Which of the following methods organizes patient records in chronological order

Which of the following methods organizes patient records in chronological order

As its name suggests, a chronological record is quite simply the events, encounters, and diagnoses for a specific patient, listed as they occurred. The chronological record is based on when things happened, not when the relevant notes were input. On a paper chart, chronological records can become a challenge, requiring the provider to sort through separate pieces of paper to organize the information appropriately within the file. In an electronic health record (EHR), however, the primary care physician has the ability to view information about a patient as it occurred with that patient.

The chronological record lets the primary care physician quickly see what has happened since the last visit. Specialty provider visit notes, laboratory results, and notes put in by the provider after the visit are listed. Items requiring action are filtered to the top of the chart, incoming reports are clearly organized, and the patient’s pharmacy data is downloaded for a clear view of an up-to-date medications list.

Access to the patient’s chronological record enables the primary care physician to see the whole picture, rather than just notes from the previous primary care visit. Anything that happened in between visits, such as diagnostic tests and specialty provider visits, can be viewed so the provider understands exactly what the patient needs during the current visit and beyond.

Chronological records within the EHR facilitate the primary care physician’s treatment of the patient, giving the provider the “ability to generate a complete record of a clinical patient encounter – as well as supporting other care-related activities directly or indirectly via interface – including evidence-based decision support, quality management, and outcomes reporting.”

Coordinating care is made easier and more effective with chronological records. The primary care physician does not have to search through faxed paperwork or rely on handwritten (sometimes unreadable) notes from a lab or specialty provider to understand the holistic picture of the patient’s treatment plan. Coordinated care enables the primary care physician to provide higher quality care, based on the complete patient profile.

1.After opening a report from a patient's previous provider,which of the following is the medical administrative assistant'snext step?

2.When a medical administrative assistant makes arrangementsfor a staff member to attend a conference, which of thefollowing is the most important step for keeping the officeinformed?

3.A medical administrative assistant in a multi-specialty practiceis scheduling an appointment for a patient who has anarrhythmia. The assistant should schedule an appointmentwith which of the following providers.

4.Which of the following actions should the medicaladministrative assistant take when closing the office?

5.Once a physician signs advance directives, the medicaladministrative assistant should have which of the followingwitness the signature?

6.A collected specimen needs to be sent to an outside laboratory.Which of the following actions is within the scope of practice ofa medical administrative assistant?

7.Which of the following is the best way for a medicaladministrative assistant to address collection of copayment?

8.A provider is running 30 min behind schedule because of anearly morning emergency. Which of the following actionsshould the medical administrative assistant take to maintaineffective scheduling in the office?

9.Which of the following is a court order to mandate appearanceand produce medical records for a trial?

10.Which of the following actions should a medicaladministrative assistant take it a patient has an existingworkers' compensation case?

11.Which of the following should a medical administrativeassistant consult to find the proper method of scheduling anappointment for a particular office?

12.A new patient provides a medical administrative assistantwith her parent's Medicare card. The patient states that she isa dependent and is eligible to use the card. Which of thefollowing actions should the assistant take?

13.A patient is identified as a smoker in her medical recordand requests a medical record amendment due to her cessationof smoking 15 years earlier. Which of the following sections ofthe patient's bill of rights is the patient exercising?

14.Prior to a patient leaving the office, she is asked to pay10% of a $100 office visit. Which of the following bestdescribes this fee?

What is the most common method of organizing documentation in a health record?

Today, the SOAP note – an acronym for Subjective, Objective, Assessment, and Plan – is the most common method of documentation used by providers to input notes into patients' medical records. They allow providers to record and share information in a universal, systematic and easy-to-read format.

Which record system files all documents in chronological order?

Chapter 8& 9.

What are the steps to file patient records quizlet?

Name the five steps in the filing process..
Inspecting and Releasing (Conditioning of Records).
Indexing..
Coding..
Sorting..
Storing..

Which of the following is an appropriate strategy for scheduling a patient who was late?

Appropriate strategy for scheduling a patient who was late for his two previous appointments? Schedule the patient for the last appointment for the day.