Elecronic Health Records Flashcards
Did HIPAA standards affect the development of EHRs?
Yes
Acronym for Consolidated Health Informatics Initiative
CHI
Abbreviate for office visit
OV
One advanced method used to input data into an EHR
Voice recognition
The catalyst for the need of electronic health records
Improved patient care
Abbreviation for past medical history
PMHX
Databases of approved medications in drug therapy categories
Drug formularies
A medical note added subsequent to the original note that will supplement the clinical information
Addendum
The repository for patient medical data through computer automation in the medical office
Electronic chart
The ability of a software program to accept, send or communicate data from its database to other software programs from multiple vendors to communicate
Interoperability
Allows all users across the network to see at a glance the current location and the status of all patients in the clinic
Patient tracker
The time and place of care being given to the patient from the healthcare provider
Point of care
A portable, handheld personal computer, with the ability to document directly in the screen with a stylus pen
Tablet pc
Pre-structured portions of the software for common visits
Templates
Abbreviation for health information exchange
HIE
The healthcare providers’ use of certified EHR technology in ways that can be measured significantly, in quality and in quantity
Meaningful use
The physics, technological, and administrative safeguards used to protect individually identifiable health information
Security
The application of computers and telecommunications equipment to store, retrieve, transmit, and manipulate data, often in the context of business or other enterprise
Information technology
Acronym for Medicare improvement for patients and providers act
MIPPA
Software with a full range of functionalities to store, access, and use patient medical information
EHR
Abbreviation to practice management system
PMS
Abbreviation for office visit
OV
Term referring to finding the identity of “who” is speaking, rather than what they are saying
Voice recognition system
Can a practice with several clinics share the same database out of differ locations
Yes
Abbreviation for continuity of care record
CCR
Acronym for return of investment
ROI