Week 2 Electronic Health Records - None Clinical Operations

What is the flow of information from registration through processing of the claim

scheduling and registration, arrival & check-in, waiting area/ prep exam prep, clinical encounter, and check out and billing.

What is the first step in the flow of information from registration through processing of the claim

Pre visit/ scheduling & registration

What is the second step in the flow of information from registration through the processing of the claim

Arrival and check in

What is the third step in the flow of information from registration through the processing of the claim

Waiting area / pre doctors exam prep

What is the fourth step in the flow of information from registration processing of the claim

Clinical Encounter

What is the final ( fifth) step in the flow of information from registration through processing of the claim

Check Out & billing

What does EHR Pre visit / scheduling & registration include

Pre Visit

• - Automatic appointment reminders via patient patients and texts

• Registration & Scheduling:

• - Store patient demographics, insurance information, and prior medical history

• - Verify eligibility in real life and pull up existing records so staff can greet patients by name and confirm details instantly

What does EHR arrival and check ins look like?

• - the opportunity for patients to fill out intake forms electronically (via kiosk) before arrival

• - staff can scan insurance cards directly into the system allowing instant demographic updates and flag alerts like an outstanding financial balance or needed immunizations.

How does EHRs contribute to the waiting area and/ or pre exam prep

• - EHRs display real time appointment status for staff

• - They are able to pull the patients full chart so that providers and staff can review it before the visit. reducing redundant questions and personalizing care

How does EHRs contribute to the clinical encounter

EHRs serves as the central digital data storage for providers to document findings , order labs, and code the visit

How does EHR help during check out and billing ?

EHRs automatically generate superbills ( encounter forms) calculate the patients responsibility after insurance deduction and print or email receipts.

• - Schedule follow up appointments, and trigger education materials or referrals

What is an EHR

a built in software that serves as a digital version of patients medical history thats maintained by their healthcare provider over time.

What is the Importance of EHRs

1. 1. improve patient care and safety

2. 2. Enhance efficiency and productivity

3. 3. Support decision making and making and research

What are patients demographics ?

Data that includes the patients name, address, phone number, s*x, race, age, marital status, employment, etc.

What is the main difference between a EHR and a EMR ?

a EHR is electronic health records that are shared across different healthcare providers and organizations. EMR are electronic medical records that is used within one healthcare practice or organization.

Who are the main users of EHRs ?

clinicians, care teams, admin, and patients ( via portals ?

Who are the clinicians that use EHRs ?

doctors, nurses, physicians, pharmacists, and behind the scene supporters

What is the role of an EHR for clinicians ?

works as a comprehensive, shareable health record across organizations

Who creates the care team that uses EHR ?

all healthcare professionals who work together to support a patient’s health and medical needs (i.e doctors, nurse, PLNS,Nps)

What do the administration in healthcare use EHRs for ?

to keep a track record of everything that has been done during a patients care in an attempts to have a track record of medical care history to continue care or conclude it unc

How does EHRs contribute to appointment scheduling and messaging ?

Automate appointment reminders by patient portals or text

How does EHRs contribute to the check in process ?

EHRs allow patients to compete intake forms electronically before or upon arrival

The staff can scan insurance cards directly into the system, update demographic information, and flay alerts like outstanding balances or needed immunizations.

What are PMs ?

Practice Management System

What are PMs used for or as ?

Software that handles the business side of a medical office

What does PMs handle and who handles Pms ?

patient registration, scheduling, insurance, billing and payments. Used by front office, billing, and administrative staff.

What information is found in EHRs ?

Medical history , medications & allergies, laboratory and test results, vital signs, demographic data, administration and billing data, operational data and quality of care metrics, created or managed digital medical records and information that can shared with other providers.

Around what period of time were EHRs created

1960s

Around what time period did EHRs grow from the initial buildup ?

1990s

Around what year did EHRs develop government initiatives and regulations

2000s

what is a patient list ?

an electronic data base of all the health conditions and concerns a patient has been seen for

What is a Master Patient List? (MPI)

a record of every person who have received care in a hospital both inpatient and outpatient or physician’s office.

How do PMs, EMRs, and EHRs systems typically interact after a patients visit ?

They exchnage patitent and billing information to ensure that both records and billing can be up to date with the ability to keep patients up to date without follow up phone calls.