...Medical Assistant: Medical assistant possess good critical thinking skills and are able to pay attention to details. Empathy, flexibility, self-control, integrity, willingness to learn is other important traits of a medical assistant. Additionally they must have a neat professional appearance, good communication skills. Most medical assistants have both clinical and clerical responsibilities. Clinical functions vary depending on the scope of duties permitted by the Laws of each state. Their responsibilities may include helping the physician by obtaining the patient’s medical history; taking and recording the patient’s height and weight; obtaining and recording vital signs, such as pulse, temperature, respiration, and blood pressure; preparing the patient for examination and/or treatment; drawing blood; assisting in examining And/or treating the patient; performing routine laboratory tests and EKGs; Applying dressings; instructing the patient in preparation for x-rays and laboratory examinations; preparing and administering medications as directed by a physician. The clerical, or administrative, responsibilities that a medical assistant may be expected to perform include scheduling and receiving patients; transcribing and maintaining medical records; procedural and diagnostic coding; typing and taking dictation; arranging for hospital admissions and laboratory procedures for patients; and handling telephone calls, correspondence, reports, insurance matters, office...
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...be found? From this I can conclude that smaller offices that use the paper filling system instead of electronic more than likely have less holding space for the medical records while medium and large facilities may have more holding stations, but now usually have less than a small facility does because they more electronic records than paper. Question seven, if paper records: Is there a need to chart the circulation of files from one location to another, so that your staff knows where files are kept? What I can conclude form this question is that no matter what size facility the staff is working in, there should be some sort of organization process or filing system, either alphabetical or numerical order of the patient’s medical records and they should not have to be circulated from one location to the next so that each staff member knows where it is located. In question nine, what can cause the biggest problem for records management if it isn’t done right? I also can conclude from this question looking at the whole picture will all the different size facilities. Simply in any facility size if the records management is not done correctly, it can cause confusing and a hectic work environment when having to look for patient’s medical records. No matter the size of the facility no having a proper routine for the medical records to be filed properly can...
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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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...Medical Error’s TUI University BHS-499 Senior Capstone Project Module 5 SLP Professor: Medical Error’s I. Introduction: Background and Context of Medical Error’s. Preventable medical errors kill more Americans than diabetes, influenza and Alzheimer’s; and if tracked separately, would be the sixth-leading cause of death in the United States. The National Academy of Sciences, Institute of Medicine (IOM) has estimated that 98,000 Americans die each year as a result of preventable medical errors. Medical Error’s II. Importance, Relevance/Extent of Medical Error’s. There are many types of medical error and they can be classified from minor to major depending on the result of the error. According to the Agency of Healthcare Research and Quality (AHRQ), in November of 1999 the Institute of Medicine (IOM) released a report estimating that as many as 48,000-98,000 patients died as a direct result of medical error in the hospital each year. Patients are always at risk and medical errors may result in: (AHRQ) • A patient inadvertently given the wrong medicine. • A clinician misreading the results of a test. • An elderly woman with ambiguous symptoms (shortness of breath, abdominal pain, and dizziness) whose heart attack is not diagnosed by emergency room staff. Medical Error’s III. Cause of Medical Error’s. Some or most of the hospitals around the world are under-funded and using limited funding efficiently could be very difficult task. Limited funding...
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...In the interview to Sity Suhana Elsa Abdul Majid, Senior Executive Medical Tourism & Business Development of Institut Jantung Negara (IJN), basically IJN is private hospital that is under Ministry Finance of Malaysia. Its objective of existence is medical service to patient, training to doctor and research and development in heart. Just last three years IJN setup their international patient office. This is to promote medical tourism and offer many service to help international patient. In order to market IJN as destination, one of the way IJN do is setup a medical office or in other word representative at overseas. IJN target ASEAN countries because increase in population such as in Indonesia, Cambodia and also Myanmar. Besides that, IJN also promote by Malaysia Healthcare Travel Council (MHTC) to international patient to come to IJN. MHTC is organization that responsible to promote Malaysia health tourism. IJN also do own marketing by mouth to mouth marketing by the international doctor that come to IJN do their training. IJN also offer wide range of services not just cardiologic disease surgery but angiogram and dietician. According to her, roughly around 80-70 Indonesian international patient come to IJN monthly and overall about 150-250 international patient come to IJN. She also explains that international patient especially Indonesian come to IJN to do Coronary Angiogram. It is a special x-ray of the heart arteries to see if they are narrowed or block. It’s a basic procedure...
