Transcript Lesson 1 Getting Started in PowerPoint

Cover goes here when ready
Electronic Health
Records for Allied
Health Careers
Chapter 2
Transitioning to an
Electronic Health
Record and the Need
for Clinical Information
Standards
McGraw-Hill
Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved.
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Learning Outcomes
After studying this chapter, you should be able to:
Describe the major strategies for converting paper-based
charts to EHR.
List the four ways of entering live patient data into EHR.
Explain how desktop, laptop, and tablet computers differ.
Discuss the advantages of wireless networks in health care.
Explain the major difference between locally hosted and ASP
hosting models.
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Learning Outcomes
After studying this chapter, you should be able to:
Discuss why the adoption of clinical standards is critical to
the successful implementation of electronic health
records.
Describe the difference between clinical vocabularies and
classification systems.
List four messaging standards used with electronic health
records.
Describe the significance of the Medicare Prescription Drug
and Modernization Act of 2003 in the adoption of clinical
standards.
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Key Terms
application service provider (ASP)
classification systems
clients
clinical templates
clinical vocabularies
Current Procedural Terminology
(CPT)
content standards
desktop computer
Digital Imaging and
Communications in Medicine
(DICOM)
Healthcare Common Procedures
Coding System (HCPCS), Level
II
Health Level Seven (HL&)
hybrid conversions
incremental conversion
Institute of Electrical and
Electronics Engineers 1073
(IEEE1073)
International Classification of
Diseases, Ninth Revision
interoperable
laptop computer
locally hosted
Logical Observation Identifiers
Names and Codes (LOINC)
messaging standards
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Key Terms
National Council for Prescription
Drug Program (NCPDP)
network
outsourcing
personal digital assistant (PDA)
picture archiving and
communication system (PACS)
scanning
server
smart phones
Systematized Nomenclature of
Medicine Clinical Terms
(SNOMED-CT)
tablet computer
total conversion
Unified Medical Language System
(UMLS)
voice recognition
wired network
wireless networks
workstations
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Converting Existing Records
Conversion strategies:
Total conversion
Incremental conversion
Hybrid conversion
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Entering Live Data
Methods:
dictation and transcription
clinical templates
voice recognition
scanning
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Computer Requirements
Input Devices
Workstations
–
–
–
–
–
desktop computers
laptop computers
tablet computers
personal digital assistants (PDAs)
smart phones
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Computer Requirements
Networks
– server = “hub” of network; houses data and
applications
– clients = computers that access the server over the
network
– wired network vs. wireless network
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Hosting Choices
Locally Hosted Model
Application Service Provider Model
Blended or Hybrid Model
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The Importance of Clinical Standards
For shared information to be useful, computer
systems must be interoperable
No mandatory standards for clinical data exist
yet.
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Clinical Information Standards
Clinical vocabularies
– Systematized Nomenclature of Medicine Clinical Terms
(SNOMED-CT)
– Logical Observation Identifiers Names and Codes
(LOINC)
– U.S. National Library of Medicine Unified Medical
Language System (UMLS)
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Clinical Information Standards
Classification systems
– International Classification of Diseases, Ninth Revision
(ICD-9)
– International Classification of Diseases, Tenth Revision
(ICD-10)
– Current Procedural Terminology (CPT)
– Healthcare Common Procedures Coding System
(HCPCS), Level II
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Clinical Information Standards
Messaging Standards
– Health Level Seven (HL7)
– Digital Imaging and Communications in Medicine
(DICOM)
– Picture Archiving and Communication System (PACS)
– National Council for Prescription Drug Program
(NCPDP)
– The Institute of Electrical and Electronics Engineers
1073 (IEEE1073)
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Clinical Information Standards
EHR Content Standards
– Electronic Health Record System Functional Model
(EHR-S-FM)