Electronic Medical and Health Records Overview
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Questions and Answers

What is one of the benefits of e-Prescribing?

  • Enhances convenience for doctors and patients (correct)
  • Requires more paperwork
  • Increases the number of medication errors
  • Reduces patient safety

    • What form of exchange allows consumers to mediate their own health information?

  • Population-based Exchange
  • Consumer Mediated Exchange (correct)
  • Directed Exchange
  • Query-based Exchange

    • Which of the following does NOT differentiate between EMR, EHR, and PHR?

  • Type of data collected
  • Accessibility to patients
  • Software used in pharmacies (correct)
  • Data sharing capabilities

    • Which of the following is a key characteristic of valuable information in health care?

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

    Which of the following best describes Electronic Health Records (EHR)?

    <p>Comprehensive patient records accessible by multiple providers</p> Signup and view all the answers

    What is one of the benefits of Electronic Health Information Exchange (HIE)?

    <p>Improves the quality of patient care</p> Signup and view all the answers

    How does HIE contribute to decision making at the point of care?

    <p>Through timely sharing of vital patient information</p> Signup and view all the answers

    What is directed exchange primarily used for?

    <p>To send and receive secure information between care providers</p> Signup and view all the answers

    Which of the following is NOT a form of Health Information Exchange (HIE)?

    <p>Patient-centered exchange</p> Signup and view all the answers

    What is one advantage of standardizing patient data in HIE?

    <p>Facilitates improved diagnoses</p> Signup and view all the answers

    What does consumer mediated exchange allow patients to do?

    <p>Control the use of their health information among providers</p> Signup and view all the answers

    What outcome can be avoided by using Electronic Health Information Exchange?

    <p>Medication errors</p> Signup and view all the answers

    What technology underpins the forms of Health Information Exchange?

    <p>Complete and tested standards, policies, and technology</p> Signup and view all the answers

    What is the main purpose of directed exchange in Health Information Exchange (HIE)?

    <p>To directly send patient information to specialists during referrals.</p> Signup and view all the answers

    When is query-based exchange typically utilized?

    <p>In unplanned care situations.</p> Signup and view all the answers

    What is a key benefit of consumer-mediated exchange?

    <p>It allows patients to manage their own health information online.</p> Signup and view all the answers

    How does standardized data benefit electronic health information exchange?

    <p>It enables seamless integration into Electronic Health Records (EHR).</p> Signup and view all the answers

    What can emergency room physicians do with query-based exchange?

    <p>Access relevant patient information for real-time decision making.</p> Signup and view all the answers

    What role does a primary care provider play in directed exchange?

    <p>They can send electronic care summaries to specialists after referrals.</p> Signup and view all the answers

    What aspect of patient care is enhanced by incorporating electronically received laboratory results into EHRs?

    <p>Generating lists for patient follow-up based on their health needs.</p> Signup and view all the answers

    Which of the following activities can patients perform through consumer-mediated exchange?

    <p>Track and monitor their own health information.</p> Signup and view all the answers

    What are Electronic Medical Records (EMR) primarily used for?

    <p>Diagnosis and treatment by providers</p> Signup and view all the answers

    Which of the following is a key benefit of using EMR?

    <p>Enables providers to track data over time</p> Signup and view all the answers

    How does EMR differ from EHR?

    <p>EHR includes information from multiple providers across different settings</p> Signup and view all the answers

    What type of records are Personal Health Records (PHR) primarily designed for?

    <p>Health information managed by patients themselves</p> Signup and view all the answers

    What primary function do Electronic Prescribing (e-Prescribing) systems serve?

    <p>Facilitate communication between pharmacies and providers</p> Signup and view all the answers

    How is the information in EMR typically shared with external providers?

    <p>Printed out and delivered by mail</p> Signup and view all the answers

    Which of the following best distinguishes between medical records and health records?

    <p>Medical records focus on disease treatment, health records relate to overall well-being</p> Signup and view all the answers

    Which of the following attributes is not a characteristic of valuable information?

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

    What is one of the advantages of Personal Health Records (PHR)?

    <p>They allow patients to submit their data to physicians.</p> Signup and view all the answers

    How do PHR assist in medication management?

    <p>They analyze drug interactions for the patient's health profile.</p> Signup and view all the answers

    Which statement accurately differentiates PHR from EMR?

    <p>PHR includes data from various sources while EMR is limited to one healthcare organization.</p> Signup and view all the answers

    What is a key feature of Electronic Health Records (EHR)?

    <p>EHRs allow information from multiple healthcare organizations.</p> Signup and view all the answers

    One of the benefits of using PHR is that it can help reduce which of the following?

    <p>Time spent in face-to-face meetings or phone calls.</p> Signup and view all the answers

    What is the end-user for an Electronic Medical Record (EMR)?

    <p>Medical specialists in one department</p> Signup and view all the answers

    What is the primary purpose of electronic prescribing (e-Prescribing)?

    <p>To securely transmit prescriptions to pharmacies.</p> Signup and view all the answers

    Which of the following accurately describes how PHRs store medical records?

    <p>PHRs allow patients to centralize their medical records in one place.</p> Signup and view all the answers

    Which best describes the information access of PHR for patients?

