Ehrgo The Power of the EHR definitions

Question 1

adverse event

Answer 1

any undesirable experience associated with the use of a medical product or pharmaceutical in a patient

Question 2

clinical quality measures (CQMs)

Answer 2

tools that help measure and track the quality of health care services provided by eligible professionals, eligible hospitals and critical access hospitals within the health care system

Question 3

coded data

Answer 3

quantitative data entered into specific fields in the EHR via a computerized form which enables the search, retrieval and or data mining of the gathered information

ex- ICD 10 diagnostic codes, CPT procedural codes, the order number for a medication and the numbered bar code associated with it

Question 4

Non-coded data

Answer 4

data entered in a field where the EHR cannot recognize the entry. This is very similar to unstructured data. Non- coded data will not trigger prompts or show up in searches of linked terms.

ex- comment boxes, where there is no use of a drip-down list or check boxes

Question 5

Data mining

Answer 5

compiling and reporting of data from coded fields within the EHR for accurate bio surveillance, public health reporting, quality improvement and performance measurement

Question 6

Meaningful Use

Answer 6

meaningful use describes the use of health information technology (HIT) that leads to improvements in healthcare and furthers the goals of information exchange among health care professionals. to become Meaningful Users, health professionals need to demonstrate they’re using certified EHR technology in way that can be measured in quantity an din quality, such as the recording and tracking of key patient health factors to enable the planning and delivery of timely and effective care

Question 7

Structured Data

Answer 7

information entered in a structured or pre determined field within a record, file or note. this information, or data, is understood by other functions in the EHR, because it is built with a universal set of protocols

Question 8

Unstructured data

Answer 8

information that is entered in a unstructured format, such as a nurse’s narrative note or the free text in a comment box. it is considered free form and does not follow any sort of organizational patter, similar to entering information into a word document. The EHR is not able to easily read and interpret information that is free form