4.2.4 study

Question 1

define:

health information for a patient at one health care facility.

Answer 1

electronic medical record

(EMR)

Question 2

define:

health information from all providers who have cared for a patient.

Answer 2

electronic health record

(EHR)

Question 3

which benefit of EHRs is described?

prescriptions and lab results can be transmitted within seconds, allowing patients to receive the care they need more quickly.

Answer 3

convenience

Question 4

which benefit of EHRs is described?

EHRs eliminate the physical storage costs needed for paper records. because EHRs are easier to access, they enable health care providers to do their work more effciently.

Answer 4

cost savings

Question 4

which benefit of EHRs is described?

multiple health care providers can access a patient’s record quickly and easily.

Answer 4

coordinated care

Question 5

which benefit of EHRs is described?

EHRs are more accurate and legible than paper records. they consolidate the patient’s entire medical history in one place.

Answer 5

patient safety

Question 6

which drawback of EHRs is described?

although EHRs reduce costs, there is a cost. purchasing and maintaining electronic software and training staff on how to use it can be expensive.

Answer 6

financial costs

Question 7

which drawback of EHRs is described?

EHRs contain sensitive and confidential patient information. there is growing concern about how, when, and where information is shared.

Answer 7

patient privacy

Question 8

which step to protect EHRs is described?

for larger health care providers, it is important to identify what information each employee needs access to. for example, someone in the billing department shouldn’t have access to all the information physicians can access and vice versa.

Answer 8

defining access

Question 9

which step to protect EHRs is described?

health care providers may use ____ to offer patients a choice regarding how their information is shared. for example, patients may be asked weather they are willing to allow their information to be available to all the providers who use a particular EHR system.

Answer 9

consent forms

Question 10

which step to protect EHRs is described?

strong ____ are essential. not only should they be difficult to guess, they should be changed routinely.

Answer 10

passwords

Question 11

which step to protect EHRs is described?

health care providers need to make sure employees understand the importance of security and the role they play in it.

Answer 11

employee training

Question 12

which step to protect EHRs is described?

EHR systems at smaller facilities are particularly vulernable to viruses. ____ must be kept up-to-date. ____ help prevent malicious attacks on the EHR system.

Answer 12

anti-virus software and firewalls

Question 13

which element of EHR training is described?

typically, the home screen will contain a search feature and other icons, such as folders or specific programs used by your facility.

Answer 13

home screen navigation

Question 14

which element of EHR training is described?

there is usually an area designated for scheduling patient appointments.

Answer 14

patient scheduling

Question 15

which element of EHR training is described?

depending on the software your facility uses, you will need some training on how to find ____ as well as an understanding of what level of access you have. some EHRs are set up so that different staff members have different access levels. for example, someone who works in billing won’t have the same kind of access as a physician or nurse.

Answer 15

patient records

Question 16

which element of EHR training is described?

most health care providers use EHRs to organize and track patient billing. billing is often tracked by using specific medical codes.

Answer 16

medical billing/coding

Question 17

which element of EHR training is described?

most EHR systems require some knowledge of ____.

Answer 17

medical terminology

Question 18

define:

documentation of services provided by a health care provider to a patient.

Answer 18

legal medical record

(LMR)

Question 19

define:

a medical record that can be released for any legal reason, such as court hearing or a patient’s request for access.

Answer 19

designated record set

(DRS)

Question 20

define:

any health information that is accessed, transmitted, or maintained either electronically, verbally, or written and is protected under HIPAA.

Answer 20

protected health information

Question 21

define:

a method of note taking that doctors use to record and document medical notations quickly.

Answer 21

macros

Question 22

fill in the blank.

maria relays her current symptoms to her doctor. her doctor enters ____ into his portable medical device.

Answer 22

protected health information

Question 23

what is the scenario an example of?

maria asks her doctor for a copy of specific tests and notations.

Answer 23

designated record set

Question 24

fill in the blank.

while maria describes her symptoms, the doctor uses ____ to take notes.

Answer 24

macros

Question 25

define:

illnesses that must be reported to government agencies, usually those that are infectious and a danger to the public health.

Answer 25

reportable illness

Question 26

define:

studies how, why, where, and when diseases spread.

Answer 26

epidemiology