Test (1-3)

Patient safety

A discipline that emphasizes safety in healthcare through the prevention, reduction, reporting and analysis of medical error that often leads to adverse effects

Predictive modeling

A process used to identify patterns that can be used to predict the odds of a particular outcome based on the observed data. Use historical data to predict the future

Health informatics

A science that defines how health information is technically captured, transmitted and utilized

Inferential statistics

A set of statistical techniques that allows researchers to make generalizations about a population's characteristics on the basis of a sample's characteristics

Descriptive statistics

A set of statistical techniques used to describe data, such as means, frequency distributions, and standard deviations; describes characteristics of a specific group or population

Machine learning

An area of computer science that studies algorithms and computer programs that improve employee performance on some task by exposure to a training or learning experience

Information system

Automated system that uses computer hardware and software to record manipulate, store, recover and disseminate data

Virtual HIM department

Coders, transcriptionists, and other HIM professionals work remotely

electronic health record

Electronic record of patient information generated, created, and managed, by authorized clinicians of MORE THAN ONE healthcare organization

In HIM departments, computers were used to help personnel with ________ functions and abstracting

MPI

________ is used to document the care provided when it is provided

POC

Autonumbering

The Is assigns a number in numeric order (health record number)

Interoperability

The ability of different information technology systems and software applications to communicate; to exchange data accurately, effectively and consistently; and to use the information that has been changed

Health information exchange

The exchange of health information electronically between providers and others with the same level of interoperability

Data mining

The process of extracting and analyzing large volumes of data from a database for the purpose of identifying hidden and sometimes subtle relationships or patterns and using those relationships to predict behaviors

Data capture

The process of recording healthcare related data in an electronic health record system or clinical database

Data analytics

The science of examining raw data with the purpose of drawing conclusions about that information

Clinical pathways

Tool designed to coordinate multidisciplinary care planning for specific diagnoses and treatments

Intranet

a private information network that is similar to the internet in that it uses internet technologies, but its serves are located inside a firewall or security barrier so that the general public cannot access the network

AHIMA's certification that addresses data acquisition and management is _________ a. CHDA b. RHIA c. RHIT d. CCS

a. CHDA

The field used to draw conclusions is: a. data analytics b. data modeling c. population health d. health informatics

a. data analytics

The early information systems used in healthcare included _________ a. financial applications b. cloud computing c. EHR d. POC system

a. financial applications

The first ISs used in healthcare were __________ a. financial applications b. EHR c. dashboards d. mainframe

a. financial applications

Documentation at the bedside is known as: a. point of care b. extranet c. intranet d. creation of an intranet

a. point of care

Prescriptive analytics is used to: a. provide possible courses of action b. explain the past c. improve the quality of care provided d. select the best medication for a patient

a. provide possible courses of action

Numeric field

allows for the entry of numbers

Date field

allows for the entry of valid dates

Time field

allows for the entry of valid times

Predictive analytics

analyzes historical data to make predictions

CPU

another name for a microprocessor , which is a microchip that processes the information and the code (instructions) used by a computer

Cloud computing refers to _____________ a. data that is inaccurate or incomplete b. computational services provided by a vendor over the internet c. the use of a single information system across the entire healthcare organization d. outdated information that is purged from an IS

b. computational services provided by a vendor over the internet

The benefit of point of care documentation is that it: a. evidence based medicine b. created as soon as care is provided c. clinical practice guidelines d. wireless technology

b. created as soon as care is provided

A patient can access test results by using the ________ a. intranet b. extranet c. COW d. meaningful use

b. extranet

To make conclusions about a population, use _________ a. descriptive statistics b. inferential statistics c. predictive modeling d. data modelling

b. inferential statistics

Identify where an employee working at the healthcare organization can locate the form required to request reimbursement for recent travel within the organization's network. a. internet b. intranet c. extranet d. WOW

b. intranet

A trend seen in HIM is _________ a. the elimination of HIM functions b. the ability for staff to work remotely c. bringing staff back into the department to work d. to return to the basics of HIM

b. the ability for staff to work remotely

Prescriptive analytics

builds upon predictive analytics by suggesting possible courses of action that the healthcare organization may take and what the implications may be for each

The technology where the user enters data to a remote system over the internet is known as: a. intranet b. internet c. cloud computing d. electronic health record

c. cloud computing

Identify the true statement about the intranet. a. it is a synonym for internet b. it is used to communicate with vendors c. it is used to access employee resources d. it is used by patients

c. it is used to access employee resources

Identify the true statement about the EHR a. the EHR allows flexibility by not requiring recognized standards b. the EHR stores information about the population, not individuals c. the EHR utilizes nationally recognized interoperability standards d. the EHR is available only to HIM professionals

c. the EHR utilizes nationally recognized interoperability standards

Certified health data analyst (CHDA)

certification covering business needs assessment, data acquisition and management, data analysis, data interpretation and reporting, and data governance

Registry

collection of care information related to a specific disease, condition or procedure that makes health record information available for analysis and comparison

Primary data source

comes directly from the original source, such as the patient when talking about symptoms or the reason for coming to the healthcare organization

Internet

comprises thousands of networks with millions of computers linked together to share data and information

Personal computer

computer that has a central processing unit (cpu), computer memory, and data storage devices designed to support a single individual

