Intro to Healthcare Tech - Mod 2 - Technology in the HI Department

Administrative or clinical function? Master patient index

Administrative

Administrative or clinical function? Patient registration

Administrative

Administrative or clinical function? Scheduling system

Administrative

MPI, registration/patient access, scheduling, and patient accounts are what type of information systems?

Administrative

What does a CIS do?

Allows for collection, storage, and retrieval of uniquely identified patient data. usually specific to an area, treatment, or functionality (for example: lab, or radiology)

What is Soundex functionality.

Allows you to search for a patient based on the sound of their name.

What is an MPI?

An MPI is part of the hospital information system. It is a patient-identifying directory, referencing all patients related to a healthcare organization, that also serves as a link to the patient health record or information, facilitates patient identification, and assists in maintaining a longitudinal patient record from birth to death.

What programs assist a healthcare organization to identify areas throughout the entire data collection process that may be at risk?

Audit

The facility uses an encoder that lists diagnoses in alphabetic order like the ICD-10-CM alphabetic index. What type of encoder is this?

Automated codebook

Patient follow-up is a key part of what Health Information system?

Cancer registry software

Health records that are found to have omissions in their documentation requirements are tracked using which of the following systems?

Chart deficiency

Match the definition to the role: Protects healthcare data from access, revision, or destruction from unauthorized people.

Chief Security Officer

Name 5 examples of clinical information systems

Clincial Decision support, document management system, radiology information system, laboratory information system, nursing information system, pharmacy information system, interdisciplinary charting system, emergency department system, anesthesia information system, patient monitoring system, telehealth, smart cards, computerized provider order entry (CPOE), electronic medication administration record (e-MAR)

Administrative or clinical function? Laboratory Information System

Clinical

What does CDS stand for?

Clinical Decision Support

What does CIS stand for?

Clinical Information System

What does CAC stand for?

Computer Assisted Coding

What healthcare information is most important for the continued care of a patient who is transferred to another provider or healthcare organization?

Continuity of care record (CCR

The office of the National ________ for Health information technology (ONC) is a resource to the united states health system for the implementation and use of the most advanced health information technology

Coordinator

Outpatient procedures are assigned codes using what?

Current Procedural Terminology (CPT)

Which of the following skills/knowledge are required for an HI professional? Select all that apply.

Data Analysis, Privacy and security Documentation requirements

Match the definition to the role: Manages, interprets, analyzes health data into information that is accurate and consistent

Data Analyst

What type of software application is able to gather statistical data in a small amount of physical space which is then able to be accessed by many people?

Databases

Which system is used by a physician to orally document various medical reports that are subsequently transcribed by a transcriptionist?

Dictation

Which of the following systems could have voice recognition as a feature?

Dictation system

Match the definition to the role: Leads the implementation of an electronic health record system and then continues to oversee services post-implementation

Director of Clinical Informatics

A request for an accounting of disclosure has been received. What system is accessed to fulfill this request?

Disclosure management system

What doe the letters in the acronym EMR stand for?

Electronic Medical Record

What does EHR stand for?

Electronic health record

Which of the following is software used to assign codes to a list of diagnoses and procedures?

Encoder

What does EMPI stand for?

Enterprise master patient index

What are 3 risks of telehealth?

Gaps in medical care, overuse of medical care, unnecessary or overlapping medical care.

What does HITECH stand for?

Health Information Technology for Economic and Clinical Health Act.

What occurs when individuals/entities knowingly or unreasonably interfere with the process of exchanging or using electronic health information?

Health information blocking

The coding professional is responsible for abstracting the number of units of blood given to a patient during surgery, and the presence or absence of a nosocomial infection when they occur during an inpatient admission. What system does the coding professional use to capture this information?

Healthcare quality indicator

What type of health record is partially in the EHR and partially on paper?

Hybrid

Match the definition to the role: Develops and implements the information system (IS) training plan.

Information System Trainer

What does IDS stand for?

Integrated delivery systems

What data is contained in the MPI?

Internal patient identification number (health record number), Person name, date of birth, gender, race, ethnicity, address, telephone number, alias, SSN, universal patient identifier, account or visit number, admission/encounter/visit date, discharge or departure date, encounter or service type, encounter or service location, encounter primary physician, patient disposition.

Inpatient procedures are assigned codes using what?

International Classification of Diseases, Tenth Revision, Procedure Classification System (ICD-10-PCS)

What permits the exchange of data across organizational systems

Interoperability

What does CDS do?

It is a variety of tools that helps doctors make decisions toward patient care. examples include: alerts for medication interactions or allergies, reminders for tests, reminders for vaccinations/shots,

The _________ health record is a permanent record in chronological order that is maintained over time.

Longitudinal

Match the definition to the role: Develops maps between different classifications and vocabularies. (i.e. ICD-9-CM and ICD-10-CM)

Mapping Specialist

What does MPI stand for?

Master Patient Index

What does ONC stand for?

Office of the National Coordinator for Health Information Technology

What are 3 benefits of telehealth?

Online patient portal, virtual appointments, personal health apps.

Encoders are used in what department?

Only in the HI department.

What do the letters in the acronym PHR represent?

Personal Health Record

Which of the following should be considered for best practices to support healthcare data quality? Select all that apply.

Policies and procedures Data Dictionaries Standards of terminology Security of access Information governance

Which of the following functionalities is more likely to be found in a birth certificate system designed by a vendor than by the state?

Productivity tools

Encoder Systems

Providers must document a patient's condition and/or diagnoses and all procedures performed during each encounter in the health record. The healthcare organization then assigns codes.

What does ROI stand for?

Release of information

What system is used to share patient information from one hospital to another?

Release of information system

What phonetic-based index system can be embedded into computer software to search for names that sound alike but are spelled differently?

Soundex

What software application is used to track and report personnel and operating budgets by Health Information?

Spreadsheet

Match the definition to the role: Performs tasks such as data collection, data analysis and creating data flow diagrams.

System Analyst

What traditional Health Information IS job title involves identifying the source of an IS problem and then resolving it?

Technical support

Which of the following systems use electronic devices and networks to allow the provider to render patient care to the patient from a different location?

Telehealth

How do cancer registries work?

The Centers for Disease Control and Prevention (CDC) provides support for states to maintain registries that provide high-quality data for doctors to reference.

Diagnosis codes are assigned codes using what?

The International Classification of Diseases, Tenth Revision, clinical Modification (ICD-10-CM).

Define Data Analytics (DA)

The science of examining raw data with the purpose of drawing conclusions about that info. a subset of informatics. Includes data mining, machine learning, development of models, and statistical measurements

What is telehealth?

The use of electronic devices and remote patient monitoring to provide patient care regardless of physician or patient location (from a room away to across oceans)

How are spreadsheets used?

To track and report inventory, personnel, billing and operating budgets. They also allow easy access to large amounts of data.

Who collects the data for the MPI

Typically the admission staff member who interviews the patient upon entering the healthcare organization.

Administrative or clinical function? Document management system

clinical

Administrative or clinical function? telehealth

clinical

How are word processors used?

creating reports, performance evaluations, patient and meeting records, employment advertisements, daily reporting, patient management tasks.

What does the ONC do?

it serves as a resource to the entire health system to support the adoption of health information technology and promotion of nationwide health information exchange to improve healthcare.

Computer-assisted coding ________.

suggests codes for assignment

Define analytics

the ability to use data and info to achieve strategy, goals and mission. to realize the value of its information is critical to success with information governance.