Chapter 7
Electronic Health Records for Allied Health Careers. Cover goes here when ready. Chapter 7. Introduction to Practice Partner. Learning Outcomes. After studying this chapter, you should be able to: Explain how the use of access levels protects the privacy of information in a patient record.
Chapter 7
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Presentation Transcript
Electronic Health Records for Allied Health Careers Cover goes here when ready Chapter 7 Introduction to Practice Partner
Learning Outcomes After studying this chapter, you should be able to: • Explain how the use of access levels protects the privacy of information in a patient record. • Describe the purpose of the dashboard. • Explain where patient registration information is stored and accessed. • Explain the function of the Chart Summary. • Describe how progress notes can be entered. • Explain how Practice Partner assists with coding a patient encounter.
Learning Outcomes After studying this chapter, you should be able to: • List two safety and cost-control features of electronic order entry. • Discuss the medication list in Practice Partner. • Explain how Practice Partner displays abnormal values in vital signs and lab results. • Describe how the HIPAA section of the patient chart can be used to document HIPAA compliance.
access levels Dashboard evaluation and management codes (E/M codes) Lookup progress notes SOAP Web View Key Terms
What is Practice Partner? • Practice Partner is an electronic health recordand practice management program for ambulatory practices.
Passwords • Users must have a user ID, password, and access level to log in.
Access Levels • restrict access to only the information the user needs to fulfill their responsibilities
Park Feature • Allows user to leave workstation without exiting the program
Practice Partner Main Window • Main window contains: • Title bar • Menu bar • Toolbar • Status bar
Dashboard • A convenient view of Schedule, Messages, Lab Review, To Do, and Note Review.
Patient Information • Patient area contains demographic information • Chart area contains clinical information
Lookup Function • Provides various search options for obtaining more information about a patient.
Chart • Organized by folders, similar to a paper chart.
Chart: Chart Summary • Overview of most recent clinical information
Chart: Progress Notes • Records of a patient’s visits
Evaluation & Management Coding • Analyzes the progress note and suggests the appropriate E/M code.
Chart: Medical History • Past Medical History • Social History • Family History
Chart: Orders • Computerized physician order entry (CPOE)
Chart: Problem List • Contains all problems for which patient has sought treatment: • Major Problems • Other Problems • Procedures • Diagnoses • Risks • Hospitalizations
Chart: Health Maintenance • Tracks periodic preventive tests and examinations
Chart: Rx/Medications • Organizes and maintains medications
Chart: Rx/Medications • Medication safety features: • Drug Interaction and Allergy Checking • Drug Dosage Checking • Diagnosis Checking • Formulary Checking
Chart: Vital Signs • Entered manually or from a digital monitor.
Patient Education • Built-in patient education articles.
Chart: Laboratory Data • Entered manually or imported electronically.
Chart: Images • Can be annotated and added to progress notes, etc.
Chart: HIPAA • Used for HIPAA-related documents
