QUESTIONS
WITH SOLVED
ANSWERS!!
Evatee 10/4/24 MOA
,MOA TEST 2 QUESTIONS WITH SOLVED
ANSWERS!!
purpose of medical records Answer - provide a base for managing patient care,
provide interoffice communication as necessary, determine patterns that show
providers patients needs, serve as a basis for legal info to protect
providers/staff/patients. Provide clinical data for research
ownership of medical records Answer - property of those who create the
record, information belongs to the patient and is protected with privacy and
confidentiality
patients and medical records Answer - right to access their records and ask
that additional info be added or information be removed
Providers sharing records with patients Answer - this shows trust and respect
for their patients
releasing patient information from a medical record Answer - patient must be
notified and written approval must be obtained. The reason for the request
must be identified and specify what information is being requested. Only that
information can be released
Insurance company and release of patient records Answer - for some insurance
carriers the release is granted when the patient accepts the insurance
coverage. For others a yearly release form must be signed by the patient
, Health Information Technology Plan Answer - goal of ensuring that most
American's would have EHR's by 2014. Planned projects included: transmitting
x-rays/lab results electronically to providers for immediate analysis,
standardizing e-prescriptions, decreasing errors in patient care (proposed by
George W Bush)
American Reinvestment Recovery Act (ARRA) Answer - law that provides
numerous incentives for providers and hospitals to make the transition to
EMR's (2009 Barack Obama)
Meaningful use Answer - a centers for Medicare (CMS) program that awards
incentives for using certified electronic health records (EHR) to improve patient
care
To achieve meaningful use and avoid penalties Answer - providers must follow
a set of criteria that serves as a road map for effectively using an EHR.
Medicare reimbursement penalties for lack of participation began in 2015
advantages of manual (paper) records Answer - currently established and
understood, easier to protect confidentiality, no worry of computer
malfunction
disadvantages of manual (paper) records Answer - can be used by only one
person at a time, easily misplaced or misfiled, equipment and storage space
required, more susceptible to error
advantages of electronic records Answer - multiple users possible, not easily
misplaced or misfiled, errors less likely, patterns and data more easily accessed
quickly, available in emergency's, office storage space not required,
legible/organized patient documentation, improved medication management,
improved quality care.