9780078132940

Integrated Electronic Health Records: An Online Course and Worktext for Greenway Medical Technologies' PrimeSUITE®.

This hands-on course is offered as an online integrated EHR and practice management program through McGraw-Hill’s Connect Plus. Connect Plus uses the latest technology to better connect professors to their students, and students to the information and customized resources they need to master a subject. It includes a variety of digital learning tools that enable professors to easily customize courses and allow students to learn and master content and succeed in the course.

Here’s what you can expect from the Worktext:
-An introduction to Greenway Medical Technologies’ PrimeSUITE, an ONC-ATCB-Certified online EHR and practice management interoperable solution. The book covers the key topics for EHR including Meaningful Use Stage 2 and ICD-10, with simulated PrimeSUITE exercises in Connect Plus as the vehicle to demonstrate those topics. Attention is paid to providing the “why” behind each task so that the reader can accumulate transferable skills.

-Updated content that will be appealing to HIM programs, HIT programs, MIBC programs and more. All exercises are designated with PM, EHR, HIM tags, or some combination of those three. The second edition has additional simulated PrimeSUITE exercises, including Applying Your Skills exercises.

Chapter 1: AN OVERVIEW OF PrimeSUITE’s PRACTICE MANAGEMENT AND ELECTRONIC HEALTH RECORD SOFTWARE
1.1 Practice Management Applications
1.2 Why Adopt Electronic Health Record Applications?
1.3 Electronic Health Record Applications
1.4 The Flow of Information from Registration Through Processing of the Claim
1.5 The Use of the Help Feature
CHAPTER 2: HEALTH DATA STRUCTURE, COLLECTION AND STANDARDS
2.1 The Professionals Who Maintain and Use Health Information
2.2 Data Versus Information
2.3 Computer-Based Health Information Media
2.4 Screen-Based Data Collection Tools
2.5 Collecting Data Elements
2.6 Electronic Health (Medical) Records (EHR) (EMR)
2.7 Laws, Regulations, and Standards
2.8 The Similarities and Differences Between a Physician’s Office and Hospital Information Systems
CHAPTER 3: CONTENT OF THE HEALTH RECORD – ADMINISTRATIVE DATA
3.1 Administrative Data Elements
3.2 Administrative Uses of Data
3.3 The Master Patient (person) Index (MPI)
Exercise 3.1: Customizing Patient Information [PM, EHR]
3.4 Registering a New Patient in PrimeSUITE
Exercise 3.2: Register a new patient [PM]
3.5 Scheduling an Appointment
Exercise 3.3: Schedule an appointment [PM]
3.6 Editing Demographic Data
Exercise 3.4: Edit demographic information [PM, EHR]
3.7 Checking in a Patient
Exercise 3.5: Check in a patient who has arrived [PM]
3.8 Capture Insurance Information
Exercise 3.6: Capture insurance information of a patient [PM, EHR]
3.9 Utilize the Help Feature
Exercise 3.7: Use the help feature [PM, EHR]
CHAPTER 4: CONTENT OF THE HEALTH RECORD – THE PAST MEDICAL, SURGICAL, FAMILY, AND SOCIAL HISTORY
4.1 Forms as Data Collection Tools
4.2 The Past Medical, Surgical, Family, and Social Histories
Exercise 4.1: Enter a patient’s past medical history [EHR]
Exercise 4.2: Enter a patient's list of current medications [EHR]
Exercise 4.3: Enter a patient's known drug allergies [EHR]
4.3 Handling Inconsistent or Unclear Information
4.4 Documenting Vital Signs
Exercise 4.4: Enter a patient's vital signs [EHR]
CHAPTER 5: CONTENT OF THE HEALTH RECORD – THE CARE PROVIDER’S RESPONSIBILITY
5.1 The SOAP Note
Exercise 5.1: Look up the patient’s plan of care [EHR]
5.2 The History of Present Illness (HPI)
Exercise 5.2: Locate Juan Ortega's blood pressure [EHR]
5.3 The Review of Systems (ROS)
Exercise 5.3: Add Options to the ROS Admin File [PM, EHR, HIM]
5.4 The Physical Exam
5.5 Medical Dictation and Transcription
5.6 Voice (Speech) Recognition Technology
5.7 Electronic Prescribing (ePrescribing)
Exercise 5.4: Using ePrescribe [EHR]
5.8 Computerized Physician Order Entry (CPOE)
5.9 Tracking Physicians’ Orders
Exercise 5.5: Locate the status of an order [EHR]
5.10 The Problem List
Exercise 5.6: Utilizing the Problem List [EHR]
CHAPTER 6: FINANCIAL MANAGEMENT: INSURANCE AND BILLING FUNCTIONS
