WHAT IS THE DIFFERENCE BKA & AKA? BR: 08/24/2016 WHAT IS THE DIFFERENCE BKA & AKA?
WHEN YOUR GROUP IS FINISHED Post your notes up in the room somewhere Check out the other groups’ notes Be prepared to discuss what you learned & what were the differences?
ELECTRONIC MEDICAL RECORDS (EMR) Introduction to Healthcare Science IHS 12
Learning Focus 12.1 Identify methods and types of data collected in healthcare. 12.2 Use health record data collection tools (such as input screens, document templates). 12.3 Differentiate between types and content of health records (patient, pharmacy, and laboratory).
Learning Focus (cont’d) 12.4 Ensure that documentation in the health record reflects timeliness, completeness, and accuracy. 12.5 Adhere to information systems policies and procedures as required by national, state, local, and organizational levels. 12.6 Apply the fundamentals of privacy and confidentiality policies and procedures. 12.7 Identify legal and regulatory requirements related to the use of personal health information.
Learning Focus (cont’d) 12.8 Identify and apply policies and procedures for access and disclosure of personal health information. 12.9 Describe the consequences of inappropriate use of health data in terms of disciplinary action. 12.10 Describe appropriate methods to correct inaccurate information/errors personally entered into an electronic medical record (EMR).
I CAN statements You will create your own “I CAN” statements based on what the standard is saying Let’s Share!!!
BR: 08/25/2016 $2 summary about EMRs
EHR / EMR https://www.youtube.com/watch?v=UMiPW831b1o&list=PLSf9GMx3IS60pKi6fHp46IvHAxZRbk3H_
What is an EMR? Stands for Electronic Medical Record Software that allows for the documentation, storage & sharing of patient health information Requires some type of computer for use What are some pros & cons of EMRs?
Who uses an EMR? ANY HCP (healthcare professional) that has to document any information related to (r/t) the patient (pt.) Physicians Nurses Physical Therapists Pharmacists Respiratory Therapists Nursing Assistant Radiologist Technician
Why use an EMR? Ensures continuity (consistent, quality) of care Information is readily accessible by any member of the HC team no matter where they are in the world Patient has access to their records
With someone wearing the same style outfit as you: Discuss what we’ve covered so far about Electronic Medical Records WHAT WHO WHY
Watch This https://www.youtube.com/watch?v=NleWPN6CADE https://www.youtube.com/watch?v=dTs0CwQcU14
HOW WE USE EMRs http://www.softwareadvice.com/medical/electronic-medical-record-software-comparison/?layout=var_rp0 V/S Assessments Procedures / Surgeries Therapy documentation Send messages to other HCP View labs/scans/x-rays Communicate with patients & More
RULES OF EMR PRIVACY IT IS OUR JOB TO PROTECT ALL DATA ONLY CHART WHAT YOU HAVE DONE (don’t chart before the task is complete) or OBSERVED (tell the truth) CHART ON TIME USE PROPER GRAMMAR & CORRECT SPELLING CORRECTIONS CAN BE MADE (LIKE IN WORD)
Ticket Out Write your answer to the following question, include your name What is an EMR? How are they used in the healthcare setting
BR: 08/25/2016 What are the pros & cons of using EMR? Share your answer with a neighbor
Learning Focus 12.7 Identify legal and regulatory requirements related to the use of personal health information. https://www.youtube.com/watch?v=Hpp1Po3diJk https://www.youtube.com/watch?v=XyF40FZ0n5I
Your Group Will: Read over the basics of HIPAA Create a poster (note-taking) Share with the class what you decided was vital to know