Transitioning to an Electronic Health Record and the Need for Clinical Information Standards
Transitioning to an Electronic Health Record and the Need for Clinical Information Standards
Overview
The information in this chapter will enable you to:
<a onClick="window.open('/olcweb/cgi/pluginpop.cgi?it=jpg::::/sites/dl/free/0073401978/585868/arrow.jpg','popWin', 'width=72,height=90,resizable,scrollbars');" href="#"><img valign="absmiddle" height="16" width="16" border="0" src="/olcweb/styles/shared/linkicons/image.gif"> (1.0K)</a> Understand the ways to convert existing paper-based patient charts to electronic health records.
<a onClick="window.open('/olcweb/cgi/pluginpop.cgi?it=jpg::::/sites/dl/free/0073401978/585868/arrow.jpg','popWin', 'width=72,height=90,resizable,scrollbars');" href="#"><img valign="absmiddle" height="16" width="16" border="0" src="/olcweb/styles/shared/linkicons/image.gif"> (1.0K)</a> Understand how information is entered in electronic health records.
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<a onClick="window.open('/olcweb/cgi/pluginpop.cgi?it=jpg::::/sites/dl/free/0073401978/585868/arrow.jpg','popWin', 'width=72,height=90,resizable,scrollbars');" href="#"><img valign="absmiddle" height="16" width="16" border="0" src="/olcweb/styles/shared/linkicons/image.gif"> (1.0K)</a> Understand why clinical standards are so important.
<a onClick="window.open('/olcweb/cgi/pluginpop.cgi?it=jpg::::/sites/dl/free/0073401978/585868/arrow.jpg','popWin', 'width=72,height=90,resizable,scrollbars');" href="#"><img valign="absmiddle" height="16" width="16" border="0" src="/olcweb/styles/shared/linkicons/image.gif"> (1.0K)</a> Understand the types of standards necessary for electronic health records.
Outline
Converting Existing Charts to an Electronic Health Record
Total Conversion
Incremental Conversion
Hybrid Conversion
Entering Live Data in an Electronic Health Record
Dictation and Transcription
Clinical Templates
Voice Recognition
Scanning
Computer Requirements for Electronic Health Records
Input Devices
Networks
EHR Hosting Choices: Local Versus Application Service Provider
Locally Hosted Model
Application Service Provider (ASP) Model
Blended or Hybrid Systems
The Importance of Clinical Standards
Types of Clinical Information Standards
Clinical Vocabularies
Classification Systems
Messaging Standards
Electronic Health Record Content Standards
Voluntary Versus Mandatory Standards
Learning Outcomes
After completing this chapter, you will be able to define key terms and:
Describe the major strategies for converting paper-based charts to EHR.
List the four ways of entering live patient data into EHR.
Explain how desktop, laptop, and tablet computers differ.
Discuss the advantages of wireless networks in health care.
Explain the major difference between locally hosted and ASP hosting models.
Discuss why the adoption of clinical standard is critical to the successful implementation of electronic health records.
Describe the difference between clinical vocabularies and classification systems.
List four messaging standards used with electronic health records.
Describe the significance of the Medicare Prescription Drug and Modernization Act of 2003 in the adoption of clinical standards.
