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Study sets matching "him health information medical"

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Study sets matching "him health information medical"

60 terms
Chapter 1 :Being a medical records/ Health Information Clerk &Chapter 2: HIM department
The 7 characterisitics of a HIM clerk…
Physician Incomplete area -
Deficiency slip -
3 uses of the medical record are:
high school graduate or equivalent, 40-45 wpm typing speed, s…
area where physicans work on incomplete records
document that identifies when more information is needed to r…
patient care, legal , and statistics
The 7 characterisitics of a HIM clerk…
high school graduate or equivalent, 40-45 wpm typing speed, s…
Physician Incomplete area -
area where physicans work on incomplete records
81 terms
HIM Chapter 7 - Health Information Functions
HIM functions are information-centered…
Probably the most important index used…
The WHAT is the permanent record of ev…
The most common MPI errors occur at th…
Quality... Security... Availability
master patient index
MPI
registration
HIM functions are information-centered…
Quality... Security... Availability
Probably the most important index used…
master patient index
60 terms
HIM Health Information Functions Ch. 7
Master Patient Index (p.322)
Enterprise Master Patient Index (EMPI)…
Quality Issues in MPI Systems: Duplica…
Quality Issues in MPI Systems: Overlay…
Contains pertinent demographic data on patient and permanent…
References all patients in two or more facilities
Creating another record number for an existing patient result…
Patient is assigned another patient's medical record resultin…
Master Patient Index (p.322)
Contains pertinent demographic data on patient and permanent…
Enterprise Master Patient Index (EMPI)…
References all patients in two or more facilities
8 terms
HIM- Health Information Processes (sect 5)
Alphabetic Filing System
MPI
EMPI
Types of filing systems
Simplest method; ideal for small organizations
Master patient index; consists of a permanent record of all p…
Enterprise-wide master patient index; references all patients…
-alphabetic... -straight numeric... -alpha-numeric... -terminal digit
Alphabetic Filing System
Simplest method; ideal for small organizations
MPI
Master patient index; consists of a permanent record of all p…
12 terms
HIM 321 Final: Disaster Planning for Health Information
protect health information from damage…
never experience
external
internal
A well-designed disaster plan will:
Most health information departments never/experience a disaster
Type of disaster:... hurricanes, earthquakes, tornados, water,…
Type of disaster:... water damage from broken pipes
protect health information from damage…
A well-designed disaster plan will:
never experience
Most health information departments never/experience a disaster
9 terms
CH 16 health information management (him)
Adverse events
Authenticated
Benchmark
Encrypted
An injury caused by medical management rather than an underly…
Applies to signature initials or computer key stroke by the m…
Items or factors that serve as standards against which other…
Converted from one system of communication to another
Adverse events
An injury caused by medical management rather than an underly…
Authenticated
Applies to signature initials or computer key stroke by the m…
49 terms
HIM 233-Health Information Technology and Management Mid-Term Review
Ambulatory Care- Ambulatory Care are a…
Acute Care= Treat patients (inpatients…
Length Of Stay- L O S... Outpatient faci…
Length of Stay-... The number of days a…
Examples:... Doctor's offices... Medical clinics... Public health depa…
Example:... Acute care hospital... Not-for-profit hospital... For-prof…
Determining Facility Size:... Outpatient facility:... Number of pat…
For example: If the patient is admitted February 1, and disch…
Ambulatory Care- Ambulatory Care are a…
Examples:... Doctor's offices... Medical clinics... Public health depa…
Acute Care= Treat patients (inpatients…
Example:... Acute care hospital... Not-for-profit hospital... For-prof…
36 terms
Medical Terminology- Health Information
health information management (HIM)
information technology
health informatics
traditional health record
the management of patients healthcare data of all types
the processes needed to assimilate, organize, maintain, and s…
a branch of health information management that uses computer…
a medical chart stored and maintained in paper format
health information management (HIM)
the management of patients healthcare data of all types
information technology
the processes needed to assimilate, organize, maintain, and s…
15 terms
Medical, Social and Health Information
Sarah has a sore throat and fever. She…
What mental health professional earns…
Hat physician cares for patients with…
What tool is needed to measure an apic…
DO
Psychiatrist
Pediatrician
Stethoscope
Sarah has a sore throat and fever. She…
DO
What mental health professional earns…
Psychiatrist
87 terms
HIM 3297 Human Resource Management in Health Information Management
FLMA - The Family and Medical Leave Ac…
14th amendment - reverse discrimination
Equal pay act
CRA (Title VII Civil Rights Act 1964)
Requires covered employers to provide employees job-protected…
i. Provides equal protection for all citizens and requires du…
i. Men and women in an organization doing the same work must…
Prohibits employers from discriminating based on:... 1. Race... 2.…
FLMA - The Family and Medical Leave Ac…
Requires covered employers to provide employees job-protected…
14th amendment - reverse discrimination
i. Provides equal protection for all citizens and requires du…
17 terms
Health Information In The Medical Office
Alphabetic filing
Alphanumeric
Caption
Chronologic Order
any system that arranges names or topic accordin gto the sequ…
of or relating to systems made up of combinations of letters…
a heading, title, or subtitle under which records are filed
of, relating to, or arranged in or according to the order of…
Alphabetic filing
any system that arranges names or topic accordin gto the sequ…
Alphanumeric
of or relating to systems made up of combinations of letters…
9 terms
Health Information Technology - Medical Terminology
Health information management (HIM)
Information technology
Health informatics
Traditional health record
The management of patient healthcare data of all types
The processes needed to assimilate, organize, maintain, and s…
A branch of health information management that uses computer…
A medical chart stored and maintained in paper format
Health information management (HIM)
The management of patient healthcare data of all types
Information technology
The processes needed to assimilate, organize, maintain, and s…
HIM215 Chapter 3 Judicial Process of Health Information
Which of the following is a secondary…
HIM record serves as...
