Y khoa, y dược - Chapter 7: Introduction to practice partner

Chapter 7Introduction to Practice PartnerElectronic Health Records for Allied Health CareersCover goes here when readyLearning OutcomesAfter studying this chapter, you should be able to:Explain how the use of access levels protects the privacy of information in a patient record.Describe the purpose of the dashboard.Explain where patient registration information is stored and accessed.Explain the function of the Chart Summary.Describe how progress notes can be entered.Explain how Practice Partner assists with coding a patient encounter.Learning OutcomesAfter studying this chapter, you should be able to:List two safety and cost-control features of electronic order entry.Discuss the medication list in Practice Partner.Explain how Practice Partner displays abnormal values in vital signs and lab results.Describe how the HIPAA section of the patient chart can be used to document HIPAA compliance.3Key Termsaccess levelsDashboardevaluation and management codes (E/M codes)Lookupprogress notesSOAPWeb ViewWhat is Practice Partner?Practice Partner is an electronic health recordand practice management program for ambulatory practices.PasswordsUsers must have a user ID, password, and access level to log in.Access Levelsrestrict access to only the information the user needs to fulfill their responsibilitiesPark FeatureAllows user to leave workstation without exiting the programPractice Partner Main WindowPractice Partner Main WindowMain window contains:Title barMenu barToolbarStatus bar10DashboardA convenient view of Schedule, Messages, Lab Review, To Do, and Note Review.Patient InformationPatient area contains demographic informationChart area contains clinical informationLookup FunctionProvides various search options for obtaining more information about a patient.13ChartOrganized by folders, similar to a paper chart.Chart: Chart SummaryOverview of most recent clinical informationChart: Progress NotesRecords of a patient’s visits16Evaluation & Management CodingAnalyzes the progress note and suggests the appropriate E/M code.Chart: Medical HistoryPast Medical HistorySocial HistoryFamily HistoryChart: OrdersComputerized physician order entry (CPOE)Chart: Problem ListContains all problems for which patient has sought treatment:Major ProblemsOther ProblemsProceduresDiagnosesRisksHospitalizationsChart: Health MaintenanceTracks periodic preventive tests and examinations21Chart: Rx/MedicationsOrganizes and maintains medicationsChart: Rx/MedicationsMedication safety features:Drug Interaction and Allergy CheckingDrug Dosage CheckingDiagnosis CheckingFormulary Checking23Chart: Vital SignsEntered manually or from a digital monitor.Patient EducationBuilt-in patient education articles.Chart: Laboratory DataEntered manually or imported electronically.26Chart: ImagesCan be annotated and added to progress notes, etc.Chart: HIPAAUsed for HIPAA-related documents