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Administrative medical assisting 5th by lindh chapter11

Chapter 11

Computers in the
Ambulatory Care Setting

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


The Computer System
• Basic system
– Central processing unit (CPU)
– Input device
– Output device
– Software

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


The Computer System


© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


The Computer System
• Types of computer systems
– Personal computers (PCs)
– Supercomputers
– Mainframe computers
– Minicomputers
– Microcomputers





Smartphones
Personal digital assistants (PDAs)
Tablet or Netbook
Laptop or desktop

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Components of Computer System
• Hardware
– Components you can see, touch, or hear





Data input devices
Central processing unit
Data output devices
Data storage devices
– ROM and RAM memory
– Data storage memory


– RAID storage

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Components of Computer System
• Software
– Frequently referred to as computer program
• System software (operating system)
• Application software
• Drivers

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Components of Computer System
• Documentation
– Define how programs operate
– Patches
– Licenses
• Hardware and software compatibility

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Components of Computer System
• Computer networks
– Networking is the electronic or optical connection
of computers and peripheral equipment for
purpose of sharing information and resources

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Components of Computer System
• Types of networks
– Local area network (LAN)
– Wide area network (WAN)
– Internet
• Connecting networks
– Hard-wired system
– Wireless system (WiFi, Bluetooth , satellite
systems, cellular technology)
– WiMAX
®

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Components of Computer System
• Systems security
– Operating system
– Firewall
– Anti-virus software
– Password
– Training

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Components of Computer System
• Systems security
– Inventory control
– Data management
– Data backup
– Manual selection of WiFi access points
– Personal access points
– Deactivate file sharing by your computer
– Enable email encryption

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Components of Computer System
• Systems security
– Virus protection programs
– Recognizing secured sites

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Components of Computer System
• Systems security
– Firewalls
– System backup
– Power outage, electrical surge, static discharge
protection devices

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Cloud Computing
• Like computer rental agency where order is placed
for applications (apps) to be performed
• Provide all computing needs for fixed service price on
pay-for-use-basis
– Reduced cost
– Improvement in resource availability time
– More secure data backup
– Better disaster recovery

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Computer Maintenance by
Office Personnel
• Replace printer ink, toner cartridges, refill paper trays
• Defragmentation
• File removal
• Installation of security patches
• Service agreement management

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Use of Computers in Medical Office
• General office procedures
– Word processing, spreadsheets, graphics,
databases, online communication programs,
accounting programs
• Maintaining EMR and EHR; managing clinic or
practice
• Clinical and laboratory applications

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Use of Computers in Medical Office
• EMR versus EHR
– EMR: Individual patient records
– EHR: Combined EMRs from a variety of sources
into a master database
• TPMS
– Total Practice Management System
– Deals with day-to-day operations of medical
practice
– Certification Commission for Health Information
Technology (CCHIT)
© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


TPMS Data Flow

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Use of Computers in Medical Office
• Portable
computers in the
medical office
– Personal data
assistants (PDAs)
– Smartphones
– Tablet PCs

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Design Considerations for a
Computerized Medical Office
• Software selection
– Choose knowledgeable and trustworthy vendor
– Develop plan for computerization
• Hardware selection
– Determine whether you are going to network
– Must meet minimum requirements for software
programs
– Must meet requirements for data transmission

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Design Considerations for a
Computerized Medical Office
• Ergonomics
– Eyestrain
– Cumulative trauma
disorder
– Posture
Using footrest can help
posture problems >>

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Patient Confidentiality
• Adherence to HIPAA regulations
• Ensure computer-literate personnel employed to set
up the system
• Establish protocols
– Define who can access and modify data
– Provide identification, dating, and authenticating
mechanisms for those changes and additions

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Patient Confidentiality
• Persons other than authorized personnel
should not be able to read files
• Firewalls in place
• Passwords or PINs should not be shared
• Printers and fax machines located where
unauthorized personnel cannot view them
• AMA computer confidentiality

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


HIPAA Standards for
Safeguarding PHI
• Confidentiality protocols and procedures
• Staff training
• Identification of authentication protocols
• Access control of computer output, modification, or
destruction of files
• Security of transmitted data
• Control of discarded records, storage media, and
computer hardware

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


Professionalism in Computerized
Medical Office
• Close attention to detail when entering or retrieving
information from computer
• Work within legal scope of your training
• Become actively involved
• Adapt to change

© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied
or duplicated, or posted to a publicly accessible website, in whole or in part.


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