Electronic Health Record (EHR) - ANSWER computerized lifelong record health care rec-
ord w/ data from all sources
technology that intertwines health info from a variety of sources
every encounter an ind has w/ the health care system is documented (labs, scripts, ER visits,
etc...)
New position created by EHR - ANSWER *Clinical Analyst *Health Information Technician
* Records and info coordinator
What setting may a CHERS work? - ANSWER * Dr office labs * Ref Labs * Urgent Care Cen-
ters * Nursing Home Facilities * Wellness Clinics * Hospitals
Why were chances in technology made? - ANSWER from realization that medical records
were not meeting the needs of dr's & pt's. Increase in errors, rising health care costs and
missing link in a pt's coordination of care.
Medical Errors - ANSWER -among most common causes of death, occur b/c:
*Lost medical records
*Miscommunicated pt request/messages
*Unreadable info due to poor handwriting
*Mislabeled lab specimens
many of these errors could be overcome if info tech were applied throughout healthcare sys-
tem.
What potential does HIT have? - ANSWER improve the quality of care and possibly re-
duce the number of deaths attributed to medical errors
1
,What was HIPPA designed for? - ANSWER enacted in 1996, designed to protect pt's pri-
vate health info, ensure health care coverage when workers change or lose their jobs, and
uncover fraud and abuse in health care systems.
HIPPA requires the use of electronic rather than paper ins claims? - ANSWER True
Standards - ANSWER commonly agreed upon specifications, are what helped establish
the requirements necessary for agencies to follow
When did Pres Bush recommend the use of Health Information Technology (HIT)? What was
the goal? Who was established to meet this goal? - ANSWER In 2004, set 10 yr goal for all
americans to be using EHR's, and established the OFFICE OF NATIONAL COORDINATION FOR
HEALTH INFORMATION (ONCHIT) to meet this goal.
HITSP? - ANSWER department/organ that identified standards for exchange of health info
CCHIT? - ANSWER developed certification criteria for EHR software
What does the Nationwide Health Information Network (NHIN) provide? - ANSWER links
medical records across the country
What 8 core functions does the Institute of Medicine suggest an EHR should include? - AN-
SWER 1) Health Info and data elements
2) Results Management
3) Order Management
4) Decision Support
5) Electronic communications and connectivity
6) Patient Support
7) Administrative Processes
2
, 8) Reporting and population management
Medical Record - ANSWER an important business document
used to support treatment decisions
documents services provided
could also be used in court of law for evidence purposes
Electronic Medical Record (EMR) - ANSWER computerized records of one dr's encounter
w/ a pt over time including medical history, diagnosis, treatment and prognosis
What is the contrast between EMR's and EHR's? - ANSWER EMR's reflect treatment of a
pt by one dr as EHR reflects data from ALL sources that have treated and ind
Personal Health Record (PHR) - ANSWER maintained & owned by the pt, pt makes deci-
sions whether to share contents w/ their dr.
Acute Care - ANSWER most often refers to a hospital, treats pt's w/ urgent problems that
cannot be handled in another setting (hospital records keep track of time-limited episodes
where dr charts reflect the ongoing health of ind) ***Inpatient treatment***
Ambulatory Care - ANSWER refers to treatment w/o admission to hospital
What are the advantages of EHR's? - ANSWER *Safety *Quality of Care *Efficiency *Cost
Reduction
Will the decision of going completely electronic have a huge impact on pt efficiency? - AN-
SWER Yes
3
ord w/ data from all sources
technology that intertwines health info from a variety of sources
every encounter an ind has w/ the health care system is documented (labs, scripts, ER visits,
etc...)
New position created by EHR - ANSWER *Clinical Analyst *Health Information Technician
* Records and info coordinator
What setting may a CHERS work? - ANSWER * Dr office labs * Ref Labs * Urgent Care Cen-
ters * Nursing Home Facilities * Wellness Clinics * Hospitals
Why were chances in technology made? - ANSWER from realization that medical records
were not meeting the needs of dr's & pt's. Increase in errors, rising health care costs and
missing link in a pt's coordination of care.
Medical Errors - ANSWER -among most common causes of death, occur b/c:
*Lost medical records
*Miscommunicated pt request/messages
*Unreadable info due to poor handwriting
*Mislabeled lab specimens
many of these errors could be overcome if info tech were applied throughout healthcare sys-
tem.
What potential does HIT have? - ANSWER improve the quality of care and possibly re-
duce the number of deaths attributed to medical errors
1
,What was HIPPA designed for? - ANSWER enacted in 1996, designed to protect pt's pri-
vate health info, ensure health care coverage when workers change or lose their jobs, and
uncover fraud and abuse in health care systems.
HIPPA requires the use of electronic rather than paper ins claims? - ANSWER True
Standards - ANSWER commonly agreed upon specifications, are what helped establish
the requirements necessary for agencies to follow
When did Pres Bush recommend the use of Health Information Technology (HIT)? What was
the goal? Who was established to meet this goal? - ANSWER In 2004, set 10 yr goal for all
americans to be using EHR's, and established the OFFICE OF NATIONAL COORDINATION FOR
HEALTH INFORMATION (ONCHIT) to meet this goal.
HITSP? - ANSWER department/organ that identified standards for exchange of health info
CCHIT? - ANSWER developed certification criteria for EHR software
What does the Nationwide Health Information Network (NHIN) provide? - ANSWER links
medical records across the country
What 8 core functions does the Institute of Medicine suggest an EHR should include? - AN-
SWER 1) Health Info and data elements
2) Results Management
3) Order Management
4) Decision Support
5) Electronic communications and connectivity
6) Patient Support
7) Administrative Processes
2
, 8) Reporting and population management
Medical Record - ANSWER an important business document
used to support treatment decisions
documents services provided
could also be used in court of law for evidence purposes
Electronic Medical Record (EMR) - ANSWER computerized records of one dr's encounter
w/ a pt over time including medical history, diagnosis, treatment and prognosis
What is the contrast between EMR's and EHR's? - ANSWER EMR's reflect treatment of a
pt by one dr as EHR reflects data from ALL sources that have treated and ind
Personal Health Record (PHR) - ANSWER maintained & owned by the pt, pt makes deci-
sions whether to share contents w/ their dr.
Acute Care - ANSWER most often refers to a hospital, treats pt's w/ urgent problems that
cannot be handled in another setting (hospital records keep track of time-limited episodes
where dr charts reflect the ongoing health of ind) ***Inpatient treatment***
Ambulatory Care - ANSWER refers to treatment w/o admission to hospital
What are the advantages of EHR's? - ANSWER *Safety *Quality of Care *Efficiency *Cost
Reduction
Will the decision of going completely electronic have a huge impact on pt efficiency? - AN-
SWER Yes
3
