...0 3 0 Electronic Health Records in the Physician Office CHAPTER OUTLINE Patient Flow in the Physician Practice Step 1. Pre-Visit: Appointment Scheduling and Information Collection Step 2. Patient Check-in and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. 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. Explain what two events take place during the post-visit step of the visit workflow. Describe the advantages of computer-assisted...
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...0 3 0 Electronic Health Records in the Physician Office CHAPTER OUTLINE Patient Flow in the Physician Practice Step 1. Pre-Visit: Appointment Scheduling and Information Collection Step 2. Patient Check-in and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. 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. Explain what two events take place during the post-visit step of the...
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... May 30, 2011 Abstract An electronic medical record also referred to as an (EMR) is a medical record that is turned into a computerized file that has been created by the medical facility that delivers care to its patients and/or patients. It can be created by a doctor’s office, surgery center, dental clinic or any office in the health field. Electronic medical records seem to be a more efficient and effective way of retrieving patients information that allows retrieval, storage and modifying of patients records so many can gain access and up to date information pertaining to the patients overall care and status. One of the major benefits of electronic medical records is that is saves time and makes the whole process more efficient and accurate. By being able to have all the patients information at the touch of a computer key makes it a quick record s transfer from one physician to another especially in a critical situation, or needing a different type of care from another physician in a particular field. Copying, faxing, and having to transfer and mail out patients records takes many man hours but also uses lots of office paper. Electronic medical records are cost efficient and saves times by being able to e-mail many recipients at one time. That in return saves time and money for all doctors offices involved. I myself have had problems reading doctors notes or physicians orders and this will save time...
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...Electronic Medical Records (EHR), and various approaches to using them. Electronic Medical Records have become a vital tool in health care facilities. They provide a uniform method of communication between doctors and other health care workers, without the necessity for handwritten information that is stored in a specific location. Necessary patient information can be acquired from various locations securely with a password. Paper based records are gradually being phased out and being replaced by computer based records. The transition is not yet complete but should be in the immediate future. Electronic Medical Records are the heart of computerized health information systems without then much of modern technology cannot be successfully coordinated into the typical clinical workflow. Importance of Electronic Medical Records There are several advantages of Electronic Medical Records: * Organization and increased efficiency * Immediate access to patient information * Better health decision when EHR can be accessed by multiple doctors in many cases it will prevent repeat or needless procedures due to lack of communication. * Standardization * Most important to many is HIPPA as it gives patients additional rights as they can have access to their medical information by means of a secure site. Effectiveness of Electronic Health Records The dictionary defined HIPPA as a US law designed to provide privacy standards to protect patients' medical records and...
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...creating a medical call center that will be improved and have better customer service as well as exceeding the patients' expectations. Our agents will provide high-quality healthcare advice, products or assistance to residents of the area. We will serve our community’s needs. Forming a health care facility that fully capable to survive on its own cash flow within 10 months or less. To increase the number of call volume by 50% per year through improved customer service. To establish a creative website that includes online booking capability, as well complete information about the practice, hours, demographic information, health information and much more Mission The mission of the call center is to create the health and wellness of the local people by providing them with access to high-quality medical care for people young and old. The center is committed to providing these services exceed the expectations of each our patients, resulting in a successful and respectable business. Keys to Success Patients are the key to making the healthcare function. The call center main focus is on patient care. Educating the patients on the importance of preventative care helps prevent other diseases from taking over their bodies. Giving the patient their yearly checkup allows the doctor to discover if they educate patients. Figure out ways to inform your patients that it is time for them to come take their daily medication. Staff and Office Organization Observe that your office staff is...
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...prepayment, and services that are not covered by insurance are explained by effective financial policies in a medical office. Forms of payment that the office accepts are too, explained by the financial policies. To help with the education process, the medical staff can mail brochures that discuss the billing processes of the office to patients. Another way the staff of the medical office can educate their patients is to verbally communicate and have signs of the policies in their office. Patients are less likely to be shocked about being billed for services or performed procedures done by the office, because they will be knowledgeable of what is expected of them from the medical office. Patients will be affected in a negative way if they are not informed properly. Let us say a patient’s insurance does not pay for a certain procedure, the patient would be very upset to receive an unexpected bill. It is less stressful to a patient when they understand before hand that their insurance will not pay for certain procedures. That way the patient will have an opportunity to work out a payment plan with the medical office or refuse the procedures. So that patients comprehend these policies the medical office can use recommendations, tools, or strategies. The appointment setter should always ask patients that are new and setting up an appointment about their insurance. That will aid the office and patient in knowing if...
