WEEK CHAPTER OBJECTIVES ASSIGNMENTS & TESTS 11 Chapter 1 An Introduction to Electronic Health Records

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1 ELECTRONIC HEALTH RECORDS Textbook: Electronic Health Records, 3 rd Edition by Byron R. Hamilton Software: SpringCharts EHR WEEK CHAPTER OBJECTIVES ASSIGNMENTS & TESTS 11 Chapter 1 An Introduction to Electronic Health Records o Define the concept of an electronic health record (EHR). o Explain key events in the history of EHRs. o Distinguish between the terms commonly used to refer to EHRs. o Describe the government s involvement in EHRs. o Differentiate between medical office process that uses a paper chart and an EHR. o Summarize the major barriers and benefits of using an EHR. o Describe potential developments in the future of Read pp **Chapter 1 Test 12 Chapter 2 Standards and Features of Electronic Health Records 13 Chapter 3 Introduction and Setup EHR. o Identify major events in the de elopement of standards for the EHR. o Describe meaningful use (MU) criteria, including specific EHR functions that meet MU requirements. o Describe key privacy and security issues related to EHRs. o List EHR competencies identified by the Competency Model Clearinghouse. o Provide a brief history of SpringCharts EHR software and list three clinical and three administrative tools that it offers. o Set up user preferences. o Set up, edit, and print addresses in the physician, employee, pharmacy, and testing facility categories. o Set up new insurance companies and edit existing insurance company Electronic Health Records Page 1 Read pp **Chapter 2 Test Read pp Read pp **Exercise 3-2 **Exercise 3-3 **Exercise 3-4 **Exercise 3-5 **Exercise 3-6 **Exercise 3-7

2 information. **Exercise 3-8 **Exercise 3-9 **Exercise 3-10 **Exercise 3-11 **Exercise 3-12 **Test Chapter 3 14 Chapter 4 The Clinic Administration 15 Chapter 5 The Patient Chart o Navigate the Practice View screen. o Use the Office Schedule to add patients and notes to the schedule, add blocked time to the schedule, and chart no shows. o Use the Patient Tracker to perform tasks such as change a patient s location and status, assign color codes, move patients, and check out patients. o Demonstrate how to send and respond to an urgent message. o Understand the layout of an electronic chart. o Demonstrate how to build a patient s face sheet. o Perform various procedures in a patient s chart. Electronic Health Records Page 2 Read pp **Exercise 4-1 **Exercise 4-2 **Exercise 4-3 **Exercise 4-4 **Exercise 4-5 **Exercise 4-6 **Exercise 4-7 **Exercise 4-8 **Exercise 4-9 **Exercise 4-10 **Exercise 4-11 **Exercise 4-12 **Exercise 4-13 **Exercise 4-14 **Exercise 4-15 **Exercise 4-16 **Exercise 4-17 **Exercise 4-18 **Exercise 4-19 **Exercise 4-20 **Exercise 4-21 **Exercise 4-22 **Exercise 4-23 **Exercise 4-24 **Exercise 4-25 **Exercise 4-26 **Exercise 4-27 **Exercise 4-28 **Exercise 4-29 **Exercise 4-30 **Exercise 4-31 **Test Chapter 4 Read pp **Exercise 5-1

3 o Create new documentation in a patient s chart. **Exercise 5-2 **Exercise 5-3 **Exercise 5-4 **Exercise 5-5 **Exercise 5-6 **Exercise Chapter 6 The Office Visit 17 Chapter 7 Clinical Tools 18 Chapter 8 Creating Templates o Describe the components of an office visit note. o Create a new office visit note. o Complete activities in the Office Visit window, including editing the face sheet, modifying the immunization record, viewing a patient s lab graphs, creating excuse notes, and changing chart tabs. o Create a routing slip. o Edit an office visit note by adding an addendum. o Create various office visit reports. o Create and conduct a chart evaluation item. o Demonstrate how to order a test in the office visit screen. o Describe the function of the E & M coder. o Demonstrate how to add items to the superbill. o Create and administer a patient instruction sheet. o Describe how to add a care plan to an office visit. o Understand the purpose of the draw program. o Demonstrate how to import a document to a patient s chart. o Create and activate an office visit template. o Create and use a physician order template. o Create and use a letter Electronic Health Records Page 3 **Test Chapter 5 Read pp Turn all chapter exercises in at the same time. **Exercise 6-1 **Exercise 6-2 **Exercise 6-3 **Exercise 6-4 **Exercise 6-5 **Exercise 6-6 **Exercise 6-7 **Exercise 6-8 **Exercise 6-9 **Exercise 6-10 **Test Chapter 6 Read pp **Exercise 7-1 **Exercise 7-2 **Exercise 7-3 **Exercise 7-4 **Exercise 7-5 **Exercise 7-6 **Exercise 7-7 **Exercise 7-8 **Test - Chapter 7 Read pp

4 template. o Explain the function of the template manager. o Create and use a procedure template. **Exercise 8-1 **Exercise 8-2 **Exercise 8-3 **Exercise 8-4 **Exercise 8-5 **Exercise Chapter 9 Tests, Procedures, and Codes 20 Chapter 10 Productivity Center and Utilities 21 Chapter 11 Applying Your Knowledge o Describe how to order lab, imaging, and medical tests. o Process Reference Lab results that are received electronically. o Process and chart tests manually. o Create a test report. o Create, edit, and document procedures. o Create, edit, and document diagnoses. o Demonstrate how to post a new item on the EHR s Bulletin Board. o List the steps to send and receive electronic faxes. o Use the Time Clock feature. o Set up and use the My Websites feature. o Demonstrate the use of three types of electronic calculators. o Perform a search of the medical database. o Describe how to archive a patient s records. o Successfully function within aspects of the SpringCharts program. Electronic Health Records Page 4 **Test - Chapter 8 Read pp **Exercise 9-1 **Exercise 9-2 **Exercise 9-3 **Exercise 9-4 **Exercise 9-5 **Exercise 9-6 **Exercise 9-7 **Exercise 9-8 **Exercise 9-9 **Test - Chapter 9 Read pp **Exercise 10-1 **Exercise 10-2 **Exercise 10-4 **Exercise 10-5 **Exercise 10-6 **Exercise 10-7 **Exercise 10-8 **Test - Chapter 10 Complete exercises on pp **Exercise 11-1 **Exercise 11-2 **Exercise 11-3 **Exercise 11-4 **Exercise 11-5 **Exercise 11-6 **Exercise 11-7 **Exercise 11-8

5 22 Chapter 12 EHR Practicum o Successfully use all of the major features of the SpringCharts EHR program. **Exercise 11-9 **Exercise **Exercise **Exercise **Exercise **Exercise **Exercise **Exercise **Exercise **Exercise **Exercise **Exercise **Exercise Printed Exercises in this chapter will be for a combined grade to demonstrate how well you understand using EHR. Complete exercises on pp **Exercise 12-1 print **Exercise 12-2 print **Exercise 12-3print **Exercise 12-4 print **Exercise 12-5 print **Exercise 12-6 print **Exercise 12-7 print **Exercise 12-8 **Exercise 12-9 **Exercise print **Exercise print **Exercise **Exercise print **Exercise print **Exercise **Exercise print **Exercise print **Exercise print **Exercise print **Exercise print **Exercise print **Exercise print Electronic Health Records Page 5

Electronic Health Records

Electronic Health Records Electronic Health Records third edition Byron R. Hamilton CEO, Med-Soft National Training Institution Colorado, BA, MA Connect Mc \ Learn Graw 1 Succeed'' Hill table of contents ABOUT THE AUTHOR iii PREFACE

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