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Chapter 14: Electronic Medical Records > Thursday Test > Flashcards

Thursday Test Flashcards

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USMLE® Step 1 flashcards
1
Q

Written correspondence

A

With other staff members regarding patient care should always be professional

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2
Q

Allied health care

A

Has led the way in the adoption of electronic medical record technology

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3
Q

Benefits of EMR

A
  • I physician who saves time by using an EMR, will spend more time on patient care
  • It’s not a benefit of an electronic medical record that it takes longer to retrieve a patient’s chart
  • Benefit take up less space to store accuracy and portability
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4
Q

Drop-down menu

A
  • A list of symptoms
  • A list of diagnoses
  • A patient’s number would not be in there.
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5
Q

EMR error correction

A
  • By using the rules associated with a particular EMR.

- Errors in the patient’s EMR should be corrected as soon as they are discovered

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6
Q

Paper based record system

A

A chart for a new patient is started the day before the patient’s appointment

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7
Q

HIPPA

A
  • Protects the confidentiality of patient information
  • The overall goal of HIPPA is to simplify health insurance related issues from an administrative point of view
  • Per HIPPA all computer users must have their own password to access the patient’s medical record
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8
Q

List of patients

A

An EMR allows the medical assistant to create a list of patients according to specific parameters

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9
Q

Electronic signatures

A

-Medical offices that utilize electronic signatures must keep an original version of each signature on file.

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10
Q

Mayo clinic

A

The first healthcare organization to utilize an electronic medical record

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11
Q

Companies that sell EMR software

A

Are responsible for providing technical support to the EMR.

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12
Q

Telephone messages

A
  • A receptionist can flag your telephone message and send it electronically to another staff member or physician without needing to leave it on their desk.
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12
Q

No limitations

A

-There are no limitations of the EMR, any person may view the record at any time.

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13
Q

Access to patient charts

A

It is easy for a medical office to determine who has had access to a patient’s chart

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14
Q

Patient’s account

A

The receptionist is able to see an alert from the billing staff about a particular patient account

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15
Q

Access to electronic records

A
  • Stylus tapped on a notebook computer
  • Personal digital assistant (PDA)
  • Keyboard attachment to a computer
16
Q

Patient’s chart

A

Much of the same information found in a patient’s paper chart is found in an electronic chart

18
Q

Family members record

A

Some offices do not allow an employee who is also a patient of the practice to access their own or family members information

19
Q

EMR

A

Electronic medical record’s makes charting patients info easier

20
Q

EMR training

A

Training offered by software companies related to using the EMR should be attended by everyone in the office

22
Q

Age as it relates to computers

A
  • Patients in their 30s and younger maybe comfortable with the idea of using a computer to store their most personal medical information.
  • People age 60 and older are most likely to require extra time when explaining the EMR
24
Q

Scanning

A

Once scanned into the EMR, a paper record is usually shredded

24
Q

Electronic health record (EHR)

A

Another name for EMR, electronic medical record

25
Q

Examination room

A

Many medical offices have computer terminals in each room

26
Q

Networked

A
  • To share an EMR in a medical office, the computers must be in network.
  • Electronic medical record’s are stored on computer’s hard drive or medical offices network.
26
Q

Storing patients info

A
  • Patients will have different levels of comfort when it comes to storing their medical information on a computer
  • Sharing medical records information is allowed in hospital to hospital, physician to hospital, and physician to physician.
27
Q

Prescriptions

A

Prescriptions given to a patient are usually included in an EMR

28
Q

PDA

A
  • Light-weighted
  • Pen, or stylus based
  • Small enough to fit inside a lab coat pocket.
29
Q

Converting

A

Paper based system to an EMR takes a long time

30
Q

2003

A

HIPPA was enacted

31
Q

Internet

A

Some facilities allow patients to look up portions of their EMR via the Internet

32
Q

Back up systems

A

Are usually set to run daily in a medical office

Chapter 14: Electronic Medical Records (2 decks)

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