Ambulatory Care EHR Applications

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What is the main focus of the learning objectives for ambulatory EHR applications?

Recognizing differences and similarities between elements of EHRs for acute versus ambulatory settings

Explaining e-prescribing and computerized provider order entry (CPOE)

Identifying EHR functionality for ambulatory care facilities (correct)

Discussing non-visit functions of EHRs for ambulatory facilities

Which aspect may be impacted by an EHR in an ambulatory care facility?

Care plans and clinical guidelines

Patient clinical summary purposes

Clinical messaging and portals

Patient in-basket management (correct)

What is the main purpose of the patient clinical summary in ambulatory care?

To aid in formulating a proposal for adoption of e-visits

To identify the functions provided by clinical decision support

To distinguish between care plans, clinical guidelines, protocols, pathways, and evidence-based medicine

To provide a brief overview of the patient's clinical information (correct)

What is the key difference between electronic prescribing (e-prescribing) and computerized provider order entry (CPOE)?

E-prescribing focuses on sending prescriptions electronically while CPOE involves entering orders into the system Signup and view all the answers

5

Formulating a proposal for adoption of e-visits Signup and view all the answers

What is the main focus when plotting a migration path for an ambulatory facility?

Technical infrastructure readiness Signup and view all the answers

What does clinical messaging primarily aim to facilitate?

Communication among healthcare providers Signup and view all the answers

What are the key elements to consider when discussing ambulatory interoperability strategies?

Provider-hospital communication processes and patientprovided documentation Signup and view all the answers

What is the primary difference between care plans, clinical guidelines, protocols, pathways, and evidence-based medicine?

Evidence-based medicine relies on protocols while care plans do not Signup and view all the answers

What is one of the main barriers to implementing better products in physician practices?

Cost Signup and view all the answers

What technology is suggested as a potential bridge for ambulatory care due to fewer legacy systems?

Registry Signup and view all the answers

What is one of the strategies used to enable practices to have access to hospital data?

Portal strategy Signup and view all the answers

What is the 80/20 rule in the context of EHR functionality?

Practices want 80 percent of functions of an ambulatory EHR and 20 percent of data from the hospital. Signup and view all the answers

What are some examples of visit-specific ambulatory processes?

$-$ Pre-visit registration, scheduling, insurance verification, check-in, patient intake, chart review, physical exam, assessment, diagnosis, care planning, health maintenance, and more. Signup and view all the answers

What are some examples of non-visit-specific ambulatory functions?

Results review and management; no show management; prescription refill/renewal requests; other phone calls/email; patient follow up/recall; release of information; forms completion; patient document management; chronic disease management; quality improvement; required reporting; pay for performance; patient self-management/PHR; clinical trials. Signup and view all the answers

What does E-Rx stand for in the context of electronic prescribing?

Electronic Prescribing Signup and view all the answers

What is the purpose of E-Prescribing Gateway Changes?

To facilitate incentive payments Signup and view all the answers

What does CPOE stand for in the context of healthcare technology?

Computerized Physician Order Entry Signup and view all the answers

What is one example of a potential barrier to interoperability within ambulatory care practice?

IT staffing often non-existent in small offices Signup and view all the answers

What is the main difference between clinical messaging and portals?

Clinical messaging involves secure transmission of clinical information, while portals provide access to information and applications. Signup and view all the answers

What is the primary purpose of coding support in healthcare?

To drive physician reimbursement through accurate documentation and coding. Signup and view all the answers

What are some common errors made by physician offices when adopting EHRs?

All of the above Signup and view all the answers

In the context of external reporting programs and incentive programs, what is the focus of EHRs?

Care delivery Signup and view all the answers

What is the essence of many external reporting programs and disease management functions promoted by health plans?

Working with data being collected, analyzing them, and developing reports from them. Signup and view all the answers

What are some areas where physician offices often err when adopting EHRs?

All of the above Signup and view all the answers

What must be assigned accurately in order to obtain optimal reimbursement for physicians?

Evaluation and Management (E&M) codes Signup and view all the answers

In which system are data often not exchanged but viewed, interacted with, and possibly retrieved or downloaded?

Portal Signup and view all the answers

What is the main focus of EHRs?

Care delivery Signup and view all the answers

What is important to work with, analyze, and develop reports from in external reporting programs and disease management functions promoted by health plans?

Data being collected Signup and view all the answers

What is the primary focus of specialty-specific EHRs according to the text?

Integrated delivery networks Signup and view all the answers

Which provider types are mentioned as benefiting from EHR in the text?

Chiropractics and dentists Signup and view all the answers

In the context of EHRs, what is the broader focus of health information exchange according to the text?

Specialty EHR vs. general, or multispecialty, EHR Signup and view all the answers

What has been the primary focus (and M.U. incentives) for EHR according to the text?

Hospitals and physician practices Signup and view all the answers

Which of these provider types is eligible for M.U. incentives related to EHRs according to the text?

Optometrists Signup and view all the answers

In addition to hospitals and physician practices, which other entities primarily benefit from EHR according to the text?

Behavioral health facilities Signup and view all the answers

What is the main topic addressed in Chapter 17 of Margret's according to the text?

