How To Organize A Health Record System

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How to Organize a Health Record System

Author : American Association of Medical Record Librarians,United States. Division of Medical Care Administration
Publisher : Unknown
Page : 68 pages
File Size : 42,6 Mb
Release : 1966
Category : Hospitals, Convalescent
ISBN : UOM:39015012537711

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How to Organize a Health Record System by American Association of Medical Record Librarians,United States. Division of Medical Care Administration Pdf

Key Capabilities of an Electronic Health Record System

Author : Institute of Medicine,Board on Health Care Services,Committee on Data Standards for Patient Safety
Publisher : National Academies Press
Page : 36 pages
File Size : 40,5 Mb
Release : 2003-07-31
Category : Medical
ISBN : 9780309185431

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Key Capabilities of an Electronic Health Record System by Institute of Medicine,Board on Health Care Services,Committee on Data Standards for Patient Safety Pdf

Commissioned by the Department of Health and Human Services, Key Capabilities of an Electronic Health Record System provides guidance on the most significant care delivery-related capabilities of electronic health record (EHR) systems. There is a great deal of interest in both the public and private sectors in encouraging all health care providers to migrate from paper-based health records to a system that stores health information electronically and employs computer-aided decision support systems. In part, this interest is due to a growing recognition that a stronger information technology infrastructure is integral to addressing national concerns such as the need to improve the safety and the quality of health care, rising health care costs, and matters of homeland security related to the health sector. Key Capabilities of an Electronic Health Record System provides a set of basic functionalities that an EHR system must employ to promote patient safety, including detailed patient data (e.g., diagnoses, allergies, laboratory results), as well as decision-support capabilities (e.g., the ability to alert providers to potential drug-drug interactions). The book examines care delivery functions, such as database management and the use of health care data standards to better advance the safety, quality, and efficiency of health care in the United States.

The Computer-Based Patient Record

Author : Committee on Improving the Patient Record,Institute of Medicine
Publisher : National Academies Press
Page : 257 pages
File Size : 47,8 Mb
Release : 1997-10-28
Category : Medical
ISBN : 9780309578851

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The Computer-Based Patient Record by Committee on Improving the Patient Record,Institute of Medicine Pdf

Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.

Registries for Evaluating Patient Outcomes

Author : Agency for Healthcare Research and Quality/AHRQ
Publisher : Government Printing Office
Page : 396 pages
File Size : 50,6 Mb
Release : 2014-04-01
Category : Medical
ISBN : 9781587634338

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Registries for Evaluating Patient Outcomes by Agency for Healthcare Research and Quality/AHRQ Pdf

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Implementing an Electronic Medical Record System

Author : Tim Scott,Thomas Rundall,Thomas Vogt,John Hsu
Publisher : CRC Press
Page : 128 pages
File Size : 52,6 Mb
Release : 2018-04-19
Category : Medical
ISBN : 9781315358550

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Implementing an Electronic Medical Record System by Tim Scott,Thomas Rundall,Thomas Vogt,John Hsu Pdf

Clinicians and managers are increasingly required to participate in or manage new initiatives which depend heavily on co-operation collaboration and a multidisciplinary approach where effective interpersonal and group skills are of vital importance. This practical guide encourages the reader to determine how their organisations work and the impact they have on their members. It draws on the experiences of primary care research and development projects and contains numerous case studies tips and techniques to manage change. It is an essential guide for healthcare professionals in primary care and will equip those working in practice and facilitators working with practices with a clear understanding of how to achieve successful acceptance and management of change.

Electronic Medical Records

Author : Neil S. Skolnik
Publisher : Springer Science & Business Media
Page : 161 pages
File Size : 42,9 Mb
Release : 2010-10-20
Category : Medical
ISBN : 9781607616061

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Electronic Medical Records by Neil S. Skolnik Pdf

