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Patient Compliance
Patient Record Forms
Medical-Dental Health History
Forms
Progress Notes & Entering Data
100
What requires that all dental practices today have a written privacy policy?
What is HIPPA
100
The patient is asked to provide this information on the registration form.
What is patient information, insurance information, responsible party, and signature & date
100
The medical history section includes questions regarding the patients?
What is past medical history, present physical conditions, chronic conditions, allergies, and current medications
100
This is the most detailed document in the patient record?
What is the clinical examination form
100
At the conclusion of a procedure, the details of what was accomplished will be entered in this section.
What is the "progress notes"
200
For the dentist to avoid this, the patient records must be kept organized and complete.
What is litigation
200
The most dramatic changes in the dental world today has been replacing the "paper patient record" with?
What is "electronic patient record"
200
The dental history section of the form is used to obtain?
What is information about the patient's previous dental treatment and care
200
After the initial medical history is collected, it must be updated on a regular schedule; this type of form is known as?
What is the recall examination form
200
Every entry in a paper or electric chart should be made as if the chart will be seen by?
What is the court of law
300
In an educational or public health setting, patients may be asked to participate in this type of study.
What is research study
300
For many dental practices, specific reasons for going paperless are?
What are access to the dental record is safeguard in many locations of the office, privacy is maintained with the dental team only having access to patient information, and security becomes a concern within a dental practice when housing a large number of paper charts
300
When you receive a completed medical-dental health history form, one of your first priorities is to?
What is to review indications of health conditions, allergic reactions, and medications that could interfere with or be life-threatening to the patient during dental treatment
300
Specific areas on the clinical examination form include?
What are the patient's name & date of examination, charting system for existing restorations and present conditions, charting system for periodontal conditions, patient's chief complaint, occlussal evaluations, temporomandibular joints (TMJ) evaluations, and comments
300
These must be followed when any type of entry is made in a patient record.
What are specific guidelines
400
Routine forms completed by each patient and verified by patient's signature and date, timely "recall" of patients that's followed to address their dental needs, completed patient record that's kept for each "active" patient in the dental practice, documentation that includes info when radiographs are taken, current & up-to-date emergency protocols are adhered to by the dental team, current & up-to-date licenses, registrations, and certifications & training of dental team members are maintained.
What is quality assurance
400
Where is the patient registration form kept?
Where is close to the beginning of a patient record
400
When medical alerts and other precautions are in a patient's record what kind of sticker should be placed to the inside cover of the patient's record?
What is an "alert" sticker
400
This document provides the patient with expected outcomes of treatment and describes possible complications.
What is the informed consent form
400
Entries must be clear & concise and recorded in?
What is black ink
500
The patient record is a permanent document of the dentist. This permanent document, also considered a legal document, can be used as?
What is evidence in a legal settlement or lawsuit; a reference tool in a forensic case for identification of an individual with the use of a patient's radiographs or study casts; or a reference for appropriate third parties, such as dental insurance companies, and government-aided programs.
500
Who will decide on the type of software and the design of the forms to be used, and the order in which they are to be assembled and accessed?
Who is the dentist and the office manager
500
Returning patients are asked to do this.
What is to update their medical-dental health history at every appointment
500
This plan is properly sequenced to address all problems that were identified during the examination and diagnosis portions of the patient visit and may change course if financial arrangements become a factor.
What is the treatment plan
500
Specific information that should be noted on the progress notes are?
What are the date, tooth number, treatment, and communication with the patient