Electronic Medical Records

A Practical Guide for Primary Care

Author: Neil S. Skolnik

Publisher: Springer Science & Business Media

ISBN: 9781607616061

Category: Medical

Page: 154

View: 3434

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.

The Medical Record as Evidence

Author: Elliott Oppenheim

Publisher: ATOM Press

ISBN: 0984240578

Category: Law

Page: N.A

View: 5928

Elliott B. Oppenheim practiced family medicine and emergency medicine for nearly eighteen years before attending law school and obtaining a master's degree in health law. He attended Occidental College (BA 1969), The University of California at Irvine (MD 1973), Detroit College of Law at Michigan State University (JD 1995), and Loyola University School of Law, Chicago (LL.M. Health Law 1996). He has written extensively about medical malpractice litigation, the Emergency Medical Treatment and Active Labor Act, and spoliation of evidence in medical negligence litigation and continues to write on medical-legal subjects. Dr. Oppenheim has been active in the field of medical negligence litigation for almost twenty-five years. He heads coMEDco, Inc., a national medical-legal consulting firm as President and CEO. Dr. Oppenheim also teaches health law. SUMMARY TABLE OF CONTENTS Chapter 1. Admissibility of Medical Records Chapter 2. The Recording Sequence Chapter 3. Why There Must Be a Record Chapter 4. Spoliation Chapter 5. Confidentiality and Privilege Chapter 6. Discovery and Trial Techniques This book is a pdf made from a high quality scan of the original.

Medical Record

Author: George Frederick Shrady,Thomas Lathrop Stedman

Publisher: N.A


Category: Medicine

Page: N.A

View: 2246

The Computer-based Patient Record

An Essential Technology for Health Care

Author: Richard S. Dick,Elaine B. Steen

Publisher: National Academies


Category: Business & Economics

Page: 190

View: 4903

Produced by the Institute of Medicine, this volume presents a blueprint for introducing the computer-based patient record (CPR) nationwide within the next decade. An expert panel explores the potential of the machine-readable CPR to improve diagnostic and care decisions and provide a database for po

Medical Record Chart Analyzer

Documentation Rules and Rationales with Exercises

Author: Deborah J. Grider

Publisher: Amer Medical Assn

ISBN: 9781579472696

Category: Medical

Page: 366

View: 5124

The quality of coding is an important factor in determining the financial health of a practice. When problems occur they must be solved quickly. But before they can be solved, they must be found. Medical Record Chart Analyzer includes medical record documentation with a systematic guide to the medical record review process for the physician's or outpatient office. Learning objectives are included at the beginning of most chapters to overview chapter content and help measure progress. Medical chart review and coding tips are located throughout the book. The application exercises allow the reader to master each topic one chapter at a time. Also included is a final examination to test documentation and auditing skills. By the end of the book, the reader will be able to conduct reviews independently. Authored by Deborah J. Grider, CPC, CPC-H, CCS-P, CCP, an experienced professional in the fields of reimbursement, procedural and diagnostic coding, medical practice management and compliance. Readers can earn up to 10 CEU credits from AAPC.

A patient-accessible medical record

patient and nurse satisfaction and attitudes toward medical record access

Author: Gayla Halford Nielsen

Publisher: N.A


Category: Social Science

Page: 568

View: 9516

Integrating Device Data into the Electronic Medical Record

Author: John Zaleski

Publisher: John Wiley & Sons

ISBN: 3895786322

Category: Health & Fitness

Page: 354

View: 2335

Future generations of vital signs and point-of-care medical devices must interoperate directly and seamlessly with information technology systems to facilitate effective patient care management within the healthcare enterprise. This is the first book addressing medical device integration with the computer-based patient record in a holistic way. Readers step into the area of two-way device communication & control and learn best practises from an author known for his brilliant expertise in this field. It is a fundamental guide for a broad group of people: clinical and biomedical engineers, physicians, bioinformatics practitioners, and vendors. Providing the essential how-to for medical device integration into the electronic medical record (EMR), health information system (HIS), and computerized patient record (CPR), the book highlights information on data extraction, usually not offered by device vendors. This comprises topics such as the use of third-party software, information on what to do when you develop interfaces on your own, regulatory issues, and how to assure connectivity and access to data. For physicians, it is a primer and knowledge manual for data integration when applied to clinical care and trials. It gives information on knowledge management and how data can be used statistically and as a tool in patient care management. Furthermore, it impresses upon the reader the quantities of data that must be processed and reduced to make for effective use at the point of care. HIS and CPR vendors may learn how data integration can be simplified and how software developers may be assisted in the process of communicating vital information to their repositories. The book is rounded off by a chapter on the future of integration.

