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HIM1201 INTRODUCTION TO HIM 31232 CH 3 review
Terms in this set (41)
What health informatics skills will HIM professionals need to know? What HIM skills will health informatics specialists need?
In general, HIM professionals will need to increase their skills in data analytics and maintenance, while health informatics professionals will need to ensure that their healthcare knowledge is up to speed.
How do data relate to the fields of health informatics and health information management?
Data are critical to both fields - HIM typically collects the data from patient records, while informatics mines, analyzes, and works with the data.
Explain the concept of change management, giving one example of how it might look in a healthcare setting.
structured approach for ensuring that the changes in an organization are thoroughly and smoothly implemented and the benefits of change are achieved
What does PMP stand for? Why might 22% of organizations be seeking individuals with PMP certification?
PMP stands for project management professional. Project management professionals are able to oversee and strategize the numerous projects that are inherent in the changing field of healthcare.
Once an EHR system is in place, what health informatics skills are required to execute the stages of implementation?
help desk/support, design/coding/testing, business intelligence, software support, technical project management, payment processing, data quality and compliance, connectivity, data integrity, data integration, and security.
What is the objective of Meaningful Use?
Users of health information need the "right information at the right place at the right time" in order to improve patient care and make patient health information accessible throughout the country.
How do health information exchanges and integrated delivery networks use health information and health informatics in supporting Meaningful Use?
Through data mining and analysis, all areas of patient care will be improved.
Explain how accountable care organizations and shared savings programs depend on health information management and health informatics.
The data analysis and mining done by HIM and informatics professionals will have a direct impact on the improved quality of care and value hoped for by ACOs and shared savings models of health delivery.
PHR and patient portals are often used interchangeably, but there are two differences? What are they?
Interoperability is essential to providing patients with a clear, complete picture of their medical history from all facilities and providers from which they have sought care.
How will new reimbursement models allow the use of health records to become geographically spread out beyond the walls of a healthcare facility?
Since the new models focus on savings and value, the hoped-for cost savings will influence healthcare globally, not just in a specific facility. All healthcare organizations have a vested interest in promoting health and wellness and, therefore, savings.
According to CAHIIM, health informatics includes all of the following EXCEPT.
CAHIIM does not consider informatics management to be a part of the health informatics field.
Which of the following work activities is considered health informatics?
Developing an interface between an EHR and a cancer registry
____ is (are) central to both health informatics and health information management.
Which of the following is the best example of a workflow?
A hospital administrator mandates that the coding department follow her specific protocol for processing claims.
Data mining will be most important to which stage of healthcare reform?
Accountable patient-centric care
A wired health system must be
Which of the following is the biggest benefit of forming integrated delivery networks, from a patient perspective?
Which of the following best describes an accountable care organization?
Explain the difference between health informatics and health information management. How do the two fields overlap?
The two fields are closely related and mutually supporting. Health informatics focuses on the processes of electronic exchange, digital storage, and the computerized manipulation of health data. Health information management is more focused on the accuracy, standardization, confidentiality, and accessibility of health records. Health informatics activities are conducted within the context of health information management.
Outline the workflow process for EHR implementation.
The workflow for the introduction of electronic health records into the practice of a hospital that has used paper records is a complicated process. The first step is workflow redesign, so that a transition can be made to a system based on digital patient records. The next step is implementation, which requires trainers. Providers or their staff will require technical and software support for an extended period of time. Consultants, clinical specialists, and super-users need to fully understand and apply the capabilities of digital records in all areas of healthcare.
Describe how the field of health informatics has evolved and what the introduction of EHRs and health information exchange means to the future of the field.
Health informatics has evolved extensively - from studying the use of computers in patient management to now using computers almost exclusively for the capture, maintenance, and use of healthcare data. Workers need to be experienced in both health information technology and in the actual use of collected health data.
Identify the types of informatics skills that will be required under a patient-centric healthcare model.
Types of skills required in patient-centered healthcare include advanced data mining, programming, and analytical skills. To shift the patient to the center of the healthcare model across the continuum of care, it is necessary to get data from a variety sources, including patient-sourced health information. All of these data must be assimilated, processed, and interpreted. All members of the care team, including the patient, need to get the right information at the right time. This requires advanced informatics skills.
Compare and contrast a health information exchange (HIE) organization and an integrated delivery network (IDN).
A health information exchange in an organization of nonaffiliated providers and facilities that agree to share health information; an integrated delivery network is a private network of related or affiliated providers and facilities for the sharing of health information.
What are "big data"? Explain how they can be used in healthcare.
Big data refer to databases that are so large that traditional database management programs cannot be used to analyze or manipulate them. They will become increasingly important as more and more health information is being gathered, tracked, and mined.
Explain the role of mHealth in healthcare reform.
mHealth is healthcare which is mobile-based, especially through smartphones and such, that allows for remote monitoring of patient status and increased patient involvement in their own care.
Assess the importance of outcome research to accountable care organizations (ACOs). What types of work roles are required to support ACOs?
Accountable care organizations (ACOs) are "fee for value" models - because they are paid based on their outcomes and costs for certain patient populations, they need to be motivated to promote wellness and track data closely.
