Problem-oriented medical records. Key elements: - correct answer 4 key elements
1. Defined database
2. A problem list
3. Plan of action on each
... [Show More] problem
4. Progress notes on each problem
Problem-oriented medical records. Who and when? - correct answer Larry Weed 1960s
First EMR: WHEN? - correct answer 1972
ARRA; when - correct answer 2009
ARRA, what - correct answer American Reinvestment and Recovery Act
incentives for healthcare facilities who demonstrate meaningful use of eletronic medical records
1980S - correct answer low cost PCs
1990s - correct answer web based EMRs evolved due to the establishment of internet
ARRA required _% adoption for PCPs of EMR by __ - correct answer 70, 2014
In --, the --recommended that by the year 2000, every physician
should be using computers in their practice to improve patient care and made policy recommendations on how to achieve that goal. - correct answer In 1991, the (institute of medicine) IOM recommended that by the year 2000, every physician should be using computers in their practice to improve patient care and made policy recommendations on how to achieve that goal.
--- the passage of the Affordable Care Act introduced new reporting
requirements for EHRs
- Adoption of EMRs by --- in --% of PCP population - correct answer 2010 the passage of the Affordable Care Act introduced new reporting
requirements for EHRs
- Adoption of EMRs by 2014 in 70% of PCP population
Disadvantages of EHR - correct answer * High start up cost
* substantial learning curve
* practitioner burden
* confidentiality and security issue
* prescription gets initiated electronically, not a good system to discontinue that prescription
* alert fatigue
HITECH Act of 2009 - correct answer The Health Information Technology for Economic
and Clinical Health Act (HITECH 2/17/2009)
HITECH Act of 2009
An estimated ____ will be paid by 2022 to providers who adopt
EHR and meaningful use - correct answer An estimated 22.5 billion will be paid by 2022 to providers who adopt
EHR and meaningful use
HITECH Act of 2009 GOAL: - correct answer goal was not adoption alone but "meaningful use" of EHRs
use of EHR in a meaningful manner - correct answer - Improving quality, safety, efficiency, and reducing health disparities
- Engage patients and families in their health
- Improve care coordination
- Improve population and public health
- Ensure adequate privacy and security protection for personal health information
Federal HIT Strategic Plan, 2015-2020 - correct answer
EMR, EHR, PHR - correct answer
Non-federal Acute Care Hospital Electronic Health
Record Adoption
---- hospitals have a Basic EHR system - correct answer Four out of five hospitals have a Basic EHR system
As of December 31, 2017, nearly ---- billion has
been spent under the CMS's EHR Incentive
Programs - correct answer As of December 31, 2017, nearly $38 billion has
been spent under the CMS's EHR Incentive
Programs
MACRA 2015 - correct answer The Medicare Access and CHIP Reauthorization
Act of 2015 (MACRA)
EHR Systems Functionality - correct answer Key metrics reported by Medical Economics
- clinical decision support
- scheduling and billing integration
- e-prescribing
- laboratory review
- patient portal access
- mobile applications [Show Less]