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This study guide provides a comprehensive overview of key concepts related to health information technology, patient records, and privacy regulations. It covers definitions of essential terms like hitech, hipaa, ehr, emr, and phi, and explores their significance in healthcare. The guide also delves into the importance of accurate documentation, effective writing, and the implementation of electronic health records. It includes questions and answers that can be used for studying and understanding the concepts.
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What is HITECH? How did it benefit HIPAA? HITECH stands for the Health Information Technology for Economic and Clinical Health Act It benefitted it by: Expanding HIPPA rules Increased enforcement and penalties incentives for EHR adoption
Asepsis (Define) no pathogenic microorganisms are present.
Abscess (Define) a painful collection of pus
Asthma (Define) a respiratory condition causing difficulty breathing.
Arrhythmia (Define) irregular heart rhythm
Infarction (Define) death of tissue caused by a lack of blood supply due to blockage or obstruction of a blood vessel.
Parietal (Define) Relating to top and side of cranium
Menstruation (Define) the monthly shedding of the lining of the uterus.
Polyp (Define) abnormal tissue growth
What is EHR? Electronic health records are used to share patient information, located in a large facility or across multiple clinics, labs, imaging, and specialists.
What is EMR? Electronic medical records that are used by a single provider office.
What is PHI? Protected health information (PHI) is any health-related information that can be related to a specific person. In the US, the Health Insurance Portability and Accountability Act (HIPAA) mandates the protection of PHI.
What is the difference between EMR, EHR, and PHI? EMR is an electronic record of patient information within one healthcare organization, EHR is an overall electronic record which can be shared across different organizations, while PHI is any information that identifies a patient and is protected under HIPAA.
Why should we pay attention to detail when documenting? accuracy, clarity, communication, and legality
What are the components of proofreading? Spelling, grammar, and punctuation.
What are some of the disadvantages of EHR? Cost, training, and security concerns.