Local area network

connect devices in close, physical proximity

Template based data entry

cross between unstructured and structured data entry. the user can pick and choose data that are frequently entered, thus requiring the entry of data that change from patient to patient

Identify the tool that outlines the best practice to treat a patient a. prescriptive modeling b. predictive modeling c. clinical practice guidelines d. clinical pathways

d. clinical pathways

The tool used to identify hidden relationships is: a. descriptive statistics b. inferential statistics c. predictive modelling d. data mining

d. data mining

Identify the tool used to determine why something happened. a. descriptive analytics b. prescriptive analytics c. predictive analytics d. diagnostic analytics

d. diagnostic analytics

The impact of ISs specifically on HIM professionals includes __________ a. improving patient safety b. improving access to health information c. the need to assign diagnosis codes and procedures d. skills required

d. skills required

__________ is used to assess the status of key indicators a. predictive modeling b. the annual report c. data mining d. the dashboard

d. the dashboard

Information

data that have been manipulated into something meaningful

Secondary data source

derived from the primary sources, such as the health record. Includes indices, registries, and other databases

Metadata

descriptive data that characterize other data to create a clearer understanding of their meaning and to achieve greater reliability and quality of information (creator of data, date of creation)

Data dictionary

descriptive list of the names, definitions, and attributes of data elements to be collected in an information system or database whose purpose is to standardize definitions and ensure consistent use

In ___________ terminals, all of the processing is performed at the server or mainframe

dumb

Required field

field in which data must be entered before the IS will allow the user to proceed

The first Is's installed in the 1960s were mostly __________

financial applications

The edit message in an edit check is sometimes called a _________ because it signals that the user needs to verify the data being entered to ensure that the criteria of the field are met

flag

GIGO

garbage in, garbage out

Structured data fields

guide the user during the data entry process, limiting what a user can enter into the field. (Ex: radio buttons)

Evidence based medicine

healthcare services based on clinical methods that have been thoroughly tested through controlled, peer-reviewed biomedical studies

Diagnostic analytics

helps a healthcare organization determine why something happened

Audit trail

identifies who logged into an information system, what the user did, what the users viewed, and so forth

Direct data entry

includes a number of manual data entry methods such as keyboard, mouse or other devices for entering data into the information system

computer on wheels

involves a wireless computer mounted on a mobile cart that can be moved from patient to patient

Mainframe computers

large computers that are used by the government and other organizations that require speed and the ability to process large amounts of data

Descriptive analytics

looks at the past to determine what has already occurred. Uses means, frequencies, etc.

front end speech recognition

occurs when the physician or dictator is the editor of the document that is dictated

With __________ computers, some or all of the processing is performed on the pc

personal

Clinical provider order entry

physician orders tests, medications and other procedures

Edit check

preprogrammed definitions of each data field set up within the application. error pops up if data entered differently

The health record is considered a __________ source of data

primary

Clinical practice guidelines

provide a detailed, step by step guide used by healthcare practitioners to make knowledge based decisions related to patient care and issued by an authoritative organization such as a medical society

Structural metadata

provides insight into how the data is organized

Data

raw facts and figures

Descriptive metadata

recording descriptive information about the patient in a way that the data can be shared with other healthcare providers (demographics, diagnosis)

________ data are typically used to conduct research, address population health issues, and for administrative purposes such as monitoring for possible fraud

secondary

Financial applications

software applications that handle patient accounts, budgets and other financial activities of the healthcare organization

back end speech recognition

specific use of speech recognition technology in which the physician dictates in the traditional manner and an editor listens to the audio and reviews the document created to ensure it was created correctly

In the cloud

storage of data at a remote location

Dashboards

summarized or aggregated reports of process measures to help leaders follow progress to assist with strategic planning. Provides status on key measures

Mask

takes data and displays it in a user friendly manner without having to save dashes, slash marks, or other characters

Natural language processing

technology that converts human language (structured or unstructured) into data that can be translated then manipulated by information systems

Speech recognition

technology that translates speech to text

Cloud computing

the delivery of computational services by a vendor over the internet

Data integrity

the extent to which healthcare data are complete, accurate, consistent, and timely

point of care

the place or location where the physician administered services to the patient, such as the patient's bedside

Data quality

the reliability and effectiveness of data for its intended uses in operations, decision making, and planning

Drop down menu

the user simply clicks on the arrow tot he right (or left) of a data field and a drop down menu appears with several choices. (medical, obstetrical)

American Recovery and Reinvestment Act

this law enacted an incentive program known as the meaningful use, which gave healthcare providers who met the requirements financial incentives for implementing the EHR and using it in a meaningful way

Patient safety became a topic of importance after the publication of the Institute of Medicine's report called ___________

to err is human

Administrative data

tracks the file type, date it was created, permissions and more (data dictionary)

Radio buttons

type of data field that also identifies a comprehensive list of choices, much like the check box. The difference is that the user can choose only one answer (male, female)

Check box

type of data field that displays a comprehensive list of approved answers for the data element

Hot spot

type of help message that is triggered when the cursor is placed on top of a data field

Unstructured data fields

use data elements that allow for free text entry, which means the user can type in any data that he or she chooses

Extranet

uses a system of connections of private internet networks outside an organization's firewall and uses internet technology to enable collaborative applications to allow external users to access limited portions of the IS

Wifi

wireless connectivity protocol that uses radio waves to connect computers and other devices to a local area network and the internet