deck_4118438 Flashcards

1
Q

CHI

A

computerized health information

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2
Q

EMR

A

electronic medical record

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3
Q

EHR

A

electronic health record

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4
Q

EPR

A

electronic pt record

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5
Q

CPR

A

computerized pt record

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6
Q

PHR

A

personal health records

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7
Q

PHI

A

personal health information

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8
Q

PMR

A

pt medical record

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9
Q

PMRI

A

pt medical information

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10
Q

e-sign

A

digital signature

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11
Q

EP

A

eligible professional

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12
Q

EOE

A

electronic order entry

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13
Q

CPG

A

clinical practice guidelines

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14
Q

CPM

A

clinical performance measures

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15
Q

CI

A

clinical indications

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16
Q

CPOE

A

computerized physician order entry

17
Q

POC

A

point of care

18
Q

formulary

A

standard pharmacy of facility

19
Q

EBM

A

evidenced based practice

20
Q

SNOMED

A

global language of healthcare

21
Q

WOW

A

workstation on wheels

22
Q

COW

A

computer on wheels

23
Q

EHT

A

electronic health technology

24
Q

role of EHT

A
  • improve the quality of health care
  • prevent medical errors
  • reduce health care costs
  • increase administrative efficiencies
  • decrease paperwork
  • expand access to affordable healthcare
  • maintain client privacy laws
25
Q

EH

A

eligible hospitals

26
Q

CAHs

A

critical access hospitals

27
Q

centers of medicare & medicaid services (CMS)

A
  • incentive programs provide incentive payments to EP, EH, and CAHs
  • as they adopt, implement, upgrade, or demonstrate meaningful use of certified EHR technology
28
Q

“meaningful use”

A

-using certified EHR technology in ways that can positively impact pt care

29
Q

examples of meaningful use

A
  • CPOE for medication orders
  • record VS
  • medication reconciliation
  • advance directives
  • recoding smoking status
  • active medication list
30
Q

healthcare outcomes

A
  • improve quality, safety, efficiency, and reduce health disparities
  • engage pts and families in their healthcare
  • improve care coordination
  • ensure adequate privacy and security protections for PHI
  • improve individual and community health
31
Q

EHR/EMR include this important info

A
  • immunizations
  • allergies
  • demographics
  • advanced directives
  • appts
  • insurance/fin info
  • MD orders
  • H&P
  • nurse charting
  • current meds
  • lab/dx test restults
  • adjunct care
  • consults
32
Q

levels of automation

A
  • administrative (pt info, address, contacts, insurance, billing, etc)
  • clinical date repository (basic clinical documentation)
  • barcode medication
  • ancillary orders/reports: lab, dx, radiology
  • healthcare personnel communications
  • pt portals
  • MD access from mobile devices
  • able to predict and address epidemic issues for any area using historical data and other factors
33
Q

clinical vocabulaires

A
  • use of a standardized vocab
  • ex: leukopenia vs low white blood count
  • without this, an automated system cannot recognize terms as being equivalent when queried