Physician adoption of electronic medical records (EMRs) has become a national priority. It is said that EMRs have the potential to greatly improve patient care, to provide the data needed for more effective population management and quality assurance of both an individual practice’s patients and well as patients of large health care systems, and the potential to create efficiencies that allow physicians to provide this improved care at a far lower cost than at present. There is currently a strong U.S. government push for physicians to adopt EMR technology, with the Obama administration emphasizing the use of EMRs as an important part of the future of health care and urging widespread adoption of this technology by 2014. This timely book for the primary care community offers a concise and easy to read guide for implementing an EMR system. Organized in six sections, this invaluable title details the general state of the EMR landscape, covering the government’s incentive program, promises and pitfalls of EMR technology, issues related to standardization and the range of EMR vendors from which a provider can choose. Importantly, chapter two provides a detailed and highly instructional account of the experiences that a range of primary care providers have had in implementing EMR systems. Chapter three discusses how to effectively choose an EMR system, while chapters four and five cover all of the vital pre-implementation and implementation issues in establishing an EMR system in the primary care environment. Finally, chapter six discusses how to optimize and maintain a new EMR system to achieve the full cost savings desired. Concise, direct, but above all honest in recognizing the challenges in choosing and implementing an electronic health record in primary care, Electronic Medical Records: A Practical Guide for Primary Care has been written with the busy primary care physician in mind.

Medical Informatics: Concepts, Methodologies, Tools, and Applications

Author : Tan, Joseph
Publisher : IGI Global
Page : 2772 pages
File Size : 45,7 Mb
Release : 2008-09-30
Category : Education
ISBN : 9781605660516

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Medical Informatics: Concepts, Methodologies, Tools, and Applications by Tan, Joseph Pdf

Provides a collection of medical IT research in topics such as clinical knowledge management, medical informatics, mobile health and service delivery, and gene expression.

Architectural Design of Multi-Agent Systems: Technologies and Techniques

Author : Lin, Hong
Publisher : IGI Global
Page : 442 pages
File Size : 40,9 Mb
Release : 2007-05-31
Category : Computers
ISBN : 9781599041100

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Architectural Design of Multi-Agent Systems: Technologies and Techniques by Lin, Hong Pdf

"This book is a compilation of advanced research results in architecture and modeling issues of multi-agent systems. It serves as a reference for research on system models, architectural design languages, methods and reasoning, module interface design, and design issues"--Provided by publisher.

Kinn's The Medical Assistant

Author : Deborah B. Proctor,Brigitte Niedzwiecki,Julie Pepper,Payel Madero,Marti Garrels,Helen Mills
Publisher : Elsevier Health Sciences
Page : 1311 pages
File Size : 50,6 Mb
Release : 2016-05-04
Category : Medical
ISBN : 9780323444187

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Kinn's The Medical Assistant by Deborah B. Proctor,Brigitte Niedzwiecki,Julie Pepper,Payel Madero,Marti Garrels,Helen Mills Pdf

Comprehensive Medical Assisting begins with Kinn! Elsevier’s 60th Anniversary edition of Kinn’s The Medical Assistant, 13th Edition provides you with real-world administrative and clinical skills that are essential to working in the modern medical office. An applied learning approach to the MA curriculum is threaded throughout each chapter to help you further develop the tactile and critical thinking skills necessary for working in today’s healthcare setting. Paired with our adaptive solutions, real –world simulations, EHR documentation and HESI remediation and assessment, you will learn the leading skills of modern administrative and clinical medical assisting in the classroom! Basics of Diagnostic Coding prepares you to use the ICD-10 coding system. Learning objectives listed in the same order as content makes it easy to review material. Clinical procedures integrated into the TOC give you a quick reference point. Professional behavior boxes provide guidelines on how to interact with patients, families, and coworkers. Patient education and legal and ethical issues are described in relation to the Medical Assistant's job. Applied approach to learning helps you use what you’ve learned in the clinical setting. Learning objectives and vocabulary with definitions highlight what’s important in each chapter. Critical thinking applications test your understanding of the content. Step-by-step procedures explain complex conditions and abstract concepts. Rationales for each procedure clarify the need for each step and explains why it’s being performed. Portfolio builder helps you demonstrate your mastery of the material to potential employers. NEW! Chapter on The Health Record reviews how you’ll be working with a patient’s medical record. NEW! Chapter on Technology in the Medical Office introduces you to the role EHR technology plays in the medical office. NEW! Chapter on Competency-Based Education helps you understand how your mastery of the material will affect your ability to get a job. NEW! Clinical procedure videos helps you visualize and review key procedures.

