US Library > Medical Assisting > General Procedures > Electronic Health Records

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Electronic Health Records NEW

Medical Assisting > General Procedures
MAHR
This module provides knowledge on the medical assistant's role as it pertains to electronic health records (EHR).

The electronic health record is a digital record of a patient's health history and is vital in providing high-quality patient care, as well as improved workflow processes between physicians and other providers. An important role of the medical assistant is to be proficient in accurately recording patient demographic and clinical data in the electronic health record, as the information will be used for proper billing and reimbursement, tracking of patient health history, and for compliance in the medical facility. In this module, students will learn the clinical importance of those duties often performed in a clinical setting, as it relates to an electronic health records system.


You'll learn 

  • how to effectively communicate the documents within the health record to patients
  • how to document patient information and progress notes
  • the advantages and disadvantages of EHR systems
  • how to document post-encounter patient education and follow-up
  • much more (see Content Details for more specific information)
Introduction
Step 1 - Front-office preparation
Step 1.1 - Preparing to welcome patients
Step 1.2 - Preparing patient and office forms
Step 1.3 - Preparing patient and office communication
Step 2 - Back-office preparation
Step 2.1 - Reviewing information
Step 2.2 - Welcoming the patient to the room
Step 2.3 - Entering vitals and patient interview
Step 3 - Checkout procedures
Step 3.3 - Initial checkout procedures
Step 4 - Complete the procedure
  • Understand the history and current use of patient health records, their importance to an individual's health, and their contribution to the healthcare team.
  • Become familiar with the content of a typical electronic health record (EHR).
  • Explain the documents in the health record.
  • Describe the basic functions and advanced clinical decision support features of EHR software.
  • Describe advantages and disadvantages of EHR systems.
  • Identify various professional organizations aimed at promoting the use of EHR systems.

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

  • an online simulation (available in Learn and Test modes)
  • descriptive text, which explains exactly how to perform that particular procedure including key terms and hyperlinks to references
  • 2D images and a 3D model of applied anatomy for that particular topic
  • a step by step video demonstration by an expert
  • a quiz
  • a personal logbook that keeps track of all the modules the learner has studied and how long

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