Legal Uses for Health Information
evidence must be admissible
To generate a report to be used in performance improvement
the backbone of virtually every professional liability action…
Evidence
Pertinent and proper... Relevant to the matter... Determined by the…
Which of the following is a secondary…
To generate a report to be used in performance improvement
HIM record serves as...
the backbone of virtually every professional liability action…
46 terms
HIM1423Ch15 - Introduction to Electronic Health Information Systems
administrative information systems
admission-discharge-transfer (ADT)
barcode-enabled devices
care pathways
a category of healthcare information systems that supports hu…
the name given to the computer systems in healthcare faciliti…
devices used throughout healthcare facilities that are design…
a care-planning tool similar to a clinical practice guideline…
administrative information systems
a category of healthcare information systems that supports hu…
admission-discharge-transfer (ADT)
the name given to the computer systems in healthcare faciliti…
A) Health Information Management (HIM) - Structure of Healthcare Data Intro.
What does HIM focus on?
What is a health record?
A health record is also known as?
What is a medical record's primary u…
focuses on patient's medical record
a paper or computer based tool for collecting & storing info.…
Patient record, medical record, resident record, client recor…
- manage healthcare... - deliver care to patient... - communication…
What does HIM focus on?
focuses on patient's medical record
What is a health record?
a paper or computer based tool for collecting & storing info.…
71 terms
HIM1423Ch15 - Introduction to Electronic Health Information Systems
administrative information systems
admission-discharge-transfer (ADT)
barcode-enabled devices
care pathways
a category of healthcare information systems that supports hu…
the name given to the computer systems in healthcare faciliti…
devices used throughout healthcare facilities that are design…
a care-planning tool similar to a clinical practice guideline…
administrative information systems
a category of healthcare information systems that supports hu…
admission-discharge-transfer (ADT)
the name given to the computer systems in healthcare faciliti…
18 terms
Medical terminology-Health Information Technology
health information management (HIM)
information technology
health informatics
traditional health record
the management of patient healthcare data of all types
the processes needed to assimilate, organize, maintain, and s…
a branch of health information management that uses computer…
a medical chart stored and maintained in paper format
health information management (HIM)
the management of patient healthcare data of all types
information technology
the processes needed to assimilate, organize, maintain, and s…
72 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapter 7 Health Information Functions & Chapter 12 Ethical Issues in HIM
1. HIM functions are information-cente…
2. The _____ is the permanent record o…
3. The most common MPI errors occur at…
4. A ___________ is assigned when a ne…
A. Quality... B. Security... C. Availability
MPI
registration
duplicate medical record number
1. HIM functions are information-cente…
A. Quality... B. Security... C. Availability
2. The _____ is the permanent record o…
MPI
37 terms
Health Information Management: Electronic and Manual Medical Records
EMR (Electronic Medical Records)
Records Management
Records Management: Standards
Records Management: Accuracy
By 2015, all medical records must be electronic.
*Medical Records Have a Vital Role In Ensuring Quality Patien…
If standards are disregarded, a breach of contract between pa…
A thorough and accurate medical record furnishes documented e…
EMR (Electronic Medical Records)
By 2015, all medical records must be electronic.
