Module 5 - EHRs

Question 1

EMR

Answer 1

“A electronic record of health-related information on an individual that can be created, gathered, managed and consulted by authorized clinicians and staff within one healthcare organization”

Question 2

EHR

Answer 2

“An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed and consulted by authorized clinicians and staff across more than one healthcare organization”

Question 3

PHR

Answer 3

”An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared and controlled by the individual”

Question 4

EHR 8 core components (national academy of medicine)

Answer 4

1. Health information and data for evidence-based decisions
2. Result management
3. Order management
4. Decision support
5. Electronic communication
6. Patient support
7. Administrative processes and reporting
8. Reporting and population health

Question 5

CPOE (computerized physician order entry)

Answer 5

EHR feature that processes orders for medications, lab tests, imaging, consults, and other diagnostic tests.

Question 6

Alert fatigue

Answer 6

Ignored alerts (in the context of EHRs and adverse drug events)

Question 7

CDSS Clinical Decision Support Systems

Answer 7

Any electronic or non-electronic system designed to aid directly in clinical decision making, in which characteristics of individual patients are used to generate patient-specific assessments or recommendations that are then presented to clinicians for consideration

Question 8

Infobuttons

Answer 8

HL7 standard and commonly used to link important information

Question 9

Patient Registries

Answer 9

an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure and that serves one or more predetermined scientific, clinical, or policy purposes.

Question 10

Outpatient EHR adoption rate

Answer 10

in 2005 it was 10-20%. In 2015 86% of office-based respondent had an EHR

Question 11

Inpatient EHR adoption rate

Answer 11

in 2009 it was 72%, in 2015 96%

Question 12

Coordinated Care

Answer 12

deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient’s care to achieve safer and more effective care

Question 13

Malpractice cost

Answer 13

In 2008 it was $55 billion, or 2.4% of healthcare spending

Question 14

8 “rights” of Safe EHR use (Sittig & Singh)

Answer 14

Right hardware or software
Right content
Right interface
Right personnel
Right workflow
Right organizations
Right state and federal rules and regulations
Right monitoring