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Using the Electronic Health Record in the Healthcare Provider Practice [Multiple-component retail product]

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  • Formaat: Multiple-component retail product, 336 pages, kõrgus x laius x paksus: 272x216x18 mm, kaal: 725 g, Illustrations, Contains 1 Paperback / softback and 1 CD-ROM
  • Ilmumisaeg: 08-Nov-2007
  • Kirjastus: Delmar Cengage Learning
  • ISBN-10: 1418049883
  • ISBN-13: 9781418049881
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  • Multiple-component retail product
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Using the Electronic Health Record in the Healthcare Provider PracticeSuurem pilt
  • Formaat: Multiple-component retail product, 336 pages, kõrgus x laius x paksus: 272x216x18 mm, kaal: 725 g, Illustrations, Contains 1 Paperback / softback and 1 CD-ROM
  • Ilmumisaeg: 08-Nov-2007
  • Kirjastus: Delmar Cengage Learning
  • ISBN-10: 1418049883
  • ISBN-13: 9781418049881
Teised raamatud teemal:
Püsilink: https://www.kriso.ee/db/9781418049881.html
Märksõnad:
This practical, hands-on book introduces you to the electronic health record (EHR) and shows you how to become proficient in using EHR software on the job. You will gain a thorough understanding of both the terminology of EHR systems and the practical use of such systems in a health care provider office setting. Some of the topics discussed include problem lists, assessments, prescription/medication management, exam notes, and diagnostic orders and results. The MedWare Chart EHR software and activities are similar to what will be encountered in the workplace.
List of Tables
ix
List of Figures
x
Preface xi
Acknowledgments xiv
About the Authors and Contributor xv
How to Use This Book xvi
Using MedWare Chart EHR Software xx
Using MedWare Chart EHR Software in a Computer Lab xxi
Electronic Health Records: An Overview
1(14)
Electronic Health Record Description
2(2)
Importance of Electronic Records
4(1)
Electronic Record Initiatives
5(3)
National, Regional, and State Efforts
5(2)
Health Care Provider Efforts
7(1)
Electronic Health Records in the Future
8(7)
Taking Steps Toward a Successful EHR Implementation
15(12)
Taking Steps Toward the EHR
16(11)
Step One: Assess
16(4)
Step Two: Plan
20(1)
Step Three: Select
20(1)
Step Four: Implement
21(6)
The EHR Framework
27(18)
EHR Architecture, Hardware, Software, Networks, and Interfaces
29(1)
EHR Architectures
29(1)
Hardware, Software, Networks, and Interfaces
29(1)
Human--Computer Interface (User) Devices
30(1)
Functional, Data Content, and Vocabulary Standards
31(2)
Functional Standards
31(1)
Data Content Standards
32(1)
Vocabulary Standards
32(1)
Feature and Data Formats
33(5)
Feature Formats
34(1)
Structured and Unstructured Data
35(2)
The Data Dictionary
37(1)
Narrative Text Data
37(1)
Imaged Data
38(1)
Security Controls
38(2)
Basic Technical Controls
38(1)
Basic Physical Controls
39(1)
Security Standards
39(1)
Hybrid Records
40(5)
The EHR and Record Content
45(18)
Record Purposes
46(1)
Record Formats and Types of Data
47(2)
Record Standards
49(6)
Organization Policies
49(1)
Licensure Standards
49(1)
Specialty Designation Standards
50(1)
Accreditation Standards
50(1)
Certification Standards
51(1)
Data Sets
52(1)
Electronic Record Standards
52(3)
Record Content
55(1)
Documentation Practices
55(8)
Correcting Errors
56(1)
Abbreviations
57(1)
Signatures
57(6)
Patient Visit Management
63(26)
Work flow
64(1)
Master Patient Index
65(5)
MPI Content
67(1)
MPI Searches
68(2)
Service Payment Information
70(3)
Scheduling
73(2)
Consents, Acknowledgments, Advance Directives, and Authorizations
75(14)
Consents and Notices
75(1)
Advance Directives
76(6)
Authorizations for Release of Information
82(7)
Problem, Medication, and Allergy Lists
89(10)
Work flow
90(2)
Standards: Functional, Content, and Vocabulary
92(7)
Functional and Content Standards
92(2)
Vocabulary Standards
94(5)
Examination/Assessment Notes, Graphics, and Charts
99(14)
Work flow
100(1)
Standards: Functional and Content
101(5)
Functional Standards
101(1)
Content Standards
102(4)
Documentation
106(7)
Templates and Free-text Narrative
107(2)
Graphics and Charts
109(4)
Treatment Plan, Orders, and Results
113(12)
Work flow
114(1)
Standards: Functional and Content
115(2)
Functional Standards
115(1)
Content Standards
116(1)
Documentation
117(8)
Treatment Plan
118(1)
Diagnostic and Treatment Orders
119(1)
Results Reporting
119(6)
Medication Orders and Administration
125(12)
Work flow
127(1)
Standards: Functional, Content, and Vocabulary
128(3)
Functional Standards
129(1)
Content and Vocabulary Standards
129(2)
Medication Reference Information
131(1)
Medication Alerts and Reminders
131(6)
Patient Communications
137(14)
Patient Focused Communication
138(6)
Reminders and Alerts
139(1)
Receiving Information from Patients
140(3)
Responding to Patients
143(1)
Patient Portals
144(3)
Personal Health Records
147(4)
Coding, Billing, and Practice Reports
151(16)
Coding and Billing Workflow
152(2)
Code Sets and Clinical Vocabularies
154(3)
Coding, Billing, and the Encounter Form
157(2)
Diagnostic Coding
157(1)
Procedural Coding
158(1)
MEDCIN, SNOMED-CT, and Coding
158(1)
Encoders and Computer Assisted Coding
159(2)
Electronic Bill Submission
161(1)
Practice Reports
161(6)
Research, Registries, and Reportable Events
167(11)
Medical Product Development
168(3)
Organization for Clinical Research
168(1)
Clinical Research Steps
169(1)
Study Participants and Treatment Data
170(1)
Medicare Qualifying Trials
171(1)
Practice Requirements
172(1)
Patient Identification and Documentation
172(1)
Reimbursement
173(1)
Standards That Support Research
173(2)
Registries and Reportable Events
175(3)
Personal Health Records and Continuing Care Records
178(17)
Personal Health Record
180(5)
Communication Among Providers for Continuing Care
185(2)
Continuity of Care Record
187(8)
Appendix A MedWare Chart EHR Software: System Requirements, Setup Instructions, and Logging In for the First Time
195(8)
Appendix B MedWare Chart Computer Explorations Exercises
203(82)
Setup Exercise 1: Adding a Provider
203(3)
Setup Exercise 2: Adding a Patient
206(2)
Setup Exercise 3: Adding a Claim
208(2)
Chapter 2 Exercises
210(13)
Chapter 3 Exercises
223(9)
Chapter 5 Exercises
232(6)
Chapter 6 Exercises
238(6)
Chapter 7 Exercises
244(9)
Chapter 8 Exercises
253(9)
Chapter 9 Exercises
262(9)
Chapter 10 Exercises
271(6)
Chapter 11 Exercises
277(2)
Final Exercise
279(6)
Acronym Glossary 285(2)
Glossary of Key Terms 287(8)
Index 295