Administrative medical assisting 5th by lindh chapter11

Chapter 11 Computers in the Ambulatory Care Setting © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part The Computer System • Basic system – Central processing unit (CPU) – Input device – Output device – Software © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part The Computer System © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part The Computer System • Types of computer systems – Personal computers (PCs) – Supercomputers – Mainframe computers – Minicomputers – Microcomputers • • • • Smartphones Personal digital assistants (PDAs) Tablet or Netbook Laptop or desktop © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Components of Computer System • Hardware – Components you can see, touch, or hear • • • • Data input devices Central processing unit Data output devices Data storage devices – ROM and RAM memory – Data storage memory – RAID storage © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Components of Computer System • Software – Frequently referred to as computer program • System software (operating system) Application software Drivers â 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Components of Computer System • Documentation – Define how programs operate – Patches – Licenses • Hardware and software compatibility © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Components of Computer System • Computer networks – Networking is the electronic or optical connection of computers and peripheral equipment for purpose of sharing information and resources © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Components of Computer System • Types of networks – Local area network (LAN) – Wide area network (WAN) – Internet • Connecting networks – Hard-wired system – Wireless system (WiFi, Bluetooth , satellite systems, cellular technology) WiMAX đ â 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Components of Computer System • Systems security – Operating system – Firewall – Anti-virus software – Password – Training © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Components of Computer System • Systems security – Virus protection programs – Recognizing secured sites © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Components of Computer System • Systems security – Firewalls – System backup – Power outage, electrical surge, static discharge protection devices © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Cloud Computing • Like computer rental agency where order is placed for applications (apps) to be performed • Provide all computing needs for fixed service price on pay-for-use-basis – Reduced cost – Improvement in resource availability time – More secure data backup – Better disaster recovery © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Computer Maintenance by Office Personnel • Replace printer ink, toner cartridges, refill paper trays • Defragmentation • File removal • Installation of security patches Service agreement management â 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Use of Computers in Medical Office • General office procedures – Word processing, spreadsheets, graphics, databases, online communication programs, accounting programs • Maintaining EMR and EHR; managing clinic or practice Clinical and laboratory applications â 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Use of Computers in Medical Office • EMR versus EHR – EMR: Individual patient records – EHR: Combined EMRs from a variety of sources into a master database • TPMS – Total Practice Management System – Deals with day-to-day operations of medical practice – Certification Commission for Health Information Technology (CCHIT) © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part TPMS Data Flow © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Use of Computers in Medical Office • Portable computers in the medical office – Personal data assistants (PDAs) – Smartphones – Tablet PCs © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Design Considerations for a Computerized Medical Office • Software selection – Choose knowledgeable and trustworthy vendor – Develop plan for computerization • Hardware selection – Determine whether you are going to network – Must meet minimum requirements for software programs – Must meet requirements for data transmission © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Design Considerations for a Computerized Medical Office • Ergonomics – Eyestrain – Cumulative trauma disorder – Posture Using footrest can help posture problems >> © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Patient Confidentiality • Adherence to HIPAA regulations • Ensure computer-literate personnel employed to set up the system • Establish protocols – Define who can access and modify data – Provide identification, dating, and authenticating mechanisms for those changes and additions © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Patient Confidentiality • Persons other than authorized personnel should not be able to read files • Firewalls in place • Passwords or PINs should not be shared • Printers and fax machines located where unauthorized personnel cannot view them AMA computer confidentiality â 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part HIPAA Standards for Safeguarding PHI • Confidentiality protocols and procedures • Staff training • Identification of authentication protocols • Access control of computer output, modification, or destruction of files • Security of transmitted data • Control of discarded records, storage media, and computer hardware © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Professionalism in Computerized Medical Office • Close attention to detail when entering or retrieving information from computer • Work within legal scope of your training • Become actively involved • Adapt to change © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part Professionalism in Computerized Medical Office • Work ethic • Enhance skills through CE • EHR affects entire office staff © 2014 Cengage Learning All Rights Reserved May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part ... to a publicly accessible website, in whole or in part Use of Computers in Medical Office • Portable computers in the medical office – Personal data assistants (PDAs) – Smartphones – Tablet PCs... duplicated, or posted to a publicly accessible website, in whole or in part Computer Maintenance by Office Personnel • Replace printer ink, toner cartridges, refill paper trays • Defragmentation... duplicated, or posted to a publicly accessible website, in whole or in part Use of Computers in Medical Office • General office procedures – Word processing, spreadsheets, graphics, databases,