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Topics covered by the Digital Patient Record
CertificationTM exam
The knowledge and skills required to safely and effectively manage electronic health records cover many operational and regulatory areas which include:
Healthcare Information Systems (HIS)
- HIS defined and related to similar terms (EHR, EMR, PHR and others)
- Purposes and importance
- Advantages and occasional drawbacks
- Divisions within a HIS
- Functions and uses
Professional and legal issues with digital patient records
HIPAA
- HIPAA defined
- Security and Privacy rules
- HealthCare workers permissible use of patient data
- Regulation of release of patient information
- Patients’ rights to review and amend their records
- HIPAA vs. state law
Principles of computer and data security
- Managing data security
- Authentication
- Types of authentication
- Password security
- Threats to confidentiality of data
- Data security basics
- Secure transmission of confidential health data
- Audit trails and their uses
Valid Record Entries
- Correcting records
- Creating a new record
- Inappropriate record entries
- Same patient, two records
Navigating within a digital patient record and across
digital patient records
- Locate and verify a patient record
- Select and view a specific report
- Patient record identifiers
- Common things one looks for in a digital patient record
- Location of common objects in a digital patient record
- Common ways to search for things in a digital patient record
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