Question

What is the definition of an EHR

What is the advantage of codified date over document imaged data

Name at least three forces driving the change to the EHR

List the three criteria of an electronic signature

what is a flow sheet

List at least two ways codified date in the EHR can be used to manage and prevent disease.

Answer 1

            Electronic Health Record (EHR)

An electronic health record (EHR) or electronic medical record (EMR) is the systematized collection of patient and population electronically-stored health information in a digital format. EHR can improve quality care by using the data and analytics to prevent hospitalizations among high - risk patients.

1)Definition of EHR (Electronic health record ) : The portions off a patient's medical records that are stored in a computer system , aka electronic medical records , computerized patient records, or electronic chart.

2) Advantage of codified data over document imaged data : When EHR data coded, it can be used for trending, alerts, health maintenance , decision support, it can be accurately identified and electronically compared by computer. Document image data requires a human being to read the information.

3) Forces driving change to the EHR :

a) Medical specialization

b) Increasingly mobile society

c) Internet

d) New methods of diagnostic and preventative medicine require the ability to share exam recods, health safety,

e) Government initiatives

4) Criteria of an electronic signature :

The electronic signature is a computer process that has :

a) Message integrity - the recipient must be able to confirm that the document has not been altered since it was signed.

b) Nonrepudiation - the signer must not be able to deny signing the document.

c) User authentication - the recipient must be able to confirm that the signature was in fact signed by real person.

5) Flow sheet : A graphic summary of several changing factors, especially the patients vital signs or weight and the treatments and medications given. In labor the flow sheet displays the progress of labor, including centimeters of cervical dilation, cervical effacement, position of the baby's head, baby's heart rate, frequency of contrations, mothers temperature and blood pressure, and medications given or proceedures performed.

6) EHR can be used to manage and prevent disease in codified data

Disease management,

Graphic analysis

Trending

Preventive screening

Interactive alerts.