Kinn's The Clinical Medical Assistant

Author : Deborah B. Proctor,Brigitte Niedzwiecki,Julie Pepper,Marti Garrels,Helen Mills
Publisher : Elsevier Health Sciences
Page : 970 pages
File Size : 49,9 Mb
Release : 2016-05-10
Category : Medical
ISBN : 9780323446051

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Kinn's The Clinical Medical Assistant by Deborah B. Proctor,Brigitte Niedzwiecki,Julie Pepper,Marti Garrels,Helen Mills Pdf

Clinical Medical Assisting begins with Kinn! Elsevier’s Kinn’s The Clinical Medical Assistant, 13th Edition provides you with the real-world clinical skills that are essential to working in the modern medical office. An applied learning approach to the MA curriculum is threaded throughout each chapter to help you further develop the tactile and critical thinking skills necessary to assist with medications, diagnostic procedures, and surgeries. Paired with our adaptive solutions, real-world simulations, EHR documentation and HESI remediation and assessment, you will learn the leading skills of modern clinical medical assisting in the classroom! Applied approach to learning helps you use what you’ve learned in the clinical setting. Clinical procedures integrated into the TOC provide you with a quick reference. Detailed learning objectives and vocabulary with definitions highlight what’s important in each chapter. Step-by-step procedures explain complex conditions and abstract concepts. Rationales for each procedure clarify the need for each step and explains why it’s being performed. Critical thinking applications test your understanding of the content. Patient education and legal and ethical issues are described in relation to the clinical Medical Assistant's job. Threaded case scenarios help you apply concepts to realistic clinical situations. Portfolio builder helps you demonstrate clinical proficiency to potential employers. NEW! Chapter on The Health Record reviews how you will maintain and interact with the medical record. NEW! Chapter on Competency-Based Education helps you confidently prepare for today’s competitive job market. NEW! Clinical procedure videos help you to visualize and review key procedures.

For the Record

Author : National Research Council,Division on Engineering and Physical Sciences,Computer Science and Telecommunications Board,Commission on Physical Sciences, Mathematics, and Applications,Committee on Maintaining Privacy and Security in Health Care Applications of the National Information Infrastructure
Publisher : National Academies Press
Page : 286 pages
File Size : 40,6 Mb
Release : 1997-06-09
Category : Medical
ISBN : 9780309174800

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For the Record by National Research Council,Division on Engineering and Physical Sciences,Computer Science and Telecommunications Board,Commission on Physical Sciences, Mathematics, and Applications,Committee on Maintaining Privacy and Security in Health Care Applications of the National Information Infrastructure Pdf

When you visit the doctor, information about you may be recorded in an office computer. Your tests may be sent to a laboratory or consulting physician. Relevant information may be transmitted to your health insurer or pharmacy. Your data may be collected by the state government or by an organization that accredits health care or studies medical costs. By making information more readily available to those who need it, greater use of computerized health information can help improve the quality of health care and reduce its costs. Yet health care organizations must find ways to ensure that electronic health information is not improperly divulged. Patient privacy has been an issue since the oath of Hippocrates first called on physicians to "keep silence" on patient matters, and with highly sensitive dataâ€"genetic information, HIV test results, psychiatric recordsâ€"entering patient records, concerns over privacy and security are growing. For the Record responds to the health care industry's need for greater guidance in protecting health information that increasingly flows through the national information infrastructureâ€"from patient to provider, payer, analyst, employer, government agency, medical product manufacturer, and beyond. This book makes practical detailed recommendations for technical and organizational solutions and national-level initiatives. For the Record describes two major types of privacy and security concerns that stem from the availability of health information in electronic form: the increased potential for inappropriate release of information held by individual organizations (whether by those with access to computerized records or those who break into them) and systemic concerns derived from open and widespread sharing of data among various parties. The committee reports on the technological and organizational aspects of security management, including basic principles of security; the effectiveness of technologies for user authentication, access control, and encryption; obstacles and incentives in the adoption of new technologies; and mechanisms for training, monitoring, and enforcement. For the Record reviews the growing interest in electronic medical records; the increasing value of health information to providers, payers, researchers, and administrators; and the current legal and regulatory environment for protecting health data. This information is of immediate interest to policymakers, health policy researchers, patient advocates, professionals in health data management, and other stakeholders.

