Electronic Health Records Flashcards
What are the different types of electronic health records
- Electronic medical record (EMR)
- Electronic patient record (EPR)
- Computer-based patient record (CPR)
What is the definition of Electronic health record
Digitalized version of patients paper chart
*Medical history
*physical exam findings
*Diagnoses
*Medications, immunization records, allergies
*Laboratory, radiological, diagnostic results
What is the definition of Health Information and Data (EMR)
Access to key info such as
1. Diagnosis
2. Allergies
3. Laboratory test
4. Medications
What is the definition of Result Management? (EMR)
Quick access to new and past test results, regardless of who ordered the tests, geographic location
What is the definition of order management? (EMR)
Ability to enter and store orders for prescriptions, tests, and other services to enhance legibility, reduce duplication etc
What is the definition of decision support? (EMR)
Use of reminders, prompts, alerts to improve compliance, ensure regular screenings and other preventive services, identify drug to drug interactions
What is the definition of electronic communication and connectivity
Provide efficient and secure communication Mona providers and patients that would improve the continuity of care, increase timeliness of diagnosis and treatments and reduce frequency of adverse events
What is the definition of patient support?
Access their health records and interactive patient education. Carry out home monitoring and self testing to improve chronic conditions
What is the definition of administrative processes? (EMR)
Scheduling systems, to improve efficiency and provide more timely service
What is the definition of reporting? (EMR)
Respond quickly to federal, state, and private reporting requirements, like patient safety and disease surveillances
What are some barriers of EMR?
- Limited computer literacy
- Concerns over productivity
- Costs
- Interoperability
What is interoperability?
The ability of two or more systems or their components to exchange information and to use the information that has been exchanged.
What is the Health Information Technology for Economic and Clinical Health Act (HITECH Act)
There is financial incentives for HCP and hospitals to comply with “meaningful use”
What does meaningful use do?
Using certified technology in EHR implementation to
1. Improve quality, safety, efficiency, and reduce health disparities
2. Improve care coordination, and population and public health
3. Maintain privacy and security of patient health information
What are the benefits of electronic prescribing?
- Immediate access to plan requirements
- Alerts prescriber to drug-to-drug interactions, allergies, and decreased the change of different prescribers giving same medication
