Electronic Medical Records

Question 1

What is a big difference between electronic medical and health records?

Answer 1

EHR’s are shared more easily

Question 2

What does meaningful use mean when talking about EHRs?

Answer 2

Must show it is improving health care quality and efficiency

Question 3

6 things a physician must report to CMS under MU criteria?

Answer 3

Adherence to chronic meds
Adherence to statin therapy
Adherence to chronic meds for diabetes
Lack of monthly INR monitoring
INR for individuals taking warfarin 
Adherence to antipsychotic meds

Question 4

What does the EMR have to do with the health care crisis?

Answer 4

Expensive to implement EHR and the cost is put on the people because their premiums go up

Question 5

What is the difference between a fee for service vs. merit based plan?

Answer 5

You get paid when you see patient

The other one focuses on quality care and outcome

Question 6

What are the 3 most used certified heath IT vendors for Medicare EHR incentive program?

Answer 6

1. Wisconsin based epic
2. Cerner in Kansas City, MO
3. Massachusetts based meditech

Question 7

What are the 4 things that a medical must do for EMR or EHR?

Answer 7

1. Have own login
2. Contribute meaningful data to the EHR
3. Enter data in the appropriate field
4. Have all notes reviewed, edited and signed by supervising physician and feedback given

Question 8

2 things medical students SHOULD also do with EHR?

Answer 8

Have at least 1 note review per day by preceptor

Review screening and prevention recommendations for a patient and let preceptor know

Question 9

What is the old system per CMS for physician and student documenting? 2 things

Answer 9

Physician must redo cement HPI and perform and redo cement PE
Attending can only accept students documentation of ROS, PMH, PSH, Social and Family history.

Question 10

What is the CMS trying to move to from the old system?

Answer 10

More for the physician to verify rather than redocument