Records Management
*Medical Records Have a Vital Role In Ensuring Quality Patien…
72 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapter 7 Health Information Functions & Chapter 12 Ethical Issues in HIM
1. HIM functions are information-cente…
2. The _____ is the permanent record o…
3. The most common MPI errors occur at…
4. A ___________ is assigned when a ne…
A. Quality... B. Security... C. Availability
MPI
registration
duplicate medical record number
1. HIM functions are information-cente…
A. Quality... B. Security... C. Availability
2. The _____ is the permanent record o…
MPI
27 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapter 3 Part 1
1. When a facility is transitioning fr…
2. The health record contains two type…
3. __________ data document the patien…
4. ____________ include the demographi…
hybrid
clinical and administrative
Clinical
Administrative
1. When a facility is transitioning fr…
hybrid
2. The health record contains two type…
clinical and administrative
31 terms
Medical Terminology - Health Information Technology Word List
health information management (HIM)
information technology
health informatics
traditional health record
the management of patient healthcare data of all types
the process needed to assimilate, organize, maintain, and sto…
a branch of health information management that uses computer…
a medical chart stored and maintained in paper format
health information management (HIM)
the management of patient healthcare data of all types
information technology
the process needed to assimilate, organize, maintain, and sto…
24 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapter 1
1. Health information management (HIM)…
2. The Association of Record Librarian…
3. The underlying purpose of AHIMA is:
4. Before 1918, the creation and manag…
1928
American Health Information Management Association (AHIMA).
to ensure the quality, confidentiality, and availability of h…
Attending physician
1. Health information management (HIM)…
1928
2. The Association of Record Librarian…
American Health Information Management Association (AHIMA).
26 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapter 2
1. The PHR is owned by________________…
2. Primary purposes of the health reco…
3. The primary users of health records…
4. ______________ depend on the inform…
the individual patient or consumer.
A. Patient care delivery... B. Patient care management... C. Patien…
patient care providers.
Individual users
1. The PHR is owned by________________…
the individual patient or consumer.
2. Primary purposes of the health reco…
A. Patient care delivery... B. Patient care management... C. Patien…
26 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapter 2
1. The PHR is owned by________________…
2. Primary purposes of the health reco…
3. The primary users of health records…
4. ______________ depend on the inform…
the individual patient or consumer.
A. Patient care delivery... B. Patient care management... C. Patien…
patient care providers.
Individual users
1. The PHR is owned by________________…
the individual patient or consumer.
2. Primary purposes of the health reco…
A. Patient care delivery... B. Patient care management... C. Patien…
14 terms
H) HIM - Medical Record Organization - Subjective, Objective, Descriptive Information, Assessment, and Plan
Facts
Most medical report content fits into…
Subjective
Common Subjective Headings
- there is no hard and fast rule for report organization, but…
- Subjective, Objective, Descriptive Information, *Asse…
- of, relating to, or designating a symptom or condition perc…
- History of Present Illness(HPI) - patient's description o…
Facts
- there is no hard and fast rule for report organization, but…
Most medical report content fits into…
- Subjective, Objective, Descriptive Information, *Asse…
27 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapter 3 Part 1
1. When a facility is transitioning fr…
2. The health record contains two type…
3. __________ data document the patien…
4. ____________ include the demographi…
hybrid
clinical and administrative
Clinical
Administrative
1. When a facility is transitioning fr…
hybrid
2. The health record contains two type…
clinical and administrative
33 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapters 3 Part 2
28. The _________ report notes any pre…
29. The ________ report describes the…
30. The _____________ report includes…
31. A ______ report describes any tiss…
anesthesia
operative
recovery room
pathology
28. The _________ report notes any pre…
anesthesia
29. The ________ report describes the…
operative
33 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapters 3 Part 2
28. The _________ report notes any pre…
29. The ________ report describes the…
30. The _____________ report includes…
31. A ______ report describes any tiss…
anesthesia
operative
recovery room
pathology
28. The _________ report notes any pre…
anesthesia
29. The ________ report describes the…
operative
90 terms
Section 4 Medical Practice and Health Information Management
An office manager for a medical practi…
The office manager sets the tone of th…
Supervisors should collaborate with ot…
In a busy office, what is an efficient…
A. direct supervision... B. long-range planing... C. management of…
A. True... B False
A. True... B. False
A. attaching notes to paychecks... B. having regular staff meeti…
An office manager for a medical practi…
A. direct supervision... B. long-range planing... C. management of…
The office manager sets the tone of th…
A. True... B False
6 terms
Medical Records Section 1 Health Information & Services
director
managers - health records and registra…
manager - transcription services
health record administrators/health in…
responsible for health records, registration services, privac…
