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Electronic Health Records, a foundational course in Health Information Management or Health Information Technology programs is the next "big thing" in medical technology. It coordinates exam notes, the diagnosis, the insurance billing and coding, and any procedures for each patient's medical records. Gartee's, first of its kind, "how to" text is designed to train future users of EHR programs. It is written for the clerk, the Medical Records Technician, the general administrative Medical Assistant, the Medical Biller, the Insurance Coordinator and others in the operational level. It contains screen shots, exercises and activities to help students learn how an Electronic Health Records system works and how it serves as a "coordinator" of the different facets of patient medical administration. Gartee differs from all other publications, in that they discuss EHR's as they relate only to managers, planners, and top administrators in Hospitals.
Table of Contents
|Table of Contents|
|Learning Made Easy|
|Organization of The Text|
|The Transfer of Acquired Skills to Actual EHR Systems|
|A Few Words of Advice|
|About The Author|
|Electronic Health Records - An Overview What Are Electronic Health Records?|
|Why Electronic Health|
|Records Are Important|
|Forces Driving The EHR|
|Wherersquo;s My Chart? - A Real Life Story|
|Health And Safety|
|National Coordinator for Health Information Technology|
|Readiness For Change|
|Vision for Consumer-centric and Information-rich Care|
|Building The EHR|
|Flow of Medical Information Into The Chart|
|Flow of an Office Fully Using EHR|
|Transition To An EHR|
|Levels of EHR Implementation|
|Building The EHR In Steps|
|Comparing The EHR In An Inpatient Vs. Outpatient Setting|
|Methods of Capturing And Recording Data|
|Workflow of Physician Orders and Results|
|Lab Orders and Results|
|Comparison of Lab|
|Order And Results Workflow|
|Radiology Orders and Reports|
|Electronic Data Interchange Between Systems and Devices|
|The Value of Codified Electronic Health Records|
|Forms of EHR Data|
|Limitations of Types of Data|
|Comparison of Lab Results|
|Standard Coding Systems|
|Government Influence On Coding Standards|
|Comparison of Prominent EHR Code Sets|
|How EHR Nomenclatures Differ From Other Code Sets|
|A Nurses Notes - A Real Life Story|
|How EHR Code Sets Differ From Billing Code Sets|
|NDC And Other Drug Codes|
|Learning Medical Record Software|
|Introducing The Medcin Student Edition|
|Understanding The Software|
|Starting Up The Medcin Software|
|Navigating The Screen Hands On|
|Exiting And Re-Starting The software Hands On|
|Using The Menu to Select A Patient Hands On|
|Navigating The Medcin Findings Hands On|
|Tabs On The Medcin Nomenclature Panel|
|Data Entry Of The Examination Note Hands On|
|Creating An Encounter Hands On|
|Recording Subjective Findings Hands On|
|Removing Findings Hands On|
|Recording More Specific Findings Hands On|
|Recording History Findings|
|Adding Details To The Findings Hands On|
|Recording A Value|
|Using Free Text Hands On|
|Adding Free-text Hands On|
|Recording Objective Findings Hands On|
|Setting The Result Field Hands On|
|Adding Detail To Recorded Findings Hands On|
|Adding Episode Detail To Findings Hands On|
|Recording The Assessment Hands On|
|Recording Treatment Plan And Physician Orders|
|Introduction To Using Forms Hands On|
|Recording The Chief Comp|
|Table of Contents provided by Publisher. All Rights Reserved.|