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...In Section 4, you will proofread the Progress Report listed below. Next, you will identify the 15 mistakes that are listed in the report. The mistakes could be misspellings, incorrect abbreviations or misuse of a medical term. Please list them in the chart below under the heading “Medical Terminology Error.” After you have listed the errors, you will need to identify the correct term or abbreviation. Please list them in the chart below under the heading “Correct Term.” • PROGRESS NOTE • CHIEF COMPLAINT: Severe pain between the shoulder blades, shortness of breathe, nausea for the past 3 hours. • • PRESENT ILLNESS: Darelen Denton is a 62-year-old woman who presented to the emergency department via ambulance. In transport, patient received O2 at 4 liters via nasal cannula, baseline EKG, Normal Saline IV started in left hand, 325 mg aspirin by mouth (po). Patient complained she was short of breath and experiencing severe pain between her shoulder blades. She stated that she has been feeling nasuseated for the past 3 hours. She states she has a history of stable angina and is currently taking medication as needed. She states she did not take the nitroglycerin because she was not experiencing chest pain, just back pain. She states that her last check-up with the Pulmonologist showed that her EKG did not show any changes since her last visit. She denies episodes of syncope. The patient does report that she tripped over something on the floor, which resulted in her falling...
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...Jocelinn Pineda 06/17/2013 Chapter 6 Exercise 6-1 The EHR in this physicians practice contains many functions. Look at the functions above. What function(s) do you think a medical assistant would use and why? Medical assistants might use the practice view icon to search for their email in case they are unable to contact a patient by phone. Patient view icon may be another function medical assistance may use for the administrative data of a patient. Exercise 6-2 Why is it important to use more than one attribute when searching for a patient, especially in addition to a first and/or last name? It’s important because the search using a first and/or last name can bring up two or more patient’s with the same names and if you use a birth date in the search a more accurate result of the patient that you are looking for can come up. Exercise 6-3 Briefly describe administrative, clinical, and billing data and state whether the screen above contains any such data. Administrative data is the information of the patient such as full name, date of birth, address, social security number, and telephone numbers. Clinical data is the patients health information. And billing data includes financial information about a patient; the screen above does contain administrative data. Exercise 6-4 The EHRS has the ability to capture data using a drop-down menu. What are the advantages and disadvantages of using a drop-down menu? An advantage of using a drop-down menu is that it makes...
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...Brian Ardizzoni Michael Neil English 1301, Composition 1 25 November 2012 Medical Malpractice For nearly forty years, tort reform constantly becomes an increasingly controversial issue affecting the medical community, the legal community and most of all, the victims of some very unfortunate accidents. Tort reform refers to laws passed on a state-by-state basis which place limits or caps on the type or amount of damages awarded in personal injury lawsuits. Those who advocate medical malpractice tort reform believe limitations should be set on the amount of damages a plaintiff or injured party can be rewarded by the court. These advocates usually include medical professionals and insurance companies. Their argument is that too many frivolous lawsuits lead to high malpractice insurance, the increasing cost of medical care and a burden on the taxpayers whose tax dollars absorb the extravagant litigation costs for these claims. They believe doctors will eventually be unable to practice medicine due to costly malpractice insurance premiums which may leave many Americans unable to obtain much-needed healthcare. In the past, as the rate of malpractice suits began to grow, so did the rate of malpractice insurance. This ended up having a dire impact on the medical profession. For one thing, many qualified doctors ended up leaving their practices and focusing more on preventative medicine. In other words, they...
