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ELECTRONIC HEALTH RECORDS
SE School for Career
Development
Electronic Health Records

The future is here. For a few years now, electronic health or medical records
have been steadily making their way into hospitals, nursing homes, physician’s
offices, not just in America, but across the globe. We are in the information age
and medical information has become computerized.

Sharing medical records between physician’s offices, medical specialist, and
hospitals, can be time consuming and  laborious.  Loss of medical files or
information can be a high risk in a paper office. Electronic health records help to
compile a wealth of information to extract statistical, medical, and other critical
information for physician’s everywhere.

Electronic health or medical records have lived up to their potential for efficiency.
They have practically eliminated all the problems of the conventional medical
paper records. Electronic Records are easily fileable (at source ), can be found,
accessed, and shared at the click of the mouse.  Information can be stored in a
compact method and duplicated for distribution at the click of a button.

Medical and analytical professionals can use the information, findings, or data
that can also help in research. Electronic health or medical records can result in
critical decision-making decisions that could save lives.

You can learn unmatched features and functions that streamline work flow and dramatically improve patient charting  
electronically.  EHR is the answer to the problem of managing paper in the medical office. In conjunction with
electronic software and the file cabinet is a comprehensive document management solution that transforms the
endless stream of forms, reports, letters and other paper-based data into a valuable information resource.

You can easily learn integrated productivity tools that enable you to manage clinical information, patient’s charts,
patient information, appointments, insurance, test, medical procedures, diagnosis, prescriptions, coding, processed
results, and access patient related data electronically, all-in-one program.  Includes records software applications.

GAIN HANDS-ON COMPUTER EXPERIENCE WHILE EARNING YOUR CERTIFICATION.
Learn the latest most up-to-date technology.  Be a step ahead in the world of computers and electronics. Start now.  

Course Includes:
Learn terms related to EHR through out the program.
Introduction to Electronic Health Records
Understating EHR?
Intranet Technologies, Encrypted, ASP
EMR, CCR, PHR, ROI
HIPAA and Electronic Health Records Standards
Authorization
Accounting of Disclosures of Protected Health Information
Security and Data Backup, and Storage of Information
Consolidated Health Informatics Standards
IOM’s Core Functions of an EHR
Health Information and Data
CCHIT Commission for HealthCare Information Technology
SC Software EHR Introduction and Setup
Password Security
Data Setup
Editing Information
New Patient Information
Insurance Information and Editing

Clinical Administration
The Appointment Calendar
Scheduling New and Established Patients
Blocking Out Time Slots
Navigating Between Multiple Schedules
Tracking and Editing Patients
Analyzing Patient Tracker and Archive List
Locations and Status
Patient Information
Check Out
Messages: Internal, Patient, Urgent with computer applications.
Adding Medications and Pharmacies to Messages
Printing Prescriptions

Patient’s Charts
Understanding Electronic Chart Concepts
Understanding the Patient’s Chart Screens and Icons.
Building  and Printing New Patient Face Sheet
Allergies
Social History
PMHX  and  FMHX
Referring Doctors
Chart Notes
Adding Categories and Storing Electronic List and Documents
Ordering Labs, Imaging Items, and Medical Test Electronically
Diagnosis, Prescription, and Procedure History
Insurance
Updating Immunization Records
Viewing Electronic Graphs of Labs, Height, Weight, BP, and BMI.
Recording Patient’s Vitals Electronically
Creating a Letter to or About a Patient
Completing and Printing a Patient’s Test Report
Digitally Write a Patient’s Excuse Note or Order Form
Importing a Text File into a Patient’s Electronic Chart
Importing an Image (Picture) into a Patient’s Electronic Chart
Flow Sheets
Exercises and computer applications included

The Office Visit
Creating a New Office Visit
Understanding the Concept of an Office Visit Note
Chief Complaint, History of Present Illness, Review of Systems
Vitals, Exam, Diagnosis (DX), Prescriptions (RX, Test, Procedures (Proc)
BMI Tables are Provided
Looking Up a Drug Monograph
Create a Physician Order Form
Prescriptions
Electronic Signature Verified
Activating a New Diagnosis Code
Activating a New DX Drug or Medication Code
Creating Various Office Visit Reports
History & Physical Report
Creating a Routing Slip
Using the E&M Coder
Exercises and computer applications are included

Clinical Tools
Chart Evaluation
Ordering Test in an Office Visit
Finding the Correct E&M Code and Diagnosis
Superbill Form
Patient Instructions
Plan of Care Manager
Drug and Allergy Interaction

Test, Procedures, and Diagnosis Codes
Ordering a Lab, Imaging and Medical Test
Process a Lab, Imaging, and Medical Test
Create Lab, Imaging, and Medical Test
Lab Results
Creating a Test Report
Understanding Test Status Alerts
Create a Lab Analyte
Managing and Charting Test
Documenting and Activating Procedure and Diagnosis Codes
Creating a New Procedure
Document a Procedure Code (CPT) in an Office Visit Note
Creating /Editing Procedure Codes
Creating/ Editing ICD-9-CM Diagnosis Codes

Faxing a Prescription Electronically

HANDS-ON PRACTICE and  COMPUTER APPLICATIONS ARE PROVIDED THROUGHOUT THE PROGRAM

Electronic Health Record Program provides the conceptual theory and hands-on applications student's need to work
in today's medical office, hospital, clinic, healthcare facility, agency, speciality clinic, physical therapy, or any
electronic medical practice.  Hands-on practice uses a fully functional demo version of
SC Electronic Health Record
software
, which is available for students to use. Sample and Source documents are included.
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High Speed Internet is required.
Computer and Medical knowledge is needed.

Computer Requirements
800  MHz, or faster processor,  400 MB available disk space, 1 GB of memory.  Operating System: Windows 2000 or above,
Mac OS 10.4 (Tiger)) or above, or Linux Red Hat Version 7 or above. To be able to complete all exercises,  you will need to
have access to a network printer or the Internet. Refer to Registration page for more information on computer requirements.
_________________________________________________________________________________________________

Start Now.  
Fill out the contact form below for more information, to register for class, or to talk to a career counselor.
Take on-line or come in for private like classes with personal training.
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