What are the 10 most important documents in the EHR?

Electronic Health Records: The Basics

  • Administrative and billing data.
  • Patient demographics.
  • Progress notes.
  • Vital signs.
  • Medical histories.
  • Diagnoses.
  • Medications.
  • Immunization dates.

What are the best practices for a successful EHR system implementation?

Six best practices for EHR implementation

  1. Tailor your EHR to fit within staff workflows.
  2. Identify ways the EHR could potentially fail in order to prevent problems in the future.
  3. Don’t rush implementation, take time to train.
  4. In EHR implementation, practices are not extensions of the hospital.
  5. Eliminate duplication.

What are the steps in an EHR workflow?

During the EHR workflow mapping process, your implementation team should focus on the key areas of workflow that will be affected by EHR implementation such as:

  1. Patient check-in and check-out.
  2. Appointment scheduling.
  3. e-Prescribing.
  4. Patient schedules and visits.
  5. Referral generation and management.
  6. Office discharge.

What are the four main components of a fully developed electronic health records EHR system?

Key EHR functionalities have been identified for four settings—hospital, ambulatory care, nursing home, and care in the community (i.e., the personal health record).

What are best practices for workflow and needs assessment for EHR system implementations?

EHR best practices: Planning Meaningful Use workflow

  • Analyze current workflow.
  • Solicit clinician and staff input regarding roles in current paper workflows.
  • Review and finalize documentation of current workflow.
  • Identify waste and opportunities; then redesign workflow.
  • Identify and implement the EHR system and new workflow.