Ambulatory Care EHR Applications
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Questions and Answers

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

  • Formulating a proposal for adoption of e-visits
  • Discussing non-visit functions of EHRs for ambulatory facilities
  • Identifying EHR functionality for ambulatory care facilities (correct)
  • Recognizing differences and similarities between elements of EHRs for acute versus ambulatory settings
  • What has driven the surge in acquiring EHR in ambulatory care?

  • Improved interoperability between providers and hospitals
  • Rising demand for telemedicine services
  • Increased government incentives for ambulatory care (correct)
  • Technological advancements in EHR systems
  • How are clinical decision support functions carried out in an EHR?

  • Through integration with patient clinical summaries
  • Through alerts, reminders, and diagnostic aids (correct)
  • By leveraging computerized provider order entry (CPOE)
  • By using evidence-based medicine exclusively
  • What distinguishes electronic prescribing (e-prescribing) from computerized provider order entry (CPOE)?

    <p>E-prescribing involves only medication orders, while CPOE involves all types of provider orders</p> Signup and view all the answers

    How does the surge in EHR adoption impact ambulatory care facilities?

    <p>It improves patient-provider communication</p> Signup and view all the answers

    What is the purpose of patient clinical summaries in an EHR?

    <p>To provide a comprehensive overview of the patient's medical history and current health status</p> Signup and view all the answers

    What is the nature of data and workflows that may affect engagement of physicians in ambulatory care?

    <p>Change, trust, understanding</p> Signup and view all the answers

    What is a potential barrier to seamless exchange of data (interoperability) for many practices in ambulatory care?

    <p>Requiring the use of products from a vendor with less functionality</p> Signup and view all the answers

    What is the primary focus of EHR functionality in ambulatory care?

    <p>Patient data capture and management</p> Signup and view all the answers

    What are examples of non-visit-specific functions in ambulatory processes?

    <p>Results review, prescription refill requests, patient follow up/recall</p> Signup and view all the answers

    What does CPOE stand for in the context of ambulatory care?

    <p>$Computerized$ $Physician$ $Order$ $Entry$</p> Signup and view all the answers

    'E-prescribing' is a special kind of order primarily related to:

    <p>$Prescriptions/orders for drugs sent to retail pharmacies (including mail order)$</p> Signup and view all the answers

    What is the main difference between clinical messaging and portals in healthcare?

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

    What is the primary function of coding support in healthcare?

    <p>To drive physician reimbursement through professional service documentation and accurate assignment of Evaluation and Management (E&amp;M) codes.</p> Signup and view all the answers

    What is the essence of many external reporting programs, disease management functions, and pay-for-performance incentive programs in healthcare?

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

    What are common errors made by physician offices when it comes to EHR adoption?

    <p>Buying hardware before selecting an EHR, engaging in self-development or alpha testing without engaging stakeholders, and starting down the EHR path without engaging all stakeholders.</p> Signup and view all the answers

    What is the relationship between implementation and adoption of EHR in ambulatory care?

    <p>Implementation does not necessarily guarantee adoption due to challenges of cost, change, and product maturity.</p> Signup and view all the answers

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

    <p>'Buying standalone systems that are not standards compliant or certified' and 'starting down the EHR path without engaging all stakeholders.'</p> Signup and view all the answers

    What is the primary challenge despite the accelerating adoption of EHR in ambulatory care?

    <p>Implementation does not necessarily guarantee adoption due to challenges of cost, change, and product maturity.</p> Signup and view all the answers

    Electronic Health Records (EHR) adoption in ambulatory care has remained steady over the past few years.

    <p>False</p> Signup and view all the answers

    The surge in acquiring EHR in ambulatory care has been primarily driven by government incentives.

    <p>True</p> Signup and view all the answers

    E-prescribing and computerized provider order entry (CPOE) are essentially the same function in ambulatory care.

    <p>False</p> Signup and view all the answers

    Clinical decision support functions in EHR can only be carried out by healthcare providers, not by the system itself.

    <p>False</p> Signup and view all the answers

    Non-visit functions of EHR for ambulatory facilities do not play a significant role in improving overall patient care.

    <p>False</p> Signup and view all the answers

    Ambulatory interoperability strategies mainly focus on seamless exchange of data between providers and insurance companies.

    <p>False</p> Signup and view all the answers

    True or false: Clinical messaging involves the exchange of data in both structured and unstructured forms.

    <p>True</p> Signup and view all the answers

    True or false: Portals allow for the exchange of data between different entities within a healthcare community.

    <p>False</p> Signup and view all the answers

    True or false: EHRs are primarily focused on data analysis and reporting rather than care delivery.

    <p>False</p> Signup and view all the answers

    True or false: Ambulatory EHR migration path includes hospital portals and registries.

    <p>True</p> Signup and view all the answers

    True or false: One of the common errors made by physician offices is buying standalone systems that are not standards compliant or certified.

    <p>True</p> Signup and view all the answers

    True or false: The adoption of EHR in ambulatory care is not necessarily equal to implementation.

    <p>True</p> Signup and view all the answers

    True or false: The surge in EHR adoption has not impacted ambulatory care facilities.

    <p>False</p> Signup and view all the answers

    True or false: Specialty-specific EHRs are covered in Margret's Chapter 17.

    <p>True</p> Signup and view all the answers

    Many physicians are unwilling to adopt EHR due to the lack of real benefits and incentives.

    <p>False</p> Signup and view all the answers

    The 80/20 rule suggests that practices should give up 80 percent of EHR functionality for 20 percent of hospital data.

    <p>True</p> Signup and view all the answers

    EHR in ambulatory care is primarily a single product with loosely integrated applications.

    <p>False</p> Signup and view all the answers

    Commercial and reference labs are generally unwilling to support interfaces for ambulatory care practices.

    <p>False</p> Signup and view all the answers

    E-prescribing and E-Rx are two different terms for the same process in ambulatory care.

    <p>False</p> Signup and view all the answers

    The main purpose of in-basket workflow in EHR is to support wait time monitoring.

    <p>True</p> Signup and view all the answers

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