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.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