Health Systems Final Exam - Eva

What is the difference between EMR and EHR

EMR = electronic medical record. It only shows information at a single institution.

EHR = electronic health record.

• multiple places

• can have conflicting data as most EHR have different data input and can;t share with others

What are the three big EHR systems

EPIC

Oracle center

MEDTECH

What is PHR

personal health record

has information such as insurance coverage

what is MRN

medical record number

how you find a patient on EHR

What is the P&T committee

-establish the formulary system

The formulary is always being changed, so they meet regularly to alter this

Drug monograph

written list/evaluation of medications

CPOE

computerized provider order entry

• provider enters orders into ERH and CPOE makes it easier to avoid errors

What are the most common medication errors

ordering & transcribing

DUE

drug use evaluation

• also known as MUE (medication use evaluation)

• assesses the appropriateness of a drug by evaluating it against the standard

CDS

clinical decision support

• alerts providers on allergies, duplicate therapy, and drug-drug interactions (and more)

• requires documentation to bypass, allowing pharmacist to think though the problem, but can also cause alert fatigue

active vs passive CDS

passive = no workflow interfurtpion, just a drop down list

active = workflow hard stop interruption, mostly for allergy or formulary alerts

what is focus-PDCA

-plan do act check

how to improve a process

medication reconciliation vs medication history

medication reconciliation = list of all the medications, herbals, vitamins, the patient is currently taking

medication history = drug name, dose, frequency, etc, ; & allergy review

LACE index

length of stay

acuity of admission

comborbities

ED visists

AKA: risk stratification

PPCP

pharmacist patient care process

Collect —> medication reconizaiton

assess → pre-rounds, care-team

plan

implement

follow up/monitor → post rounds

code blue

pharmacist led

rapid sequence of either ICU. advanced care where pharmacist gives life needing medication quickly to a patient

CPE

continuing pharmacy education

complete 30 Horus in 2 years

clinical pharmcy

associated with the science & practice of rational medication use

meditational acquisition

formulary cost, prior author. co-pay, and meds-to-beds

ACCP

can get FCCP (fellowship)

awarded to great pharmacist

WV SENATE BILL 526

PHARMCISTS prescribing act

CPA

collaborative practice agreements

• a formal agreement between pharmacists & prescribers where pharmsits can order labs & give drugs without prescribers there

• the agreement must go to the board of pharmacy

CPA submitting to WV

1. 1 million liability insurance

2. BPS or 2 year of ASHP residency

3. submit to BOP

4. develop CPA

CMS

centers for medicare & medicaid services

• uniform across the country

FDA

implements the food drug and authority acid

labelling food

drug shortages

REMS

allow FDA to approve novel agents while ensuring patient safety

doesn’t include OTC drugs

not permeant

behavior questions during an interview look for

past experiences (STAR)

S = situation

T= task

A= action

R= response

Three talk model

team talk

option talk

decision talk

healthy 2030

ask if your provider allowed you to pick what options you wanted

when commenting to a provider, you should always use

SBAR

accrediting bodies for hopsitlatal

The joint commision

NIAHO

HFAP

CIHQ

TJC

the joint commission

• independent

• avancement of healthcare safety

• 3 years = accreditation period

  • problems with medications are always a pharmacist problem even if a nurse does it wrong

DEA

enforces the federal controlled substances law & regulations

OHFIAC

healthy environments

under DHHR

HIPPA does not cover

employment records & records covered by family educational rights & privacy act

FTE

full time employee

1 FTE = 40 hours/week

0.5 = 20 hrs

0.2 = 8 hrs

employee retention is measured. by

turnover rate