6.1 Claims Management – Why and How
6.2 Use of a Superbill
6.3 The Claims Process Using PrimeSUITE
Exercise 6.1: Post a copayment to an account [PM]
Exercise 6.2: Given a scenario, look up the status of an insurance claim [PM]
6.4 Diagnosis and Procedure Coding Using PrimeSUITE
6.5 The Relationship Between Documentation and Coding
Exercise 6.3: Enter diagnoses and procedures to locate ICD-9 and CPT codes [PM, EHR, HIM]
6.6 The Conversion to ICD-10-CM/PCS
6.7 Accounts Receivable—Getting Paid
6.8 Managing Accounts Receivable in PrimeSUITE
Exercise 6.4: Post an insurance payment to an account [PM]
6.9 Compliance
CHAPTER 7: PRIVACY, SECURITY, CONFIDENTIALITY AND LEGAL ISSUES
7.1 The HIPAA Privacy and Security Standards
7.2 Evaluating an EHR System for HIPAA Compliance
7.3 The Role of Certification EHR Implementation
7.4 Handling the Sensitive or Restricted-Access Record
Exercise 7.1: Mark a Record as Sensitive [EHR, HIM]
Exercise 7.2: Mark a Record as Restricted Access [EHR, HIM]
7.5 Applying Security Measures
Exercise 7.3: Add new clinical users and assign password [PM, HIM]
Exercise 7.4: Set up a care provider [PM, HIM]
Exercise 7.5: Assign user rights to an MA [PM, HIM]
Exercise 7.6: Assign user rights to an office manager [PM, HIM]
Exercise 7.7: Create a group [PM, HIM]
Exercise 7.8: Set general security [PM, HIM]
Exercise 7.9: Run an audit trail report [PM, HIM]
7.6 Data Integrity
Exercise 7.10: Amend a chart entry [PM, EHR, HIM]
Exercise 7.11: Hide a chart entry[PM, EHR, HIM]
Exercise 7.12: Recover a hidden chart entry [PM, EHR, HIM]
7.7 Apply Policies and Procedures to Release Health Information using PrimeSUITE
Exercise 7.13: Compose a correspondence letter to accompany the release of a patient's immunization record [EHR, HIM]
7.8 Accounting of Information Disclosures
Exercise 7.14: Run a report of information disclosures for a particular patient [EHR, HIM]
7.9 Information Exchange
Exercise 7.15: Exchange of information for continuity of care [EHR, HIM]
7.10 Compliance Plans
7.11 Safeguarding Your System and Contingency Planning
CHAPTER 8: MANAGEMENT OF INFORMATION AND COMMUNICATION
8.1 Internal Communications
Exercise 8.1: Send an electronic message using PrimeSUITE messaging [PM, EHR, HIM]
8.2 Importing Documents to the EHR
Exercise 8.2: Scan an insurance card into a patient's record [PM, EHR, HIM]
8.3 Master Files and Templates
Exercise 8.3: Build a master file in PrimeSUITE [PM, EHR, HIM]
8.4 Customization
Exercise 8.4: Customize a facesheet screen [PM, EHR, HIM]
Exercise 8.5: Customize a clinical desktop [PM, EHR, HIM]
8.5 Using Software to Organize Your Work --Task Lists
Exercise 8.6: Create a task for the receptionist [PM, EHR, HIM]
8.6 Using Software as a Reminder
Exercise 8.7: Assign a flag to a patient's chart [PM, EHR, HIM]
CHAPTER 9: DECISION AND COMPLIANCE SUPPORT: UTILIZING THE DATABASE
9.1 Using the Dashboard in PrimeSUITE to meet Meaningful Use standards
Exercise 9.1: View a practice's dashboard [PM, EHR, HIM]
9.2 Data and Information Used in Decision Support
Exercise 9.2: Build a clinical alert, Part A [PM, EHR, HIM]
Exercise 9.3: Build a clinical alert, Part B [PM, EHR, HIM]
9.3 Use of Report-Writer for System Reports
Exercise 9.4: Run a report of all patients between the ages of 60 and 80 [PM, EHR, HIM]
9.4 Custom Report Writing
Exercise 9.5: Build a custom report of all patients with a diagnosis of 428.0 who are female and over the age of 60, Part A [PM, EHR, HIM]
Exercise 9.6: Build a custom report of all patients with a diagnosis of 428.0 who are female and over the age of 60, Part B [PM, EHR, HIM]
Exercise 9.7: Build a Custom Report to Add a Flag to Multiple Charts Meeting Certain Criteria [PM, EHR, HIM]
9.5 Uses of Indexes
9.6 Uses of Registries
9.7 The Credentialing Process
Chapter 10: LOOKING AHEAD – THE FUTURE OF HEALTH INFORMATION AND INFORMATICS
10.1 Health Information versus Health Informatics
10.2 Barriers to Adopting an Electronic Health Record
10.3 Emerging Technologies and Models
10.4 Making the World of Health Informatics User Friendly and Convenient
10.5 Virtual Private Networks – Advancing the Use of EHRs Remotely Yet Securely