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...Medical Marijuana If a substance can make someone who is ill feel better, why keep it from him or her? On the surface this sounds right. People who advocate making marijuana legal for medical purposes take this approach. What could it hurt? A closer look reveals that marijuana should not be legalized for medical use, because young people are given mixed signals about drugs, other drugs can be used that are easier to regulate, and there are more harmful side effects. Marijuana is one of the most abused drugs in America today. It is estimated that close to four million Americans regularly use marijuana. It is often one of the first illegal drugs that young people experiment with (Gassett2). Legalization for medical purposes would send a mixed signal to our youth. Young people are taught at a very early age about the harmful effects and the abusive potential of marijuana. If at the same time, they are told that marijuana is medically benevolent, the result could be confusion. Andrea Barthwell, former deputy Director of the office of National Drug Policy said this in 2004, “Children entering drug abuse treatment routinely report that they heard ‘pot is medicine’ and, therefore, believed to be good for them.” (19). At a time when recreational drug use is at an all time high, it would not be wise to legalize marijuana for medical purposes. The war on drugs begins with young people. If they are confused about whether or not a drug like marijuana is harmful, the battle...
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...Medical Assisting Brenda Simpson Kaplan University, Watarai, Hiroki Three years ago my mother passed away due to a heart attack. Within in the same year one of my sisters was diagnosed with terminal adrenal cancer known as Paraganglioma. She passed away nine months later after finding out it was not curable. This how I really found the chance to see how good ethics played a role in the care of both family members. I was how amazed how awesome the Dr’s. And the healthcare team played together until their last days and took their last breath. I was able to see the duties of the doctors, nurses, and the medical assistants. I knew right then I wanted to be able to make a lasting impression in someone’s life in a positive way. Nevertheless, I did my research and personality test, which led to this career choice. Medical assisting was best fitted for me. The overview of the profession is what made it so interesting to me. All of the duties that were held for my mother and sister made me to want to pursue this career even more. The duties include, taking medical histories and recording vital signs, explaining treatment procedures to patients, preparing for examinations, and assisting physicians during examinations. (Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Oct 18, 2010) These are just some of the duties, which were named in above. Further duties include, telephone prescriptions, change dressings on...
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...Associate Level Material Medical Report This assignment is for you to create a screening tool for potential hires in your health care facility. As the health care administrator, you would want to ensure that your future employees have a strong understanding of medical reports and medical terminology. You are writing these reports for the applicants to read, interpret, and answer a set of questions you have developed. Refer to the samples of medical records reports on pages (142-144, 196, & 261-263) of the textbook. Each medical record should be completed and contain two questions you would ask of the potential hires. The following suggestions will help you get started: • Sometimes it is easier to start at the end. Think of the diagnosis the patient will receive. If you know what the end diagnosis will be, it makes it easy to know what symptoms, signs, and diagnostic methods would be used to achieve that diagnosis. • For the History of Present Illness, consider what questions the physician might ask the patient about his or her chief complaint and symptoms and then chart that in this section. This section serves as an account of what the patient would report, based on their symptoms. Remember, symptoms are subjective, in that they are conditions experienced by the patient, and are therefore included in the patient history. • For Past Medical History, document anything the patient may indicate in terms of past medical conditions that would be relevant to his or...
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...Medical Transcriptionist Jessie Warren Introduction to Health Services & Info Systems Professor Nettles HIT 120 I have chosen to go back to school to help my family financially in the long run. I chose the medical field as it is the fastest growing job market. I specifically chose the career as a medical transcriptionist. Granted, according to the Bureau of Labor Statistics 2012-2013 the employment of medical transcriptionists is expected to grow 6% from 2010 to 2020, slower than the average for all occupations. That fact doesn’t detour me because I chose this field due to research, that this is a job I can do from home. With my two boys, this seemed like a great fit. I can work when they nap or go to school and when my husband is home. Therefore I am supplying not only a second income in the home to achieve financial stability, but I am also cutting costs by not having to pay for daycare. The HIM career map 2013 states that the average pay is $36,941. The median pay as of May 2010 was $32,900/year according to the Bureau of Labor Statistics 2012-2013. Account in the fact that I will be saving a minimum of $14,400/year on daycare costs, it is a wise decision. Medical transcriptionists listen to dictations from the health professional. They take the dictations and they turn it into results, reports, letters and documents. They are able to edit the drafts that are prepared checking for both accuracy and consistency. As the Bureau of Labor Statistics 2012-2013 states...
