Accessible by multiple organizations
What is an EHR
Accessible by a single organization
What is an EMR
Menstrasion
Incorrect
Abscess
Correct
Clear and concise.
What is Correspondence
The purpose of an Addendum
How do you correct an electronic record
Better Clinical Outcomes
Adhering to Meaningful Use
Menstruation
Correct
Abcess
Incorrect
Demographic Information is found where
What is A Facesheet
What is a First Draft
When you edit and proofread in the writing process
Active voice, proofreading, being polite and courteous.
What is ensuring effective writing
Engage patients and family, maintain privacy and security, and improve care coordination.
What is the Purpose of Meaningful Use
Patient vital signs are not part of administrative duties. But they are a part of:
What is Clinical
Patients form an opinion about the office based on
What are professional documents
Care and attention to detail must be given to electronic health records because they are
Legal documents
Underline and highlight key points
What is annotating
Health Insurance Portability and Accountability Act.
What is HIPAA
Cost, training, upgrades
Disadvantages of electronic health records
Names of organizations, days of the week, copyrighted trademarks.
What are Examples of proper nouns
Improved health outcomes, increased efficiency, and maintain security of PHI.
What is meaningful use
Reassure patients of the confidentiality and security of their electronic records by
What is allowing them to review their electronic medical record
Accuracy of dates, spelling and grammar check, clarity
What is Medical documentation
HITECH
The name for the federal law described as HIPAA on steroids
Family and personal history includes documentation of each patient encounter, phone calls and refills.
True or False