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

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

<p>It improves patient-provider communication (C)</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 (A)</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 (B)</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 (B)</p> Signup and view all the answers

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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