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Chapter 3

Electronic Health Records for Allied Health Careers. Cover goes here when ready. Chapter 3. Electronic Health Records in the Physician Office. Learning Outcomes. After studying this chapter, you should be able to: List the five steps of the office visit workflow in a physician office.

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Chapter 3

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  1. Electronic Health Records for Allied Health Careers Cover goes here when ready Chapter 3 Electronic Health Records in the Physician Office

  2. Learning Outcomes After studying this chapter, you should be able to: • List the five steps of the office visit workflow in a physician office. • Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. • Describe the process of electronic check-in. • Explain how electronic health records make documenting patient exams more efficient. • Explain what occurs during patient checkout.

  3. Learning Outcomes After studying this chapter, you should be able to: • Explain what two events take place during the post-visit step of the visit workflow. • Describe the advantages of computer-assisted coding. • List three decision-support tools the EHRs contain to provide patients with safe and effective health care. • List four important safety checks that an EHR’s e-prescribing feature can perform when a physician selects a new medication for a patient.

  4. chronic diseases clinical guidelines computer-assisted coding decision-support tools disease management (DM) formulary point-of-care Key Terms

  5. Patient Flow • progression of patients from the time they make an appointment until they leave the office after a visit. Whether paper-based or electronic health records are used, the basic steps are the same.

  6. Patient Flow Steps • Step 1: Pre-Visit: Appointment Scheduling and Information Collection • Step 2: Patient Check-in and Payment Collection • Step 3: Rooming, Measuring Vital Signs, and Patient Examination and Documentation • Step 4: Patient Checkout • Step 5: Post-Visit: Coding and Billing, and Reviewing Test Results

  7. Coding and Reimbursement • Documentation and coding plays a major role in whether a payer approves claims and reimburses the physician. • Computer-assisted coding uses software to facilitate claim processing.

  8. Clinical Tools in the EHR • Decision-Support Tools • Tracking and Monitoring Patient Care • Screening for Illness and Disease • Identifying At-Risk Patients • Managing Patients with Chronic Diseases • Improving the Quality and Safety of Patient Care with Evidence-Based Clinical Guidelines

  9. E-Prescribing • Institute of Medicine recommends the use of e-prescriptions by all providers and pharmacies by 2010. • Keeping Current with Electronic Drug Databases

  10. E-Prescribing Benefits Increasing Prescription Safety • Drug-Allergy Conflict • Drug-Disease Conflict • Incorrect Dosage • Incorrect Duration • Drug-Pregnancy Conflict • Drug-Age Conflict • Drug-Gender Conflict • Drug-Drug Interactions Saving Time and Money

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