responsible for health records and registration services for…
responsible for transcription for a specific area of a region
graduates of a two year HIM responsible for coding and abstra…
director
responsible for health records, registration services, privac…
managers - health records and registra…
responsible for health records and registration services for…
28 terms
Unit three: health information in the medical office
alphabetic filing
alphanumeric
caption
chronologic order
any system that arranges names or topics according to the seq…
of or relating to systems made up of combinations of letters…
a heading, title, or subtitle under which records are filed
of, relating to, or arranged in or according to the order of…
alphabetic filing
any system that arranges names or topics according to the seq…
alphanumeric
of or relating to systems made up of combinations of letters…
27 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapter 3 Part 1
1. When a facility is transitioning fr…
2. The health record contains two type…
3. __________ data document the patien…
4. ____________ include the demographi…
hybrid
clinical and administrative
Clinical
Administrative
1. When a facility is transitioning fr…
hybrid
2. The health record contains two type…
clinical and administrative
33 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapters 3 Part 2
28. The _________ report notes any pre…
29. The ________ report describes the…
30. The _____________ report includes…
31. A ______ report describes any tiss…
anesthesia
operative
recovery room
pathology
28. The _________ report notes any pre…
anesthesia
29. The ________ report describes the…
operative
58 terms
Health Information Management: Electronic and Manual Medical Records
EMR (Electronic Medical Records)
How is a Health Care profecional
Who are pt care profecional
What is pt. Encounter?
By 2015, all medical records must be electronic.
Any Dr involved in pt care
Dr. Nurse, M.A. , P.A, Administrative, Staff
Any time you confront a Pt. ... Personal... Over phone... Written Emai…
EMR (Electronic Medical Records)
By 2015, all medical records must be electronic.
How is a Health Care profecional
Any Dr involved in pt care
37 terms
Health Information Management: Electronic and Manual Medical Records
EMR (Electronic Medical Records)
Records Management
Records Management: Standards
Records Management: Accuracy
By 2015, all medical records must be electronic.
*Medical Records Have a Vital Role In Ensuring Quality Patien…
If standards are disregarded, a breach of contract between pa…
A thorough and accurate medical record furnishes documented e…
EMR (Electronic Medical Records)
By 2015, all medical records must be electronic.
Records Management
*Medical Records Have a Vital Role In Ensuring Quality Patien…
15 terms
Health Website- Medical Information, Administration, Marketing, and Sales
Medical Advice
E-Prescriptions
Telemedicine
Electronic Health Records
...
using technology to both write and send prescriptions electro…
Using telecommunications technology to treat and diagnose pat…
...
Medical Advice
...
E-Prescriptions
using technology to both write and send prescriptions electro…
37 terms
Health Information Management: Electronic and Manual Medical Records
EMR (Electronic Medical Records)
Records Management
Records Management: Standards
Records Management: Accuracy
By 2015, all medical records must be electronic.
*Medical Records Have a Vital Role In Ensuring Quality Patien…
If standards are disregarded, a breach of contract between pa…
A thorough and accurate medical record furnishes documented e…
EMR (Electronic Medical Records)
By 2015, all medical records must be electronic.
Records Management
*Medical Records Have a Vital Role In Ensuring Quality Patien…
33 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapters 3 Part 2
28. The _________ report notes any pre…
29. The ________ report describes the…
30. The _____________ report includes…
31. A ______ report describes any tiss…
anesthesia
operative
recovery room
pathology
28. The _________ report notes any pre…
anesthesia
29. The ________ report describes the…
operative
22 terms
Medical coding Module exam: Health Information Management
Quantitative analysis
Qualitative analysis
Healthcare documentation process
Concurrent review
Review medical record to ensure that standards are met and de…
Review medical record for completeness and accuracy
Process by which the medical record containing the details of…
Review of medical record carried out while the patient is act…
Quantitative analysis
Review medical record to ensure that standards are met and de…
Qualitative analysis
Review medical record for completeness and accuracy
44 terms
Chapter 1 Introduction to Health Information Technology and Medical Billing
part of the American Recovery and Rein…
technology that is used to record, sto…
a computerized lifelong healthcare rec…
the utilization of certified EHR techn…
Health Information Technology for Economic and Clinical Healt…
health information technology (HIT)
electronic health record (EHR)
meaningful use
part of the American Recovery and Rein…
Health Information Technology for Economic and Clinical Healt…
technology that is used to record, sto…
health information technology (HIT)
29 terms
Medical Information Mgmt, HIPAA, Dept of Health Professions
What are the duties of the Board of Me…
What kinds of things need to be report…
How do you obtain civil immunity in Bo…
HIPAA Title 1
License, discipline, promulgate.
mental illness, substance abuse, unethical, unprofessional
Be the one to report, be willing to provide further informati…
limits pre-existing condition exclusion & forbids discriminat…
What are the duties of the Board of Me…
License, discipline, promulgate.
