1. Computers in the Ambulatory Care Setting
Chapter 11
Computers in the Ambulatory Care Setting

2. The Computer System Basic system Central processing unit (CPU)
Input devices
Output devices
Software
(Figure 11-1)

3. The Computer System
Watch the video
(Figure 11-1)

4. The Computer System

5. The Computer System Types of computers Personal computers (PCs)
Supercomputers
Mainframe computers
Minicomputers
Microcomputers
Personal digital assistants (PDAs)
(Figure 11-2)

6. The Computer System Components of a computer system
Hardware—components that can be seen, touched, or heard
Data input devices
Central processing unit
Data output devices
Data storage devices
Power outage, electrical surge, and static discharge protection devices

7. The Computer System
Software—frequently referred to as a computer program
System software
Application software

8. The Computer System Documentation Hardware and software compatibility
Patches
Licenses
Hardware and software compatibility
Assign or discuss the critical thinking box

9. Computer Networks
Networking is the electronic or optical connection of computers and peripheral equipment for the purpose of sharing information and resources

10. Computer Networks Types of networks Connecting networks
Local area network (LAN)
Wide area network (WAN)
Internet
Connecting networks
Hard-wired connection
WiFi connection
Bluetooth connection

11. Computer Networks Systems security Operating system Firewall
Anti-virus software
Password
Training

12. Computer Networks Systems security Inventory control Data management
Data back-up
Selection of WiFi access points manually
Personal access points
Deactivate file sharing by your computer

13. Computer Networks Systems security Virus protection programs
Recognizing secured sites
(Figure 11-3)

14. Computer Maintenance by Office Personnel
Replace printer ink and toner cartridges and refill paper trays
Defragmentation
Installation of security patches
Service agreement management

15. Use of Computers in the Medical Office
General office procedures
Word processing, spreadsheets, graphics, databases, accounting programs
Maintaining EMR and EHR, and managing the clinic or practice
Clinical and laboratory applications
(Figures 11-4 and 11-5)
Procedure 11-1 booting up and shutting down the computer
(Figure 11-6)

16. EMR, EHR, and TPMS EMR versus EHR TPMS EMR: Individual patient records
EHR: Combined EMRs from a variety of sources into a master database
TPMS
Performs all the day-to-day operations of a medical office
TPMS software certified by CCHIT

17. TPMS Data Flow

18. Portable Computers in the Medical Office
Personal data assistants (PDAs)
Tablet PCs

19. Design Considerations for a Computerized Medical Office
Software selection
Develop a plan for implementation
Hardware selection
Must meet minimum requirements for software programs
Must meet requirements for data transmission
(Procedure 11-2)
(Procedure 11-3)

20. Design Considerations for a Computerized Medical Office
Ergonomics
Eyestrain
Cumulative trauma disorder
Posture
Using a footrest can help posture problems >>
(Figure 11-8)
(Figures 11-9, 11-10, and 11-11)
Assign or discuss the critical thinking activity

21. 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

22. Patient Confidentiality
Persons other than authorized personnel should not be able to view monitors
Passwords or PINs should not be shared
Printers and fax machines should be located where unauthorized personnel cannot view them
AMA computer confidentiality
(Figure 11-12)

23. Professionalism in the Computerized Medical Office
Work as a member of the health care team
Adapt to change
The importance of work ethic
Assign or discuss the critical thinking box

24. The Impact of EHR
Don’t forget customer service when working in a computerized office
Make eye contact with the patient
Be personable
Position patient chair facing the monitor if possible
Don’t use the computer for personal use