1. Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved. McGraw-Hill Chapter 3 Electronic Health Records in the Physician Office Electronic Health Records for Allied Health Careers Cover goes here when ready

2. 3-2 Learning Outcomes After studying this chapter, you should be able to: 1.List the five steps of the office visit workflow in a physician office. 2.Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. 3.Describe the process of electronic check-in. 4.Explain how electronic health records make documenting patient exams more efficient. 5.Explain what occurs during patient checkout.

3. 3-3 Learning Outcomes After studying this chapter, you should be able to: 6.Explain what two events take place during the post-visit step of the visit workflow. 7.Describe the advantages of computer-assisted coding. 8.List three decision-support tools the EHRs contain to provide patients with safe and effective health care. 9.List four important safety checks that an EHR’s e-prescribing feature can perform when a physician selects a new medication for a patient.

4. 3-4 Key Terms chronic diseases clinical guidelines computer-assisted coding decision-support tools disease management (DM) formulary point-of-care

5. 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.

6. 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

7. 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.

8. 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

9. 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

10. 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