The Impact of Electronic Health Records on Pharmacy Practice

Total Page:16

File Type:pdf, Size:1020Kb

The Impact of Electronic Health Records on Pharmacy Practice CREDIT: 2.0 Continuing Education EARN CE CREDIT FOR THIS ACTIVITY AT WWW.DRUGTOPICS.COM AN ONGOING CE PROGRAM OF THE UNIVERSITY OF CONNECTICUT EDUCATIONAL OBJECTIVES SCHOOL OF PHARMACY AND DRUG TOPICS Goal: To assist pharmacists and pharmacy technicians in understanding the impact of electronic health record (EHR) systems on pharmacy practice, as the use of EHR systems continues to increase. After participating in this activity, pharmacists will be able to: ● Summarize the impact on pharmacy practice of the new HHS rules governing the use of electronic health record (EHR) systems. ● Identify the ways in which EHR systems will increase the effi ciency of pharmacy practice with respect to continuity of care, formulary checks, drug-to-drug and drug-to-allergy interactions, and medication reconciliation. ● Summarize the challenges pharmacists face as EHR systems come into increasingly wider use. ● Apply the process of pharmacists using EHRs to case scenarios After participating in this activity, pharmacy technicians will be able to: ● Recognize the impact on pharmacy practice of the new HHS rules governing the use of EHR systems. The impact of electronic ● Identify the ways in which EHR systems will increase the effi ciency of pharmacy practice with respect to continuity of care, formulary health records on checks, drug-to-drug and drug-to-allergy interactions, and medication reconciliation. pharmacy practice ● Recognize the challenges pharmacists face as EHR systems come into increasingly wider use. Rachelle Spiro, RPh, FASCP The University of Connecticut School of DIRECTOR, PHARMACY E-HEALTH INFORMATION TECHNOLOGY COLLABORATIVE, ALEXANDRIA, VA; CEO Pharmacy is accredited by the Accreditation AND PRESIDENT, SPIRO CONSULTING, INC., LAS VEGAS, NV Council for Pharmacy Education as a provider of continuing pharmacy education. Pharmacists are eligible to participate in both the ith the American Recovery At the bill’s enactment in 2009, only knowledge-based and application-based activities, and Reinvestment Act (ARRA), 11.9% of hospitals made any use of EHRs, and will receive up to 0.2 CEUs (2 contact hours) for which was signed into law in with only 2% meeting what would be stage W 4 completing the activity/activities, passing the quiz/ 2009, Congress set ambitious goals for 1 meaningful use criteria. Only 21.8% of quizzes with a grade of 70% or better, and completing an online evaluation. Statements of credit are available the nation to integrate information technol- offi ce-based physicians had basic electronic via the online system. ogy into healthcare delivery.1,2 A segment systems and only 6.9% had fully functional Pharmacy technicians are eligible to participate in of ARRA, the Health Information Technol- electronic systems.5 The U.S. Department the knowledge-based activity and will receive 0.1 ogy for Economic and Clinical Health Act of Health & Human Services (HHS) fi nal- CEU (1 contact hour) for completing the activity, passing the quiz with a grade of 70% or better, and (HITECH), authorized incentive payments ized the meaningful use criteria for the fi rst completing the online evaluation. Statements of through Medicare and Medicaid to provid- 2 years of the 3-stage incentive program credit are available via the online system. ers that use certified electronic health in mid 2010.5 The bill’s health information ACPE #0009-9999-12-007-H04-P/T (Part 1) records (EHRs) to achieve specifi ed im- technology (HIT) component followed the ACPE #0009-9999-12-008-HO4-P (Part 2) provements in healthcare delivery and earlier Offi ce of the National Coordinator Grant Funding: Funding for this activity was provided by: implement a nationwide EHR system by (ONC) for Health Information Technology Cephalon; Endo Pharmaceuticals, Inc.; Purdue Pharma L.P. 2014.3 created by presidential executive order in Activity Fee: There is no fee for these activities. Initial release date: 4/10/2012 Faculty: Rachelle Spiro, RPh, FASCP Expiration date: 4/10/2014 Ms. Spiro is Director, Pharmacy e-Health Information Technology Collaborative, Alexandria, VA, and CEO and President, Spiro Consulting, Inc., Las Vegas, NV. Editorial assistance was provided by Deborah To obtain immediate CPE credit, take the test online Kaplan. Ms. Kaplan’s revisions were reviewed and approved by Ms. Spiro. at www.drugtopics.com/cpe. Just click on the link you Faculty Disclosure: Ms. Spiro has no actual or potential confl ict of interest associated with this article. find under Free CPE Activities, which will take you to the CPE site. For first-time users, please complete the Disclosure of Discussions of Off-Label and Investigational Uses of Drugs: This activity may contain discussion