WGU D033 "Health Information Systems Management"

WGU D033 "Health Information Systems Management" 10 studiers today 5.0 (4 reviews) Students also studied Terms in this set (317) Western Governors UniversityD 583 Save

WGU D033

170 terms msdawnaPreview WGU D033 - Scenarios & Terminolo...293 terms teaganhthompson Preview WGU D033 Actual exam COMPREH...170 terms OrangeDeer28603 Preview

D033 -

149 term mal Acceptance testingA type of testing that occurs after the go-live date Access controlsA computer software program designed to prevent unauthorized use of an information resource Addressable standardsMust be evaluated by the entity to determine whether or not the standard is reasonable and appropriate Administrative information systemA system that manages the business of healthcare; is the first information systems to be used in healthcare. The data collected in this system are mainly financial or business-oriented in nature, rather than clinical Administrative safeguardsAdministrative actions, and policies and procedures, to manage the selection, development, implementation, and maintenance of security measure to protect electronic-protected health information and to manage the conduct of the covered entity's workforce in relation to the protection of that information. (45 CFR 160, 162, and 164) Administrative simplificationImproves the efficiency and effectiveness of the business processes of healthcare by standardizing the EDI of administrative and financial transactions and protects the privacy and security of protected health information (PHI) that is transmitted from one point to another Alpha siteThe first healthcare facility to implement the information system American National Standards Institute (ANSI) The SDO for the United States and a representative to the ISO

American Recovery and Reinvestment Act (ARRA) Enacted to stimulate the US economy during a recession that started in 2007. A significant portion of ARRA was dedicated to expanding the use of HIT to improve the business efficiency and effectiveness of HCOs while increasing patient safety and positive health outcomes. It also enacted an incentive program known as Meaningful Use Anesthesia information systemA system that collects information on preoperative, operative, and postoperative anesthesia-related clinical information. This system follows the patient through the surgical process AnnotationThe ability to add to the image in some way; because the image may be a legal document, the image itself cannot be altered; however, an overlay to the document will show the annotation ANSI Accredited Standards Committee X12N (ASC X12N) Responsible for developing the EDI standards used to share information needed for health insurance administrative transactions Audit controlsThe mechanisms that record and examine activity in information systems Audit logOr audit trail, an electronic footprint of the actions that occurred in a particular file in an information system or that were performed by a specific individual Audit trailsThe record of information system activities, such as log-in, log-out, unsuccessful log-ins, print, query, and other actions Audit-reduction toolsTools that review the audit trail and compare it to criteria specified by the CE, which eliminates routine entries such as the periodic backups AuthorshipThe origination or creation of recorded information attributed to a specific individual or entity acting at a particular time Automated codebook encoderAn encoder that lists diagnoses and procedures in alphabetic order much like the alphabetic index Back-end speech recognition (BESR)A speech recognition technology in which the physician dictates in the traditional manner and an editor listens to the audio and reviews the document created BackscanningThe process of scanning past health records into the DMS so there is an existing database of patient information, making the DMS valuable to the user from the first day of implementation Backward mapA map that links the two coding systems in the opposite direction, moving from ICD-10 to ICD-9 Barcode medication administration record (BC-MAR) See Electronic medication administration record (EMAR) Best of breedChoosing the ISs based on functionality rather than by vendor 313 314 Glossary Best of fitThe decision to purchase software from a single vendor

Beta sitesThe healthcare facilities who subsequently implement the information system Bidder's conferenceA meeting for vendors to come to the healthcare facility to ask questions about the request for proposal, the healthcare facility, and other important points Biomedical deviceAn article, instrument, apparatus, or machine that is used in the prevention, diagnosis, or treatment of illness or disease, or for detecting, measuring, restoring, correcting, or modifying the structure or function of the body for some health purpose Birth certificate information systemA state-approved system in which the birth certificate data are entered, after the HIM staff interviews the mother or other parents or guardians and reviews the health record. This software reports births occurring in the healthcare facility to the state health agency Blue ButtonA campaign that was established by The Office of the National Coordinator for Health IT (ONC). It is a consumer-motivated method to improve healthcare by having the patient or caretaker actively involved in decisions and planning by having direct access to personal health information BotsPerform automated tasks, such as gathering information and instant messaging, thus relieving a person the responsibility of doing it Bring your own device (BYOD)Healthcare practitioners using their personal smartphones or other devices rather than devices provided by the HCO, the personal device must meet specific encryption and other security protocols to protect PHI as required by the HCO Cancer registry information systemAn information system that tracks information (including very detailed information regarding diagnosis and treatment) about the patient's cancer from the time of diagnosis to the patient's death Certified EHR technologyAn EHR that has been evaluated by a member of the Office of the National Coordinator-Authorized Certification Bodies (ONC-ACBs) and verified that it meets the criteria set by the MU incentive programs Certified health data analyst (CHDA)Advanced certification sponsored by AHIMA that covers data management, data analytics, and data reporting Certified in healthcare privacy and security (CHPS) Credential that demonstrates advanced privacy and security skills. These advanced privacy and security skills exceed those in the RHIA or RHIT examinations. It is sponsored by AHIMA Certified information security manager (CISM)Sponsored by ISACA; an international examination that is designed for leaders in security who oversee the security programs of organizations Certified information systems security professional

(CISSP)

Certification sponsored by the International Information Systems Security Certification Consortium. It is a generic security certification and therefore is not healthcare specific Change managementThe formal process of introducing change, getting it adopted, and diffusing it throughout the healthcare facility

ChargemasterA financial management form or software that contains information about the healthcare facility's charges for the services it provides to patients (also called a charge description master [CDM]); it automates the coding process for routine procedures Chart deficiency systemA system that track and record documentation omission due to deficiency in the health record that comes to the HIM department. Deficiencies can be in paper, imaged, or electronic records depending on the information system used Chart locator systemA system is designed to identify the current location of the paper health record.This tracking is important because paper records are moved from place to place for patient care, quality reviews, coding, and many other purposes Chart tracking systemSee Chart locator system Clinical data repository (CDR)A centralized data repository Clinical decision support (CDS) systemThe process in which individual data elements are represented in the computer by a special code to be used in making comparisons, trending results, and supplying clinical reminders and alerts Clinical document architecture (CDA)Standards developed by HL7 for the electronic exchange of clinical documents, such as discharge summaries and progress notes Glossary 315 Clinical documentation improvement (CDI) system The recognized process assists in identifying ways to improve clinical documentation in the health record Clinical documentation improvement (CDI)The process an organization undertakes that will improve clinical specificity and documentation that will allow coding professionals to assign more concise disease and procedural classification codes Clinical documentationAny manual or electronic notation or recording made by a physician or other healthcare clinician related to a patient's medical condition or treatment Clinical informatics coordinatorIndividual who requires knowledge of clinical information systems. They are experts in the data retrieval needed by healthcare providers while conducting patient care Clinical information system (CIS)A system that collects and stores medical, nursing, clinical ancillary areas (such as radiology and laboratory), and therapy department information related to patient care Clinical messagingA tool that connects the medical staff and hospital by providing access to information systems such as order entry and results reporting and DMS Clinical pathways A tool designed to coordinate multidisciplinary care planning for specific diagnoses and treatments Clinical practice guidelinesA tool that provides 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