Orthopedic Technician Module 1.1 Healthcare Communication 2024/1445 PDF

Orthopedic Technician Module1.1 Healthcare Communication Communication Using Electronic Health Record Prepared by Dr. Amal Haji, PhD, MSN, RN Critical Care Nursing 2024/1445  Learning Objectives By the end of this lecture, trainees will be able...

Orthopedic Technician Module1.1 Healthcare Communication Communication Using Electronic Health Record Prepared by Dr. Amal Haji, PhD, MSN, RN Critical Care Nursing 2024/1445  Learning Objectives By the end of this lecture, trainees will be able to: 1. Discuss concepts related to electronic communication through electronic health records (EHR) and electronic medical record (EMR). 2. Differentiate between EHR and EMR. 3. Discuss the advantages and disadvantages of HER. 4. Explain strategies for using computer and other electronic devices.  Digital Health Communication Communication is the process of sending information to others and receiving information back from them. Digital communication involves sending and receiving such information electronically. Electronic Patient Record  Electronic Medical Records (EMR) An EMR is a patient’s medical history that is maintained electronically by a single provider. The EMR contains demographic information, medications, allergies, immunizations, lab results, radiology reports and visits. The EMR may also include billing information and insurance information.  Electronic Health Records (EHR) An EHR is a patient’s medical history that is maintained electronically by multiple providers. The EHR contains demographic information, medications, allergies, immunizations, lab results, radiology reports and visits. The EHR may also include billing information and insurance information.  Major Differences Between EMRs and EHRs The main difference between EMRs and EHRs is that EHRs are maintained by multiple providers, while EMRs are only maintained by a single provider. This means that an EHR contains more information than an EMR. Providers mainly use an EMR for diagnosis and treatment.  Major Differences Between EMRs and EHRs Another difference is that EHRs are designed to be interoperable, while EMRs are not. Interoperability means that different systems can share and use data with each other. This is important because it allows providers to have access to a patient’s complete medical history, even if they see multiple providers. EHRs allow a patient’s medical information to move with them to specialists, labs, imaging centers, emergency rooms and pharmacies both locally and nationally.  Advantages of EHR 1. Improved patient care Electronic health records (EHRs) provide easy access to complete and up-to-date patient information, allowing healthcare providers to make informed decisions and provide more effective care. 2. Increased efficiency EHRs can streamline managing patient records, reducing the time and effort required to enter, retrieve, and share information.  Advantages of EHR 3. Better communication EHRs facilitate communication between healthcare providers, enabling them to collaborate more effectively and share important patient information in real-time. 4. Reduced errors EHRs can help reduce the risk of errors and improve patient safety by providing alerts for potential drug interactions, allergies, and other important information.  Advantages of EHR 5. Enhanced population health management EHRs can be used to track and analyze population health data, allowing healthcare providers to identify trends and patterns that can inform the development of more effective interventions. 6. Improved patient engagement EHRs can provide patients access to their health information and tools to manage their care, empowering them to take a more active role in their health and wellness.  Advantages of EHR 7. Enhanced privacy and security EHRs can be designed with robust security measures to protect patient privacy and sensitive health information. 8. Cost savings EHRs can reduce healthcare costs by increasing efficiency and reducing the risk of errors.  Advantages of EHR 9. Improved quality of care EHRs can help healthcare providers track and monitor patient progress, allowing them to identify opportunities for improvement and make necessary changes to treatment plans. 10. Enhanced research and public health reporting EHRs can provide a wealth of data that can be used for research and public health reporting, helping to advance our understanding of diseases and health outcomes.  Disadvantages of EHR 1. Initial implementation and setup costs can be high. 2. There may be a learning curve for healthcare providers to use the system. 3. The systems may require ongoing maintenance and updates. 4. The systems may be prone to technical problems or downtime. 5. The systems may not be compatible with all devices or software.  Disadvantages of EHR 6. There may be issues with data security and privacy. 7. It may be difficult to fully transition to electronic records, especially if some healthcare providers resist change. 8. Electronic record systems may not be user-friendly. 9. It may be challenging to accurately and completely transfer all relevant patient information into the electronic record system. 10. The electronic record system may not be accessible to all healthcare providers, which can impact the patient's quality of care.  Computers and Other Electronic Devices § Computer systems collect, send, record, and store information. § Computers and faxes are used to send messages and reports to the unit. § Each staff member using computers and other electronic devices is issued a username and password. § They are used to access, send, receive, or store protected health information (PHI). § You must keep PHI and electronic protected health information (EPHI, ePHI) confidential.  Strategies For Using Computer And Other Electronic Devices § Do not tell anyone your username or password. If someone has your information, he or she can access, record, send, receive, or store patient’s data under your name. It will be hard to prove that someone else did so and not you. § Do not write down, post, or expose your username or password. This is for your security. For example, do not write them on a note pad or post them at your work station. § Change your password often. Follow agency policy. § Do not use another person's username or password. § Enter data carefully. Double-check your entries.  Strategies For Using Computer And Other Electronic Devices § Prevent others from seeing what is on the screen: Ø Position the monitor so the screen cannot be seen in the hallway or by others. Ø Position the monitor so the screen cannot be seen in the hallway or by others. Ø Be aware of anyone standing behind you. Ø Stand or sit with your back to the wall if using a mobile computer unit. Ø Do not leave the computer unattended.  Strategies For Using Computer And Other Electronic Devices § Log off after making an entry. § Do not leave printouts where others can read them or pick them up. § Shred or destroy computer-printed documents or worksheets. Follow agency policy. § Send e-mail and messages only to those needing the information. § Do not use e-mail for information or messages that require immediate reporting. Give the report in person. The person may not read the e-mail in a timely manner. § Do not use e-mail or messages to report confidential information. This includes addresses, phone numbers, Social Security numbers, and insurance numbers. The computer system may not be secure. § Remember that any communication can be read or heard by someone other than the intended person.  Strategies For Using Computer And Other Electronic Devices § Do not use the agency's computer for your personal use. § Do not: Ø Send personal e-mail messages. Ø Send or receive e-mail or messages that are offensive or not legal. Ø Send or receive e-mail for jokes, politics, or other non-work activities. Ø Post information, opinions, or comments on Internet message boards or social networking sites (Twitter, Facebook, MySpace, and others). Ø Take part in Internet discussion groups. Ø Upload, download, or send materials containing a copyright or trademark  Strategies For Using Computer And Other Electronic Devices § Remember that the agency has the right to monitor your use of computers or other electronic devices. This includes Internet use. § Do not open another person's e-mail or messages. Follow agency policy for mis-directed e-mails.  Strategies For Using Computer And Other Electronic Devices Faxes: § Use the agency's approved "cover sheet." The sheet has instructions about: Ø The confidentiality of PHI (EPHI; ePHI) Ø The receiver's responsibilities concerning PHI (EPHI; ePHI) Complete the "cover sheet" according to agency policy. The following is common. Ø Name of the person to receive the fax Ø Receiver's fax number Ø Date Ø Number of pages being faxed Ø Department name Ø Name and phone number of the employee sending the fax  References postDICOM. (n.d.). 10 Advantages and Disadvantages of EHR [EHR vs EMR Differences]. postDICOM. Retrieved July 21, 2024, from https://www.postdicom.com/en/blog/advantages-and-disadvantages-of-ehr Haan, K. (2022, June 24). EHR Vs. EMR: What’s The Difference? Forbes Advisor. https://www.forbes.com/advisor/business/software/ehr-vs-emr/  If you have any question, please contact Dr. ……… ‫ﺷﻜﺮا ﻟﻜﻢ‬