registration page. For those already registered, log of unlabeled/unapproved use of drugs. The content and views presented in this educational program are in, find, and click on this lesson. Test results will be those of the faculty and do not necessarily represent those of Drug Topics or University of Connecticut displayed immediately. Complete the evaluation form School of Pharmacy. Please refer to the offi cial prescribing information for each product for discussion and you will receive a printable statement of credit by of approved indications, contraindications, and warnings. GETTY IMAGES/PHOTODISC/MACIEJ FROLOW e-mail, showing your earned CPE credit. For questions concerning the online CPE activities, e-mail: [email protected]. 46 DRUG TOPICS April 2012 DrugTopics.com CONTINUING EDUCATION Glossary of Terms Abstract ACO Accountable care The American Recovery and Reinvestment Act of 2009 set ambitious goals for organization the nation to integrate information technology into healthcare delivery. The ADEs Adverse drug events Health Information Technology for Economic and Clinical Health Act segment of ARRA American Recovery and the bill provides incentives for Medicare and Medicaid providers to use certi ed Reinvestment Act electronic health records (EHRs) to achieve speci ed improvements in healthcare CAH Critical access hospital and implement a nationwide EHR system by 2014. Meaningful use criteria CCD Continuity-of-care document are being promulgated in 3 stages. Medicare and Medicaid incentive payments CDS Clinical decision support will total $27 billion over a 10-year period with $17 billion designated for EHR development. Pharmacists will not receive direct funding or incentives but CMR Comprehensive medication pharmacy schools may receive grants for incorporating electronic personal health review technology into clinical education. The nation’s goal for EHRs is to reduce costs CMS Center for Medicare and through less paperwork, improved safety, and reduced duplication of testing, and Medicaid Services improve health by gathering a patient’s entire health information in a single CPOE Computerized provider order location. Electronic connectivity through e-prescribing—the paperless, real-time entry transmission of standardized prescription data among prescribers, pharmacies, CPT Current procedural and payers—places pharmacists squarely within the healthcare technology team. terminology The Pharmacy e-Health Information Technology (HIT) Collaborative, a group of DEA Drug Enforcement Agency 9 national pharmacy organizations and associate members, advocates integrating EHR Electronic health record the pharmacist’s role of providing patient care services into the national HIT EMR Electronic medical record interoperable framework. The greatest challenge that pharmacists face in the new EPCS Electronic prescribing for era of electronic health information is to be recognized by Medicare and Medicaid controlled substances as eligible providers of medication-related patient care services and as meaningful ePHR Electronic personal health use contributors to electronic health information. record HHS U.S. Department of Health & The primary goals of improving the na- physician offi ces by 2019.8 The Congres- Human Services tion’s HIT infrastructure are to: sional Budget Office has projected that HIPAA Health Insurance Portability • Ensure protection and privacy of HITECH will reduce federal and private sec- and Accountability Act healthcare information; tor spending on health services during the HITECH Health Information • Improve patient care by reducing next decade by tens of billions of dollars 9 Technology for Economic medical errors; by increasing effi ciency. By October 2011, Clinical Health • Reduce costs by removing administra- $1.2 billion incentives had been paid.7 Pre- HIE Health information exchange tive barriers that result in duplicative claims liminary data for 2011 show the use of and services; and EHRs growing, but the goals for 2019 are HIT Health information 10 technology • Improve coordination of care among considered ambitious. healthcare providers. Pharmacists will not receive direct fund- HL7 Health Level Seven To achieve these goals, as much as $27 ing or incentives for adopting electronic LTC Long-term care billion over 10 years was designated in Medi- medical record technology. Pharmacy MTM Medical therapy management care and Medicaid incentive payments for schools, however, are included among the ONC Offi ce of the National eligible providers who use EHRs and demon- list of approved graduate schools that may Coordinator strate “meaningful use” of HIT.3 In addition, receive grants for incorporating electronic PCP Primary care physician (or HIT systems have to be certifi ed as meet- personal health technology into clinical edu- provider) ing certain technologic standards.
