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69 terms

RHIT D4 Information Technology

HIM software, database, applications and system maintenance.
The number that has been proposed for use as a unique patient identification number but is controversial because of confidentiality and privacy concerns is the:
Social security number
What is the solution that allow individual of hospital physicians coordinated access to all forms of incoming and outgoing messages including voice, fax, e-mail, and video mail at a single access point.
Unified messaging
The chief information officer CIO is a senior-level executive who is responsible for:
[Leading the strategic IS planning process], for assisting the leadership team use ISs in support of strategic planning and management, and for overseeing the organization's IRM Functions.
Which of the following would be the best course of action to take to ensure continuous availability of electronic data?
EHR should have server redundancy accomplished through [mirrored processing]. This means that as data are entered and processed by one server, they are entered and processed simultaneously by a second server. when primary server crash, the system should fail over to the the second server and continue processing as if nothing had happened at least from the user's point of view.
What technologies would allow a hospital to get as much medical record information online as quickly as possible?
[Electronic document management system EDMS]. This involve document imaging and COLD (computer output to laser disk) systems or ERM electronic report management. Document imaging: scanning paper documents and make images available on a computer monitor. COLD systems capture print images of lab result and other documents that stand-alone electronic systems and make it available for viewing on computer monitor.
What technologies would be best for a hospital to use to manage data from its laboratory, pharmacy, and radiology information systems?
[Clinical data repository (CDR)] is a special kind of database that manages data from different source system/various ancillary system in the hospital or other provider settings. The CDR is supports management of data for an EHR.
What is necessary to ensure that each term used in an EHR has a common meaning to all users?
[Control vocabulary] this mean a specific set of terms in the EHR's data dictionary may be used and that a central authority approves any additions or changes. A controlled vocabulary is essential to ensure common meaning for all users.
What is point of care (POC) charting systems means? Also can be in electronic systems call EPOC (electronic point-of-care charting)
Is the system that provide context-sensitive templates. Templates ensure the appropriate data are collected and guide users in adhering to professional practice standards. Such as nursing admission assessments, nursing progress notes, vital signs charting, intake/output records, and the like.
What transition strategy to achieve an EHR?
Electronic document management system EDMS. They can manage many types of digital document, including e-mails and electronic faxs.
What is computerized provider order entry CPOE? This system primary user is physician.
Is a application that uses standard order sets and other clinical decision support (CDS) that support physician order entry into the computer. the other CDS such as pharmacy info system , laboratory information system, food and nutrition services information system.
To ensure that a CPOE system supports patient safety, what other system must also be in place?
pharmacy information system, laboratory information system or/and food and nutrition services information system.
As part of an EHR system selection, due diligence should be done____
[Before contracting for an EHR product]. Due diligence involves thoroughly reviewing the vendors'proposals, conducting product demonstrations, visiting sites where the product is already installed, calling references, and investigating the vendors'business practices.
Which tasks is not performed in an electronic health record system?
[Assembly] this task is performed in paper-based records system, the health record is organized or "assembled" after the patient is discharged from the hospital or other setting.
What is means in paper-based system perform "assembled"?
It's mean that each page in the patient record is organized in a pre-established order. Pre-established record order of the pages varies from facility to facility. Each page in the patient record is reviewed to ensure that it belongs to that record.
The tasks that can be performed in an electronic health record system are _____.
Document imaging, analysis, or indexing.
What is implementation plan?
It's a step-by-step approach to installing, testing, training, andgaining adoption for an EHR.
How do health plans incentivize(to offer a reward) providers to use EHRs?
[Paying for performance programs] or pay for quality. Where EHRs would be used to support data collection and the reporting of clinical outcomes. those with better outcomes could receive additional reimbursementor be eligible for grants from insurance company or government.
As a health information professtiona, you've become involved in developing an health information exchange (HIE) in your region. The agency that tould provide the best resources for HIE development is:____
The Office of the National Coordinator (ONC) help develop a national health IT. ONC focused on development of the Nationwide Health Information Network (NHIN) along with promotion and development of fundamental infrastructure(basic framework) standards, protocals, and profiles to enable EHR interoperability.
A special web page that offers secure access to data is a ____.
A [portal], is a special application to provide secure remote access to specific applications.
When some computers are used primarily to enter data and other to process data the architecture is called:___
[client/server]. The server computers are powerful processors. It's house/have all the application software and store all activedata captured by all the clients throughout the network.
