Chapter 15 HIM 230

rad2329's version from 2018-04-18 16:21

Section 1

Question Answer
*Electronic Healthcare Information Applications can be grouped into 4 large categories?Clinical information systems - Administrative information systems - Management support systems - Research and data analytic systems
**Clinical ISs are designed to _____ .primarily support patient care
*Examples of Clinical ISs put into place to support Patient care. (Know at least 1 example)Patient registration [Admission-discharge-transfer (ADT)]- Laboratory information systems - Pharmacy information systems - Radiology information systems - Nursing IS - Emergency medical systems - Patient monitoring system (Fetal monitoring, Vital signs, Oxygen saturation)
*CPOEComputerized provider order entry
*What does CPOE allow?A computer application that accepts physician orders electronically, replacing handwritten or verbal orders and prescriptions.
*What is another benefit of CPOE?Uses alerts and reminders to assist the care provider in the decision making process
CPOE is one of the really "Big" benefits of having _____EHR
Electronic documentation has three types of Data entry models what are they?Structured data entry - Unstructured data entry - Template-based data entry
Point-of-care charting (POC)Documentation performed at the bedside or wherever the patient is located.
Electronic documentation in Point may use what type of data?Structured data, free text (Unstructured data), or templates (or a combination of both)

Section 2

Question Answer
Structured data is easier tocompile and make decisions on
*What is Unstructured Data Entry?Free text data that allows you to add comments or extra data that
*What is Template-Based Entry?A cross between free text and structured data entry.
*What is a Care Pathway?A care-planning tool similar to a clinical practice guideline that has a multidisiplinary focus emphasizing the coordination of clinical services.
How are Care Pathways different from clinical practice guidelines?They are used by multidisiplinary teams. They also consider the quality of care provided as well as coordination of the care provided to the patient.
*What does eMAR stand for?Electronic Medication Administration record.
*What is an eMAR?A Barcode-enabled device - It ensures that the right patient gets the right dose of medication at the right time and through the right route.
*What is Structured Datadrop down boxes, little radio boxes, etc.

Section 3

Question Answer
**Clinical decision support systems (CDSS)(Takes all the data that has been put into the system and has an AI system built into it). The more advanced clinical information systems include decisions support capabilities.
*CDSSClinical decision support systems
Clinical decision support systems (CDSS) assists healthcare providers in the ______?actual diagnosis and treatment of patients. CDS integrates data from a number of systems to assist with charting, CPOE, and identifying drug contraindications.
EDMSElectronic document management system
What is an EDMS?Takes a paper record and scans it so that it can be turned into an electronic document.
Digital dictation system is ?used by physicians and other healthcare providers to dictate various medical reports such as tyhe operative report, H&P, and discharge summary. The dication may be transcribed by a transcriptionist.
*Telematis systems (also called telehealth)Use of telecommunication technologies and computers to exchange healthcare information and to provide services to clients at another location.
Telesurgeryuse of robotics to perform surgery. It allows surgery to be performed on a patient in a different location
*What is the goal of Interoperability The ability of one computer system to exchange data with another computer systems (Like a seamless integration)

Section 4

Question Answer
What clinical information system assists the physician in recording orders and in the decision-making process?Clinical desicion support systems
A system that allows me to treat patients located at a different site?Telematics
A medicaion being ordered is contraindicated due to a patient allergy, The physician is notified. This is an example of a(n)?Alert
*What do Administrative information systems support ?the daily management-related operations of the healthcare enterprise.
Telematis is an example of a ____?Clinical information system
**The 2nd type of Electronic Healthcare Information Applications group large categories is ____?Administrative Information Systems
Financial information systems fall under what IS (Information system)Administrative IS
What are some examples of Administrative Information Systems (IS)? Know at least 2Financial Information Systems - Human Resources Management Systems - Materials Management Systems - Facilities Management Systems.
Financial information systems typically include functions such as _____?Payroll preparation and accounting - Accounts Payable - Patient accounting - Cost accounting - budgeting
Materials managmenet systems may include _____?electronic purchaing
Administrative information systems support the _____day to day operations of the institution.