Recommended publications
  • Individuals' Use of Online Medical Records and Technology for Health
    ONC Data Brief ■ No. 40 ■ April 2018 Individuals’ use of online medical records and technology for health needs Vaishali Patel, MPH PhD & Christian Johnson, MPH 1 Individuals’ electronic access and use of their health information will be critical towards enabling individuals to better monitor their health as well as manage and coordinate their care. Past efforts sought to provide individuals the capabilities to view, download, and transmit their patient health information. Building on these efforts, the 21st Century Cures Act (Cures Act) includes provisions to improve patients’ access and use of their electronic health information via a single, longitudinal format that is secure and easy to understand.1 The Cures Act also calls for patients to be able to electronically share their information. Online access to medical records, such as through patient portals, enable patients and caregivers to access their health information. Mobile health apps and devices connected to a providers’ electronic health record system using open application programming interfaces (APIs) will also allow individuals to collect, manage, and share their health information. Using the National Cancer Institute’s 2017 Health Information Trends Survey, we report on access and use of online medical records and the use of technology such as smartphones, tablets, and electronic monitoring devices (e.g. Fitbits, blood pressure monitors) for health related needs.2 HIGHLIGHTS As of 2017, 52 percent of individuals have been offered online access to their medical record by a health provider or insurer. Over half of those who were offered online access viewed their record within the past year; this represents 28 percent of individuals nationwide.
    [Show full text]
  • Medical Record Review Guidelines California Department of Health Services Medi-Cal Managed Care Division
    Medical Record Review Guidelines California Department of Health Services Medi-Cal Managed Care Division Purpose: Medical Record Survey Guidelines provide standards, directions, instructions, rules, regulations, perimeters, or indicators for the medical record survey, and shall used as a gauge or touchstone for measuring, evaluating, assessing, and making decisions.. Scoring: Survey score is based on a review standard of 10 records per individual provider. Documented evidence found in the hard copy (paper) medical records and/or electronic medical records are used for survey criteria determinations. Full Pass is 100%. Conditional Pass is 80-99%. Not Pass is below 80%. The minimum passing score is 80%. A corrective action plan is required for all medical record criteria deficiencies. Not applicable (“N/A”) applies to any criterion that does not apply to the medical record being reviewed, and must be explained in the comment section. Medical records shall be randomly selected using methodology decided upon by the reviewer. Ten (10) medical records are surveyed for each provider, five (5) adult and/or obstetric records and five (5) pediatric records. For sites with only adult, only obstetric, or only pediatric patient populations, all ten records surveyed will be in only one preventive care service area. Sites where documentation of patient care by all PCPs on site occurs in universally shared medical records shall be reviewed as a “shared” medical record system. Scores calculated on shared medical records apply to each PCP sharing the records. A minimum of ten shared records shall be reviewed for 2-3 PCPs, twenty records for 4-6 PCPs, and thirty records for 7 or more PCPs.
