Transcript What is Practice Partner? - McGraw Hill Higher Education

Cover goes here when ready
Electronic Health
Records for Allied
Health Careers
Chapter 7
Introduction to
Practice Partner
McGraw-Hill
Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved.
7-2
Learning Outcomes
After studying this chapter, you should be able to:
1. Explain how the use of access levels protects the privacy
of information in a patient record.
2. Describe the purpose of the dashboard.
3. Explain where patient registration information is stored
and accessed.
4. Explain the function of the Chart Summary.
5. Describe how progress notes can be entered.
6. Explain how Practice Partner assists with coding a
patient encounter.
7-3
Learning Outcomes
After studying this chapter, you should be able to:
7. List two safety and cost-control features of electronic
order entry.
8. Discuss the medication list in Practice Partner.
9. Explain how Practice Partner displays abnormal values in
vital signs and lab results.
10. Describe how the HIPAA section of the patient chart can
be used to document HIPAA compliance.
7-4
Key Terms
• access levels
• Dashboard
• evaluation and
management codes (E/M
codes)
• Lookup
• progress notes
• SOAP
• Web View
7-5
What is Practice Partner?
• Practice Partner is an electronic health record
and practice management program for ambulatory
practices.
7-6
Passwords
• Users must have a user ID, password, and access
level to log in.
7-7
Access Levels
• restrict access to
only the information
the user needs to
fulfill their
responsibilities
7-8
Park Feature
• Allows user
to leave
workstation
without exiting
the program
7-9
Practice Partner Main Window
7-10
Practice Partner Main Window
• Main window contains:
– Title bar
– Menu bar
– Toolbar
– Status bar
7-11
Dashboard
• A convenient
view of
Schedule,
Messages,
Lab Review,
To Do, and
Note Review.
7-12
Patient Information
• Patient area contains demographic information
• Chart area contains clinical information
7-13
Lookup Function
• Provides various search options for obtaining
more information about a patient.
7-14
Chart
• Organized
by folders,
similar to
a paper
chart.
7-15
Chart: Chart Summary
• Overview of most recent clinical information
7-16
Chart: Progress Notes
• Records of a
patient’s visits
7-17
Evaluation & Management Coding
• Analyzes the progress note and suggests the
appropriate E/M code.
7-18
Chart: Medical History
• Past Medical History
• Social History
• Family History
7-19
Chart: Orders
• Computerized physician order entry (CPOE)
7-20
Chart: Problem List
• Contains all problems for which patient has sought
treatment:
–
–
–
–
–
–
Major Problems
Other Problems
Procedures
Diagnoses
Risks
Hospitalizations
7-21
Chart: Health Maintenance
• Tracks periodic preventive tests and examinations
7-22
Chart: Rx/Medications
• Organizes and maintains medications
7-23
Chart: Rx/Medications
• Medication safety features:
–
–
–
–
Drug Interaction and Allergy Checking
Drug Dosage Checking
Diagnosis Checking
Formulary Checking
7-24
Chart: Vital Signs
• Entered manually or from a digital monitor.
7-25
Patient Education
• Built-in patient education articles.
7-26
Chart: Laboratory Data
• Entered manually or imported electronically.
7-27
Chart: Images
• Can be annotated and added to progress notes, etc.
7-28
Chart: HIPAA
• Used for
HIPAArelated
documents