Health Information Technology

 

Application 1: Read the following scenarios:

 

Scenario: Ordering Labs – using an EMR (below)

Scenario: Routine Prescription Refill – no EMR (appendix)

 

List the generic clinic processes that are explicitly described in the scenarios. For each generic process, list three variations that you think are common and three likely exceptions.

 

Scenario: Ordering Labs – using an EMR

Mr. Smith arrives at the office of Doctor Jones for a scheduled appointment. He checks in as usual with the receptionist, provides money to cover his co-pay, and within 15 minutes is called back to an exam room. Once in the exam room, Nurse Adams asks his chief compliant, takes his vital signs, and confirms his medications with the medications listed in Mr. Smith’s electronic chart. Mr. Smith states that the reason for his visit is that the toe nail of his right big toe has become discolored. He suspects toenail fungus, and has tried several home remedies and over the counter antifungals, but they have not helped. He wants to get rid of his toenail fungus. Nurse Adams asks him to remove his shoe and sock so that Doctor Jones can look at his toe.

 

Dr. Jones examines the toe and also strongly suspects toenail fungus. He is considering prescribing a new oral antifungal. He explains the available treatment options to Mr. Smith and advantages and disadvantages of each. Mr. Smith indicates interest in the oral antifungal option. Doctor Jones explains to Mr. Smith that some oral antifungals in a small percentage of patients cause liver problems, and that if Mr. Smith wants to try the medication, he needs to draw blood for a panel of liver tests before he starts the medication to make sure that his liver function is normal, and after he has taken the medicine for a while, to make sure that he is tolerating the oral antifungal. Mr. Smith agrees.

 

Nurse Adams prepares to draw two tubes of blood from Mr. Smith. In the phlebotomy room in the office, Nurse Adams completes a lab sample requisition form, and peels bar-coded labels from the form and sticks them on the lab tubes. As each tube is filled, Nurse Adams peels a label from the sample requisition form and sticks the label on the tube. Immediately afterward, the tubes are placed in a centrifuge, and in cold storage (the lab courier arrives every day at 4:30 and picks up the samples and requisition forms). Nurse Adams returns to the exam room and explains that someone from the office will call Mr. Smith the next day when the lab results are back. Mr. Smith thanks Nurse Adams and the office visit concludes.

 

 

Application 2: For the scenario and analysis above, draft a summary report, including a list of EHR functionality indicated by the scenario.

 

 

Application 3: (Advanced) Read the Patient Flow Analysis Article titled Use of patient flow analysis to improve patient visit efficiency by decreasing wait time in a primary care-based disease management programs for anticoagulation and chronic pain: a quality improvement study. The article citation is listed in the External Resources and is available free online at PubMed Central at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1784086/

 

Summarize in bulleted format in less than one page what the similarities and differences are to the Process Analysis Method (patient flow analysis) covered in the slides for unit 5. Be prepared to share your observations.

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