EHR Applications in Ambulatory Care Quiz
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Questions and Answers

What is the 80/20 rule mentioned in the text?

  • Hospital systems have traditionally not supported ambulatory data and workflow needs well
  • Many practices want seamless exchange of data, but not when it requires them to use products from a vendor that does not have the robust functionality of other products (correct)
  • Physicians appreciate better products, real benefits, and want incentives, especially when they become sanctions to be avoided
  • Community offering from vendors with integrated product suites is changing the support for data exchange through single Active Directory
  • What is the main challenge with interoperability within ambulatory care practice?

  • Imaging centers (PACS) being somewhat tricky to interface with
  • Lack of willingness from commercial and reference labs to support interfaces
  • Limited number of interfaces within ambulatory care practice (correct)
  • Difficulty in enabling practice to have access to hospital data
  • What is the nature of data and workflows mentioned as a barrier?

  • Change
  • Trust
  • Understanding
  • All of the above (correct)
  • What is an example of a visit-specific ambulatory process mentioned in the text?

    <p>$E&amp;M$ coding</p> Signup and view all the answers

    What is an example of a non-visit-specific function mentioned in the text?

    <p>$Prescription$ refill/renewal requests</p> Signup and view all the answers

    What does CPOE stand for in the context of EHR functions?

    <p>Clinical Patient Order Entry</p> Signup and view all the answers

    What is E-prescribing, as mentioned in the text?

    <p>Computer supported selection, generation, transmission, and filling/refilling of prescriptions sent to retail pharmacies, and not paid for as part of the care delivery visit</p> Signup and view all the answers

    What does E-Rx refer to in the context of EHR functions?

    <p>Electronic Prescription Gateway for transmitting prescription orders to retail pharmacies</p> Signup and view all the answers

    What is a benefit of e-prescribing mentioned in the text?

    <p>Fill Status Notification</p> Signup and view all the answers

    What is one reason why some clinics promote self-administered history assessment?

    <p>To reduce data entry burden for providers and engage patients more effectively in their own care management</p> Signup and view all the answers

    What is the main focus of the learning objectives for Week 6?

    <p>Recognizing differences and similarities between elements of EHRs for acute versus ambulatory settings</p> Signup and view all the answers

    What has led to a surge in acquiring EHR in ambulatory care?

    <p>Government incentives focused on ambulatory care</p> Signup and view all the answers

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

    <p>To provide a concise overview of the patient's clinical information</p> Signup and view all the answers

    What does the term 'e-visits' refer to in the context of ambulatory care?

    <p>Remote electronic visits with healthcare providers</p> Signup and view all the answers

    How are care plans, clinical guidelines, protocols, pathways, and evidence-based medicine aided by an EHR?

    <p>By providing access to structured clinical decision support tools</p> Signup and view all the answers

    What distinguishes electronic prescribing (e-prescribing) from computerized provider order entry (CPOE)?

    <p>Electronic prescribing focuses specifically on medication orders, while CPOE encompasses a broader range of provider orders</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 or applications.</p> Signup and view all the answers

    What drives physician reimbursement according to the text?

    <p>Service documentation and coding</p> Signup and view all the answers

    What is the primary focus of EHRs according to the text?

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

    What are common areas where physician offices err in EHR adoption according to the text?

    <p>Buying hardware before selecting an EHR</p> Signup and view all the answers

    What is essential for successful EHR adoption according to the text?

    <p>Engaging all stakeholders, including the board, nurses, and administrative staff</p> Signup and view all the answers

    Which function does Clinical Decision Support (CDS) systems may present according to the text?

    <p>Passive, context-sensitive, mandatory, reference</p> Signup and view all the answers

    What is emphasized as important for external reporting programs and pay-for-performance incentive programs according to the text?

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

    What does the text highlight as a challenge despite the accelerating adoption of EHR in ambulatory care?

    <p>Challenges of cost, change, and product maturity remain</p> Signup and view all the answers

    In which area do physician offices often end up with a failure according to the text?

    <p>Starting down the EHR path without engaging all stakeholders</p> Signup and view all the answers

    What does E&M codes accuracy drive according to the text?

    <p>Physician reimbursement</p> Signup and view all the answers

    What is the main challenge with interoperability within ambulatory care practice?

    <p>Difficulty in enabling practice to have access to hospital data</p> Signup and view all the answers

    What does CPOE stand for in the context of EHR functions?

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

    What distinguishes electronic prescribing (e-prescribing) from computerized provider order entry (CPOE)?

    <p>E-prescribing involves transmitting prescriptions to pharmacies, while CPOE involves entering medical orders into the system</p> Signup and view all the answers

    What does the term 'e-visits' refer to in the context of ambulatory care?

    <p>'Electronic' visits where patients consult with healthcare providers remotely</p> Signup and view all the answers

    What is one reason why some clinics promote self-administered history assessment?

    <p>To reduce patient anxiety and phone calls after visits</p> Signup and view all the answers

    What is the 80/20 rule mentioned in the text?

    <p>It highlights the preference for 80% ambulatory EHR functionality over 20% hospital data.</p> Signup and view all the answers

    What does E-Rx refer to in the context of EHR functions?

    <p>It specifically relates to electronic prescription transmission to pharmacies.</p> Signup and view all the answers

    What is emphasized as important for external reporting programs and pay-for-performance incentive programs according to the text?

    <p>Quality improvement and required reporting capabilities within EHR systems.</p> Signup and view all the answers

    What has led to a surge in acquiring EHR in ambulatory care?

    <p>Incentives becoming sanctions, driving physicians towards better products and real benefits.</p> Signup and view all the answers

    What does the text highlight as a challenge despite the accelerating adoption of EHR in ambulatory care?

    <p>Resistance from physicians to appreciate better products and real benefits.</p> Signup and view all the answers

    What is the main difference between clinical messaging and portals in the context of EHR?

    <p>Clinical messaging is primarily used for secure communication between healthcare providers, while portals are used to provide patients with access to their health information.</p> Signup and view all the answers

    What has led to a surge in acquiring EHR in ambulatory care, as mentioned in the text?

    <p>Government incentives focusing on ambulatory care</p> Signup and view all the answers

    What is an example of a non-visit-specific function of EHRs mentioned in the text?

    <p>Remote patient monitoring</p> Signup and view all the answers

    What is emphasized as important for external reporting programs and pay-for-performance incentive programs according to the text?

    <p>Accurate and comprehensive clinical documentation</p> Signup and view all the answers

    $E&M$ codes accuracy drives what according to the text?

    <p>$Physician reimbursement$</p> Signup and view all the answers

    What does $CPOE$ stand for in the context of EHR functions?

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

    What does the term 'e-visits' refer to in the context of ambulatory care?

    <p>Remote consultations or follow-ups conducted electronically</p> Signup and view all the answers

    What distinguishes electronic prescribing ($e-prescribing$) from computerized provider order entry ($CPOE$)?

    <p>$E-prescribing$ focuses specifically on medication orders, while $CPOE$ encompasses a broader range of provider orders.</p> Signup and view all the answers

    What does the 80/20 rule mentioned in the text refer to?

    <p>The principle that 80% of effects come from 20% of causes, often used in quality improvement initiatives.</p> Signup and view all the answers

    What is essential for successful EHR adoption according to the text?

    <p>Effective change management strategies tailored to the organization's readiness and tolerance for change.</p> Signup and view all the answers

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