HRSC 206 Outcomes 1-2 Exam
Study Guide
client - Answer A person using the services of a professional person or organization.
what are current trends in health records - Answer - computerized health records
- virtual patient engagement network (VPEN)
- access improvement measures (AIM)
- My health Alberta (basic & verified accounts)
other uses of health records - Answer - medical / legal
- source information for billing
- funding initiatives
- mandatory report to various government bodies
- quality monitoring tool
- program evaluation tool
- teaching
research
- hospital, regional, and provincial or territorial health services
current information - Answer is included for every patient with a netcare record
what do all medical facilities in Alberta do? - Answer maintain their own health records
of service provided to patients
where is "key health information" of a health record is sent to? - Answer netcare to
share with other healthcare providers
the purpose of a health record - Answer main purpose is for patient care, reminder for
health concerns and assessments, and communication tool.
what is a health record - Answer any documentation relating to a healthcare client
Who are the health care providers - Answer doctors, physicians, nurse
another name for a health record - Answer - chart or record
- medical record
, - patient chart
- client chart
- EMR
- EHR
- pChart
- eChart
pCharts and eCharts - Answer - pCharts known as paper charts, medical facility would
like to still use paper charts for legal purposes or reference, can be stored on or offsite
- eCharts known as electronic charts, medical facility would like to use e charts because
less time consuming, doesn't require storage because its electronic form, cost effective
Electronic Health Record (EHR) - Answer is an accumulation of essential information
from an EMR accessed electronically at different points of service for purposes of client
care
Electronic Medical Record (EMR) - Answer contains health information collected by one
or a group of provider in one location. it is a subset of the EHR
custodians - Answer a person who has responsibility for safekeeping and controlling
personal health information in connection with the powers and duties performed
what is a record - Answer to mean a single document or a collection of documents
what does a record document - Answer - presenting problem
- history and prognosis
- observations
- assessments
- outcome
- plan for recovery
who creates the health record - Answer - health care providers who provide the care
- clerks when capturing nonmedical information such as patient demographics,
appointments, communications
when is a record created - Answer - occurs when the patient first seeks care
- creation of a chart can take place in advance of first appointment
- creation of a chart can also take place when the patient is with the physician
Study Guide
client - Answer A person using the services of a professional person or organization.
what are current trends in health records - Answer - computerized health records
- virtual patient engagement network (VPEN)
- access improvement measures (AIM)
- My health Alberta (basic & verified accounts)
other uses of health records - Answer - medical / legal
- source information for billing
- funding initiatives
- mandatory report to various government bodies
- quality monitoring tool
- program evaluation tool
- teaching
research
- hospital, regional, and provincial or territorial health services
current information - Answer is included for every patient with a netcare record
what do all medical facilities in Alberta do? - Answer maintain their own health records
of service provided to patients
where is "key health information" of a health record is sent to? - Answer netcare to
share with other healthcare providers
the purpose of a health record - Answer main purpose is for patient care, reminder for
health concerns and assessments, and communication tool.
what is a health record - Answer any documentation relating to a healthcare client
Who are the health care providers - Answer doctors, physicians, nurse
another name for a health record - Answer - chart or record
- medical record
, - patient chart
- client chart
- EMR
- EHR
- pChart
- eChart
pCharts and eCharts - Answer - pCharts known as paper charts, medical facility would
like to still use paper charts for legal purposes or reference, can be stored on or offsite
- eCharts known as electronic charts, medical facility would like to use e charts because
less time consuming, doesn't require storage because its electronic form, cost effective
Electronic Health Record (EHR) - Answer is an accumulation of essential information
from an EMR accessed electronically at different points of service for purposes of client
care
Electronic Medical Record (EMR) - Answer contains health information collected by one
or a group of provider in one location. it is a subset of the EHR
custodians - Answer a person who has responsibility for safekeeping and controlling
personal health information in connection with the powers and duties performed
what is a record - Answer to mean a single document or a collection of documents
what does a record document - Answer - presenting problem
- history and prognosis
- observations
- assessments
- outcome
- plan for recovery
who creates the health record - Answer - health care providers who provide the care
- clerks when capturing nonmedical information such as patient demographics,
appointments, communications
when is a record created - Answer - occurs when the patient first seeks care
- creation of a chart can take place in advance of first appointment
- creation of a chart can also take place when the patient is with the physician
