External hard drive 2.)full server back up 3.)online back up system,s

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Differences between Electronic Medical Records and Electronic Health Records EMR AND EHR

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An EMR contains the standard medical and clinical data gathered in one provider's office. Electronic health records (EHRs) go beyond the data collected in the provider's office and include a more comprehensive patient history.

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GOALS OF NHIN

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1.) Development of capabilities for standards based secure data exchange nationwide 2.) improvemet of the coordition of care information among hospitals, laboratories, physician offices, pharamacies, other providers 3.) ensure appropraite information is available at the time and place of care 4.) ensure that consumer's health information is secure and confidential 5.) give consumers new capability for managing and controlling personal health records 5.) reducing risks the delivery of appropriate, evidence based medical medical care 6.) Lowering healthcare cost resulting from ineffiencies medical errors, and incomplete patient information

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ADDITIONS AND CORRECTIONS TO THE EMR

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1.) never delete a previous entry 2.) never change an entry after intials are attached 3.) make a new entry to correct the errors 4.) note intitials and date of change

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PROTECTED HEALTH INFORMATION (PHI)

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any information about health status, provision of health care or payment for health care that can be linked to an individual patient

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REQUIREMENTS OF AN EXECUTIVE ORDER

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1.) agencies are to implement onteroperable systems as current systems are upgraded 2.) provides and payers with whom agencies do business will also implement interoperable systems 3.) prices paid to benefits will be avialable both to benefits and the public ( if the agencychooses) 4.) agencies and providers will part icicpate in the development of health care services and treatments 5.) agencies and providers will develop apporoaches that encourage high quality and efficient health care services

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Core Capability of NHIN

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1.) ability to find and retreive health care information with and between oragnizations 2.) ability to deliver a summarized patient record to support patient care and to support the patients health 3.) ability to support consumer preferences regarding the change of his or her information inculding the ability to choose not to participate in th the NHIN 4.) support secure information exchange 5.) support of a common trust agreement that establishes the obligations and assurances to which NHIN participate agree 6.) ability to match patients to their data with out a national pateints identifier 7.) support of harmonized standards among all entities and network

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THE MEDICAL ASSISTANT AND THE EMR

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1.) dailey use of the emr should become second nature 2.) remain open to change and willing to learn 3.) set a good example for other employees 4.) encourage other staff members during training 5.) be patient

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Charge capture relates to charges for missed appointments

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False Response Feedback: The charge capture functions can store lists of ICD and CPT codes, as well as the charges associated with procedures and supplies.

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Advantages of the EMR system include:

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ability of the physician to see more patients in a day Response Feedback: Once the physician and staff become used to the system, they usually find that they can see more patients throughout the course of a day.

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An electronic medical record system conceivably could hold all the patients seen over the lifetime of a physician's practice.

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True Response Feedback: With external hard disk backup, a physician could store the records of all patients in the history of the practice.

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Disadvantages of the EMR system include:

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all of the above Response Feedback: Despite the disadvantages, the advantages of the EMR system in most cases far outweigh the disadvantages.

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How are corrections made to the electronic health record?

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A new entry or addendum must be added close to the original entry with the correct information and then initialed. Response Feedback: When electronic medical records are corrected, the record must be entered (through the log-on process) and then an addendum can be made to correct the information in the record. The addendum is initialed by the person who makes the correction.

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How can the EMR function to best help improve a facility's appointment show rate

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. The system can be programmed to initiate reminder and confirmation calls to patients. Response Feedback: Reminder and confirmation calls play an important role in increasing a physician's show rates, and when they are automated, the medical assistant is free to complete other duties.

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How does the EMR's prescription writer help safeguard prescriptions written to patients?

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All of the above are correct. Response Feedback: The prescriptions produced by the EMR system make obliteration or alteration very difficult, and most pharmacists can detect changes made by patients that void the prescription.

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If a thing is considered widely available or widely accepted, it is said to be

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prevalent Response Feedback: Something that is generally or widely accepted, favored, or practiced is prevalent.

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In most cases, does the electronic medical record system require more or less storage space than a paper filing system?

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Less Response Feedback: An electronic system should require much less physical space than the system of rows and cabinets of medical charts that has been used.

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Information contained in an electronic medical record usually can be accessed from several different physical places.

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True Response Feedback: One of the greatest advantages of an EMR system is its flexibility, because records can be accessed from virtually anywhere.

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Medical assistants can encourage other staff members during a conversion to an electronic medical record system by:

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all of the above Response Feedback: The more the medical assistants work together as a team, the more successful they will be in getting the electronic medical record system off the ground and running; this, in turn, will help them learn the system more quickly and grow more comfortable with its use.

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The EMR allows access to patient information in an emergency.

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True Response Feedback: Because patients' records are critical in emergencies, the electronic medical record proves itself valuable in such situations.

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The EMR relates to more than one healthcare organization.

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False Response Feedback: The EMR is an electronic record of health-related information about an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within a single healthcare organization.

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The average cost for a physician to implement an EMR system is approximately $50,000.

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False Response Feedback: According to surveys, the average purchase and implementation cost of an EMR system is approximately $33,000.

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The software of an EMR system can be designed to be compatible with a medical specialty office, such as pediatrics or oncology.

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True Response Feedback: Patient data are captured and processed into the system, which is specialty specific, so that the terminology and patient care treatments are compatible with the physician's medical specialty.

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The target year for most Americans to have electronic health records is 2018.

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False Response Feedback: The target year for electronic health records for most Americans is 2014.

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The type of electronic record of health-related information about an individual that can be created, gathered, managed, and consulted only by authorized clinicians and staff in a single healthcare organization is a(n):

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EMR Response Feedback: The EMR is compiled by the staff at a single organization involved in the patient's care.

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Usually, more staff members are needed when an office uses an EMR system.

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EMR systems usually mean that an office can function with fewer staff members.

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Which EMR system backup is probably the least trouble and requires the least amount of hardware?

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Online backup system Response Feedback: Although the online backup system may cost slightly more than other methods, it is easy to use, because there is no external drive to carry and no CD or thumb drive to put through the process of downloading data. Still, most IT professionals suggests that clinics maintain two separate backup methods.

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Which of the following is one of the goals of the Nationwide Health Information Network?

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All of the above Response Feedback: The Nationwide Health Information Network has seven priority goals designed to enhance the patient care experience for those using an electronic health record system.

Electronic Medical Record

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