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...Week 9 Research Paper Medical Marijuana COM/156 August 11, 2013 Medical Marijuana ~“Marijuana is the finest anti-nausea medication known to science, and our leaders have lied about this consistently. [Arresting people for] medical marijuana is the most hideous example of government interference in the private lives of individuals. It’s an outrage within an outrage within an outrage”~ ~Peter McWilliams~ Author and Advocate for Medical Marijuana Medical Marijuana has found its place once again as the medical plant that is recognized for its healing potential and properties. How the Government has suppressed its positive potential and healing powers for over 25 years. With the help frommany patients, loved ones, research departments and advocate groups, to get the Government’s attention to see and understand that the terminally ill, and the sick should not be treated as common criminals. They are only trying to find some peace and serenity, in their last days. The struggle and fight that has been going on for the last 25 years against the Government. The people were finally heard, with the legalization of Medical Marijuana. The Government wants to regulate everything for their best interest, the positive effect of decriminalizing marijuana for the terminally ill, and the positive economic benefits for our community. Cannabis Sativa, Marijuana, Weed, Herb, Mary Jane these are just a few names that this little 5 leaf plant goes by. How could this...
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...Medical Marijuana In 1972, the United States put marijuana in Schedule I of the Controlled Substances Act. They believed it had no probable medical use. Since that time 23 states as well as Washington DC have legalizes the use of medical marijuana. The legalization of Marijuana has been an ongoing topic for the past couple of years in the United States. Several different opinions have been made but ultimately it comes down to people who are pro marijuana and those who oppose it. Some argue that medical marijuana is safe and effective for several different diseases such as cancer, AIDS, glaucoma etc. Although marijuana use has been around for ages and probably has done more to help then hurt many people do not want to see it legalized. People who are opposed to the legalization fear that it is dangerous and leads to harder drug use. This argument is has been presented quite often. Health classroom across the United States teach children that marijuana is a gateway drug. Some of the other reasons for not legalizing marijuana are that if legalized for medicinal use recreational use will spike, especially among teens and adolescents. However, studies have proven that inaccurate. According to a study by the National bureau of Economic Research concluded that there was no significant increase in pot use by teenagers who lived in states where it was legalized. I personally believe that medical marijuana should be legalized. It seems to have helped more than it has hurt. I honestly...
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...Medical Marijuana Part 2 Most people ask, "Why should medical marijuana be legal?" Medical marijuana is a drug that people used to help them with muscle spasms from sclerosis, nausea from cancer chemotherapy. Also, Medical Marijuana helps people with weight loss caused by an illness such as HIV, seizure, Crohn's disease, and some people like the feeling. For the majority of people that like the way medical marijuana make them feel uses it illegally mainly gets it from the streets. People who use medical marijuana for medical problems gets' it from the dispensary when a person have to have a Medical Marijuana health card to get it legally without the law being involved. Most people say, "Marijuana isn't a drug because it's a plant; it grew from a seed and dirt. Other than crack and cocaine that a person have to make and cook." Medical Marijuana is also addictive but, it shouldn't be a crime, the side effects isn't harmless. According to Anne Harding (November 04, 2013)" Side effects of marijuana that usually don’t last long can include: Dizziness, Drowsiness, Short-term memory loss, and Euphoria." Since marijuana does not have a harmless side effect, it shouldn't be illegal. The state/ government can make more money by taking it out of taxes they should be happy that it's another form for them to get paid. Furthermore, Marijuana should be legalized for medical Purposes, to help states make more money, and to eliminate it as a criminal activity. ...
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