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

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ISBN: 9781579476434 | 1579476430
Cover: Paperback
Copyright: 2/1/2005

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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.

Dedication

iii

Foreword

Preface

vii

Acknowledgments

About the Authors

xiii

PART 1 A Step-by-Step Guide Through the Selection, Purchase, and Implementation of Electronic Health Records

(124)

Chapter 1 The Basics of Electronic Medical Records and Electronic Health Records

(34)

What You Will Learn in This Chapter

(1)

Key Terms

(1)

Institute of Medicine Identifies Priority Areas for National Action

(1)

Health Level Seven Leads the Standardization Process

(1)

Physician Groups Are at the Center of Health Information Technology Adoption

(4)

A Physician Leads Health Information Technology Adoption

(1)

National Health Information Technology Plan From the Department of Health and Human Services

(1)

Patients Await Electronic Health Record Technology

(1)

The Difference Between Electronic Medical Records, Electronic Health Records, and Personal Health Records

(3)

The Electronic Medical Record

(1)

The Electronic Health Record

(1)

The Personal Health Record

(2)

The Electronic Medical Record and the Electronic Health Record as Standard References

(1)

The Move to Interoperability

(1)

What an Electronic Medical Record Should Do for You and Your Practice

(11)

Reduce Administrative Burdens

(1)

File, Retrieve, and Sort Medical Records

(1)

Gather and Help Analyze Data

(1)

Improve the Prescription Process

(1)

Check Billing Codes to Reduce Rejected Claims

(1)

Reduce or Eliminate Transcription Fees

(1)

Increase Patient Throughput

(3)

Improve Patient Safety

(1)

Improve Patient Communication and Relationships

(1)

Improve Workflow Management

(1)

Conduct Clinical Research

(1)

Provide Clinical Decision Support

(1)

Enhance Practice Management Software for a Robust Collections Module

(2)

Industry Trends

(1)

Start EMR Implementation With a Plan

(4)

Step 1: Appoint an Electronic Health Record Physician Advocate

(1)

Step 2: Establish an Electronic Medical Records Implementation Team

(1)

Step 3: Determine an Adoption Plan and Timeline

(1)

Step 4: Establish a Want List

(1)

Step 5: Evaluate Your Onsite and Offsite Business Partners That Send and Receive Electronic Health Records

(1)

Step 6: Review Research Reports and Electronic Medical Record Studies

(1)

Step 7: Evaluate Your Current Technology Capabilities

(1)

Step 8: Forecast Your Budget

(1)

Summary

(1)

Endnotes

(5)

Chapter 2 An Electronic Medical Record System: Your Electronic Workflow Assistant in the Medical Office

(44)

What You Will Learn in This Chapter

(1)

Key Terms

(1)

Step 1: Evaluate Your Workflow to Understand What Will Change

(3)

Step 2: Map Your Paper Workflow

(3)

Step 3: Evaluate Work Modules for a Layered Adoption of an Electronic Health Record System

(29)

Workflow Module: Scheduler

(1)

Workflow Module: e-Prescribing Management

(10)

Workflow Module: Billing and Coding

(9)

Workflow Module: Clinical Decision Support

(2)

Workflow Module: Medical Charts and Medical Transcription

(2)

Workflow Module: Connectivity With Other Providers, Labs, and Radiology

(3)

Step 4: Evaluate the Patient's Role in Workflow Management

(4)

Step 5: Bridge the Workflow Gap From Paper to Electronic Medical Record

(1)

Summary

(1)

Endnotes

(2)

Chapter 3 Making the Purchase

(34)

What You Will Learn in This Chapter

(1)

Key Terms

(1)

Step 1: Establish Your Budget for an Electronic Health Record System

(1)

Step 2: Establish Your Implementation Dream Team

(1)

Step 3: Engage the Team but Be Clear About Who Will Make the Final Decision

(1)

Step 4: Prioritize What You Want

(2)

Step 5: Assign Fact-Finding Duties and Responsibilities to Each Member of the Implementation Team

(4)

Step 6: Develop a Request for Proposal and Submit It to Three or Four Vendors

(6)

Step 7: Develop a Scorecard and Rate the Vendors on Your Short List

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

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