EHR Implementation: A Step-by-Step Guide for the Medical Office,9781579476434

EHR Implementation: A Step-by-Step Guide for the Medical Office

by
Edition: 1st
ISBN13: 9781579476434
ISBN10: 1579476430
Format: Paperback
Pub. Date: 2005-02-01
Publisher(s): AMERICAN MEDICAL ASSOCIATION
List Price: $60.00

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Summary

Guides users through the research, selection, negotiation, and implementation of an electronic health record (EHR) system into the healthcare environment. Text is organized in a step-by-step format and features abundant flow charts, graphs, checklists, and clear steps for implementation into the system. Softcover.

Table of Contents

Dedication iii
Foreword v
Preface vii
Acknowledgments xi
About the Authors xiii
PART 1 A Step-by-Step Guide Through the Selection, Purchase, and Implementation of Electronic Health Records 1(124)
Chapter 1 The Basics of Electronic Medical Records and Electronic Health Records
3(34)
What You Will Learn in This Chapter
3(1)
Key Terms
4(1)
Institute of Medicine Identifies Priority Areas for National Action
5(1)
Health Level Seven Leads the Standardization Process
6(1)
Physician Groups Are at the Center of Health Information Technology Adoption
7(4)
A Physician Leads Health Information Technology Adoption
8(1)
National Health Information Technology Plan From the Department of Health and Human Services
9(1)
Patients Await Electronic Health Record Technology
10(1)
The Difference Between Electronic Medical Records, Electronic Health Records, and Personal Health Records
11(3)
The Electronic Medical Record
11(1)
The Electronic Health Record
12(1)
The Personal Health Record
12(2)
The Electronic Medical Record and the Electronic Health Record as Standard References
14(1)
The Move to Interoperability
15(1)
What an Electronic Medical Record Should Do for You and Your Practice
16(11)
Reduce Administrative Burdens
16(1)
File, Retrieve, and Sort Medical Records
17(1)
Gather and Help Analyze Data
17(1)
Improve the Prescription Process
18(1)
Check Billing Codes to Reduce Rejected Claims
18(1)
Reduce or Eliminate Transcription Fees
19(1)
Increase Patient Throughput
19(3)
Improve Patient Safety
22(1)
Improve Patient Communication and Relationships
23(1)
Improve Workflow Management
24(1)
Conduct Clinical Research
24(1)
Provide Clinical Decision Support
25(1)
Enhance Practice Management Software for a Robust Collections Module
25(2)
Industry Trends
27(1)
Start EMR Implementation With a Plan
28(4)
Step 1: Appoint an Electronic Health Record Physician Advocate
29(1)
Step 2: Establish an Electronic Medical Records Implementation Team
29(1)
Step 3: Determine an Adoption Plan and Timeline
29(1)
Step 4: Establish a Want List
29(1)
Step 5: Evaluate Your Onsite and Offsite Business Partners That Send and Receive Electronic Health Records
30(1)
Step 6: Review Research Reports and Electronic Medical Record Studies
30(1)
Step 7: Evaluate Your Current Technology Capabilities
31(1)
Step 8: Forecast Your Budget
31(1)
Summary
32(1)
Endnotes
32(5)
Chapter 2 An Electronic Medical Record System: Your Electronic Workflow Assistant in the Medical Office
37(44)
What You Will Learn in This Chapter
37(1)
Key Terms
38(1)
Step 1: Evaluate Your Workflow to Understand What Will Change
39(3)
Step 2: Map Your Paper Workflow
42(3)
Step 3: Evaluate Work Modules for a Layered Adoption of an Electronic Health Record System
45(29)
Workflow Module: Scheduler
47(1)
Workflow Module: e-Prescribing Management
48(10)
Workflow Module: Billing and Coding
58(9)
Workflow Module: Clinical Decision Support
67(2)
Workflow Module: Medical Charts and Medical Transcription
69(2)
Workflow Module: Connectivity With Other Providers, Labs, and Radiology
71(3)
Step 4: Evaluate the Patient's Role in Workflow Management
74(4)
Step 5: Bridge the Workflow Gap From Paper to Electronic Medical Record
78(1)
Summary
78(1)
Endnotes
79(2)
Chapter 3 Making the Purchase
81(34)
What You Will Learn in This Chapter
81(1)
Key Terms
82(1)
Step 1: Establish Your Budget for an Electronic Health Record System