    [Show full text]
  • World Journal of Advanced Research and Reviews
    World Journal of Advanced Research and Reviews, 2020, 07(02), 218–226 World Journal of Advanced Research and Reviews e-ISSN: 2581-9615, Cross Ref DOI: 10.30574/wjarr Journal homepage: https://www.wjarr.com (RESEARCH ARTICLE) Implementation and evaluation of telepharmacy during COVID-19 pandemic in an academic medical city in the Kingdom of Saudi Arabia: paving the way for telepharmacy Abdulsalam Ali Asseri *, Mohab Mohamed Manna, Iqbal Mohamed Yasin, Mashael Mohamed Moustafa, Fatmah Mousa Roubie, Salma Moustafa El-Anssasy, Samer Khalaf Baqawie and Mohamed Ahmed Alsaeed Associate Professor Imam Abdulrahman Bin Faisal University; Director of Pharmacy services at King Fahad University Hospital, KSA. Publication history: Received on 07 July 2020; revised on 22 August 2020; accepted on 25 August 2020 Article DOI: https://doi.org/10.30574/wjarr.2020.7.2.0250 Abstract King Fahad University Hospital, a leading public healthcare institution in the Eastern region of KSA, implemented a disruptive innovation of Telepharmacy in pursuit of compliance with the National COVID-19 Response Framework. It emerged and proved to be an essential and critical pillar in suppression and mitigation strategies. Telepharmacy innovation resulted in Pharmacy staffing protection and provided uninterrupted access and care continuum to the pharmaceutical services, both for COVID-19 and Collateral care. This reform-oriented initiative culminated in adopting engineering and administrative controls to design the workflows, practices, and interactions between healthcare providers, patients, and pharmaceutical frontline staff. Pharmaceutical services enhanced its surge capacity (14,618 OPD requests & 10,030 Inpatient orders) and improved capability (41,242 counseling sessions) to address the daunting challenge of complying with the inpatient needs and robust outpatient pharmaceutical consumer services.
    [Show full text]
  • A Study of the Management of Electronic Medical Records in Fijian Hospitals
    A Study of the Management of Electronic Medical Records in Fijian Hospitals Swaran S. Ravindra1*& Rohitash Chandra2*& Virallikattur S. Dhenesh1* 1 School of Computing, Information and Mathematical Sciences, University of the South Pacific, Laucala Campus, Fiji 2 Artificial Intelligence and Cybernetics Research Group, Software Foundation, Nausori, Fiji *Authors are in order of contribution. Email addresses: SSR: [email protected] RC: [email protected] VSD: [email protected] Page 1 of 24 Key Words: Australian Agency for International Development (AusAID) – is an Australian agency that manages development and assistance projects internationally. AusAID has recently been absorbed into the Australian Department of Foreign Affairs and Trade [1] . Biomedical Informatics – is the field of science that develops theories, techniques, methods pertaining to the use data, information and knowledge which support and improve biomedical research, human health, and the delivery of healthcare services [2] . Cloud Computing- refers to Information Technology services leased to a person or organization over internet network according to service level requirements. It requires minimal management effort or service provider interaction [3] e-Health- an emerging field in the intersection of medical informatics, public health and business, referring to health services and information delivered through the Internet and related technologies [4]. Electronic Medical Record (EMR)- An electronic medical record (EMR) is a digital version of a patient’s medical
    [Show full text]
  • The Electronic Medical Record: Promises and Problems
    The Electronic Medical Record: Promises and Problems William R. Hersh Biomedical Information Communication Center, Oregon Health Sciences University, BICC, 3 18 1 S. W. Sam Jackson Park Rd., Portland, OR 97201. Phone: 503-494-4563; Fax: 503-494-4551; E-mail: [email protected] Despite the growth of computer technology in medicine, the form of progress notes, which are written for each most medical encounters are still documented on paper encounter with the patient, whether done daily in the medical records. The electronic medical record has nu- hospital setting or intermittently as an outpatient. Inter- merous documented benefits, yet its use is still sparse. This article describes the state of electronic medical re- spersed among the records of one clinician are those of cords, their advantage over existing paper records, the other clinicians. such as consultants and covering col- problems impeding their implementation, and concerns leagues, as well as test results (i.e., laboratory or x-ray over their security and confidentiality. reports) and administrative data. These various components of the records are often As noted in the introduction to this issue, the provi- maintained in different locations. For example, each sion of medical care is an information-intensive activity. physician’s private office is likely to contain its own re- Yet in an era when most commercial transactions are cords of notes and test results ordered from that office. automated for reasons of efficiency and accuracy, it is Likewise, all of a patient’s hospital records are likely to somewhat ironic that most recording of medical events be kept in a chart at the hospital(s) where care is ren- is still done on paper.