Hospital medical records

guidelines for their use and the release of medical information

Author: American Hospital Association

Publisher: N.A


Category: Medical

Page: 64

View: 3378

Steps Toward a Universal Patient Medical Record

A Project Plan to Develop One

Author: Michael McGuire

Publisher: Universal-Publishers

ISBN: 1581125097

Category: Medical

Page: 720

View: 3314

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.

Medical record

a monthly journal of medicine and surgery

Author: N.A

Publisher: N.A



Page: N.A

View: 8911

Documentation for Medical Records

Author: Barbara Odom-Wesley,Diann Brown,Chris L. Meyers

Publisher: N.A

ISBN: 9781584261834

Category: Medical informatics

Page: 538

View: 5995

Children's Medical Record Book

Author: Dianne Molvig,Consumer Guide,Richard J. Sagall

Publisher: Signet

ISBN: 9780451192707

Category: Medical

Page: 96

View: 1019

A record book allows parents to keep organized and accurate medical records about their child from birth through the teen years using dozens of fill-in charts concerning immunizations, developmental milestones, illnesses, allergies, and more. Original.

My Doctor Book

A Personal Medical Records Organizer

Author: Mary E. Carlton

Publisher: N.A

ISBN: 9780984484300


Page: 144

View: 6535

Comprehensive medical records organizer has informative introduction, eight multicolor sections with detailed information and directions on tabs. Take with you to your doctor visits. Add new information as you receive it. Helps you be in control of your medical care. Includes three year calendar and four accessories: Business card holder page, CD holder page, Large Velcro-closing envelope, Zipper pouch. Sections are: My Admitting Information, My Business Cards, My Calendar, My Diagnostic Test Reports, My Doctor Visits, My Medical Insurance Claims, My Medications, My Documents.

Spiritual Care in Common Terms

How Chaplains Can Effectively Describe the Spiritual Needs of Patients in Medical Records

Author: Gordon J. Hilsman

Publisher: Jessica Kingsley Publishers

ISBN: 178450369X

Category: Medical

Page: 288

View: 697

Encouraging a broad, compassionate, humanistic approach to spirituality, this book shows how patients' spiritual needs can be communicated well within interdisciplinary teams, leading to better patient wellbeing. This book describes the art of charting patients' spiritual perspectives in an open way that will help physicians and nurses to better direct medical care. It includes practical information on how to distil spiritual needs into pragmatic language, helping to demystify spiritual experience. Drawing on his extensive practical experience, the author also suggests key points to emphasise that will enrich chart notes for medical records, including brief, relative narratives, trusting one's own impressions, reflecting holistically on the patient's life, patient attitudes towards treatment and recovery, and describing families' opinions on the health care situation of their loved one. The book shows healthcare professionals of all disciplines how to engage in a shared responsibility for the spiritual care of their patients.

Medical Records Bloopers: A Collection of Humerus Dictation Excerpts

Author: Gloria Diethart & Janice Lyons

Publisher: Lulu.com

ISBN: 1411683633


Page: 108

View: 3597

Transcription errors, doctors' misstatements and awkward wording make for some very funny reading in medical charts. This collection of bloopers should produce quite a few good laughs. While some may be understood only by health care professionals, many will tickle the funny bones of the general audience.

Implementing an Electronic Medical Record System

Successes, Failures, Lessons

Author: Tim Scott

Publisher: Radcliffe Publishing

ISBN: 9781857757507

Category: Medical

Page: 156

View: 6366

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.