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CIN: Computers, Informatics, Nursing:
doi: 10.1097/NXN.0b013e31828f3f8f

Customization of Electronic Medical Record Templates to Improve End-User Satisfaction

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GENERAL PURPOSE: To provide information on the design, implementation, use, and satisfaction with customizable templates for an electronic medical record (EMR).

LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:

1. Identify issues related to the meaningful use of EMRs.

2. Describe the process of devising and implementing customizable templates into an existent EMR and discuss the end-users’ satisfaction with the system.

1. The goal established by the US government was for most Americans to have an EMR by

a. 2012.

b. 2013.

c. 2014.

d. 2015.

2. DesRoches et al (2008) reported out of 17% of physicians who use an EMR, how many EMRs were fully functional?

a. 4%

b. 8%

c. 12%

d. 16%

3. Which statement is true regarding the Centers for Medicare & Medicaid Services’ (CMS’s) meaningful use of the EMR?

a. Incentive payments to eligible professionals began in 2011.

b. Medicare deductions for non–meaningful use of an EMR will begin in 2020.

c. Healthcare organizations that cannot afford an EMR will be exempt.

d. Participation for incentive payments is mandatory.

4. Stage 1 of CMS’s meaningful use criteria includes electronically capturing patient information to do all of the following except

a. track clinical conditions.

b. coordinate care.

c. promote reporting of quality indicator measures.

d. integrate further coordination of services.

5. What will stage 3 criteria focus on?

a. adopting EMRs in all healthcare organizations

b. decision support for providers

c. implementing the use of templates for providers

d. standardizing the content of EMRs

6. What has the strongest impact on a person’s attitude toward the use of EMRs?

a. perceived usefulness

b. actual usefulness

c. amount of use

d. perceived ease of use

7. A major barrier to the acceptance of EMRs by providers, noted in the article, is

a. a limited number of available computers.

b. minimal experience with EMRs.

c. a lack of customizability.

d. the expense of the technology.

8. What has been shown to improve the overall quality and thoroughness of computerized documentation?

a. extensive training

b. template use

c. Windows-based technology

d. smaller patient volume

9. In the implementation phase of the Model for Improvement, users identify all of the following except

a. the desired change.

b. if the change will be an improvement.

c. limitations of the change and future changes to be made.

d. the actions that must be undertaken to facilitate the change.

10. Typing narrative notes into an EMR limits the

a. ability to have complete documentation.

b. number of other functions that can be included.

c. ability to track quality indicators.

d. amount of data that can be stored.

11. One of the templates developed for the clinic described in this article focused on

a. hypertension.

b. cerebrovascular disease.

c. gastroesophageal reflux disease.

d. asthma.

12. The information to be included in the templates was identified by

a. the healthcare providers.

b. health information technology personnel.

c. pre-established datasets.

d. the medical technology vendor.

13. The templates that were developed included

a. patient teaching materials.

b. diagnostic coding aids.

c. billing forms.

d. order sets.

14. In addition to templates for certain diseases, the group designed a template for

a. laboratory test results.

b. immunization documentation.

c. a well-visit examination.

d. diagnostic imaging results.

15. What helps the providers to customize the EMR after template implementation?

a. The medical technology vendor automatically updates the system annually.

b. The providers were taught how to make changes to the templates.

c. Each provider stores his/her files in a unique folder.

d. The providers have a subscription to an online EMR consulting service.

16. A barrier the providers identified before template implementation was

a. lack of familiarity with use of an EMR.

b. resistance to the federal mandate for EMRs.

c. a lack of time for planning and implementing the change to the EMR.

d. insufficient reimbursement for use of an EMR.

17. A section of the Questionnaire for User Interface Satisfaction (QUIS) that demonstrated the greatest improvement after implementation was

a. the helpfulness of screen layouts.

b. terminology usage.

c. the degree to which terminology related to the work the user was doing.

d. straightforward task performance.

18. The parts of the QUIS that were used in this study included

a. learning to operate the system.

b. online tutorials.

c. teleconferencing.

d. software installation.

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