    [Show full text]
  • Enhancing Personal Health Record Adoption Through the Community Pharmacy Network: a Service Project Michael Veronin
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by INNOVATIONS in pharmacy (Iip - E-Journal) Volume 6 | Number 4 Article 221 2015 Enhancing Personal Health Record Adoption Through the Community Pharmacy Network: A Service Project Michael Veronin Follow this and additional works at: http://pubs.lib.umn.edu/innovations Recommended Citation Veronin M. Enhancing Personal Health Record Adoption Through the Community Pharmacy Network: A Service Project. Inov Pharm. 2015;6(4): Article 221. http://pubs.lib.umn.edu/innovations/vol6/iss4/3 INNOVATIONS in pharmacy is published by the University of Minnesota Libraries Publishing. Idea Paper INSIGHTS Enhancing Personal Health Record Adoption Through the Community Pharmacy Network: A Service Project Michael Veronin, PhD, RPh Department of Pharmaceutical Sciences, Ben and Maytee Fisch College of Pharmacy, The University of Texas at Tyler Key words: Personal Health Record, PHR, community pharmacy, ADDIE, health care quality No potential conflicts of interest or competing interests to disclose. No financial support or funding to disclose. Abstract Personal Health Records, or PHRs, are designed to be created, maintained and securely managed by patients themselves. PHRs can reduce medical errors and increase quality of care in the health care system through efficiency and improving accessibility of health information. Adoption of PHRs has been disappointingly low. In this paper a project is described—essentially a call for action—whereby the skills, expertise, and accessibility of the community pharmacist is utilized to address the problem of poor PHR adoption. The objective of this proposed project is to promote the expansion of PHR adoption directly at the consumer level by utilizing the existing infrastructure of community pharmacies.
    [Show full text]
  • Use of Electronic Health Record Data in Clinical Investigations Guidance for Industry1
    Use of Electronic Health Record Data in Clinical Investigations Guidance for Industry U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER) Center for Biologics Evaluation and Research (CBER) Center for Devices and Radiological Health (CDRH) July 2018 Procedural Use of Electronic Health Record Data in Clinical Investigations Guidance for Industry Additional copies are available from: Office of Communications, Division of Drug Information Center for Drug Evaluation and Research Food and Drug Administration 10001 New Hampshire Ave., Hillandale Bldg., 4th Floor Silver Spring, MD 20993-0002 Phone: 855-543-3784 or 301-796-3400; Fax: 301-431-6353 Email: [email protected] https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm and/or Office of Communication, Outreach and Development Center for Biologics Evaluation and Research Food and Drug Administration 10903 New Hampshire Ave., Bldg. 71, Room 3128 Silver Spring, MD 20993-0002 Phone: 800-835-4709 or 240-402-8010 Email: [email protected] https://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/default.htm and/or Office of Communication and Education CDRH-Division of Industry and Consumer Education Center for Devices and Radiological Health Food and Drug Administration 10903 New Hampshire Ave., Bldg. 66, Room 4621 Silver Spring, MD 20993-0002 Phone: 800-638-2041 or 301-796-7100; Fax: 301-847-8149 Email: [email protected] https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/default.htm U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER) Center for Biologics Evaluation and Research (CBER) Center for Devices and Radiological Health (CDRH) July 2018 Procedural Contains Nonbinding Recommendations TABLE OF CONTENTS I.
