Key features of the system that supported positive client or organizational outcomes.

Positive Outcome Support:

Client Outcome: Reduced Medical Errors. The system automatically checks new orders against a patient's known allergies, current medications (drug-drug interactions), and body metrics (correct dosing), thereby preventing prescribing errors and adverse drug events.

Organizational Outcome: Improved Quality Metrics. CDS ensures adherence to standardized, evidence-based care protocols (e.g., sepsis screening or VTE prophylaxis), which leads to better performance on quality indicators and often results in higher reimbursement rates.

2. Standardized and Real-Time Documentation

This feature is crucial for both organizational efficiency and supporting continuous, high-quality care for clients.

Description: The EHR uses standardized templates, controlled vocabulary, and mandated fields to capture all aspects of client care digitally. It allows for documentation to occur in real-time at the bedside or point of care using mobile devices.

Positive Outcome Support:

Client Outcome: Enhanced Care Continuity. Since documentation is instantaneous and legible, any provider accessing the chart (e.g., during a shift change or emergency) has the most current, accurate information, minimizing treatment delays and reducing the risk of errors due to incomplete data.

Organizational Outcome: Streamlined Workflow and Billing. Standardized digital forms eliminate the administrative time lost to deciphering handwriting or manually chasing down paper charts. Furthermore, discrete data capture directly supports accurate and timely coding and billing processes, improving the revenue cycle.

3. Patient Portal and Secure Messaging

This feature directly contributes to positive client outcomes by promoting engagement and self-management, while also improving organizational communication efficiency.

Description: The patient portal is a secure online platform that provides clients with immediate access to their medical records, lab results, appointment schedules, and a secure channel for communication with their care team.

Sample Answer

Since the previous responses focused on the Electronic Health Record (EHR) System as a Clinical Information System, I will describe three key features of the EHR that supported positive client or organizational outcomes, drawing from the capabilities discussed previously.

🔑 Three Key Features of the EHR System

The Electronic Health Record (EHR) system supports positive outcomes for both clients and the organization through integrated features that enhance safety, efficiency, and coordination.

1. Clinical Decision Support (CDS) Tools

This feature significantly improves client outcomes by enhancing safety and quality of care.

Description: CDS tools are automated systems embedded in the EHR that provide clinicians with patient-specific information and guidance at the point of care. These alerts, reminders, and links to evidence-based practice guidelines help inform clinical decisions.