How will the use of EHRs and digital patient records affect the workflows of physicians, nurses, HIM professionals, and other staff? Give examples as needed.
In healthcare workflow refers to the sequence of activities undertaken to achieve patient care and reimbursement for the care delivered. An EHR becomes the center of activity in this process.
Do you think health informatics should be a separate field of study? Is there a need for specialized degree programs and certifications? Support your answer.
there is a strong case for informatics being a separate field of study that should come with specialized degrees and certification. Health informatics professionals are required to understand a large amount of information pertaining to - and unique to - both healthcare and data.
The ONC identified the worker roles required for the implementation of EHRs. How would those roles be incorporated in a project management plan? Identify the key steps that would be part of the plan.
Figure 3.4 in your text identifies the six roles needed in EHR implementation.
What elements should be incorporated into a patient portal? Will patient portals and Personal Health Records work? Will they lead to a healthier population? How can wellness programs be incorporated into patient portals?
While patient portal content is still being debated, most experts agree that promoting healthcare access, general medical history overviews, and wellness information should be included.
Patient-centered medicine seems like a good idea in theory. What are the major barriers to reaching this goal? Which of these barriers are related to health information management or health informatics?
getting all data aggregated, making the data usable, and identifying the correct stakeholders. HIM and health informatics are involved in getting a complete patient record, digitizing, exchanging, and making the data usable, including to non-tech savvy consumers.
Match the key terms with their definitions.
Access AHIMA's career map at http://hicareers.com/careermap/. Using the map as a guide, address the following questions: What are the emerging positions in IT/infrastructure? What types of skills do you think those positions would require? Do you believe the Informatics/Data Analysis category adequately represents the importance of informatics under Meaningful Use and payment reform? Why or why not? Explain which emerging career path interests you the most.
Positions include project management, database programmers, database managers, analysts/informaticists, system maintenance, health information management, and network and interface management; for the latter parts of the question, as long as you acceptably back up your responses, any answers are acceptable since they are personal.
Population health management and patient engagement are distinct but related concepts. Drag the descriptors to match the most appropriate concept.
Drag each term into the most appropriate spot in the sentences below.
In order to use new technology and reach reform goals, many existing healthcare workers need to learn new skills.
To work in health informatics, you do not have to be tech savvy.
Many of the new skills and positions in healthcare are part of an evolving area referred to as health informatics.
This means new skills for existing workers and positions for new workers with the required skills.
Educational and training programs in the two fields share many courses, and workers in both share many skills.
The types of skills required in database management build on those needed in system maintenance and repair.
Put the steps of the project management process in order, with the first step on top.
1. Initiate the project.
4. Monitor and control
5. Close the project
Match the key terms with their definitions.
List the healthcare organizations that are a part of the HIE. What information are patients able to access? Can providers who are not part of the HIE access different information?
Given that fixing healthcare requires getting patient information to the right person at the right place at the right time, the exchange of information across nonaffiliated stakeholders is key. HIEs allow for continuity of care as patients move between care providers.
Drag the term into the most appropriate spot.
Before EHRs, information was exchanged between clinicians at different locations via fax.
Meaningful Use is designed to put the patient at the center of the healthcare system.
HIEs will play a critical role in connecting all stakeholders.
The concept of an IDN is for a hospital to provide one-stop shopping.
The purpose of IDNs is to achieve better care and lower costs.
1.Health informatics and health information management are interrelated fields. What is the single, central characteristic that they have in common?
2.What have historically been the differences between health informatics and health information management?
3.What skills do you think would be needed for working in health informatics? Health information management? Both?
1.Both health information management and health informatics revolve around patient data.
2.On a basic level, health informatics focuses on the processes of electronic exchange, digital storage, and the computerized manipulation of health data, while health information management has historically been more narrowly focused on the accuracy, standardization, confidentiality, and accessibility of health records, typically in a hard-copy format.
3.HIM is an underlying element that shapes all parts of health informatics, allowing information to be used properly and effectively. Health informatics is built on top of this governed information and is focused on the resources, devices, and methods required for optimizing the acquisition, storage, retrieval, and use of clinical and related patient data. Recently, however, health informatics and data analytics skills have also become important for HIM professionals on a smaller scale.
Activity Instructions: Identify and select the best position to meet the needs of the organization. Answer the corresponding questions.
Mercy Hospital System is in the process of transitioning to an integrated delivery system and is looking for a specialist with the skills to work with its developer to design an integrated delivery network (IDN). Click on the link to the AHIMA Career Map or find the Career Map on AHIMA's website under "Career & Student Center" and then "Career Prep Tools" on the main page navigation bar. The Career Map is an interactive resource to guide students and healthcare professionals in identifying new job titles and career paths. Each column represents a HIM domain of expertise and the corresponding job titles. When you click on an icon, it gives you the job title and a brief description. To find out more about these specialists, click on the button "full description". Your assignment is to review each domain and identify the most appropriate specialty to meet the needs of Mercy Hospital System.
Understanding the skills, experience, and opportunities available for health information professionals is important not only for your own development but also for helping to select qualified experts to help you once you are in the field.
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