    [Show full text]
  • Health Information Technology
    Published for 2020-21 school year. Health Information Technology Primary Career Cluster: Business Management and Technology Course Contact: [email protected] Course Code: C12H34 Introduction to Business & Marketing (C12H26) or Health Science Prerequisite(s): Education (C14H14) Credit: 1 Grade Level: 11-12 Focused Elective This course satisfies one of three credits required for an elective Graduation Requirements: focus when taken in conjunction with other Health Science courses. This course satisfies one out of two required courses to meet the POS Concentrator: Perkins V concentrator definition, when taken in sequence in an approved program of study. Programs of Study and This is the second course in the Health Sciences Administration Sequence: program of study. Aligned Student HOSA: http://www.tennesseehosa.org Organization(s): Teachers are encouraged to use embedded WBL activities such as informational interviewing, job shadowing, and career mentoring. Coordinating Work-Based For information, visit Learning: https://www.tn.gov/content/tn/education/career-and-technical- education/work-based-learning.html Available Student Industry None Certifications: 030, 031, 032, 034, 037, 039, 041, 052, 054, 055, 056, 057, 152, 153, Teacher Endorsement(s): 158, 201, 202, 203, 204, 311, 430, 432, 433, 434, 435, 436, 471, 472, 474, 475, 476, 577, 720, 721, 722, 952, 953, 958 Required Teacher None Certifications/Training: https://www.tn.gov/content/dam/tn/education/ccte/cte/cte_resource Teacher Resources: _health_science.pdf Course Description Health Information Technology is a third-level applied course in the Health Informatics program of study intended to prepare students with an understanding of the changing world of health care information.
    [Show full text]
  • Module 7 – Hospital and Health Record Computer Applications
    Module 7 – Hospital and Health Record Computer Applications The purpose of this module is to provide the user with basic and fundamental knowledge of health care information systems in the healthcare environment with emphasis on applications that relate to the use and storage of patient’s health and clinical information. See additional modules including Module 2 which specifically addresses the Patient Master Index application in further detail. In this unit we will: • Discuss information systems and applications in general in the health care facility • Identify the operations within the medical record service that can be computerised • Identify priorities for implementation using a planned information system strategy OBJECTIVES: Upon completion of this unit participants should be able to: 1. Identify general health care applications found in health care facilities 2. identify applications within a medical record department which could be considered for computerisation 3. Discuss the important points relating to a computerised Master Patient Index 4. State the objectives of a computerised admission, discharge and transfer system (ADT) 5. List the daily reports generated by a computerised ADT system 6. Discuss the basic functionality of a data base system as it relates to use in a healthcare facility 7. Discuss advantages and disadvantages of information systems in health facilities in general Key Definitions: • ADT/ATD – a program used in a healthcare facility that contains information about a patient with regard to facility admission (date and location/bed/ward), transfer information if the patient was moved to another location and the date of discharge which may include whether the patient was transferred to another facility, discharged to home or if the patient expired (died).
