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Question.1472 - Week 4: Discussion - Electronic Health Record Management 77 unread replies.1818 replies. Introduction to the Patient Record - Topic Description Highland Hospital of Rochester, New York, uses an electronic signature application (ESA) that assists providers in the timely completion of records. Some providers can avoid trips to the health information department entirely if all that is required to complete records is electronic signatures. A provider goes to the health information department to obtain an assigned identification number (also their dictation number) and a generic four-letter password and to sign a confidentiality statement. A health information staff member shows the provider how to log in to the ESA software, at which time the provider changes his or her generic password to something of his or her own choice (alphabetic or numeric). Once a report has been transcribed, it appears in the provider’s queue to review and “sign.” The provider can edit the document online and electronically sign it by entering the ESA password. The report then prints in the transcription area and is placed on the patient’s record. The provider does not have to make a trip to the department because he or she can “sign” reports from his or her home or office by accessing the hospital’s website. Discuss the benefits of using the electronic signature application (ESA) system. Discuss the drawbacks of using the electronic signature application (ESA) system. Discuss the potential cost savings with the ESA system. Discussion Guidelines: Each week you will have a topic to answer and then respond to at least two classmates. This means, that if you follow the minimum posting requirements you will have one main substantive answer in each thread, and one response to at least two classmates. Altogether 3 posts, 2 of which will be on different days of the week. Be sure to check in if you have questions. Grading rubric for discussion posting per thread: Main post - 10 points (high quality) Response posts - 10 points (total of all responses) Post by Wednesday - 5 points

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