As the Office Manager for a large physician practice, you are charged with revis
ID: 127556 • Letter: A
Question
As the Office Manager for a large physician practice, you are charged with revising all the practice’s policies and procedures due the recent implementation of a new Electronic Health Record (EHR) system. Based on your research, you want to recommend the appropriate policy initiatives that will positively influence the data integrity of the new EHR. In addition to revising existing policies, you need to develop and implement new policies and technologies to protect data integrity and validity.Create a 10–15 slide PowerPoint presentation that details your recommendations, revisions, policy development and implementation plan.
As the Office Manager for a large physician practice, you are charged with revising all the practice’s policies and procedures due the recent implementation of a new Electronic Health Record (EHR) system. Based on your research, you want to recommend the appropriate policy initiatives that will positively influence the data integrity of the new EHR. In addition to revising existing policies, you need to develop and implement new policies and technologies to protect data integrity and validity.
Create a 10–15 slide PowerPoint presentation that details your recommendations, revisions, policy development and implementation plan.
As the Office Manager for a large physician practice, you are charged with revising all the practice’s policies and procedures due the recent implementation of a new Electronic Health Record (EHR) system. Based on your research, you want to recommend the appropriate policy initiatives that will positively influence the data integrity of the new EHR. In addition to revising existing policies, you need to develop and implement new policies and technologies to protect data integrity and validity.
Create a 10–15 slide PowerPoint presentation that details your recommendations, revisions, policy development and implementation plan.
Explanation / Answer
RECOMMENDATIONS ON EHR
POLICY MAKING
Health IT Legislation and Regulations
•The Office of the National Coordinator for Health Information Technology’s (ONC) work on health IT is authorized by the Health Information Technology for Economic and Clinical Health (HITECH) Act.
•The HITECH Act established ONC in law and provides the U.S. Department of Health and Human Services with the authority to establish programs to improve health care quality, safety, and efficiency through the promotion of health IT.
Regulations
•ONC authors regulations that set the standards and certification criteria EHRs must meet to assure health care professionals and hospitals that the systems they adopt are capable of performing certain functions.
•ONC also provides regulatory resources, including FAQs and links to other health IT regulations that relate to ONC’s work.
Health IT and Safety
•Health IT makes new improvements in health care quality and safety possible.
•Yet, if not designed and used correctly, it can also introduce new risks of harm.
•As clinicians and their patients increasingly rely on electronic health records (EHRs) instead of paper charts.
• we continue to learn about health IT's positive impact on the quality and safety of patient care.
•developers and users can maximize that impact. Information and actionable resources representing progress under the HealthIT Patient Safety Action and Surveillance.
Data integrity and validity.
•Clinicians are able to electronically access current patient and clinician contact information and identify clinicians currently involved in a patient’s care.
•Both EHR design and organizational policy facilitate clear identification of clinicians who are responsible for action or follow-up in response to a message.
•Patient data and software application configurations critical to the organization’s operations are backed up.
•Corollary orders are automatically suggested when appropriate and the orders are linked together, so that changes are reflected when the original order is rescheduled, renewed, or discontinued.
•Information required to accurately identify the patient is clearly displayed on screens and printouts.
•Communication mechanisms ensure that EHR users learn of EHR changes promptly, and users are able to give feedback on related safety concerns.
The highest-level decision makers are committed to promoting a culture of safety that incorporates the safety and safe use of EHRs
•Users are warned when they attempt to create a new record for a patient whose first and last name are the same as another patient.
•The organization has a process to assign a “temporary” unique patient ID in the event that either the patient registration system is unavailable or the patient.
•The EHR is configured to ensure EHR users work in the “live” production version
•The organization has processes and methods in place to monitor the effects of key configuration settings to ensure they are working as intended.
•The EHR has the capability for the clinician to set reminders for future tasks to facilitate test result follow-up.
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