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Pharm 151 - self inflicted lobotomy > Week 3 - Foundation and Application of Health Informatics > Flashcards

Week 3 - Foundation and Application of Health Informatics Flashcards

1
Q

EHR - what abbreviate

A

Electronic health record

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2
Q

EHR - definition

A

health record under the custodianship of the health system used in support of multiple care settings

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3
Q

EHR - what does it provide

A

provides ea canadain with secure and private lifetime record of key health history and care within the HC system

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4
Q

EHR - how available

A

available electronically to authorized HCPs and the individual anytime, anywhere ins support of high quality care

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5
Q

EHR - what facilitate

A

sharing of data across continuum of care, HC delivery organizations and geographical area
ex. alberta netcare

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6
Q

DIS - what abbreviate

A

drug information system

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7
Q

DIS - different from drug information?

A

different from drug information

-providing patient care by developing search strategies for various information needs

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8
Q

DIS - is a component of what

A

component within EHR

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9
Q

DIS - enables what

A

enables authorized users to access, manage, share and safeguard pateints medication histories

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10
Q

DIS - what is within

A

record of all prescription medications dispensed

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11
Q

DIS - what does it support

A

supports storage and retrieval of patient Rx and medication info

may provide application services supporting dispensing activities such as drug usage evaluation

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12
Q

DIS - examples

A

BC: pharmaNet

PEI: DIS

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13
Q

EMR - what abbreviate

A

Electronic medical record

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14
Q

EMR - what is it

A

a record under the custodianship of a HCP that is used in a community physician or specialist physician practice setting

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15
Q

EMR - what records maintained

A

records maintained on patient:

  • demographics
  • medical and drug history
  • diagnostic information (including lab results and imaging)
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16
Q

EMR - office management functions

A

EMR has office management functions such as billing and scheduling

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17
Q

EMR - more advanced EMR fts (5)

A

more advanced EMRs include order entry for medications and test, alerts, reminders and clinical decision support

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18
Q

EHR contains (6)

A

patient registries

lab information systems

diagnostic imaging repositories

provider registries

DIS

public health surveillance

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19
Q

PHR - what abbreviate

A

personal health record

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20
Q

PHR - who is custodian

A

a health record under the custodianship of a patient which might include a family member or caregiver

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21
Q

PHR - where used

A

used in any setting where individuals are managing their own care

22
Q

PHR - what is it

A

computer based medical record that holds all or a portion of the relevant health information about individuals over their lifetime

23
Q

PHR - information sources

A

health system and CoC for the individuals

24
Q

PHR - often integrated with what

A

PHR is often integrated with the EMR and EHR (possibly with other systems as well) used by clinicians and delivery organizations

25
Q

PHR - who may input info

A

family members, caregivers, and the individual may input relevant information
-including from medical devices

26
Q

Benefits of digital records: Communication

A

improved communication between clinicians and care providers

27
Q

Benefits of digital records: access

A
  • easily accessible through variety of hardware interfaces (ex. computers, mobile devices, etc)
  • information can be accessed by those involved in care since the patient’s record is not in a physical location
28
Q

Benefits of digital records: patient safety

A

expedited retrieval of information

ex. can generate reports for drug recall, safety alerts

29
Q

Benefits of digital records: convenient

A

can be accessed by a variety of clinicians at one time and in different locations (remotely)

30
Q

Benefits of digital records: efficient

A

information immediately available (no delay)

31
Q

Benefits of digital records: patient outcomes

A

can track outcomes for chronic disease management (ex. diabetes)

32
Q

Benefits of digital records: decreases errors

A

information is legible, easier to find, more complete

33
Q

Benefits of digital records: list them all

A 
communication
access
patient safety
convenient
efficient
patient outcomes
decreases errors
34
Q

challenges of digital records: cost

A
  • high upfront acquisition costs for relevant software, routine support and maintenance, and necessary hardware updates
  • converting paper records to digital records is required
35
Q

challenges of digital records: user reluctance to adopt

A

clinicians who may be less comfortable with computers and software

36
Q

challenges of digital records: disruption to workflow

A

modifying the workflow in a physical space that likely was designed for a paper-based system

37
Q

challenges of digital records: perceived vulnerability to security breaches

A

clinicians and patients may be concerned with data security

38
Q

challenges of digital records: list all of them

A

cost
user reluctance to adopt
disruption to workflow
perceived vulnerability to security breaches

39
Q

major challenges with EHRs: cost

A

software, hardware, support, and maintenance

40
Q

major challenges with EHRs: privacy laws

A

each province has laws regarding the collection, use, protection, and disclosure of PHI

41
Q

major challenges with EHRs: implementation issues

A

integrating different EMRs

Integrating different EHRs

42
Q

major challenges with EHRs: list all

A

cost
privacy laws
implementation

43
Q

Ontario EHRs

  • when developed/how organized
  • list the 3 clusters
A

development since 2008, divided into 3 clusters

northern and eastern region (NER)

south west ontario (SWO)

Greater Toronto Area (GTA)

44
Q

South West Ontario Cluster

- history

A

originally managed by connecting south west ontario (cSWO)

  • program ended march 31 2020
  • transition back to Ontario Health (digital)
  • now manage under Hamilton Health Sciences
45
Q

South West Ontario Cluster

-oversee what four local health integration networks (LHIN)

A

earie St Clair

south west

waterloo wellington

hamilton niagra haldimand brant

46
Q

What is Clinical Connect

A

South west ontarios regional electronic health record`

secure web based viewr that provides health service providers with reat time acess to their pateitns PHI

47
Q

can anything be altered in ClinicalConnect

A

NO

its just a viewer, nothing can be altered or deleted

48
Q

security of ClinicalConnect

A

securely encrypted over the internet and accessible anywhere you have an internet connection

49
Q

Access to clinicalConnect

A

access through ONE ID

-secure single entry point to a suite of provincial data

50
Q

From ClinicalConnect, partcipating organizations can gain access to data from:

A

Acute and Community Clinical Data repository (acCDR)
-transcriptions from hospitals outside south west ontario

Diagnostic imaging Common Service (DI-CS)
-Dianostric imaging and reports from hospitals and independent health facilities across ON

Digital heatlh drug repository (DHDR)
-dispensed community publicly-funded drugs, monitored drugs, and pharmacy services across ON

ontario Laboratory information system (OLIS)
-Laboratory test orders and results from hospitals and community based labs across ON

51
Q

why is EHR access important for pharmacy practice (5)

A

for new or unfamiliar patients:
-to verify narcotic dispensing history

  • assist patients in an emergency situation who find themselves without their Rx meds
  • when pateitns move to the community from outside the region (ensure patient not missing any therapies)
  • Assist physicians at walk-in-clinics, when pateints regular pharmacy is closed
  • allow RPh to work to full SoP

Pharm 151 - self inflicted lobotomy (8 decks)

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