Electronic Health Records Flashcards

1
Q

What are EHR’s?

A
  • digitalized charts
  • tells you what to do and let’s you know when you should do them
  • tells you when there is contraindicated drugs
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2
Q

Who invented the soap note?

A

-Dr. Lawrence Weed

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3
Q

What is the thing called where the govt won’t reimburse you for medicaid patients?

A

-“Meaningful use”

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4
Q

What are the meaningful use criteria? this will be a test question!

A
  • generate and transmit permissible prescription electronically
  • implement one clinical decision support tool
  • capability to exchange patient information between providers and acceptable entities electronically
  • provide clinical summaries for each patient at each visit
  • provide patients with electronic versions of their health data upon request
  • report a total of 6 ambulatory clinical quality measures to CMS or states
  • protect the patient health information through use of appropriate technical capabilities
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5
Q

What are those 6 ambulatory clinical quality measures?

A
  • adherence to chronic medications
  • adherenc to statin therapy for individuals with CAD
  • adherence to chronic medications for individuals with diabetes mellitus
  • lack of monthly INR monitoring for individuals on warfarin
  • INR for individuals taking warfarin and interacting anti-infective medications
  • adherence to antipsychotic meds for individuals with schizophrenia
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6
Q

stage 1

A

-just get it in your office!

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7
Q

Stage 2

A

electronic transmission of patient care summmaries across multiple settings

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8
Q

Stage 3

A

-these are more broad goals… wierd

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9
Q

Why do docs not like EHR?

A
  • only 3 hours of training
  • inability to capture the interpersonal moments
  • too much time entering data
  • too many alerts on most systems
  • discrete data versus free text
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10
Q

What must med student have on rotations?

A
  • their own login name

- nice for the companies because you have to pay per user

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11
Q

what do you have to make sure you do before you focus of the computer?

A

-look at the damn patient!!!!

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