Chapter 3 - Electronic health records in the physician office. After studying this chapter, you should be able to: List the five steps of the office visit workflow in a physician office; discuss the advantages of pre-visit scheduling and information collection for patients and office staff; describe the process of electronic check-in;...
Cover goes here when ready Electronic Health Records for Allied Health Careers Chapter Electronic Health Records in the Physician Office McGrawHill Copyright © 2009 by The McGrawHill Companies, Inc. All Rights Reserved 3-2 Learning Outcomes After studying this chapter, you should be able to: List the five steps of the office visit workflow in a physician office Discuss the advantages of pre-visit scheduling and information collection for patients and office staff Describe the process of electronic check-in Explain how electronic health records make documenting patient exams more efficient Explain what occurs during patient checkout 3-3 Learning Outcomes After studying this chapter, you should be able to: Explain what two events take place during the post-visit step of the visit workflow Describe the advantages of computer-assisted coding List three decision-support tools the EHRs contain to provide patients with safe and effective health care List four important safety checks that an EHR’s e-prescribing feature can perform when a physician selects a new medication for a patient 3-4 Key Terms • • • • • chronic diseases clinical guidelines computer-assisted coding decision-support tools disease management (DM) • formulary • point-of-care 3-5 Patient Flow • progression of patients from the time they make an appointment until they leave the office after a visit Whether paper-based or electronic health records are used, the basic steps are the same 3-6 Patient Flow Steps • Step 1: Pre-Visit: Appointment Scheduling and Information Collection • Step 2: Patient Check-in and Payment Collection • Step 3: Rooming, Measuring Vital Signs, and Patient Examination and Documentation • Step 4: Patient Checkout • Step 5: Post-Visit: Coding and Billing, and Reviewing Test Results 3-7 Coding and Reimbursement • Documentation and coding plays a major role in whether a payer approves claims and reimburses the physician • Computer-assisted coding uses software to facilitate claim processing 3-8 Clinical Tools in the EHR • • • • • • Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness and Disease Identifying At-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Clinical Guidelines 3-9 E-Prescribing • Institute of Medicine recommends the use of e-prescriptions by all providers and pharmacies by 2010 • Keeping Current with Electronic Drug Databases 3-10 E-Prescribing Benefits Increasing Prescription Safety • Drug-Allergy Conflict • Drug-Disease Conflict • Incorrect Dosage • Incorrect Duration • Drug-Pregnancy Conflict • Drug-Age Conflict • Drug-Gender Conflict • Drug-Drug Interactions Saving Time and Money ... (DM) • formulary • point-of-care 3- 5 Patient Flow • progression of patients from the time they make an appointment until they leave the office after a visit Whether paper-based or electronic health. .. advantages of pre-visit scheduling and information collection for patients and office staff Describe the process of electronic check-in Explain how electronic health records make documenting patient... e-prescribing feature can perform when a physician selects a new medication for a patient 3- 4 Key Terms • • • • • chronic diseases clinical guidelines computer-assisted coding decision-support tools disease