Ambulatory Care EHR Applications
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Questions and Answers

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)?

<p>E-prescribing focuses on sending prescriptions electronically while CPOE involves entering orders into the system (C)</p> Signup and view all the answers

5

<p>Formulating a proposal for adoption of e-visits (D)</p> Signup and view all the answers

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

<p>Technical infrastructure readiness (B)</p> Signup and view all the answers

What does clinical messaging primarily aim to facilitate?

<p>Communication among healthcare providers (D)</p> Signup and view all the answers

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

<p>Provider-hospital communication processes and patientprovided documentation (C)</p> Signup and view all the answers

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

<p>Evidence-based medicine relies on protocols while care plans do not (A)</p> Signup and view all the answers

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

<p>Cost (D)</p> Signup and view all the answers

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

<p>Registry (D)</p> Signup and view all the answers

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

<p>Portal strategy (C)</p> Signup and view all the answers

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

<p>Practices want 80 percent of functions of an ambulatory EHR and 20 percent of data from the hospital. (D)</p> Signup and view all the answers

What are some examples of visit-specific ambulatory processes?

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

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

<p>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. (C)</p> Signup and view all the answers

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

<p>Electronic Prescribing (C)</p> Signup and view all the answers

What is the purpose of E-Prescribing Gateway Changes?

<p>To facilitate incentive payments (D)</p> Signup and view all the answers

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

<p>Computerized Physician Order Entry (A)</p> Signup and view all the answers

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

<p>IT staffing often non-existent in small offices (D)</p> Signup and view all the answers

What is the main difference between clinical messaging and portals?

<p>Clinical messaging involves secure transmission of clinical information, while portals provide access to information and applications. (A)</p> Signup and view all the answers

What is the primary purpose of coding support in healthcare?

<p>To drive physician reimbursement through accurate documentation and coding. (A)</p> Signup and view all the answers

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

<p>All of the above (D)</p> Signup and view all the answers

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

<p>Care delivery (A)</p> Signup and view all the answers

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

<p>Working with data being collected, analyzing them, and developing reports from them. (A)</p> Signup and view all the answers

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

<p>All of the above (D)</p> Signup and view all the answers

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

<p>Evaluation and Management (E&amp;M) codes (A)</p> Signup and view all the answers

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

<p>Portal (A)</p> Signup and view all the answers

What is the main focus of EHRs?

<p>Care delivery (A)</p> 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?

<p>Data being collected (A)</p> Signup and view all the answers

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

<p>Integrated delivery networks (D)</p> Signup and view all the answers

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

<p>Chiropractics and dentists (C)</p> Signup and view all the answers

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

<p>Specialty EHR vs. general, or multispecialty, EHR (D)</p> Signup and view all the answers

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

<p>Hospitals and physician practices (C)</p> Signup and view all the answers

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

<p>Optometrists (B)</p> Signup and view all the answers

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

<p>Behavioral health facilities (A)</p> Signup and view all the answers

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

<p>Specialty-specific EHRs (B)</p> Signup and view all the answers

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

<p>Address specialty functions or special needs of certain provider types (C)</p> Signup and view all the answers

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

<p>Meaningful Use (D)</p> 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?

<p>Specialists like chiropractics and dentists (A)</p> Signup and view all the answers

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

<p>Enhanced patient engagement and improved diagnostic accuracy (C)</p> Signup and view all the answers

What is the primary function of EHR in LTPAC?

<p>Resident assessment profiles (B)</p> Signup and view all the answers

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

<p>Not often used (B)</p> Signup and view all the answers

What does HL7 maintain a registry of?

<p>Functional Profiles (C)</p> Signup and view all the answers

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

<p>Financial ROI, especially staff productivity (A)</p> Signup and view all the answers

What does CCHIT address in terms of functionality for specialists?

<p>$EHR functionality$ for specialists who have sought specialty certification (D)</p> Signup and view all the answers

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

<p>$Deep clinical functionality$ (D)</p> Signup and view all the answers

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

<p>Developing clinical practice guidelines (D)</p> Signup and view all the answers

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

<p>Patient registration and demographics (C)</p> Signup and view all the answers

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

<p>Referral and waiting list management; access to community service directories (C)</p> Signup and view all the answers

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

<p>Behavioral health nomenclature and categorization controversy (B)</p> Signup and view all the answers

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

<p>Few implementations and low level of maturity in products and expectations (B)</p> Signup and view all the answers

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