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MAA 104
Pima
Question | Answer |
---|---|
Who must adhere to HIPAA regulations? | Covered entities |
what can be used to improve/sustain system security for EMR/EHR - | 1. conduct routine audits 2.Prepare back-up plan for system 3. Train employees yearly on HIPAA practices |
If there is a breach in security, who should be notified? | 1. Then patient 2. The secretary of health and human services |
Demographic info includes | .Name , Birthday, Phone # , Address, Social security number |
Components of a MEMO | Subject, To and from, date, time |
HITECH | Act signed into law in 2009 to promote adoption of meaningful use. Also addresses privacy concerns/security concerns associated with electronic transmission |
Meaningful Use | A term used to define minimum government standards for EHR, outlining how clinical data should be exchanged between healthcare providers between providers and insurers and providers patients |
Original medical record should only be released when? | Required by law or provider dies or retires |
What is the biggest pet-peeve about emails | Having no subject line |
Accurate statements about EHR capabilities include | Help providers diagnose patient's problems sooner Provide clinical alerts and reminders can aid in diagnosis Can improve quality of care |
Is an email the most secure way of sending patient information? | NO |
Encryption of stored info means? | Requires a special key to de-cript information |
SOAP | Subjective , Objective, Assessment, plan |
POMR | Problem,Oriented, Medical, Record |
The chief complaint from prevision office visit goes into the - section of the medical record | Clinical |
Flow sheets are designed to_ | Record ongoing measurements in a graphic or table form |
What is the difference between EHR and EMRs? | EHR- contains all info about a patients care (from Multiple Providers) EMR- Specific to an individual clinic |
Documentation of each encounter with a patient goes into the - -. | Progress notes |
Chronological resumes are organized by your - | Experience (Time) |
1- 2- 3- Built in software tools, Used for editing | 1. Spell check 2. Thesaurus 3. Grammar |
The chief complaint from a previous office visit is located in the - section of the medical record | Clinical section |
Functional resumes focus on - and - | accomplishments and strengths |
Using a template to send a business document saves- | time |
The best reason for including a cover letter with a resume is to - - | Identify how you can fill the requirements of the job |
Most common letter format for business writing | Full block |
Letterhead should have? | Name/clinic Address Phone number email |
What is the standard business envelope size? | No 10 |
Standard font is - and - standard font size is - | times new roman, Size 12 |
Standard Margins is business letters are - inches | 1 inch |
Only - abbreviations should be used in business letters | Standard |
- Mail does not require postmark @ post office | Metered mail |
- Mail secure system via USPS that can be tracked | Registered mail |
A method used to send large quantities of mail at a discounted rate | sending bulk mail |
a written record of a meeting | Minutes |
Cd's cassettes, etc is - mail | Media mail |
a list of topics to discuss at a meeting | an agenda |
A process that uses stored data to create letters, envelopes and labels | mail merge |
A form of informal communication within an office/organization | Memoranda |
Important vitals | Height and weight Temp BMI Blood Pressure and pulse Respiration |