The Power Of The EHR (3)

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 healthcare services provided by eligible professionals, eligible hospitals and critical access hospitals (CAHs) within the Healthcare 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.

Examples: ICD diagnostic codes, CPT procedure codes, the order number for a medication and the numbered barcode 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.

Examples: Comment boxes, where there is no use of drop-down lists or check boxes.

Question 5

Data mining

Answer 5

Compiling and reporting of data from coded Fields within the EHR for accurate biosurveillance, Public Health reporting, quality improvement and performance measurement.

Question 6

Meaningful Use

Answer 6

Describe the use of health information technology (HIT) that leads to improvements in health care and furthers the goals of information exchange among Healthcare professionals.

Question 7

How do you become Meaningful Users?

Answer 7

Health professionals need to demonstrate their using certified EHR technology in ways that can be measured in quantity and in quality, such as the recording and tracking of key patient health factors to enable the planning and delivery of timely and effective care.

Question 8

Structured data

Answer 8

Information entered in a structured or predetermined 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 9

Unstructured data

Answer 9

Information that is entered in an 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 pattern, similar to entering information into a Word document. The EHR is not able to easily read and interpret information that is free form.