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...Systems are used in medical offices for efficiency. Technology is making it more accessible for doctors across the world to stay connected and communicate at higher levels about patients. A couple of the systems used in a medical office are practice management system (PMS) and the electronic health record (EHR). The PMS helps with the day to day work that goes on in a medical office. It connects the clinical work such as scheduling appointments, managing medical billing tasks, payment posting, data and file maintenance and generates reports. PMS has built-in multi-level security which complies with the standards by HIPPA so that patient information is safe. In some medical practices the PMS is linked to the EHR system. The main difference...
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...Mobile Computing and Social Networking [Name] Dr. Danielle Babb CIS500 November 21, 2012 Abstract Mobile computing has allowed great strides in the care and monitoring of patients. Medical personnel are able to obtain real-time data on patient vital signs via mobile networks. Network integrity and data assurance are important factors in the delivery of vital statistics for patient care. Social network support forums provide a source of interaction with those with similar health concerns. Mobile Computing and Social Networking The use of mobile computing technology to monitor patient vital signs is a critical step forward to help keep people healthy and to improve healthcare outcomes. This technology has transformed the lives of patients by cutting down the amount of time one spends in a doctor’s office for basic monitoring services. Mobile devices, when loaded with the appropriate applications, are useful in transmitting information such as blood pressure, glucose readings or even temperature back to medical offices. Medical personnel can then track a patient’s condition and if need be, have them come in if their vital signs are not positive. This could avert a trip to the hospital in some cases. In a survey of American consumers, 61% said they would like self-monitoring devices that remotely sends information to their doctors. (Mobile Technology Allows for Remote Patient Monitoring, 2012) Network Management Mobile technology has made great strides...
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...Communicating inside the limitless fields of healthcare and with patients in the past has been the reason for confusion, miscommunication, negative criticism on patient's conduct, and even destructive results on the patient's wellbeing. In today's electronic world, the healthcare facilities have connected into numerous sources to connect the communication gap. The gap connects between different providers, patients, general wellbeing, research, and many more areas. The resources utilized are with sites, applications, and multimedia resources. One website resource is utilized with the main hospital, Kaiser Permanente. Patients can use My Health Manager website to take control of their wellbeing, remain associated with their doctors, watch recordings,...
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...economically, and ethically. As a consultant of StateServ Home Medical, the writer will present the importance of accurate delivery of a health information technology tool that will allow healthcare professionals Internet access to schedule the ordering and delivery of DME (durable medical equipment). This electronic ordering system will improve the hospice organization’s efficiency. The consultant’s description of StateServ Home Medical will reveal the program to significantly shift the telephone ordering process to Internet access. That leaves the hospice organization’s nursing staff with more time to mange patient care cases. In the ongoing evolution of adapt technologies, hospice organizations should factor integrated durable medical equipment ordering systems that will serve at enhancing patients’ level of care and lower delivery cost. This latest technology will also serve as a maintenance control function which results in complete and accurate billing procedures that will capture active supply use by patients. StateServe Home Medical network services will allow the hospice organization to continue to work alongside their local durable medical equipment providers and gain access to StateServ Home Medical’s real-time order management and in-depth utilization review reports. StateServ Home Medical’s main focus is serving mainly hospice organizations nationwide. DME (durable medical equipment) ordering technologies will allow the corporate executives...
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...Since the time of the start of managed medical health care, the health office has been regarded as the main area accountable for preventive medical care actions of their clients as well as the initial step in the coordination of the additional services offered of medical health care specialists. Furthermore, the necessity to focus on the organization, correctness and fulfillment of a patient chart is added to this accountable. To make certain of the excellence of the health office medical recordkeeping, it is fundamental that a all-inclusive representation of chart auditing is recognized and followed on a regular basis. While there are many auditing types to chose from for the medical office, for the function of verifying correctness, reliability and systematic records offices seem to prefer random sampling which is an exceptional technique that helps decrease the connected expenses and normally optimize employees time use in the process. Moreover, if the number sampled well represents the client population this will supply applicable and dependable conclusions without the need to test the entire population (Johnson, 2004). Choosing samples for the audit should be drawn at random to guarantee that each client has the same chance of being chosen. The use of an identification number coupled with the patient could be used in the selection in so doing removes any simply identifiable client information that might prejudice the process. Parameters for collection of samples must...