    <p>Patients can gather and manage their own health information.</p> Signup and view all the answers

    Which of the following best describes a function of PHR in healthcare?

    <p>PHR assists in identifying medical errors and gaps in care plans.</p> Signup and view all the answers

    Study Notes

    Electronic Medical Records (EMR)

    • EMRs are digital versions of paper charts in offices, clinics and hospitals
    • Used by providers for diagnosis and treatment, containing notes and information collected by and for the clinicians in that office, clinic or hospital
    • Benefits:
      • Enable providers to track data over time
      • Identify patients for preventive visits and screenings
      • Monitor patients
      • Improve healthcare quality
    • EMRs are not usually shared with providers outside of an organization
    • Patient records must be printed out and delivered by mail to specialists and other members of the care team

    Electronic Health Records (EHR)

    • EHRs contain patient’s electronic health information
    • Are used by doctors across hospitals, labs, pharmacies and patients
    • Include medical histories, prescriptions, current patient’s health conditions, and other electronic records of health related information on individuals
    • EHRs are created, gathered, managed and consulted by authorized clinicians and staff across multiple health care organizations

    Personal Health Records (PHR)

    • PHRs grant patients access to a wide range of health information sources, best medical practices and health knowledge
    • Contain medical history, prescriptions, health conditions, and information that is entered by the patient themselves as well as data from pharmacies, labs and healthcare providers
    • PHRs offer patients the opportunity to submit their data to their physicians
    • PHRs are created, gathered and managed by patients
    • Benefits:
      • Store all of an individual’s medical records in one place instead of paper files in various doctors’ offices
      • Help in analyzing patient’s health profile for analysis drug interaction, current best medical practices, gaps in current medical care plans, and identification of medical errors
      • Help in tracking patient illnesses
      • Reduce the time consumed by face-to-face meetings and telephone communication
      • Quickly provide critical information for proper diagnosis or treatment

    Electronic Prescribing (e-Prescribing)

    • Prescriptions are transmitted securely electronically to pharmacies using special software programs over internet/intranet
    • Pharmacies can begin filling medication right away when they receive a request
    • Benefits:
      • Improves healthcare quality and patient safety by reducing medication errors and checking for drug interactions
      • Is more convenient, cheaper and safer for doctors, pharmacies and patients

    Health Information Exchange (HIE)

    • Allows doctors, nurses, pharmacists, other health care providers and patients to access and securely share a patient’s vital medical information electronically.
    • Improves:
      • The speed of healthcare delivery
      • The quality of healthcare delivery
      • The safety of healthcare delivery
      • The cost of patient care
    • Sharing of vital patient information can inform decision making at the point of care and allow providers to:
      • Standardize patient data
      • Avoid readmissions
      • Avoid medication erros
      • Improve diagnoses
      • Decrease duplicate testing
    • HIE allows for:
      • Accessing and sharing medical information across multiple healthcare organizations
      • Direct exchange
      • Query-based exchange
      • Consumer-mediated exchange

    Forms of Exchange

    • Directed Exchange: Securely sending and receiving information electronically between care providers.
    • Query-Based Exchange: Providers finding and requesting information on a patient from other providers.
    • Consumer-Mediated Exchange: Patients control the use of their health information among providers.

    Directed Exchange

    • Provides an easy and secure way to send patient information such as lab orders and results, patient referrals, or discharge summaries directly to another health care professional.
    • Is commonly compared to sending a secure email
    • Benefits both providers and patients by enabling coordinated care
    • Example:
      • A primary care provider can send electronic care summaries that include medications, problems and lab results to a specialist when referring their patients
      • This prevents the duplication of tests, redundant collection of information from the patient, wasted visits and medication errors

    Query-Based Exchange

    • Providers use this to search and discover accessible clinical sources on a patient
    • Often used when delivering unplanned care.
    • Examples:
      • Emergency room physicians could utilize query-based exchange to access patient information such as medications, recent radiology images and problem lists. This could adjust treatment plans to avoid adverse medication reactions or duplicative testing
      • If a pregnant patient goes to the hospital, query-based exchange could assist a provider in obtaining her pregnancy care record, allowing them to make safer decisions about the care of the patient and her unborn baby.

    Consumer-Mediated Exchange

    • Providers patients with access to their health information
    • Allows patients to manage their health care online
    • Patients can actively participate in their care coordination by:
      • Providing other providers with their health information
      • Identifying and correcting wrong or missing health information
      • Identifying and correcting incorrect billing information
      • Tracking and monitoring their own health

    Benefits of HIE

    • Benefits exist regardless of the means of which information is transferred
    • The value of exchanging information electronically is the standardization of data
    • Once standardized, the data transferred can seamlessly integrate into the recipients’ Electronic Health Records (EHR), further improving patient care
    • Example:
      • If laboratory results are received electronically and incorporated into a provider’s HER, a list of patients with diabetes can be generated
      • The provider can then determine which of these patients have uncontrolled blood sugar and schedule necessary follow-up appointments.

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    Related Documents

    Introduction to Health Information Systems (HIS) PDF

    Description

    This quiz explores the differences between Electronic Medical Records (EMR) and Electronic Health Records (EHR). Learn about their features, benefits, and the impact they have on healthcare delivery and management. Test your knowledge on how these digital systems support patient care and provider efficiency.

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