1. WHAT IS THE DIFFERENCE BKA & AKA?
BR: 08/24/2016
WHAT IS THE DIFFERENCE BKA & AKA?

2. WHEN YOUR GROUP IS FINISHED
Post your notes up in the room somewhere
Check out the other groups’ notes
Be prepared to discuss what you learned & what were the differences?

3. ELECTRONIC MEDICAL RECORDS (EMR)
Introduction to Healthcare Science
IHS 12

4. Learning Focus
12.1 Identify methods and types of data collected in healthcare.
12.2 Use health record data collection tools (such as input screens, document templates).
12.3 Differentiate between types and content of health records (patient, pharmacy, and laboratory).

5. Learning Focus (cont’d)
12.4 Ensure that documentation in the health record reflects timeliness, completeness, and accuracy.
12.5 Adhere to information systems policies and procedures as required by national, state, local, and organizational levels.
12.6 Apply the fundamentals of privacy and confidentiality policies and procedures.
12.7 Identify legal and regulatory requirements related to the use of personal health information.

6. Learning Focus (cont’d)
12.8 Identify and apply policies and procedures for access and disclosure of
personal health information.
12.9 Describe the consequences of inappropriate use of health data in terms of
disciplinary action.
12.10 Describe appropriate methods to correct inaccurate information/errors
personally entered into an electronic medical record (EMR).

7. I CAN statements
You will create your own “I CAN” statements based on what the standard is saying
Let’s Share!!!

8. BR: 08/25/2016
$2 summary about EMRs

9. EHR / EMR

10. What is an EMR? Stands for Electronic Medical Record
Software that allows for the documentation, storage & sharing of patient health information
Requires some type of computer for use
What are some pros & cons of EMRs?

11. Who uses an EMR?
ANY HCP (healthcare professional) that has to document any information related to (r/t) the patient (pt.)
Physicians
Nurses
Physical Therapists
Pharmacists
Respiratory Therapists
Nursing Assistant
Radiologist Technician

12. Why use an EMR? Ensures continuity (consistent, quality) of care
Information is readily accessible by any member of the HC team no matter where they are in the world
Patient has access to their records

13. With someone wearing the same style outfit as you:
Discuss what we’ve covered so far about Electronic Medical Records
WHAT
WHO
WHY

14. Watch This https://www.youtube.com/watch?v=NleWPN6CADE

15. HOW WE USE EMRs
V/S
Assessments
Procedures / Surgeries
Therapy documentation
Send messages to other HCP
View labs/scans/x-rays
Communicate with patients & More

16. RULES OF EMR PRIVACY IT IS OUR JOB TO PROTECT ALL DATA
ONLY CHART WHAT YOU HAVE DONE (don’t chart before the task is complete) or OBSERVED (tell the truth)
CHART ON TIME
USE PROPER GRAMMAR & CORRECT SPELLING
CORRECTIONS CAN BE MADE (LIKE IN WORD)

17. Ticket Out
Write your answer to the following question, include your name
What is an EMR?
How are they used in the healthcare setting

18. BR: 08/25/2016 What are the pros & cons of using EMR?
Share your answer with a neighbor

19. Learning Focus
12.7 Identify legal and regulatory requirements related to the use of personal health information.

20. Your Group Will: Read over the basics of HIPAA
Create a poster (note-taking)
Share with the class what you decided was vital to know