The ability to electronically send data from one electronic system to a different electronic system and still retain its meaning is called:___
In order to effectively transmit healthcare data between a provider and payer, both parties must adhere to which electronic data interchange standards?
[X12N] is a transaction standards that HHS adopted. This is a accredited standards committee health care Task group [X12N] which is a standard of EDI called ANSI ASC X12N
What is LOINC?
Logical Observation Identifiers, Names and Codes LOINC. developed by the Regenstrief Institute, provides names and codes for laboratory test results and other observations.
What is RxNorm?
Is Normalized notations for clinical drugs RxNorm, developed jointly between the NLM and the Veterans Health Administration provides description of medication in clinical form
What is DICOM?
Digital Imaging and Communications in Medicine DICOM is helps exchange clinical images such as X-ray, CT scans, and etc...
What is IEEE 1073?
The Institute of Electrical and Electronics Engineers (IEEE) 1073 provides for open-systems communications in healthcare applications, primarily between bedside medical devices and patient care information systems, optimized for the acute care setting.
What is UMDNS?
Universal Medical Device Nomenclature System UMDNS, developed by the Emergency Care Research Institute provides standard terminology for medical devices.
What is HL7?
HL7 is a not-for-profit SDO. It provides standards, guidelines, and methodologies that make data exchange possible among hospitals, physician practices, and other types of provider systems.
What is ANSI and ASC X12?
American National Standards Institute (ANSI) Accredited Standards Committee X12 (ASC X12) provides standards for hospital, professional, and dental claims, eligibility inquiries, electronic remittance advice, and other standards
Who are the primary users of the health record for delivery of healthcare services?
Clinical professionals who provide direct patient care.
The vision of EHR is that discrete data would be entered by providers into an EHR via:
[Templates] or called structured data. In CDS the information in the EHR must be captured in discrete data format from ancillary system or from data entered by the clinician and/or patient using templates and other data entry aids. So discrete data is a raw facts or figures that can be processed by the computer.
The key or tool for linking data about an individual who is seem in a variety of care settings is (refer to locate electronic records for a patient across a health information exchange)
An identity [matching algorithm] process must be used by health information exchange HIE organization to identify any patient for whom data are to be exchanged. algorithm mean step-by-step procedure for solving a problem.
What is the criteria for Meaningful use?
Term used in the ARRA/HITECH legislation for providers to qualify for incentives for using EHR. There are three types of requirements for meaningful use: (1) Use of certified EHR technology in a meaningful manner (for example, electronic prescribing); (2) that the certified EHR technology is connected in a manner that provides for the electronic exchange of health information to improve the quality of care; and (3) that, in using certified EHR technology, the provider submits information on clinical quality measures (42 CFR Parts 412)
One of the advantages of an EDMS is that it can:
[Help manage work tasks]. Workflow support has been added to EDMS. This means EDMS facilitates various functions that must be performed, often simultaneously or in a specific sequence.
Which computer architectures uses a singe large computer to process data received from terminals into which data are entered?
[Mainframe]. They can perform millions of instructions per second, are designed to connect input/output devices over long distances and can handle hundreds or thousands of users at the same time.
A transition technology used by many hospitals to increase access to medical record content is_____
[EDMS]. When EDMSs are well indexed, certain content within the documents can be uniquely retrieved.
What is dual core strategy?
When hospital/organization use different vendor that provide different applications to support their EHR system due to their HIS vendor does not provide the level of EHR sophistication they desire so they have to looking to interface their HIS application with another vendor.
What is document imaging system. The system advantage that can eliminating requirement to move/track paper documents through workflow, solve lost or misplaced paper or microfiche documents.
Is a document that scans and indexes to create a digital picture. it can be [retrieved via(by way of/by means of) the computer]. It's store on [electronic media] such as magnetic(hard disk/floppy disk or tape) or optical disk such as CD-ROM, CD-R, CD-RW,DVD). Can be [view by multiple user at the same time]. This system can not be store images in Microfilm.
What type of info system would be used for processing patient admissions, employee time cards, and supply purchase orders?
[Transaction processing system (TPS)] is a operations support system. It's support transaction that take place in a healthcare facility.
What is major phases of the system development life cycle SDLC for IS?
Planning(is the process of identifying and assigning priorities to the various upgrades and changes that might be made in an organization's ISs), analysis(system purpose, desired functions, anticipated benefits, and costs), design, implementation, and maintenance.
