Fiala.HDIM 1020 Unit 3 Mod 6 Exercises-2 (1)
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HDIM 1020: Healthcare Data and the EHR
Page Unit 3: Electronic Health Record Systems
Module 6: EHR Part 2
Exercises
– 1-5
36 points
General Directions
: Be sure to utilize the Homework Checklist found on the course start here page. The following items are most often missed.
Beginning with Unit 2, 1 point for each missing item will be deducted when these directions and those on the homework checklist are not followed.
1.
Write your answers on this document in a RED
font.
2.
Save this document with your last name as the first word in the file name before uploading it to the drop box as Hajek.1020Unit1M1exercise.docx.
3.
Cite all resources used when the ideas are not general knowledge or your own. Place the citation within each exercise that referenced the resource. Words taken verbatim should be in quotations. A full APA citation is not needed for:
a.
For your text books, use the editor’s last name and page number. b.
For web sites, include the name of the web site, the date accessed and the URL.
4.
Include your name on this document in the space provided.
5.
To submit your homework, save it to a disk you can access. Attach it to the assignment page in Canvas.
DO NOT use the text edit function on the assignment page.
Student’s Name:
Exercise 1: Data standards and vocabularies (6 points)
1.
In your own words, explain the need for standards
for sharing healthcare data between different information systems/organizations. There are many standards healthcare systems need to follow when
sharing data. If there were not any standards there would be unnecessary records sent to facilities that
do not need the patient’s information. 2.
Explain the impact of data standards on the quality and safety of patient care. Give a specific example. Data standards on quality and safety is how data is collected and stored in the system. An example would be if a patient was receiving medication and has an allergy to a certain medication that could be given the alert would pop up and notify the staff. 3.
Describe a clinical vocabulary and its function in an EHR. UMLS stands unified medical language system
and uses terminology and code standards to classify resources to link codes and terms between any physician and insurance company. https://www.nlm.nih.gov/research/umls/index.html
Exercise 2: EHR and communication between providers and level of care (4 points)
1.
In your own words, explain the relationships between the continuity of care record, continuity of care document and the clinical document architecture. The relationship between these three topics is when
a patient is going to another facility records need to be sent. All necessary information must be sent in order for the physician to care for the patient. Using all three will eliminate errors and make sure all areas are met when continuing care for a patient. 1
HDIM 1020: Healthcare Data and the EHR
Page Unit 3: Electronic Health Record Systems
Module 6: EHR Part 2
Exercises
– 1-5
36 points
2.
Explain the reason why this functionality is important to include when evaluating an EHR for use by a healthcare provider. This functionality is important as it has templates that allow certain records to be sent depending on what the needs are for the receiving facility. In some EHRs it is very important to have this feature so that employees can send the correct records that are needed by the physician. It will also give the physician a chance to view what you want and to make sure they have everything documented that is needed. Exercise 3: Meaningful Use (10 points)
The HIM field is abuzz with talk of the meaningful use incentive program for electronic health records. HIM professionals can play a significant role in facilitating hospitals and physicians meeting and attesting to compliance with the requirements. 1.
What is the relationship between Meaningful Use and MIPS? (2 points) MIPS uses meaningful use to put data together and to provide incentives to providers. It is used to improve patient quality and safety and only relaying what is needed for the research. 2.
List and describe two criteria that are required for meaningful use. (4 points)
3.
For one of the requirements listed in 2, describe two steps that the HIM professional should take to make the hospital or physician (state which one) compliant with this requirement. (4 points)
Exercise 4: Effects of EHR on HIM functions (4 points)
1.
Describe the process used to correct errors in an electronic health record. Does the process differ for different types of errors? Explain. When correcting an error in the EHR you would use an amendment that is when you want to alter any point of the alter anything in the health record. There is an addendum is when you are wanting to add anything the record. Correction is a change in the information to clarify. There is deletion which permanently eliminates information. All of these are different in ways of editing the medical record. All found in the amendments in the EHR by AHIMA PDF. 2.
Explain the use of metadata in the error correction process for electronic data. Exercise 5: Thought Questions (12 points)
1.
Is a medical record that includes only scanned digital documents an EHR? Justify your answer using the
components of an EHR. (4 points) I do not think it is an EHR there are some aspects that can be scanned in but an in order for an EHR it must be documented in 2.
Compare and contrast the ease of use for data capture methods of structured and unstructured from the clinician’s/physician’s point of view and from the data analyst’s point of view. (8 points)
Exercise 6: EHR Go – HITECH and the History of EHRs (32 points)
Review the information regarding the EHR Go Information before beginning the assignments.
MCC HDIM Student
Program Key: S33X34
2
HDIM 1020: Healthcare Data and the EHR
Page Unit 3: Electronic Health Record Systems
Module 6: EHR Part 2
Exercises
– 1-5
36 points
The following exercise will be submitted and graded separately from the above exercises. See individual assignments for further instructions.
1.
EHR Go – HITECH and the History of EHRs
3
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