Steps Toward a Universal Patient Medical Record

Author : Michael McGuire
Publisher : Universal-Publishers
Page : 720 pages
File Size : 50,6 Mb
Release : 2004
Category : Medical
ISBN : 9781581125092

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Steps Toward a Universal Patient Medical Record by Michael McGuire Pdf

This book describes how an automated patient medical record could be built that could evolve into a universal patient record. Such a universal patient record would change medical care from a focus on short-term care to one oriented to long-term, preventive-care. It would remove patient care from being the province of the single physician to that of the responsibility of many different healthcare providers, possibly located anywhere in the world.

Implementing an Electronic Health Record System

Author : James M. Walker,Eric J. Bieber,Frank Richards,Sandra Buckley
Publisher : Springer Science & Business Media
Page : 276 pages
File Size : 43,8 Mb
Release : 2006-08-07
Category : Medical
ISBN : 1846283302

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Implementing an Electronic Health Record System by James M. Walker,Eric J. Bieber,Frank Richards,Sandra Buckley Pdf

- Practical in its scope and coverage, the authors have provided a tool-kit for the medical professional in the often complex field of medical informatics - All editors are from the Geisinger Health System, which has one of the largest Electron Health systmes in the USA, and is high in the list of the AMIA "100 Most Wire" healthcare systems - Describes the latest successes and pitfalls

Health Information Management

Author : Lynn Kuehn
Publisher : Medical Group Management Assn
Page : 180 pages
File Size : 44,7 Mb
Release : 1997
Category : Medical
ISBN : 1568290160

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Health Information Management by Lynn Kuehn Pdf

Use the guide that offers concise tips to keep your medical records organized and under control. Get help with record systems, storage/retrieval, coding, transcription, computerization, human resources and legal issues.

Kinn's The Medical Assistant - E-Book

Author : Deborah B. Proctor,Alexandra Patricia Adams
Publisher : Elsevier Health Sciences
Page : 1379 pages
File Size : 40,7 Mb
Release : 2014-03-27
Category : Medical
ISBN : 9780323292894

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Kinn's The Medical Assistant - E-Book by Deborah B. Proctor,Alexandra Patricia Adams Pdf

The most comprehensive medical assisting resource available, Kinn's The Medical Assistant, 11th Edition provides unparalleled coverage of the practical, real-world administrative and clinical skills essential to your success in health care. Kinn's 11th Edition combines current, reliable content with innovative support tools to deliver an engaging learning experience and help you confidently prepare for today's competitive job market. Study more effectively with detailed Learning Objectives, Vocabulary terms and definitions, and Connections icons that link important concepts in the text to corresponding exercises and activities throughout the companion Evolve Resources website and Study Guide & Procedure Checklist Manual. Apply what you learn to realistic administrative and clinical situations through an Applied Learning Approach that integrates case studies at the beginning and end of each chapter. Master key skills and clinical procedures through step-by-step instructions and full-color illustrations that clarify techniques. Confidently meet national medical assisting standards with clearly identified objectives and competencies incorporated throughout the text. Sharpen your analytical skills and test your understanding of key concepts with critical thinking exercises. Understand the importance of patient privacy with the information highlighted in helpful HIPAA boxes. Demonstrate your proficiency to potential employers with an interactive portfolio builder on the companion Evolve Resources website. Familiarize yourself with the latest administrative office trends and issues including the Electronic Health Record. Confidently prepare for certification exams with online practice exams and an online appendix that mirrors the exam outlines and provides fast, efficient access to related content. Enhance your value to employers with an essential understanding of emerging disciplines and growing specialty areas. Find information quickly and easily with newly reorganized chapter content and charting examples. Reinforce your understanding through medical terminology audio pronunciations, Archie animations, Medisoft practice management software exercises, chapter quizzes, review activities, and more on a completely revised companion Evolve Resources website.