Fall class 7 Health_IT[1]

Fall class 7 Health_IT[1] - Health Information Technology...

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Health Information Technology and Privacy Protection Class #7 Organizational readiness assessment and conversion strategies Dave Wanser, Ph.D. david.wanser@austin.utexas.edu
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Upcoming Events: Upcoming Events: Lecture on HL7 will be shifted to Thursday 9-23 Tuesday 9- 21 Quiz #1 approximately 25 questions: multiple choice, True-False or short answer Tuesday 9-28 Exam #1. Approximately 50 questions. Similar to quiz, but some weighted Tuesday 10-5 Vocabulary quiz on terms A-I Thursday 10- 7 Assignments for class presentations.
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Challenge: Challenge: What are the functions within a medical office that need to be taken into account in advance of conversion? How would you map these functions : For EHR implementation? For security considerations? How does a medical practice go through the decision making and preparation process for implementing an EHR?
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How an EHR affects the process of care
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Patient calls for an appointment CRITICAL START Demographics Scheduling Revenue Cycle Co-pay Deductible Balance Due New Patient Mailer
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Eligibility Verification Co-Pay Insurance Referral
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Patient Arrives Scan – in beginning Collect co-pay Collect insurance info Collect balance due Financial counseling
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Patient Visit - Intake EHR opened - Security Vitals Medical History Review/Update Meds List, Immunizations, Allergies, Problem List Obtain/enter PBM Pharmacy Preference Other Chief Complaint Family & Social
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Nurse/MA Visit Only Open EHR Medication Administration Immunization Procedure Teaching In-office Test Provider Needed Charges
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Examined by Provider Reviews information from clinical intake Reminders and Alerts Examination Discussion of health maintenance plan Flowsheet/Graph Review results New scanned documents
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Encounter Documentation Document Progress Notes Diagnosis Service Document Service Level Document Plan Orders & schedule elements of plan Charges
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Orders Overview Locations In office In-house Outside office Scheduling Link orders to problems Single Order Future Orders Recurring Orders Insurance Pre- Authorization Order reminders
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Create Orders – Ancillary Services Referral Order Follow up visit Instruction or supplies Immunizations Medical Administration Rx Charges Send order
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Create/Execute Orders – In office Order is created Patient instructions given Specimen/draw collected Test performed Results Task to provider
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Create /Execute Orders – Follow Up/Referral Create Follow up visit Referral visit Scheduling Execute Worklist monitored
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Create Orders – Instruction/Supply Order Instructions Instructions printed Supplied to patient Order Supplies or DME Could be printed or faxed to DME supplier Insurance Verification
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Fall class 7 Health_IT[1] - Health Information Technology...

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