Below is a summary of Mike’s EHR activity during his first few minutes in the ED. As an ED physician, you are responsible for examining the patient, ordering tests and procedures and diagnosing Mike’s condition. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Mike’s health care team.

1. Review Mike’s ED EHR: You review Mike’s laboratory results and notice that several test results are abnormal. What are these tests?
   
   Internet Research: How do these tests impact Mike’s diagnosis?



2. Internet Research: How do you diagnose if Mike is suffering from a heart attack or congestive heart failure?



3. Review Mike’s VPE: After ordering blood tests and an X-ray, you also order an echocardiogram with ejection fraction. Explain what information the three procedures will provide.

Below is a summary of Mike’s EHR activity during his first few minutes in the ED. As a nurse, you are responsible for gathering Mike’s family and health history and obtaining, reading and monitoring his vital signs. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Mike’s health care team.

1. Review Mike’s ED EHR: After reviewing Mike’s vital signs, you notice there are several tests that are abnormal. What are these tests?



2. Internet Research: You notice that the physician has ordered an EKG for Mike. You are responsible for placing the electrodes and monitoring the results. What is the purpose of performing an EKG?



3. Review Mike’s VPE: How will Mike’s physician use his echocardiogram with ejection fraction, chest X-ray and blood test results to determine if he is suffering from congestive heart failure or a heart attack?

Below is a summary of Mike’s EHR activity during his first few minutes in the ED. As a laboratory or radiology technologist, you are responsible for obtaining and providing test results to assist the physician in diagnosing Mike’s condition. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Mike’s health care team.

1. Review Mike’s ED EHR: The laboratory results are quickly shown as normal or abnormal in the EHR. Which tests are abnormal?



2. Review Mike’s VPE: A BNP blood test is ordered for Mike. Use VPE to explain what BNP measures and why this test is ordered?



3. Review Mike’s VPE: How will Mike’s physician use his echocardiogram with ejection fraction, chest X-ray and blood test results to determine if he is suffering from congestive heart failure or a heart attack?

Below is a summary of Mike’s EHR activity during his first few minutes in the ED. As a pharmacist, you are responsible for ensuring Mike receives the proper medications ordered by the physician. You are also responsible for reviewing any adverse interactions Mike might have with his current medications. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Mike’s health care team.

1. Review Mike’s ED EHR: According to Mike’s EHR he is allergic to several things. What is Mike allergic to?
   
   Internet Research: One of Mike’s allergies is to a medication. Why is an allergy to this medication a problem for Mike given his current health status?



2. Internet Research: Why is nitroglycerin prescribed and how will it help?



3. Review Mike’s VPE: How will Mike’s physician use his echocardiogram with ejection fraction, chest X-ray and blood test results to determine if he is suffering from congestive heart failure or a heart attack?

Below is a summary of Mike’s EHR activity during his ED visit. As a medical and health services manager, you are ultimately responsible for ensuring that Mike receives the best overall care possible. You will also compile Mike’s bills, consisting of his tests, procedures, room charges, supplies and medications. Using his EHRs, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to verify the responses with the rest of Mike’s health care team.

To determine the cost of Mike’s ED visit and hospital inpatient stay, you will need the following:

• MHSM – Bill (which includes both an ED and Inpatient statement)
• MHSM – Bill Reference
• Mike’s EHR – ED Chart (link below)
• Virtual Physical Exam (link below)
• Mike’s EHR – Inpatient Chart

1. Use the blank copy of Mike’s ED and Inpatient bills and the Bill Reference to calculate and track his costs. In his EHRs, look for costs in the areas of labs, pathology, medications (be sure to pay attention to how many times during his stay each was administered) and diagnostics. You may need to do additional Internet research. Some helpful sites are www.healthcarebluebook.com, www.fairhealthconsumer.org and www.pharmacychecker.com

Below is a summary of Mike’s EHR activity during his first few minutes in the ED. As the health coach, you will recommend lifestyle changes to alleviate symptoms, prevent symptoms from recurring and decrease the need for future emergency care or hospitalization. You will also provide the education he needs to understand his diagnosis and the risk factors that may have caused his condition. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Mike’s health care team.

1. Review Mike’s VPE: How will Mike’s physician use his echocardiogram with ejection fraction, chest X-ray and blood test results to determine if he is suffering from congestive heart failure or a heart attack?



2. Review Mike’s ED EHR: Together with Mike, you review his Lipid Panel results. What are the results of Mike’s Lipid Pan and which results are abnormal?
   
   Internet Research: How can Mike’s results impact his health?



3. Internet Research: You make several recommendations to Mike that he should make to improve his overall health. What lifestyle recommendations do you make to lower his blood pressure?