Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved. McGraw-Hill Chapter 7 Introduction to Practice Partner Electronic Health Records for Allied Health Careers Cover goes here when ready
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 HIPAA- related documents