EHR - CH.13 - Clinical Decision Support Systems and Quality Improvement

A CDSS has the capability to assist with all except…

Surgical procedures

CDSS are useful to clinicians when…

integrated as a component of the EHR

While visiting the patient, Dr. Zhang uses the EHR to enter patient complaints and findings from the exam. Three possible diagnoses appear on the screen with detailed descriptions. When Dr. Zhang selects one of them, a number of treatment alternatives appear. What system or function is Dr. Zhang using?

CDSS

CDSSs are most effective when they are knowledge-based and integrated with the EHR. What is not a key component of such integration and relationship?

Financial Systems

When integrated with the EHR, a knowledge-based CDSS needs at least 3 components to function well. What are they?

EHR patient data, research evidence, physician knowledge

What is NOT a benefit of CDSS?

access to EHRs from other hospitals

What can be a disadvantage of a CDSS?

over-reliance on computer technology

A physician is pulling clinical patient data from the EHR and using the CDSS to assist him in selecting the right medication. As soon as the physician enters the medication in the system, a message of abnormal lab results pops up. What type of CDSS function does this example demonstrate?

Alerts

A busy pediatricians office is experiencing issues in keeping patients up to date with immunizations. In addition, some patients are complaining about the duplicate testing that their children have to go through. What could be an effective solution for the office?

implement a CDSS integrated into the EHR

A physician faced with a patients rare type of cancer is using CDSS to assist him with finding updated information on clinical trials and new types of chemotherapies. In what capacity is the physician using the CDSS.

treatment options

what illustrates how a CDSS can enhance preventive care?

the physician identifies patients with high blood glucose

The use of a CDSS for cost-reductions is primarily beneficial to the

physicians and patients

which law specified meaningful use criteria for EHRs

HITECH

The purpose of meaningful use requirements was to assure that

the EHR data is being used to improve care

hospitals can capitalize on the use of EHRs and CDSSs to improve their performance on the ________, a quality management program required by the joint commission

ORYX program

What does the phrase “garbage in, garbage out” mean?

if the input data in the EHR is inaccurate, the output will also be inaccurate.

When information entered into an electronic health record represents the real values and condition of the patient, it can be said that the information is

accurate

The National Quality Measures Clearinghouse, or NQMC, is a resource regarding quality measures reports by all types of healthcare settings. The NQMC contains what 2 major categories of measures:

Healthcare delivery measures and Population health measures

Evidence-based medicine is the practice of medicine in which the healthcare provider ensures:

customize plan of care by using patients personal history, preferences and data; patients are receiving the benefits of medical breakthroughs and best practices; the most up-to-date, research-based methods of treating the diagnosis (ALL OF THE ABOVE)

what does not pertain to Clinical Documentation Improvement (CDI):

Alert Fatigue