May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.. May not be scanned, copied or duplicated, or posted to a publicly accessible w
Trang 1Chapter 11
Computers in the
Ambulatory Care Setting
Trang 2© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
The Computer System
Trang 3The Computer System
Trang 4© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
The Computer System
• Types of computer systems
Trang 5Components of Computer System
• Hardware
– Components you can see, touch, or hear
• Data input devices
• Central processing unit
• Data output devices
• Data storage devices
– ROM and RAM memory – Data storage memory – RAID storage
Trang 6© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
Components of Computer System
• Software
– Frequently referred to as computer program
• System software (operating system)
• Application software
• Drivers
Trang 7Components of Computer System
Trang 8© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
Components of Computer System
• Computer networks
– Networking is the electronic or optical connection
of computers and peripheral equipment for
purpose of sharing information and resources
Trang 9Components of Computer System
• Types of networks
– Local area network (LAN)
– Wide area network (WAN)
– Internet
• Connecting networks
– Hard-wired system
– Wireless system (WiFi, Bluetooth®, satellite
systems, cellular technology)
– WiMAX
Trang 10© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
Components of Computer System
Trang 11Components of Computer System
• Systems security
– Inventory control
– Data management
– Data backup
– Manual selection of WiFi access points
– Personal access points
– Deactivate file sharing by your computer
– Enable email encryption
Trang 12© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
Components of Computer System
• Systems security
– Virus protection programs
– Recognizing secured sites
Trang 13Components of Computer System
Trang 14© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
– Improvement in resource availability time
– More secure data backup
– Better disaster recovery
Trang 15• Installation of security patches
• Service agreement management
Trang 16© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
Use of Computers in Medical Office
• General office procedures
– Word processing, spreadsheets, graphics,
databases, online communication programs,
Trang 17Use of Computers in Medical Office
• EMR versus EHR
– EMR: Individual patient records
– EHR: Combined EMRs from a variety of sources into a master database
• TPMS
– Total Practice Management System
– Deals with day-to-day operations of medical
practice
– Certification Commission for Health Information
Trang 18© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
TPMS Data Flow
Trang 19Use of Computers in Medical Office
Trang 20© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
Design Considerations for a Computerized Medical Office
– Must meet requirements for data transmission
Trang 21Design Considerations for a Computerized Medical Office
Trang 22© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
Patient Confidentiality
• Adherence to HIPAA regulations
• Ensure computer-literate personnel employed to set
up the system
• Establish protocols
– Define who can access and modify data
– Provide identification, dating, and authenticating mechanisms for those changes and additions
Trang 23Patient Confidentiality
• Persons other than authorized personnel should not be able to read files
• Firewalls in place
• Passwords or PINs should not be shared
• Printers and fax machines located where unauthorized personnel cannot view them
• AMA computer confidentiality
Trang 24© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
HIPAA Standards for Safeguarding PHI
• Confidentiality protocols and procedures
• Staff training
• Identification of authentication protocols
• Access control of computer output, modification, or destruction of files
• Security of transmitted data
• Control of discarded records, storage media, and computer hardware
Trang 25Professionalism in Computerized
Medical Office
• Close attention to detail when entering or retrieving information from computer
• Work within legal scope of your training
• Become actively involved
• Adapt to change
Trang 26© 2014 Cengage Learning All Rights Reserved May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part
Professionalism in Computerized
Medical Office
• Work ethic
• Enhance skills through CE
• EHR affects entire office staff