About the Author:
Shirley Eichenwald Maki, MBA, RHIA, FAHIMA is Assistant Professor in the Department of Health Care Informatics and Information Management at The College of St. Scholastica, Duluth, MN.
Bonnie Petterson, PhD, RHIA is a Health Information Consultant, and the former Health Information Management Program Director at Phoenix College, which is part of the Maricopa Community Colleges in Phoenix, AZ.
Review:
1. Electronic Health Records: An Overview. 2. Taking Steps Toward a Successful EHR Implementation. 3. The EHR Framework. 4. The EHR Record and Content. 5. Patient Visit Management. 6. Problem, Medication, and Allergy Lists. 7. Examination/ Assessment Notes, Graphics, and Charts. 8. Treatment Plan, Orders, and Results. 9. Medication Orders and Administration. 10. Patient Communications. 11. Coding, Billing, and Practice Reports. 12. Research, Registries, and Reportable Events.13. Personal Health Records and Continuing Care Records. Appendix A. How to Use Ingenix(R) CareTracker(TM). Appendix B. Ingenix(R) CareTracker(TM) Computer Exploration Exercises. Acronym Glossary. Glossary of Key Terms.
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