The Computer-Based Patient Record


Book Description

Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.




Registries for Evaluating Patient Outcomes


Book Description

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.




Medical Records Technology


Book Description




Electronic Medical Records


Book Description

Physician adoption of electronic medical records (EMRs) has become a national priority. It is said that EMRs have the potential to greatly improve patient care, to provide the data needed for more effective population management and quality assurance of both an individual practice’s patients and well as patients of large health care systems, and the potential to create efficiencies that allow physicians to provide this improved care at a far lower cost than at present. There is currently a strong U.S. government push for physicians to adopt EMR technology, with the Obama administration emphasizing the use of EMRs as an important part of the future of health care and urging widespread adoption of this technology by 2014. This timely book for the primary care community offers a concise and easy to read guide for implementing an EMR system. Organized in six sections, this invaluable title details the general state of the EMR landscape, covering the government’s incentive program, promises and pitfalls of EMR technology, issues related to standardization and the range of EMR vendors from which a provider can choose. Importantly, chapter two provides a detailed and highly instructional account of the experiences that a range of primary care providers have had in implementing EMR systems. Chapter three discusses how to effectively choose an EMR system, while chapters four and five cover all of the vital pre-implementation and implementation issues in establishing an EMR system in the primary care environment. Finally, chapter six discusses how to optimize and maintain a new EMR system to achieve the full cost savings desired. Concise, direct, but above all honest in recognizing the challenges in choosing and implementing an electronic health record in primary care, Electronic Medical Records: A Practical Guide for Primary Care has been written with the busy primary care physician in mind.




Taking Action Against Clinician Burnout


Book Description

Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.




Health Information Technology - E-Book


Book Description

Reflecting emerging trends in today’s health information management, Health Information Technology, 3rd Edition covers everything from electronic health records and collecting healthcare data to coding and compliance. It prepares you for a role as a Registered Health Information Technician, one in which you not only file and keep accurate records but serve as a healthcare analyst who translates data into useful, quality information that can control costs and further research. This edition includes new full-color illustrations and easy access to definitions of daunting terms and acronyms. Written by expert educators Nadinia Davis and Melissa LaCour, this book also offers invaluable preparation for the HIT certification exam. Workbook exercises in the book help you review and apply key concepts immediately after you’ve studied the core topics. Clear writing style and easy reading level makes reading and studying more time-efficient. Chapter learning objectives help you prepare for the credentialing exam by corresponding to the American Health Information Management Association's (AHIMA) domains and subdomains of the Health Information Technology (HIT) curriculum. A separate Confidentiality and Compliance chapter covers HIPAA privacy regulations. Job descriptions in every chapter offer a broad view of the field and show career options following graduation and certification. Student resources on the Evolve companion website include sample paper forms and provide an interactive learning environment. NEW! Full-color illustrations aid comprehension and help you visualize concepts. UPDATED information accurately depicts today’s technology, including records processing in the EHR and hybrid environments, digital storage concerns, information systems implementation, and security issues, including HITECH’s impact on HIPAA regulations. NEW! Glossary terms and definitions plus acronyms/abbreviations in the margins provide easy access to definitions of key vocabulary and confusing abbreviations. NEW! Go Tos in the margins cross-reference the textbook by specific chapters. NEW Coding boxes in the margins provide examples of common code sets. Over 100 NEW vocabulary terms and definitions ensure that the material is current and comprehensive. NEW Patient Care Perspective and Career Tips at the end of chapters include examples of important HIM activities in patient care and customer service.




Information and Communication Technologies in Healthcare


Book Description

As the population ages and healthcare costs continue to soar, the focus of the nation and the healthcare industry turns to reducing costs and making the delivery process more efficient. Demonstrating how improvements in information systems can lead to improved patient care, Information and Communication Technologies in Healthcare explains how to cr




Electronic Health Records


Book Description

Resource added for the Health Information Technology program 105301.




Electronic Health Records


Book Description

Electronic Health Records, a foundational course in Health Information Management or Health Information Technology programs prepares students to understand and use electronic records in a medical practice. Gartee's, first of its kind, "how to" text is designed to train future users of EHR programs, to document patient exam, diagnosis, orders, and coding. It contains screen shots, exercises and activities to provide a complete learning system. Written for everyone in the office who will touch the electronic medical record, course material is suitable for medical and nursing schools, allied health career schools, universities, community colleges and continuing education programs. ABOUT THE SOFTWARE : The Student CD that accompanies the book, can be networked, used for distance learning, or purchased individually or as a val pak with the book. The software does not come bound in the book. Instructors will receive a copy of the Medcin Software which is bound into the instructors manual by contacting their local representative. The Medcin Student Edition Software may be value packed with Richard Gartee's Electronic Health Records - ISBN: 0131564862 for $10.00 more than the price of the text or as a stand alone Student CDROM - ISBN:0131789376 available from Prentice Hall. The software is multi-user allowing students to work simultaneously and keep work separate. Exercise print outs generated from Medcin automatically include the student's login name or ID. Medcin is the licensed core technology in many prominent EHR Systems. 10 out of 15 EHR systems for medical offices use Medcin nomenclature as the technology underlying commercial EHR systems. Students therefore are more likely to apply skills acquired in this course to an EHR application in their office. All work is printed and no exercises require saving. All exercises are designed to be completed during a normal class time. Printers use a standard Windows system. For distance learning, the software allows the student to "Print to HTML" which will output the exercise document into a file that can be emailed.