What kinds of things need to be report…
mental illness, substance abuse, unethical, unprofessional
9 terms
HIM150 Study Guide for the Health Information Management Technology: An Applied Approach - Chapter first part of 4 - Healthcare Data Sets and Standards
1. Lists of recommended data elements…
2. The purpose of the ___________ is t…
3. The goal of the __________ is to im…
4. The __________ is the dataset used…
data sets
Uniform Hospital Discharge Data Set (UHDDS)
Uniform Ambulatory Care Data Set (UACDS)
Minimum Data Set (MDS)
1. Lists of recommended data elements…
data sets
2. The purpose of the ___________ is t…
Uniform Hospital Discharge Data Set (UHDDS)
10 terms
Week 9 Study Set (Medical Informatics & Health Information Technologies)
The goal of the Security Rule
Biometric identifiers
An organization's firewall
Data encryption
is to ensure that patient information is protected from unaut…
is any means by which a person can be uniquely identified by…
limits external Internet users from accessing portions of the…
ensures that data transferred from one location on a network…
The goal of the Security Rule
is to ensure that patient information is protected from unaut…
Biometric identifiers
is any means by which a person can be uniquely identified by…
22 terms
Week 8 Study Set (Medical Informatics & Health Information Technologies)
The HITECH Act of the ARRA of 2009
The Privacy Rule
Under HITECH, state attorneys general
Breach notification
made significant changes to the HIPAA Privacy Rule.
resides in the administrative simplification provision of Tit…
may bring civil actions in federal district court on behalf o…
is one type of mitigation under the Privacy Rule.
The HITECH Act of the ARRA of 2009
made significant changes to the HIPAA Privacy Rule.
The Privacy Rule
resides in the administrative simplification provision of Tit…
15 terms
Week 2 Study Set (Medical Informatics & Health Information Technologies)
Written objections to subpoenas
Appellee
Bench trial
Noneconomic compensatory damages
may be made in a motion to quash.
the defendant or respondent in an appellate proceeding.
a trial without a jury.
targeted as a cause of rising professional malpractice insura…
Written objections to subpoenas
may be made in a motion to quash.
Appellee
the defendant or respondent in an appellate proceeding.
18 terms
Week 1 Study Set (Medical Informatics & Health Information Technologies)
Ownership of a health record
In a malpractice case
Electronic health record
Privileged communication
Generated by a doctor on a patient belongs to the doctor.
A professional code of ethics may be used as a benchmark for…
Can be managed across more than one healthcare organization.
A legal concept designed to protect the communication between…
Ownership of a health record
Generated by a doctor on a patient belongs to the doctor.
In a malpractice case
A professional code of ethics may be used as a benchmark for…
25 terms
Week 12 Study Set (Medical Informatics & Health Information Technologies)
State required reporting laws
EMTALA
The Hill-Burton Act
Joint Commission accredited organizati…
are an exception to the doctrine of preemption.
was passed by Congress to combat transfer and discharge of pa…
is federal legislation, passed in 1946, that provided hospita…
are expected to complete a root cause analysis following a se…
State required reporting laws
are an exception to the doctrine of preemption.
EMTALA
was passed by Congress to combat transfer and discharge of pa…
14 terms
Week 11 Study Set (Medical Informatics & Health Information Technologies)
A competent adult
Health organizations and providers
Proof of a requester's relationship to…
The Patriot Act of 2001 and the Homela…
may wish to appoint another person to be his or her personal…
may charge a reasonable fee as set by state law for copying h…
must be verified before health information is released to the…
allow unauthorized access to PHI upon request in order to pro…
A competent adult
may wish to appoint another person to be his or her personal…
Health organizations and providers
may charge a reasonable fee as set by state law for copying h…
17 terms
Week 14 Study Set (Medical Informatics & Health Information Technologies)
Medical staff bylaws
Joint Commission standards
Credentialing
Primary source verification
are considered a contract and are legally binding in most sta…
require that the medical staff bylaws address issues of self-…
is the process of reviewing and validating qualifications of…
the process for verifying the credentials of a physician who…
Medical staff bylaws
are considered a contract and are legally binding in most sta…
Joint Commission standards
require that the medical staff bylaws address issues of self-…
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