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Pharm 151 - self inflicted lobotomy > Week 3 - Foundation and Application of Health Informatics > Flashcards

Week 3 - Foundation and Application of Health Informatics Flashcards

(51 cards)

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1
Q

EHR - what abbreviate

A

Electronic health record

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2
Q

EHR - definition

A

health record under the custodianship of the health system used in support of multiple care settings

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3
Q

EHR - what does it provide

A

provides ea canadain with secure and private lifetime record of key health history and care within the HC system

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4
Q

EHR - how available

A

available electronically to authorized HCPs and the individual anytime, anywhere ins support of high quality care

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5
Q

EHR - what facilitate

A

sharing of data across continuum of care, HC delivery organizations and geographical area
ex. alberta netcare

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6
Q

DIS - what abbreviate

A

drug information system

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7
Q

DIS - different from drug information?

A

different from drug information

-providing patient care by developing search strategies for various information needs

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8
Q

DIS - is a component of what

A

component within EHR

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9
Q

DIS - enables what

A

enables authorized users to access, manage, share and safeguard pateints medication histories

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10
Q

DIS - what is within

A

record of all prescription medications dispensed

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11
Q

DIS - what does it support

A

supports storage and retrieval of patient Rx and medication info

may provide application services supporting dispensing activities such as drug usage evaluation

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12
Q

DIS - examples

A

BC: pharmaNet

PEI: DIS

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13
Q

EMR - what abbreviate

A

Electronic medical record

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14
Q

EMR - what is it

A

a record under the custodianship of a HCP that is used in a community physician or specialist physician practice setting

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15
Q

EMR - what records maintained

A

records maintained on patient:

  • demographics
  • medical and drug history
  • diagnostic information (including lab results and imaging)
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16
Q

EMR - office management functions

A

EMR has office management functions such as billing and scheduling

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17
Q

EMR - more advanced EMR fts (5)

A

more advanced EMRs include order entry for medications and test, alerts, reminders and clinical decision support

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18
Q

EHR contains (6)

A

patient registries

lab information systems

diagnostic imaging repositories

provider registries

DIS

public health surveillance

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19
Q

PHR - what abbreviate

A

personal health record

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20
Q

PHR - who is custodian

A

a health record under the custodianship of a patient which might include a family member or caregiver

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21
Q

PHR - where used

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A

used in any setting where individuals are managing their own care

22
Q

PHR - what is it

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A

computer based medical record that holds all or a portion of the relevant health information about individuals over their lifetime

23
Q

PHR - information sources

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A

health system and CoC for the individuals

24
Q

PHR - often integrated with what

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A

PHR is often integrated with the EMR and EHR (possibly with other systems as well) used by clinicians and delivery organizations

25
PHR - who may input info
family members, caregivers, and the individual may input relevant information -including from medical devices
26
Benefits of digital records: Communication
improved communication between clinicians and care providers
27
Benefits of digital records: access
- easily accessible through variety of hardware interfaces (ex. computers, mobile devices, etc) - information can be accessed by those involved in care since the patient's record is not in a physical location
28
Benefits of digital records: patient safety
expedited retrieval of information ex. can generate reports for drug recall, safety alerts
29
Benefits of digital records: convenient
can be accessed by a variety of clinicians at one time and in different locations (remotely)
30
Benefits of digital records: efficient
information immediately available (no delay)
31
Benefits of digital records: patient outcomes
can track outcomes for chronic disease management (ex. diabetes)
32
Benefits of digital records: decreases errors
information is legible, easier to find, more complete
33
Benefits of digital records: list them all
``` communication access patient safety convenient efficient patient outcomes decreases errors ```
34
challenges of digital records: cost
- high upfront acquisition costs for relevant software, routine support and maintenance, and necessary hardware updates - converting paper records to digital records is required
35
challenges of digital records: user reluctance to adopt
clinicians who may be less comfortable with computers and software
36
challenges of digital records: disruption to workflow
modifying the workflow in a physical space that likely was designed for a paper-based system
37
challenges of digital records: perceived vulnerability to security breaches
clinicians and patients may be concerned with data security
38
challenges of digital records: list all of them
cost user reluctance to adopt disruption to workflow perceived vulnerability to security breaches
39
major challenges with EHRs: cost
software, hardware, support, and maintenance
40
major challenges with EHRs: privacy laws
each province has laws regarding the collection, use, protection, and disclosure of PHI
41
major challenges with EHRs: implementation issues
integrating different EMRs Integrating different EHRs
42
major challenges with EHRs: list all
cost privacy laws implementation
43
Ontario EHRs - when developed/how organized - list the 3 clusters
development since 2008, divided into 3 clusters northern and eastern region (NER) south west ontario (SWO) Greater Toronto Area (GTA)
44
South West Ontario Cluster | - history
originally managed by connecting south west ontario (cSWO) - program ended march 31 2020 - transition back to Ontario Health (digital) - now manage under Hamilton Health Sciences
45
South West Ontario Cluster | -oversee what four local health integration networks (LHIN)
earie St Clair south west waterloo wellington hamilton niagra haldimand brant
46
What is Clinical Connect
South west ontarios regional electronic health record` secure web based viewr that provides health service providers with reat time acess to their pateitns PHI
47
can anything be altered in ClinicalConnect
NO its just a viewer, nothing can be altered or deleted
48
security of ClinicalConnect
securely encrypted over the internet and accessible anywhere you have an internet connection
49
Access to clinicalConnect
access through ONE ID | -secure single entry point to a suite of provincial data
50
From ClinicalConnect, partcipating organizations can gain access to data from:
Acute and Community Clinical Data repository (acCDR) -transcriptions from hospitals outside south west ontario Diagnostic imaging Common Service (DI-CS) -Dianostric imaging and reports from hospitals and independent health facilities across ON Digital heatlh drug repository (DHDR) -dispensed community publicly-funded drugs, monitored drugs, and pharmacy services across ON ontario Laboratory information system (OLIS) -Laboratory test orders and results from hospitals and community based labs across ON
51
why is EHR access important for pharmacy practice (5)
for new or unfamiliar patients: -to verify narcotic dispensing history - assist patients in an emergency situation who find themselves without their Rx meds - when pateitns move to the community from outside the region (ensure patient not missing any therapies) - Assist physicians at walk-in-clinics, when pateints regular pharmacy is closed - allow RPh to work to full SoP

Pharm 151 - self inflicted lobotomy (8 decks)

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