Section 5

Question Answer
*The 3rd type of Electronic Healthcare Information Applications group large categories is ____?Management support systems
**Management Support Systems / MIS Management Information Systems - (type of Electronic Healthcare Information Applications group) reports arePeriodic scheduled reports - Exception reports - Demand reports - Strategic Decision Support System
*A Periodic scheduled report is ______scheduled in advance and a decision is made as to when a report will be run. (Exp. A census is taken every night at 11:59pm)
*In a MIS - an Exception reports might be a report forsomething out of the ordinary or exceptional conditions (Exp. an accounting report of past-due bills)
*Demand reports aremore of a custom reports (Also known as ad hoc reports), produced as needed,whenever a manager demands or asks for it.
*Some common features of DSS systems (Strategic Decision Support System) include the ability to (Be able to give one feature or goal)Monitor and evaluate key performance indicators and trends - Perform simulations of revenue and expense patterns based on various assumptions - Estimate potential demand for services within different market areas
Executive Information Systems (EISs) are a type of decision support system used by ?high level managers. combines many of the features of the management information and decision support systems.
What system would be used to manage productivityHuman Resource system
What is the difference between the exectuive information system and decision suppport system?The executive information system is designed to be used by high-level management

Section 6

Question Answer
The 4th type of Electronic Healthcare Information Applications group large categories is ____?Research and Data Analytics Systems = An enormous amount of data that is available that can be turned into information to make decisions on patient care.
**Types of Research and Data Analytics Systems ?Data Warehouse - Data Mart - Data Mining
Data Warehouses aredatabase that makes it possible to access data from multiple databases and combine the results into a single query and reporting interface.
Data MartA subset of data warehouse designed for a single purpose or specialized use. Performs the same type of analyses as data warehouse; the target area is narrower. (costs are lower) - need a limited amount of data that are contained in the data warehouse.
Data MiningThat process of extrating and analyzing large volumes of data from a database for the purpose of identifying hidden and sometimes relationships or patterns and using those relationships to predict behaviors
**Online analytical processins (OLA)A database architecture that allows the user to retrieve specific information from a large volumne of data.
Organizational Structures the CMIOChief medical informatics officer - acts as a cheerleader , leading the implementation of an EMR system
Orgainzational Structures the CIO isChief Information Officer - In charge of all information systems
Organizational Structures the CPO isChief Privacy Officer - emerged as a result of the Health Information Portability and Accountability Act (HIPAA)
Organizational Structures the CISO isChief Information Security Officer - manages the security of all patient-identifiable information, wheter it is stored in paper-based or conputer-based systems.

Section 7

Question Answer

Section 8

Question Answer
What are some settings that are used in other healthcare settings?Ambulatory Care and long-term care
An Ambulatory Care information systems functionalities may includeAppointment scheduling - Patient billing - Electronic claims submission for health plans
Much of the focus of long-term care information systems include ____?Assessments (i.e. patient assessments, nutritional assessments)
Home health information systems should be able to ?Transmit monitoring results.
*One of the most important concepts about managing information systems is ________ concept assumes that _________ ?Information Resources Management (IRM) - information is valuable resource that must be managed no matter what form it takes or what medium it is stored in.(Paper, cloud, etc.)
*IRM (Information resource management) assumes that _______information is a valuable resource that must be managed no matter what form it takes or what medium it is stored in.
**One of the most important aspects of IRM is ensureing _____?Data Quality
**One or the most important aspects of IRM is ensuring data quality. Several categories of information can be stored and used to satisfy these needs, they are _______ ?1. Patient-specific information - 2. Aggregate information - 3. Expert knowledge-based information - 4. Comparative information
*1. Patient-specific information consists of data that are linked to individual patients (i.e. blood glucose level)_
*2. Aggregate information consists of ____detailed data sets that are combined to provide a summarization. (i.e. adding the numbers of all the female and male patients to arrive at a total number of patients).
*3. Expert Knowledge-based informationA database of specialized facts about a specific subject area. (Can be used by expert decision support systems to assist physicians in the diagnosis and treatment of patients)
*4. Comparative informationConsists of data sets that have the same attributes but are from different sources and are evaluated or compared against each other.

Section 9

Question Answer