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Loose Leaf for Integrated Electronic Health Records

Loose Leaf for Integrated Electronic Health Records

0078132940

Summary

Table of Contents

1.1 Practice Management Applications

1.2 Why Adopt Electronic Health Record Applications?

1.3 Electronic Health Record Applications

1.4 The Flow of Information from Registration Through Processing of the Claim

1.5 The Use of the Help Feature

CHAPTER 2: HEALTH DATA STRUCTURE, COLLECTION AND STANDARDS

2.1 The Professionals Who Maintain and Use Health Information

2.2 Data Versus Information

2.3 Computer-Based Health Information Media

2.4 Screen-Based Data Collection Tools

2.5 Collecting Data Elements

2.6 Electronic Health (Medical) Records (EHR) (EMR)

2.7 Laws, Regulations, and Standards

2.8 The Similarities and Differences Between a Physician’s Office and Hospital Information Systems

CHAPTER 3: CONTENT OF THE HEALTH RECORD – ADMINISTRATIVE DATA

3.1 Administrative Data Elements

3.2 Administrative Uses of Data

3.3 The Master Patient (person) Index (MPI)

Exercise 3.1: Customizing Patient Information [PM, EHR]

3.4 Registering a New Patient in PrimeSUITE

Exercise 3.2: Register a new patient [PM]

3.5 Scheduling an Appointment

Exercise 3.3: Schedule an appointment [PM]

3.6 Editing Demographic Data

Exercise 3.4: Edit demographic information [PM, EHR]

3.7 Checking in a Patient

Exercise 3.5: Check in a patient who has arrived [PM]

3.8 Capture Insurance Information

Exercise 3.6: Capture insurance information of a patient [PM, EHR]

3.9 Utilize the Help Feature

Exercise 3.7: Use the help feature [PM, EHR]

CHAPTER 4: CONTENT OF THE HEALTH RECORD – THE PAST MEDICAL, SURGICAL, FAMILY, AND SOCIAL HISTORY

4.1 Forms as Data Collection Tools

4.2 The Past Medical, Surgical, Family, and Social Histories

Exercise 4.1: Enter a patient’s past medical history [EHR]

Exercise 4.2: Enter a patient's list of current medications [EHR]

Exercise 4.3: Enter a patient's known drug allergies [EHR]

4.3 Handling Inconsistent or Unclear Information

4.4 Documenting Vital Signs

Exercise 4.4: Enter a patient's vital signs [EHR]

CHAPTER 5: CONTENT OF THE HEALTH RECORD – THE CARE PROVIDER’S RESPONSIBILITY

5.1 The SOAP Note

Exercise 5.1: Look up the patient’s plan of care [EHR]

5.2 The History of Present Illness (HPI)

Exercise 5.2: Locate Juan Ortega's blood pressure [EHR]

5.3 The Review of Systems (ROS)

Exercise 5.3: Add Options to the ROS Admin File [PM, EHR, HIM]

5.4 The Physical Exam

5.5 Medical Dictation and Transcription

5.6 Voice (Speech) Recognition Technology

5.7 Electronic Prescribing (ePrescribing)

Exercise 5.4: Using ePrescribe [EHR]

5.8 Computerized Physician Order Entry (CPOE)

5.9 Tracking Physicians’ Orders

Exercise 5.5: Locate the status of an order [EHR]

5.10 The Problem List

Exercise 5.6: Utilizing the Problem List [EHR]

CHAPTER 6: FINANCIAL MANAGEMENT: INSURANCE AND BILLING FUNCTIONS

6.1 Claims Management – Why and How

6.2 Use of a Superbill

6.3 The Claims Process Using PrimeSUITE

Exercise 6.1: Post a copayment to an account [PM]

Exercise 6.2: Given a scenario, look up the status of an insurance claim [PM]

6.4 Diagnosis and Procedure Coding Using PrimeSUITE

6.5 The Relationship Between Documentation and Coding

Exercise 6.3: Enter diagnoses and procedures to locate ICD-9 and CPT codes [PM, EHR, HIM]

6.6 The Conversion to ICD-10-CM/PCS

6.7 Accounts Receivable—Getting Paid

6.8 Managing Accounts Receivable in PrimeSUITE

Exercise 6.4: Post an insurance payment to an account [PM]

6.9 Compliance

CHAPTER 7: PRIVACY, SECURITY, CONFIDENTIALITY AND LEGAL ISSUES

7.1 The HIPAA Privacy and Security Standards