What is basic components make up every electronic network communications system
Transmitters, receivers, media, and data. which is a nature of communications systems.
The concept of systems integration refers to the healthcare organization's ability to_____.
Combine info from any system within the organization. This sharing of info along with standardization is necessary for all of the systems to work together, thus providing us with a seamless integration of data.
The request for proposal RFP is a written document that generally includes a detailed description of the system's requirements and provides guidelines for vendors to follow in____.
Bidding for the contract.
The most common approached to converting from an old info system to a new one are the parallel approach(two at the same time), the phased approach(one by one), and ______approach.
the Direct cutover means organization stops using the old system and starts the new one. This method can be effective when old system is quite different from the new one.
What is implementation phase of the systems development life cycle?
Trial runs of the new system conducted/development of the computer programs, backup and disaster recover procedures developed, development of system documentation, training of end users conducted(guide), and system conversion.
What is considered a consumer-centric(relating to) information application?
The personal health record PHR. The patients are expected to own and manage the information in the PHR, which comes from both healthcare providers and the individual.
Which of the following best describes the function of kiosks?
A computer station that promotes the healthcare organization's services.
A medication being ordered is contraindicated due to a patient allergy. The physician is notified. This is an example of a(n):
What systems would the HIM department director use to receive daily reports on the number of new admissions to, and discharges from, the hospital?
[Management information system] which is support by transaction processing system TPS data to help middle manages make decisions about their departments' objectives.
Which of the following is a snap shot in time and consolidates data from multiple sources to enhance decision making?
[Clinical data warehouse CDW] The principal purpose of the data warehouse is to provide data for improved decision support. A data warehouse usually contains historical data that is derived from operation (transaction) systems and is optimized for speed of retrieval of data thus enhancing decision making.
Data warehouse is____
Is a special type of database that alleviates this problem by consolidating and storing data from various databases throughout the enterprise. Data warehouses are designed to perform data analysis rather than to support routine operations.
What system uses artificial intelligence techniques to capture the knowledge of human experts and to translate and store it in a knowledge base?
Expert system
What type of stores data in predefined tables consisting of rows and columns?
[Relational database] it's similar to a spreadsheet.
Which of the following uniquely identifies each record in a database table?
Primary key
What is the purpose of computer databases?
Store and retrieve data. Common language called structured query language SQL is used to store and retrieve data in relational databases
Which of the fifth-generation programming language that uses human language to allow users to speak to computers in a more conversational way?
Natural language.
What is call that when the connects computers together in a way that allows for the sharing of information and resources easily and efficiently?
Which is a network that connects computers in a relatively small area, such as a room or a building?
LAN. It can take the form of a client/server network, a peer-to-peer network, or a hybrid network. A hybrid network is a mixture of client/server and peer-to-peer networks. Using hardwire cable transmit data securely at very high speeds throughout a building, campus, or small geographic area.
What is wide-area network (WAN).
Is connects devices across a large geographical area such as state or world. Wan can simply consist of two or more LANs connected by telephone lines. The world's largest public WAN is the Internet.
What enable computers on a network to communicate with each other?
[Protocols]. The computer have to use the same language, Network protocols provide computers with a common language.
What enables sharing resources such as printers or hard-disk space across a computer network?
[Servers] For example, a user interacts with the client computer(lab top, desktop) to request something from the network. The server responds by supplying the e-mail messages the user requested.
What is the basic communication protocol of the internet?
TCP/IP Transmission control protocol/Internet protocol
What is a family of standards that aid the exchange of data among hospital systems and physician practices?
[HL7 Health level seven], found in 1987 ANSI developing organization that provides comprehensive standards for the exchange, integration, sharing, and retrieving of electronic health info that supports patient care. HL7 allows exchange of data between common systems that make up the EHR such as radiology, laboratory, pharmacy, and other systems.
Systems testing of a new info system should be conducted using:
[Actual patient data]
What is used to associate relationships between entities (tables) in a relational database?
[Foreign keys], which is a column of one table that corresponds to a primary key in another table. Together, they allow two tables to join together.
What security controls are built into a computer software program?
[Application controls]
What is best to ensure that workstations are not left unattended at home offices?
[Implement session terminations]
What is intranet?
Intranet is a LAN that uses TCP/IP
What is extranet?
Extranet is a WAN that uses TCP/IP