82(1)
Step 2: Establish Your Implementation Dream Team
83(1)
Step 3: Engage the Team but Be Clear About Who Will Make the Final Decision
84(1)
Step 4: Prioritize What You Want
85(2)
Step 5: Assign Fact-Finding Duties and Responsibilities to Each Member of the Implementation Team
87(4)
Step 6: Develop a Request for Proposal and Submit It to Three or Four Vendors
91(6)
Step 7: Develop a Scorecard and Rate the Vendors on Your Short List
97(5)
Step 8: Schedule Onsite Demonstrations
102(5)
Vendor Presence in the Marketplace
102(1)
Vendor EHR Certification
103(2)
Vendor Customer Service and Technical Support History
105(1)
Vendor System Interoperability and Integration
105(1)
Vendor Implementation Plan
106(1)
Vendor Training Plan
106(1)
Vendor Upgrade Plan
106(1)
Step 9: Ask About the Return on Investment
107(1)
Step 10: Negotiate the Contract
107(3)
Step 11: Agree on a Purchase Plan
110(1)
Step 12: Ask for Help When You Need It
111(1)
Include the Patient in the Electronic Medical Records/Electronic Health Records Procurement Process
111(1)
Some Early-Adopter Consumer/Patients Already Own Personal Health Records
112(1)
How the Federal Government Plans to Help
112(1)
Summary
113(1)
Endnotes
113(2)
Chapter 4 Making the Switch From Paper to Electronic Medical Records
115(10)
What You Will Learn in This Chapter
115(1)
Step 1: Plan the Implementation
115(1)
Step 2: Know Your Workflow
116(1)
Step 3: Transition Paper to Electronics as Part of Your Electronic Medical Record Implementation Workflow
117(1)
Step 4: Create a Combination of Training Experiences for Your Workforce
118(1)
Step 5: Provide Computer Training to the "E-challenged"
119(1)
Step 6: Prepare Your Workforce by Using Key Messages
119(1)
Step 7: Give Content Time to Sink In
120(1)
Step 8: Develop Internal Trainers
120(1)
Step 9: Make a Practice-Wide Commitment to Enter Clinical Data
120(1)
Step 10: Celebrate Small Victories
121(1)
The Next Steps: Integration and Interoperability
121(2)
Begin Interoperability With One Module
122(1)
Summary
123(1)
Endnotes
124(1)
PART 2 Standards Relevant to the Physician's Practice 125(66)
Chapter 5 Clinical Data Set Standards for Providers
127(20)
What You Will Learn in This Chapter
127(1)
Key Terms
127(1)
The Government's Approach to Electronic Medical Records and Electronic Health Records
128(1)
Federal Government's E-Government Program
129(3)
Consolidated Health Informatics Initiative
132(11)
Summary
143(1)
Endnotes
143(4)
Chapter 6 Electronic Health Record Systems: The Health Level Seven Draft Standards for Trial Use
147(44)
What You Will Learn in This Chapter
147(1)
Key Terms
147(1)
The Decade of Health Information Technology
148(2)
Health Level Seven's Draft Standard Electronic Health Record
150(1)
Physician Input Into the Electronic Health Record Model
151(1)
Functional Areas of the Electronic Health Record System
151(1)
Direct Care
152(15)
Care Management (DC 1.0)
152(5)
Clinical Decision Support (DC 2.0)
157(7)
Operations Management and Communication (DC 3.0)
164(3)
Supportive
167(9)
Clinical Support (S 1.0)
167(2)
Measurement, Analysis, Research, and Reports (S 2.0)
169(1)
Administrative and Financial (S 3.0)
170(6)
Information Infrastructure
176(9)
EHR Security (I 1.0)
176(4)
Electronic Health Record Information and Records Management (I 2.0)
180(2)
Unique Identity, Registry, and Directory Services (I 3.0)
182(1)
Health Informatics and Terminology Standards (I 4.0)
182(1)
Standards-Based Interoperability (I 5.0)
183(1)
Business Rules Management (I 6.0)
184(1)
Workflow Management (I 7.0)
185(1)
Summary
185(3)
Endnotes
188(3)
Appendix A US Department of Health and Human Services News Release: HHS Launches New Efforts to Promote Paperless Health Care System 191(4)
Appendix B Health IT Strategic Framework: Executive Summary 195(10)
Appendix C Information Technology Trends and Solutions: 2004 Summary Report 205(16)
Appendix D Operating in a Vacuum: New York Times Editorial 221(4)
Appendix E Test Your Knowledge of EMR/EHR Implementation 225(4)
Index 229

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