Week 2 Flashcards
EMR
Electronic Medical Record
The digital version of paper health record
Single healthcare organization
EHR
Electronic Health Record
All the existing information about a patient in a
shared database
Can be accessed across multiple healthcare organization
Personal Computer
Examples
A single-user electronic data processing device, personal computers can also be mobile computers.
Desktop, Laptop Tablets, Pc etc
Input
An input device is any peripheral hardware that allows the user to provide data to the computer.
Common input devices include keyboards, mice and other pointing devices, touchscreens, webcams, cameras, microphones, scanners, and signature pads.
Output
The data entered into the computer is then processed by it. The processed data is displayed using output devices. Common output devices in the healthcare setting include monitors, printers, and speakers.
Data Backup
Is a process in which the network files are copied using an external hard drive, a server, or an online backup system. To protect the data from a disaster in the medical facility, it is important to store the backup files offsite.
Practice Management Software
Practice management software is used for scheduling appointments, new patient registration, billing, coding, and managing finances. (SimChart)
Firewall
A program or hardware device that acts as a barrier or filter between the network and the internet. Data coming from the internet must pass through the firewall. Data that do not meet the firewall criteria are not allowed into the network.
Network
A group of interconnected computers
Encrypted Data
Software used to encode or change the information into nonreadable or encrypted data (also called cipher text), thus preventing unauthorized users from reading the information. An authorized user must enter a password for decryption (dee KRIP shun) to occur and make the text readable again.
Security Risk Analysis
Potential computer network breach threats are identified, the likelihood of occurrence of those threats is determined, and additional safeguards are implemented. The facility should have a plan of action in place in case a threat occurs.
Audit trail
Record of computer activity used to monitor users’ actions within software, including additions, deletions, and viewing of electronic records.
LAN
The local area network can span one building or multiple buildings. Some healthcare agencies have multiple locations over a large area.
WAN
They may use wide area network (WAN) technology, which consists of two or more LANs. LAN and WAN technology can use telephone lines or fiberoptic cables that increase the speed of transmission.
Spreadsheet Software
Used to manage numbers, data, and expenses. Microsoft Excel and Google Sheets are examples.
Redundancy
Individuals use the Internet to send computer files to the service companies’ servers. Files are copied onto many servers in various locations. It allows the information to be accessible even if one server goes down and needs repairs.
Authentication
Each employee with network access must log in using a unique password. The security officer should be able to see the employee’s activity in the network and individual software.
Safer Guides
Focus on practices and policies to during EHR downtime.
NP (New Patient) information sheet is also known as
Demographic sheet or Registration Form
This contains subjective information such as insurance
It’s updated every time you go into the facility or annually
Medical History Form is also known as
Health history questionnaire
Progress Notes
Is running a log or documentation of the patient’s progress of every encounter with them or lack thereof it
Fax protocols
Aby by HIPAA and HITECH laws
Full block letter format
Most common type of business letter
C: Allice Adams, md.
This example means what?
It tell the receiver that this person (Allice) also got a copy of the letter
Usual business envelope size?
10
What is the standard line spacing for business letters?
Single line spacing
What is the salutation ?
The salutation is the greeting’s, it’s the starting word after the name and the address of the facility such as “Dear” “Hello”
What is a Simplified letter format?
A format that does not use a salutation
and closing. The senders name is in capital letters. (Not commonly used in health care)
Template
Document or file that has a present format this is used as a starting point for something and eliminates the need to recreate it each time it is used.
Proper Closing for a Buissness Letter?
one blank line between the last line of the body of the letter, Closing is required, In the end “Sincerely, Yours Truly or Very truly yours’ is used Followed with a comma.
* Respectfully,
Most business correspondence uses which size letterhead?
Letterhead paper is 20-24 lb bond paper. The thicker the paper the larger the lb. bond # If leterhead isn’t availabie, a 8.5x11 inch paper is used.
What is the signature block?
includes the signature, typed name & the title of the sender. There should be 4 blank lines between the closing & the typed name & credentials of the sender.
How to correctly write letter date?
The date is located either at the left or right margin or starts at the center point of the line
Termination letter
Is when the hospital advises the doctor to stop treating patients
Send by certified mail with return receipt
A copy of this is saved and uploaded to the EHR or filed into the paper medical record
What is the proper email etiquette?
The message should be clear, concise, and professional.
Can help avoid costly mistakes while sharing respectful, efficient and easy communication
No emojis, no cap, no slang and include a subject
How often does the crashcart needs to be checked?
Monthly
After it’s used
expensive equiement deprecates?
Over five years
What to do when you’re on the phone and a patient walks in?
Smile at the patient in the office and keep talking to the patient on the phone
if a item not in stock or delayed shipment?
Back ordered
DEA
Drug enforcement agency
DEA #
Unique # and allows a provider to right RX for narcotics
NPI
National provider identifier
Invoice
Bill
Packing slip
Tells you what is in the package
use a fire extinguisher
P -pull the pin
A - Aim base
S - squeeze
S- Sweep at bottom
what to do when a tornado accurs?
Inside room
Away from windows
What to do when you open the office?
1 Unlock door
2 clock in
3 StocK UP
4 unlock phone system
5 prep room
6 organize the desk
7 lights on
8 quarty controls
who responsible to test quality control?
Medical Assistant
E-prescribing
electronic prescription
errors free
faster
less fraud
what infection control supplies is at the front desk or Waiting room.
1) Mask
2) waste basket
3) hand sanitizer
4) tissue
what’s a violation on sign in sheet?
Insurance
New pt check in
1) insurance, insurance holder
2) Phone #, name, address, DOB
3 demographics
4) Medicals history
5) allergies
6) CC
Vaccines in freezer:
•No food or drinks in the same area as vaccines.
• Make sure door is closed.
•Don’t store vaccines next to wall or close to door
•Fridge temp 36-46F
Inventory management :
• count supplies coming in
• have to have office NPI/DEA #
• add them to inventory list
• tracking stock on routine basis
• Ordering supplies
• responsible for managing supplies
Where to store extra RX pads?
In a locked cabinet
Proper body mechanism
• Keep movements smooth
• When reaching for an object feet & self should face object
• don’t tiptoe/climb anything ever
• Bring object, then lift
Emergency Response Plan:
Every office MUST have one
Available to all employees
Would name Emergency personnel
Must include evaluation plan/Map
Has to include critical shutdown procedures
New stock without expiration date goes
Behind everything else
RACE
Rescue
Alarm activate
Confine
Evacuate
Class C
Electrical fires
