Medical Terminology Chapter 15 Quiz

Questions and Answers

What does ALLEVIATE mean?

to partly relieve or lessen (correct)

to ignore a problem

to completely remove

to increase a problem

What is an ELECTRONIC HEALTH RECORD (EHR)?

More than one healthcare organization

What is an ELECTRONIC MEDICAL RECORD (EMR)?

Within a single health organization

What does INTEROPERABLE mean?

The capability of a system to work with or use the parts or equipment of another system Signup and view all the answers

What are PARAMETERS in the context of health records?

Any set of physical properties that determine characteristics or behavior Signup and view all the answers

What is a PERSONAL HEALTH RECORD (PHR)?

An electronic health record of health-related information managed by the individual Signup and view all the answers

What does PREVALENT mean?

Generally or widely accepted, favored, or practiced Signup and view all the answers

List one of the requirements mentioned in President George W. Bush's order.

Agencies and providers will implement interoperable systems as their current systems are upgraded Signup and view all the answers

Match the advantages of the EMR system.

Reduces medical errors = Advantage 1 Keeps records organized = Advantage 2 Helps to avoid duplicate testing = Advantage 3 Less concerns for illegible records = Advantage 4 Requires individual names and passwords for security = Advantage 5 Signup and view all the answers

Match the disadvantages of the EMR system.

Reluctance of employees to embrace change = Disadvantage 1 Patient's concerns for confidentiality = Disadvantage 2 High startup costs = Disadvantage 3 Extensive training necessary = Disadvantage 4 Space for equipment needed = Disadvantage 5 Signup and view all the answers

What is EMR CAPABILITY?

Specially software, appointment scheduler, medical billing system, etc. Signup and view all the answers

What should be expected from patients and the EMR?

Hesitation and reluctance Signup and view all the answers

What is included in NONVERBAL COMMUNICATION AND THE EMR?

All of the above Signup and view all the answers

What is the NATIONWIDE HEALTH INFORMATION NETWORK?

A secure, national, interoperable health information infrastructure Signup and view all the answers

What are BACKUP SYSTEMS FOR THE EMR?

External hard drive, full server backup, online backup systems Signup and view all the answers

An EMR contains the standard medical and clinical data gathered in one provider's office.

True Signup and view all the answers

Goals of NHIN include developing capabilities for secure data exchange.

True Signup and view all the answers

How are corrections made to the electronic health record?

A new entry or addendum must be added close to the original entry Signup and view all the answers

The average cost for a physician to implement an EMR system is approximately $50,000.

False Signup and view all the answers

The EMR allows access to patient information in an emergency.

True Signup and view all the answers

Study Notes

Key Terms and Definitions

Alleviate: To partially correct or relieve; lessen discomfort or issues.
Electronic Health Record (EHR): Health records that encompass information from multiple healthcare organizations.
Electronic Medical Record (EMR): Health records confined to a single healthcare organization.
Interoperable: A system's ability to collaborate with or utilize components from other systems.
Parameters: Physical properties defining characteristics or behaviors of a system.
Personal Health Record (PHR): An individual's electronic health record conforming to interoperability standards, managed by the individual and sourced from multiple healthcare providers.

Healthcare System Framework

Nationwide Health Information Network (NHIN): A secure, interoperable infrastructure designed to connect providers, consumers, and support healthcare services.
Core Capabilities of NHIN: Includes secure data exchange, patient record summarization, consumer preference support, and patient data matching without a national identifier.

EMR Benefits and Challenges

Advantages of EMR: Includes reduction in medical errors, organized records, avoidance of duplicate tests, legible records, and enhanced security through unique login credentials.
Disadvantages of EMR: Employee resistance to change, patient confidentiality concerns, high initial costs, extensive training requirements, and necessary space for equipment.

EMR Capabilities

EMR Features: Includes appointment scheduling, prescription writing, medical billing integration, eligibility verification, referral management, and patient portals.

Patient Interaction and Communication

Patient Relations: Anticipate and address patient hesitance towards EMRs to foster acceptance.
Nonverbal Communication: Maintain eye contact and recognize body language to ensure clear patient understanding.

Data Management and Security

Protected Health Information (PHI): Refers to all health-related data linked to an individual patient.
Backup Systems for EMR: Options include external hard drives, full server backups, and online backup systems.

Record Maintenance

Corrections in EMR: Amendments require adding a new entry with the correction, initialing, and dating the change; prior entries remain intact.
Training and Support: Medical assistants should lead by example, adapt to changes, and support colleagues during the transition to EMR systems.

Legislative and Structural Requirements

Executive Order Requirements: Mandates for interoperable systems, transparent pricing, and collaborative development of healthcare services to improve efficiency and quality.
Goals of NHIN: Aim for standard-based data exchange, improved care coordination, secure health information, and management of personal health records.

Miscellaneous Insights

Comparison of EMR and EHR: EMR focuses on data within a single provider while EHR covers comprehensive patient histories across multiple providers.
Show Rate Enhancements: Automated reminder systems improve patient appointment adherence.
Cost Implications: Average EMR implementation costs approximate $33,000, differing from common misconceptions of higher costs.

System Flexibility and Accessibility

EMR Accessibility: Records are accessible from various locations, ensuring vital data is available in emergencies.

Staff Utilization

EMR Impact on Staffing: Typically allows offices to operate with fewer staff due to increased efficiency.

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Description

Test your knowledge on key terms from Chapter 15 related to Electronic Medical Records. This quiz will cover important definitions and concepts such as EHR and EMR, as well as their functionalities. Perfect for students and professionals in the healthcare field.