School of Health Sciences Week 9! Electronic Health Records Chapters 1, 2,3 Healthcare Delivery & Information Management HI 125 Instructor: Alisa Hayes, MSA, RHIA, CCRC

Class Reminders Office hours By Appointment Chat conversations during class Please keep conversations focused on class. Type “pause” to comment and “?” to ask a question This weeks assignment/project reminder Talk about grading and when grades will be posted School of Health Science

Chapter 1, 2, 3 Electronic Health Record Text Objectives History of Electronic Health Records (EHRs) Methods of entering information into an EHR program Acronyms, barriers and benefits of EHRs Standards history of EHR HIPPA, and CHI regulations for EHRs IOM core functions CCHIT standards and agencies History and features of SpringCharts HER User preferences Set up and edit patients, addresses and insurance

Chapter 1, 2, 3 Electronic Health Record Text Chapter 1-Electronic Health Record Improvement of patient care was the catalyst for the electronic health record Additional functions such as drug dosages, side effects, allergies and drug interactions have been added over time to improve patient care Sharing access across large distances has been made possible by remote access. Acronyms of the health record EHR- electronic health record EMR- electronic medical record CPR- computer-based patient record CCR-continuity of care record PHR- personal health record

Chapter 1, 2, 3 Electronic Health Record Text Barriers to the EHR Lack of standards for systems Unknown cost and return on investment Difficult to operate Significant changes in clinic processes Lack of trust and safety Benefits Clinic information and accessibility Patient safety Better patient care School of Health Science

Chapter 1, 2, 3 Electronic Health Record Text Benefits- con’t Efficiency and savings Chapter 2 and the Electronic Record Content CCHIT created by the US Department of Health and Human Services to credential EHR programs HIPAA- Protected Health Information Password Management Unique user ID Access Authorization Disclosure of PHI School of Health Science

Chapter 1, 2, 3 Electronic Health Record Text HIPAA- Protected Health Information- Con’t Security and data backup and storage Auditing Abilities Code Sets CHI Standards HL7 NCPDP IEEE DICOM School of Health Science

Chapter 1, 2, 3 Electronic Health Record Text CHI Standards con’t LOINC SNOMED-CT HIPAA code set FDA HUGN EPA School of Health Science

Chapter 1, 2, 3 Electronic Health Record Text Institute of Medicine- capabilities of EHR Health Information and Data Patient Support Results Management Administrative Processes Order Entry/Management Reporting and Population Health Medical Decision Support School of Health Science

Institute of Medicine- capabilities of EHR con’t. Electronic Communication and Connectivity CCHIT Functionality Interoperability Security Standards set School of Health Science Chapter 1, 2, 3 Electronic Health Record Text

Chapter 3- Spring Charts Software Training tool for textbook Download software Setup- user preferences Instructions for setting up password security, data set up, edit addresses, adding and editing patients, adding and editing insurance School of Health Science

Chapter 1, 2, 3 Electronic Health Record Text Chapter 3- con’t CCHIT Standards Security External providers Patient demographics Multiple means of looking up patients By date of birth, or even by phone number School of Health Science

AHIMA EHR article The health record is the legal business record for a healthcare organization. It must be maintained following regulations, accreditation standards, professional practice standards, and legal standards. Guidelines that originally applied to paper-based health records translate to documentation in electronic health records (EHRs) Authorship Authentication of Entries Signatures School of Health Science

AHIMA EHR article EHRs. Abbreviations Linking patient records Correcting Errors Retention School of Health Science

Current Week All due by Tuesday (tomorrow) Read chapter 1, 2, 3 of the Electronic Health Records Text Complete your discussion question Assignment is: Install SpringCharts software and download and complete Scavenger Hunt exercises 1 & 2, located in docsharing School of Health Science

Next Week WOW week 10! Discussion Question STUDY STUDY STUDY STUDY!!!!!!! December 21 thru December 24 Exam must be taken (short week) Complete within 3 hours- CANNOT log out and back in Comprehensive- all units 240pts. EOC Survey School of Health Science