Lecture Electronic health records for allied health careers: Chapter 7 - Susan Sanderson

Chapter 7 - Introduction to practice partner. 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,...

Copyright © 2009 by The McGraw­Hill Companies, Inc. All Rights Reserved McGraw­Hill

Chapter 7

Introduction to Practice Partner

Records for Allied Health Careers

Learning Outcomes

After studying this chapter, you should be able to:

1 Explain how the use of access levels protects the privacy

of information in a patient record.

2 Describe the purpose of the dashboard.

3 Explain where patient registration information is stored

and accessed.

4 Explain the function of the Chart Summary.

5 Describe how progress notes can be entered.

6 Explain how Practice Partner assists with coding a

patient encounter.

Learning Outcomes

After studying this chapter, you should be able to:

7 List two safety and cost-control features of electronic

order entry.

8 Discuss the medication list in Practice Partner.

9 Explain how Practice Partner displays abnormal values in

vital signs and lab results.

10 Describe how the HIPAA section of the patient chart can

be used to document HIPAA compliance.

What is Practice Partner?

• Practice Partner is an electronic health record

and practice management program for ambulatory practices

• 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

Practice Partner Main Window

Practice Partner Main Window

• Main window contains:

– Title bar

– Menu bar

– Toolbar

– Status bar

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: 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:

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.