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Healthcare Facilities and Professionals

This resource provides an overview of the healthcare industry in terms of the numerous types of facilities available to serve patients and professionals who work within these facilities. Both facilities and professionals are guided by professional organizations designed to help set standards, provide information on best practices, monitor specialty areas, and provide many other services to healthcare workers and support the safety and quality of care for patients. Each patient generates a wealth of data that healthcare providers use in patient care, healthcare payers use in paying for services, and researchers use to study trends hopefully leading to improved care in the future. This data is gathered in the health record of the patient and then communicated to the various parties who use it.

The electronic health record facilitates this communication while at the same time has generated a new set of issues that must be considered and addressed. Let's begin the study of the electronic health record with a review of the healthcare industry in general.

After completing this resource, learners will be able to:

  • Identify the various organizations associated with the healthcare professions
  • Describe the roles of various healthcare professionals
  • Differentiate types of healthcare facilities
Problem Lists, Results Management, and Trending

The EHR provides many benefits. This resource discusses the use of Problem Lists, Results Management, and Trending features of the EHR and identifies how they are important tools for the physician in following patient problems, orders, medications, and disease progression or improvement.

After completing this resource, learners will be able to:

  • Create a graph of lab results and vital signs in the chart
  • View pending orders and lab test results
  • Use Problem Lists
  • Use Patient Management
Data Entry Using Flow Sheets and Anatomical Drawings

When patients have an ongoing health problem or chronic disease, it is useful for the clinician to compare the health data in the record from past patient visits. This is quickly and easily done using Flow Sheets. This resource discusses how Flow Sheets are used and how clinicians can quickly enter data during a patient encounter by updating similar data from a previous encounter. Additionally, clinicians often find it useful to be able to annotate an anatomical drawing of a body region to be clearer in describing the location of findings, such as dermatological conditions.

This resource discusses how to invoke anatomical drawings and annotate them using a variety of drawing tools.

After completing this resource, learners will be able to:

  • Use an EHR drawing tool to annotate drawings in an encounter
  • Create a Problem-Based flow sheet
  • Create a Form-Based flow sheet
  • Work with flow sheets in the EHR system
Using the EHR to Improve Patient Health

As you have seen, the EHR is extremely beneficial to the provider. Physicians can better manage chronic disease, use the trending features of the EHR to monitor findings over time, and create graphs to visually represent the value of findings over time and help patients understand how to manage their own health problems. In reality, however, most patients would rather prevent disease instead of treat it.

Let's look at how the EHR can help the physician work with the patient in preventative care. This resource discusses preventative care features of the EHR system.

After completing this resource, learners will be able to:

  • Explain how patients can be involved in their own health
  • Discuss preventive care systems
  • Order immunizations for a child
  • Calculate Body Mass Index (BMI)
  • Create a pediatric growth chart
  • Document a well-baby checkup using a wellness form
Privacy and Security of Health Records

This resource reviews HIPAA's Privacy Rule as it relates to the protected health information of patients. Although this information was discussed previously, it is so important that it needs to be repeated. Under HIPAA laws. each employee of any covered entity must know the law and implement practices that ensure that the patient's PHI is kept private.

After completing this resource, learners will be able to:

  • Explain HIPAA privacy concepts
  • Apply HIPAA privacy policy in a medical facility
  • List HIPAA transactions and uniform identifiers