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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