    [Show full text]
  • How to Conduct a Medical Record Review
    How to Conduct a Medical Record Review WHITE PAPER Summary: This paper defines a recommended process for medical record review. This includes the important first step of defining the “why” behind the review, and marrying the review outcome to organizational goals. Medical record review is perhaps the core responsibility of the CDI profession- z FEATURES al. Although the numbers vary by facility, CDI specialists review an average of 16–24 patient charts daily, a task that compromises the bulk of their workday Aligning record reviews to (ACDIS, 2016).1 During the review, CDI professionals comb the chart for incom- organizational goals .................2 plete, imprecise, illegible, conflicting, or absent documentation of diagnoses, Principles of record procedures, and treatments, as well as supporting clinical indicators. Their review .......................................3 goal is to cultivate a medical record that stands alone as an accurate story of a ED/EMS notes ..........................5 patient encounter, providing a full picture of the patient’s illness and record of History and physical (H&P) ......6 treatment. A complete record allows for continuity of care, reliable collection of Operative note or bedside mortality and morbidity data, quality statistics, and accurate reimbursement. procedures ...............................7 Diagnostics and medications ...8 In their review of the medical record, CDI professionals aim to reconstruct the Progress notes, consults, and patient story from admission to discharge by examining, understanding, and nursing documentation ............9 synthesizing many puzzle pieces from disparate systems and people. This Initial vs. subsequent process requires considerable clinical acumen, critical thinking akin to detective reviews .....................................9 work, and knowledge of coding guidelines and quality measure requirements.
    [Show full text]
  • Where Can I Find My Medical Record Number (MRN)
    Where Can I Find My Medical Record Number (MRN) PLEASE NOTE: The following information provides three ways to locate your Medical ​ Record Number (MRN) to be used for CSMConnect self-enrollment. For security reasons, your MRN cannot be obtained by calling the clinic or hospital registration staff. If you are ​ not successful in locating your MRN using these steps, please enroll in person at your next visit. 1. Effective 7/23/2020 your Medical Record Number was added to the clinic and hospital depart summary. For self enrollment use the MRN without any letters or leading zeros. Clinic Depart Summary Example: Hospital Discharge Summary Example: © Ascension Medical Group. All rights reserved. This document contains confidential information which may not be reproduced or transmitted without the express written consent of Ascension Medical Group. Version 1 6/29/2020 Page 1 2. Your MRN will display on a recent Columbia St. Mary’s Community Physician or Madison Medical Affiliates Billing Statement. ● On your billing statement locate the Patient Account # ● The account number will display as a series of numbers followed by “A11299” ● Your MRN is the FIRST set of numbers. Do not enter the “A11299” when completing the self-enrollment process using your MRN from your statement 3. If you previously enrolled in the Ascension Columbia St. Mary’s or Madison Medical Affiliates Billing and Scheduling Portal, you can locate your MRN by accessing a previous billing statement through the portal. ● Log into the Billing and Scheduling portal ● Click on Billing & payments ​ © Ascension Medical Group. All rights reserved. This document contains confidential information which may not be reproduced or transmitted without the express written consent of Ascension Medical Group.
    [Show full text]
  • Benefits of Using an Electronic Health Record
    Tech Talk Benefits of using an electronic health record By Robin Hoover, MSN-HCI, RN Since the passage of the Health Information duplicate tests and improving overall efficiency.7 Technology for Economic and Clinical Health The EHR also stores radiology results, which can (HITECH) Act in 2009, advancements in technology be accessed from within the application if clini- for electronic health records (EHRs) have dramati- cians need to view the actual X-ray or the report cally increased.1 HITECH includes incentives that from the radiologist.8 All reports are accessible to provide reimbursements to hospitals and health- all clinicians involved in the patient’s healthcare care provider practices for adopting certified and can be viewed at any time. EHR technology and meeting meaningful use It is important to note that not all EHRs provide requirements.2 the same features. Some features, such as the abil- Despite these incentives, nurses, healthcare ity to view X-rays in the EHR, represent an addi- providers, and hospitals have been slow to adopt tional design and development cost for the facility. any comprehensive EHR. Potential barriers include a lack of computer skills, high cost, Involving the patient security concerns, workflow issues, and time.3 The Health Insurance Portability and However, as this article will show, adopting EHRs Accountability Act of 1996 requires that all pro- has many more benefits than drawbacks, and tected health information be secure.9 Keeping this implementation is worth the upfront time and information safe is a major challenge for all mem- cost commitment. bers of the healthcare team.
    [Show full text]