Lecture Electronic health records for allied health careers: Chapter 3 - Susan Sanderson

Cover goes here when ready

Electronic Health
Records for Allied
Health Careers
Chapter 3
Electronic Health
Records in the
Physician Office

McGraw­Hill

Copyright © 2009 by The McGraw­Hill Companies, Inc. All Rights Reserved.


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Learning Outcomes
After studying this chapter, you should be able to:
1. List the five steps of the office visit workflow in a
physician office.
2. Discuss the advantages of pre-visit scheduling and
information collection for patients and office staff.
3. Describe the process of electronic check-in.
4. Explain how electronic health records make documenting
patient exams more efficient.
5. Explain what occurs during patient checkout.


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Learning Outcomes
After studying this chapter, you should be able to:
6. Explain what two events take place during the post-visit
step of the visit workflow.
7. Describe the advantages of computer-assisted coding.
8. List three decision-support tools the EHRs contain to
provide patients with safe and effective health care.
9. 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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Key Terms
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chronic diseases
clinical guidelines
computer-assisted coding
decision-support tools
disease management
(DM)
• formulary
• point-of-care

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Patient Flow
• progression 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.


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Patient Flow Steps
• Step 1: Pre-Visit: Appointment Scheduling and
Information Collection
• Step 2: Patient Check-in and Payment Collection
• Step 3: Rooming, Measuring Vital Signs, and
Patient Examination and Documentation
• Step 4: Patient Checkout
• Step 5: Post-Visit: Coding and Billing, and
Reviewing Test Results


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Coding and Reimbursement
• Documentation 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.


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Clinical Tools in the EHR
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Decision-Support Tools
Tracking and Monitoring Patient Care
Screening for Illness and Disease
Identifying At-Risk Patients
Managing Patients with Chronic Diseases
Improving the Quality and Safety of Patient Care
with Evidence-Based Clinical Guidelines


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E-Prescribing
• Institute of Medicine recommends the use of
e-prescriptions by all providers and pharmacies by
2010.
• Keeping Current with Electronic Drug Databases

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E-Prescribing Benefits
Increasing Prescription Safety
• Drug-Allergy Conflict
• Drug-Disease Conflict
• Incorrect Dosage
• Incorrect Duration
• Drug-Pregnancy Conflict
• Drug-Age Conflict
• Drug-Gender Conflict
• Drug-Drug Interactions
Saving Time and Money