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...Job Description | Job Title | -Medical Representative | Edition | 1/2013 | Division | NevellaHeartland | Department/Unit/Section | Prospection | Creation Date | January 2013 | Revision date | 1/2013 | Employee Name | Diana Michailidis | Employment Date | May 2012 | | | Employee Starting Date in Position | 1/2013 | 1- Job Purpose | Responsible for bringing business for the pharmaceutical company by effectively promoting pharmaceutical products to healthcare professionals (Doctors and Selected Pharmacist) and asking them to prescribe such products to appropriate patients. | 2- Lines of Reporting | General Manager Dr. Khaled Alam General Manager Dr. Khaled Alam Product Manager Miss Jinane Al Agha Product Manager Miss Jinane Al Agha Diana Michailidis Medical Representative Diana Michailidis Medical Representative | 3- Duties and Responsibilities | * Plan, organize and execute product presentation to Doctors and pharmacists regarding the therapeutic use of the product, mode of action, features and benefits; * Plan each call through the proper identification of appropriate product or products to promote, which sales tools to use and the right schedule to execute the call; * Calling on pharmacies to create awareness and educate clients on products and sell to target accounts; * Observe, record and report competitor activities executed in the territory and identify appropriate counter strategy. * Constantly endeavor...
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...Why Are There So Many Deaths Caused By Medical Errors and What Solutions Can Decrease Them? Health Service Systems – HSM541 June 20 2015 Background Medical errors kill at least 44,000 people and perhaps as many as 98,000 people per year. Or do they kill over 180,000 per year? Maybe even 440,000 people killed by medical errors? Allen (2013) In 1999 the Institute of Medicine (IOM) published a report titled “To Err Is Human: Building A Safer Health System” that leveled the healthcare community. They reported that according to two studies “perhaps as many as 98,000 people die in hospitals each year as a result of medical errors that could have been prevented”. IOM (1999) Then the Office of Inspector General for Health and Human Services followed up with a report in 2010 that stated “bad hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year”. Allen (2013) And finally in 2013, the numbers were once again raised. Per a report from the Journal of Patient Safety that approximately “440,000 PAEs (preventable/potential adverse events) that contribute to the death of patients each year from care in hospitals. This is roughly one-sixth of all deaths that occur in the United States each year”. They are now the U.S.’s third leading cause of death, behind only heart disease and cancer. All of the numbers mentioned in the first paragraph are medical errors that were “preventable”. Mistakes by the people you put your trust in killed you...
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...Health Information Technology Keller Graduate School of Management Health Service Management HSM 541 August 7, 2014 Professor Bonnett Health Information Technology is leading the way to better Medical Care, medicine has come a long way in the past few decades. Today’s medical workers have some of the most technological tools at their disposals. The latest high tech equipment, modern pharmaceuticals and procedures but in many cases the most important tool that is needed is information and quite often needed right now. Correct and up to the minute information about a patients history is a vital part of treatment. And yet for many, access to this most important vital tool still lingers in the dark ages. In the not so distant past and for the most part medical information is still in paper form and can be found scattered around filing systems in different offices, subject to retrieval by hand and be limited to delivery by phone or fax. Currently with advances in communication technology and information security there is a better way to store, access and transfer patients information, better, faster, safer. Health Information Technology is the movement of medial information electronically around all platforms of communication, but most utilization of HIT is computer based networks, via internet hospitals sharing information externally and intranet networks, hospitals transferring patient information within the hospital electronically. What does health...
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...Health Information Exchange is leading the way to better Medical Care Medicine has come a long way in the past few decades. Today’s doctors and nurses have some amazing tools at their disposals. The latest high tech equipment, modern pharmaceuticals and procedures but in many cases the most important tool that is needed is information. Patient information to be more precise is what is needed. Correct and up to the minute information about a patients history is a vital part of treatment. And yet for many, access to this most important vital tool still lingers in the dark ages. It can be found scattered around filing systems in different offices, highly subject to retrieval by hand and accessible only by phone or fax. There is a better way. It is called health information exchange. According to the AHA website, “The Health Information Technology for Economic and Clinical Health (HITECH) Act, part of the American Recovery and Reinvestment Act of 2009, establishes programs to improve health care quality, safety, and efficiency through the meaningful use of certified electronic health record (EHR) technology and secure health information exchange.” Under HITECH, eligible health care professionals and hospitals can qualify for Medicare and Medicaid incentive payments when they adopt certified EHR technology and use it to achieve specified objectives. Recently there has been a lot of talk for a national information network. More importantly, how do we support that? This...
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