The Electronic Health Record for the Physician's Office for SimChart for the Medical Office - E-Book

Commissioned by the Department of Health and Human Services, Key Capabilities of an Electronic Health Record System provides guidance on the most significant care delivery-related capabilities of electronic health record (EHR) systems. There is a great deal of interest in both the public and private sectors in encouraging all health care providers to migrate from paper-based health records to a system that stores health information electronically and employs computer-aided decision support systems. In part, this interest is due to a growing recognition that a stronger information technology infrastructure is integral to addressing national concerns such as the need to improve the safety and the quality of health care, rising health care costs, and matters of homeland security related to the health sector. Key Capabilities of an Electronic Health Record System provides a set of basic functionalities that an EHR system must employ to promote patient safety, including detailed patient data (e.g., diagnoses, allergies, laboratory results), as well as decision-support capabilities (e.g., the ability to alert providers to potential drug-drug interactions). The book examines care delivery functions, such as database management and the use of health care data standards to better advance the safety, quality, and efficiency of health care in the United States.

Resource added for the Health Information Technology program 105301.

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Learn important front office, back office, and clinical EHR skills - all from one book! Using detailed pictures and easy-to follow explanations, this helpful resource teaches you how to perform a wide range of tasks using modern medical office software and electronic health records (EHRs). Specifically, you'll learn how to add new patients, schedule appointments, contact providers, discharge patients, process referrals, bill, code, process refunds, chart patient data, and much more to fully prepare you for work in today's medical office environment. Includes online access to Medtrak Systems. Start-to-finish overview of the medical clinic workflow provides a step-by-step guide to the patient process, from check-in to check-out, and everything in between. Access to MedTrak - an online electronic health record (EHR) and practice management program. Four appendices with case studies offer extra practice in four designated areas of the medical office: Front Desk, Clinical, Administrative and Charting, and Billing and Coding. Introductory chapter on the Electronic Health Record presents great background information on the history and other important information about the electronic health record. Do This! boxes feature clear, concise instructions to effectively and successfully work through the book without getting overwhelmed and anxious about working with the software. Built-in checkpoints throughout the book ensure that you are completing the right steps and in the correct order. Screenshots throughout every chapter provide a great visual demonstration of the step-by-step set-up of this book. Chapter on Refunds discusses some of the nuances that is associated with patient billing, providing a helpful practical approach to how real-world medical offices function.

Gain real-world practice with an EHR and realistic, hands-on experience performing EHR tasks! With everything needed to learn the foundations of the EHR process, The Electronic Health Record for the Physician's Office, 3rd Edition, helps you master all the administrative, clinical, and billing/coding skills needed to gain certification - and succeed as a medical office professional. Fully integrated with SimChart for the Medical Office, Elsevier's educational EHR, it walks you through the basics, including implementation, troubleshooting, HIPAA compliance, and claims submissions. This edition contains new and expanded content on patient portals, telehealth, insurance and reimbursement, and data management and analytics, as well as more EHR activities for even more practice.

Get realistic, hands-on practice with performing EHR tasks! Combining a print textbook with online SimChart for the Medical Office software, The Electronic Health Record for the Physician's Office, 4th Edition uses real-world examples and screenshots to walk you through each EHR task. Clear, step-by-step guidelines simplify the exercises in each simulation, so you master all the EHR skills required of a medical office professional. You'll learn how to use EHR in patient care and reimbursement as you perform tasks in administrative use, clinical care, and coding and billing. Written by Medical Assisting educator Julie Pepper, this manual also helps you prepare for success on the Certified Electronic Health Records Specialist (CEHRS) examination - UNIQUE! Integration with SimChart for the Medical Office (SCMO), Elsevier's educational EHR (sold separately), makes it easier to learn and apply EHR fundamentals. - EHR Exercises with step-by-step instructions reinforce key concepts and allow practice with actual software, increasing in difficulty based on the knowledge gained. - Critical Thinking Exercises provide thought-provoking questions to enhance learning and problem-solving skills. - Chapter Review Activities allow you to assess your knowledge of the material, with activities such as a review of key terms, matching and true/false questions, and additional opportunities for software practice. - Review of Paper-Based Office Procedures describes how tasks are completed when the healthcare facility is using paper-based procedures instead of electronic. - Trends and Applications provide real-life examples of how EHR systems are being used to improve health care. - Application exercises in the appendix include front office, clinical care, and coding and billing, allowing you to practice skills before tackling graded SCMO exercises. - Student resources on the Evolve website include a custom test generator to allow CEHRS exam practice or simulation. - NEW! Content is aligned to the latest blueprint for the Certified Electronic Health Records Specialist (CEHRS) exam. - NEW! Updated coverage includes data validation and reconciliation, patient portals, EHR training, IT troubleshooting techniques, common documentation errors, reimbursement systems and processes, authorizations, federal guidelines and escalation procedures, and reporting. - NEW! Screenshots demonstrate EHR applications within SimChart for the Medical Office.