Specialty-specific EHRs Signup and view all the answers

What is the primary need for EHR products addressed in the text?

Address specialty functions or special needs of certain provider types Signup and view all the answers

What does M.U. stand for in the context of specialty-specific EHRs according to the text?

Meaningful Use Signup and view all the answers

In addition to integrated delivery networks, which other provider types primarily benefit from specialty-specific EHRs according to the text?

Specialists like chiropractics and dentists Signup and view all the answers

What is one area where specialty providers can benefit from EHR according to the text?

Enhanced patient engagement and improved diagnostic accuracy Signup and view all the answers

What is the primary function of EHR in LTPAC?

Resident assessment profiles Signup and view all the answers

What is the reported status of E-Rx usage in behavioral health?

Not often used Signup and view all the answers

What does HL7 maintain a registry of?

Functional Profiles Signup and view all the answers

What is the main focus of benefits expectations in behavioral health EHR implementation?

Financial ROI, especially staff productivity Signup and view all the answers

What does CCHIT address in terms of functionality for specialists?

$EHR functionality$ for specialists who have sought specialty certification Signup and view all the answers

$EHR functionality$ for LTPAC is similar to hospitals but with somewhat less:

$Deep clinical functionality$ Signup and view all the answers

What is the main focus of specialty medical societies' development of clinical practice guidelines?

Developing clinical practice guidelines Signup and view all the answers

What is the primary purpose of patient registration and demographics functionality in behavioral health EHR?

Patient registration and demographics Signup and view all the answers

What are some examples of non-visit-specific ambulatory functions?

Referral and waiting list management; access to community service directories Signup and view all the answers

What does SAMHSA support research on related to behavioral health services?

Behavioral health nomenclature and categorization controversy Signup and view all the answers

What is the main challenge reported regarding EHRs in behavioral health?

Few implementations and low level of maturity in products and expectations Signup and view all the answers

Ambulatory Care EHR Applications

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Questions and Answers

What is the main focus of the learning objectives for ambulatory EHR applications?

Which aspect may be impacted by an EHR in an ambulatory care facility?

What is the main purpose of the patient clinical summary in ambulatory care?

What is the key difference between electronic prescribing (e-prescribing) and computerized provider order entry (CPOE)?

5

What is the main focus when plotting a migration path for an ambulatory facility?

What does clinical messaging primarily aim to facilitate?

What are the key elements to consider when discussing ambulatory interoperability strategies?

What is the primary difference between care plans, clinical guidelines, protocols, pathways, and evidence-based medicine?

What is one of the main barriers to implementing better products in physician practices?

What technology is suggested as a potential bridge for ambulatory care due to fewer legacy systems?

What is one of the strategies used to enable practices to have access to hospital data?

What is the 80/20 rule in the context of EHR functionality?

What are some examples of visit-specific ambulatory processes?

What are some examples of non-visit-specific ambulatory functions?

What does E-Rx stand for in the context of electronic prescribing?

What is the purpose of E-Prescribing Gateway Changes?

What does CPOE stand for in the context of healthcare technology?

What is one example of a potential barrier to interoperability within ambulatory care practice?

What is the main difference between clinical messaging and portals?

What is the primary purpose of coding support in healthcare?

What are some common errors made by physician offices when adopting EHRs?

In the context of external reporting programs and incentive programs, what is the focus of EHRs?

What is the essence of many external reporting programs and disease management functions promoted by health plans?

What are some areas where physician offices often err when adopting EHRs?

What must be assigned accurately in order to obtain optimal reimbursement for physicians?

In which system are data often not exchanged but viewed, interacted with, and possibly retrieved or downloaded?

What is the main focus of EHRs?

What is important to work with, analyze, and develop reports from in external reporting programs and disease management functions promoted by health plans?

What is the primary focus of specialty-specific EHRs according to the text?

Which provider types are mentioned as benefiting from EHR in the text?

In the context of EHRs, what is the broader focus of health information exchange according to the text?

What has been the primary focus (and M.U. incentives) for EHR according to the text?

Which of these provider types is eligible for M.U. incentives related to EHRs according to the text?

In addition to hospitals and physician practices, which other entities primarily benefit from EHR according to the text?

What is the main topic addressed in Chapter 17 of Margret's according to the text?

What is the primary need for EHR products addressed in the text?

What does M.U. stand for in the context of specialty-specific EHRs according to the text?

In addition to integrated delivery networks, which other provider types primarily benefit from specialty-specific EHRs according to the text?

What is one area where specialty providers can benefit from EHR according to the text?

What is the primary function of EHR in LTPAC?

What is the reported status of E-Rx usage in behavioral health?

What does HL7 maintain a registry of?

What is the main focus of benefits expectations in behavioral health EHR implementation?

What does CCHIT address in terms of functionality for specialists?

$EHR functionality$ for LTPAC is similar to hospitals but with somewhat less:

What is the main focus of specialty medical societies' development of clinical practice guidelines?

What is the primary purpose of patient registration and demographics functionality in behavioral health EHR?

What are some examples of non-visit-specific ambulatory functions?

What does SAMHSA support research on related to behavioral health services?

What is the main challenge reported regarding EHRs in behavioral health?

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