Chapter 18 - Electronic Health Records and Incentives for Use solved& updated 2023

What is a disadvantage of electronic medical records (EMRs)? can cease to work or have technical issues electronic version of traditional record Electronic Medical Record (EMR) where do you place an order entry (prescription order)? Electronic medical record (EMR) long-term record of patient health information electronic health record (EHR) A transportable subset of EMR electronic health record (EHR) What is an ePHR (electronic personal health record)? more focused on patient can enter their own data what are the 2 types of data standards for data communication used by the EHR? The Clinical Document Architecture (CDA) The Continuity of Care Document (CCD) What is The Clinical Document Architecture (CDA)? -Provides a common structure for clinical documents -Three levels that provide the ability to send documents that have sufficient "code" in them to be machine-readable and yet are easily interpretable as a document by a human What are the pros of paper records? -Light, transportable -No waiting at computer terminal, no log in -No electricity, maintenance, or down time What is the Continuity of Care Document (CCD)? -Provides a "snapshot" of a patient's health information including insurance information, medical diagnoses and problems, medications, and allergies -To be integrated with EHRs to provide the sharing of data with multiple providers - COMMUNICATION between providers! What are the cons of paper records? -No backup system -Easily damaged or destroyed -Legibility issues -Tedious to trend data; prone to error/may be incomplete/no patient access -Large, heavy, and difficult to store if stay is lengthy what are the pros of electronic records? -Continuity of care -Private and secure -Searchable and analyzable -Real-time information -Improved quality What are the cons of electronic records? Loss of data due to equipment failure/hacking/virus Is the following statement true or false? A key aspect of electronic records is the ability to share data. True Rationale: Interoperability, or the ability to share data, is an essential characteristic of electronic records. Which of the following is an advantage of paper records? Safer for patient care Easy to read Trends easily identifiable No down time D. No down time Rationale: Paper records are advantageous because there is no down time and no electricity or maintenance is needed. Electronic records are safer for patient care. Legibility issues of paper records would be a disadvantage. Trends are more difficult to identify with paper records. What is the HITECH Act? The Health Information Technology for Economic and Clinical Health Act -we have to move toward a system of putting electronic communications in place for healthcare; our systems need to be computer based -offered financial incentives to people -need to show meaningful advancement What are the 3 stages of meaningful use? The purpose of Stage 1 is to verify that the EHR could capture and share data. In Stage 2, users utilize advanced clinical processes to analyze data and make care improvements. As a result of the first two stages, improved outcomes are expected with Stage 3 of meaningful use. what is the purpose of meaningful use? Meaningful use provides a means for eligible providers, hospitals, and critical access hospitals to use and communicate data to improve patient outcomes What are the two components of HIPPA law? (The Health Insurance Portability and Accountability Act) privacy and security of patient Is the following statement true or false? Stage 3 of meaningful use of electronic health records involves the proof of improved patient outcomes. True Rationale: The purpose of Stage 1 is to verify that the EHR could capture and share data. In Stage 2, users utilize advanced clinical processes to analyze data and make care improvements. As a result of the first two stages, improved outcomes are expected with Stage 3 of meaningful use. Can a patient view their EHR? why or why not? Yes, the patient has ownership over their EHR What does "continuity of care" mean? we want everyone taking care of a patient to be in the know Add or Remove Terms