Unit 6 - EHR Flashcards
Why should we encourage the healthcare practitioners to move to an electronic system?
- improve the accuracy and quality of data recorded in a health record
- improve quality of care
- improve the efficiency of the health record service
- enhance healthcare practitioners’ access to a patient’s healthcare information
- contain healthcare costs
True or False
many cases assume that an electronic healthcare record replaces the paper record
True
What do you call a collection of computer-stored images of traditional health record documents that are scanned into a computer and images stored on optical disks?
Automated Health Records
AHR
in the 90’s, records mainly rely on document scanning onto optical disks. this addresses access, space, and control probs related to database records but does not address data input and output
What term is used to describe automated systems based on document imaging or systems and is developed within a medical practice or health center?
Electronic Medical Record
EMR
Includes patient identification details, medications and prescription generation, laboratory results, and healthcare information recorded by the doctor
What record is a collection of health information for one patient linked by a patient identifer that includes the provision of care over a period of time?
provision of care = Medical alerts, Medication orders, Integrated data on px regis, Admission and financial details. Recording information from diff depts
Computer-based Patient Record
CPR
limited to inpatient facilities
What record contains all personal health information belonging to an individual that extends beyong inpatient facilities?
information is entered and accessed electronically by multiple healthcare providers over a person’s lifetime
Electronic Health Record
EMR
What record focuses on the total health of the patient wherein this goes beyond the data collected and there is sharing of information with other healthcare providers and organizations?
Electronic Health Records
What record contains medical and treatment history of patiens in one practice or organizations and is also a digital version of paper charts?
Electronic Medical Records
What record is an electronic record of health-related information on an individual that can be drawn from multiple sources while being managed, shared, and controlled by the individual (patient)?
Personal Health Record
parang EHR pero imbes na professionals mag-manage eh ikaw nagmamanage
____ is a major issue that should be addressed before moving forward to automation. Without this, there will be no backbone of an effective and efficient health record system, whether manual or electronic.
Unique patient identification
Accurate ____ is the backbone of aneffective and efficient health record system, whether manual or electronic
Unique patient identification
Besides unique patient identification, what are the other possible issues that may be present b4 implementing a successful EHR?
- Clinical data entry issues and lack of standard terminology
- Resistance to comp technology and lack of computer literacy
- Strong resistance to change
- High cost of comps and systems
- Information availability upon request
- Privacy and confidentiality concerns
- Quality of electronic healthcare information and accuracy of data entries
- Lack of staff w/ enuff knowledge of disease classification
- Manpower issues
- Environmental issues
- Involvement of clinicians and hospital administrator
What are the safeguards which may need to be addressed before a successful EHR implementation?
- Efficient backup system available
- Contingency plans for disaster recovery
- Securing workstations and password requirement
- Access to authorized ppl onli
- Audit controls
Benefits of the use of EHR
- Improve healthcare
- Engage ppl in their healthcare
- Improve care coordination
- Improve popu & pubhealth
- Ensure adequate privacy and security of personal health information
What do u call a secure website through which patients can access their medical records electronically?
Patient portal
this enables users to complete forms online, sched appointments, communicate w/ providers, request meds, review tets, pay bills