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Pharm 5018 ETSU
ch 11 Information Technology & technology
Question | Answer |
---|---|
American Recovery and Reinvestment Act | Doctors of nurse practice must be meaningful users. Increase patient safety and reduce cost. |
American Recovery and Reinvestment Act | Reimbursement is connected to use of electronic health record (EHR), computerized provider order entry (CPOE), and clinical decision support systems (CDSSs)/Changes in patient privacy |
Electronic Health Record | most practice areas can improve care using EHRs/ Cost is a determinate for most practices: up-front and re-coop/Goal: exchange of patient information between practice sites and hospitals and across regions |
Information Storage and Exchange | Vast amounts of patient data with EHRs Data aggregation with clinical warehouse EHR vs. electronic medical record: difference in capability for re-purposing data |
Information Storage and Exchange | Regional health information organizations allow for data sharing and exchange. Health information exchanges allow for added information sharing. |
Computerized Provider Order Entry (CPOE) | Embedded within the EHR for order entry Increase safety by reducing the medication errors found with paper-based systems. |
Computerized Provider Order Entry (CPOE) | Implementation and adoption slow in the United States due to cost and changes in workflow Based on the formulary of the organization |
Clinical Decision Support Systems | CDSS alerts to guide the provider in decision making Alerts require two patient data points from vital signs to laboratory data and medication history. |
Clinical Decision Support Systems | CDSSs use elements of artificial intelligence and machine learning to function. Risk “alert fatigue” by having too many alerts for workflow |
Medication Reconciliation | Required as part of meaningful use and to be done each encounter |
Medication Reconciliation | Technology using EHR and personal health record (PHR) can facilitate this requirement. Reduces the risk of error with poor historians or when medications are not with the patient |
Patient Privacy | Health Insurance Portability and Accountability Act standard for patient privacy/Now includes patient rights and privacy/Patients can have a copy of their records in electronic format. |
Personal Health Record (PHR) | Patient-owned and maintained health record Commercial products available or simple spreadsheet |
Personal Health Record (PHR) | PHRs can be connected to EHRs and include in-patient data. Encouraged to prevent lost health information during national disasters |
Patient Education | Materials can be standardized and printed off the EHR or kept in electronic format. Electronic versions can also be edited for specific patient issues. |
Patient Education | Applications for smart phones can be recommended by providers for education. Internet with screening can be a good source of information. |
Role as Clinical Leader | Serve as provider with patient care and keep medication records in EHR/Assess practice for safety and quality with pharmacotherapeutics/Explore issues with medications as quality and safety issue. |
Summary | Meaningful use and need to use technology with pharmacotherapeutics EHR, CPOE, CDSSs: Each function together to increase patient safety. |
Summary | Medication reconciliation using technology and PHR Patient privacy includes provisions, including their EHRs. |