Y khoa, y dược - Chapter 3: Electronic health records in the physician office

Tài liệu Y khoa, y dược - Chapter 3: Electronic health records in the physician office: Chapter 3Electronic Health Records in the Physician OfficeElectronic Health Records for Allied Health CareersCover goes here when readyLearning OutcomesAfter studying this chapter, you should be able to:List the five steps of the office visit workflow in a physician office.Discuss the advantages of pre-visit scheduling and information collection for patients and office staff.Describe the process of electronic check-in.Explain how electronic health records make documenting patient exams more efficient.Explain what occurs during patient checkout.Learning OutcomesAfter studying this chapter, you should be able to:Explain what two events take place during the post-visit step of the visit workflow.Describe the advantages of computer-assisted coding.List three decision-support tools the EHRs contain to provide patients with safe and effective health care.List four important safety checks that an EHR’s e-prescribing feature can perform when a physician selects a new medication for a patient....

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Chapter 3Electronic Health Records in the Physician OfficeElectronic Health Records for Allied Health CareersCover goes here when readyLearning OutcomesAfter studying this chapter, you should be able to:List the five steps of the office visit workflow in a physician office.Discuss the advantages of pre-visit scheduling and information collection for patients and office staff.Describe the process of electronic check-in.Explain how electronic health records make documenting patient exams more efficient.Explain what occurs during patient checkout.Learning OutcomesAfter studying this chapter, you should be able to:Explain what two events take place during the post-visit step of the visit workflow.Describe the advantages of computer-assisted coding.List three decision-support tools the EHRs contain to provide patients with safe and effective health care.List four important safety checks that an EHR’s e-prescribing feature can perform when a physician selects a new medication for a patient.Key Termschronic diseasesclinical guidelinescomputer-assisted codingdecision-support toolsdisease management (DM)formularypoint-of-carePatient Flowprogression of patients from the time they make an appointment until they leave the office after a visit. Whether paper-based or electronic health records are used, the basic steps are the same.Patient Flow StepsStep 1: Pre-Visit: Appointment Scheduling and Information CollectionStep 2: Patient Check-in and Payment CollectionStep 3: Rooming, Measuring Vital Signs, and Patient Examination and DocumentationStep 4: Patient CheckoutStep 5: Post-Visit: Coding and Billing, and Reviewing Test ResultsCoding and ReimbursementDocumentation and coding plays a major role in whether a payer approves claims and reimburses the physician. Computer-assisted coding uses software to facilitate claim processing.Clinical Tools in the EHRDecision-Support ToolsTracking and Monitoring Patient CareScreening for Illness and DiseaseIdentifying At-Risk PatientsManaging Patients with Chronic DiseasesImproving the Quality and Safety of Patient Care with Evidence-Based Clinical GuidelinesE-PrescribingInstitute of Medicine recommends the use of e-prescriptions by all providers and pharmacies by 2010.Keeping Current with Electronic Drug DatabasesE-Prescribing BenefitsIncreasing Prescription SafetyDrug-Allergy ConflictDrug-Disease ConflictIncorrect DosageIncorrect DurationDrug-Pregnancy ConflictDrug-Age ConflictDrug-Gender ConflictDrug-Drug InteractionsSaving Time and Money

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