EHR Electronic Health Records test with verified correct answers

EHR: - Online comprehensive medical information of a person - Electronic Health Record = EHR; - EMR = Electronic Medical Record EHR vs. EMR: - EHR = Electronic Health Record - digital version of patient chart, but a more inclusive snapshot of patient's medical history. Designed to be shared w/ other providers - EMR = Electronic Medical Record - single practice's digital version of a patient's chart - contains medical history, diagnoses and treatment by a particular physician, nurse practitioner, specialist, dentist or surgeon. - EMR is a narrower view of patient's medical history, while EHR is more comprehensive EHR Major Functions: - track data over time - timely reminders for patient screenings and preventative checkups - Improve patient care EHR Adoption Obstacles: - Formal training - Concern about patient acceptance - Speed - Interinstitutional Integration - Inadequate data exchange - Reliability EHRs 3 major safety issues: - Unmet display needs - Intended and unintended consequences of software modifications - Data exchange failures - Hidden dependencies w/in EHR EHR Customization Pros: - Accurate, up-to-date, and complete info. about patients - Quick access to patient records for coordinated, efficient care - Safer, more reliable prescribing EHR Customization Cons: - Cost to set-up and maintenance - Productivity - Delay in documentation - Lack of interoperability between info. technologies/ EHRs Discrete data benefits over free text: Standardization? EHR = Electronic Health Record EMR = Electronic Medical Record PHR = Personal Health Record - to maintain and manage their health information in private and secure environment Clinical Decision Support = CDS = key functionality of health IT. - When applied effectively, it increases quality of care, enhances health outcome, helps to avoid errors and adverse events Importance of Clinical Decision Support: - Improves efficiency, reduce costs, boosts provider and patient satisfaction Discrete data Example: numbers of apples or the color of the apple Text data Example: When to use discrete data: When to use text data: