NHA - Certified Electronic Health Record Specialist
|| || || || || || ||
(CEHRS) Study Guide AVTEC Exam with accurate detailed || || || || || || || ||
answers
Accounts Receivable - ✔✔Patient bills for services that have already been provided that legally
|| || || || || || || || || || || || || ||
are due to a facility.
|| || || ||
Autopsy Rates - ✔✔The percent of autopsies performed on patients who die in the hospital;
|| || || || || || || || || || || || || || ||
reasons for not performing an autopsy in the hospital may include legal inquiry or family
|| || || || || || || || || || || || || || ||
preference.
Average Length of Stay (ALOS) - ✔✔The total number of patient days in a period divided by the
|| || || || || || || || || || || || || || || || || ||
number of patients; for example, the ALOS for cardiology services in February was 6.1 days.
|| || || || || || || || || || || || || ||
Benchmarks - ✔✔Goals or metrics a facility wants to meet; for example, if the industry standard
|| || || || || || || || || || || || || || || ||
is 90% of patients should have advance directives entered into their patient record within 24 hour
|| || || || || || || || || || || || || || || ||
of admission, and a hospital was only meeting this for 45% of the patients, they would use the
|| || || || || || || || || || || || || || || || || ||
external benchmark of 90% as a goal and track performance toward that goal by month or quarter.
|| || || || || || || || || || || || || || || ||
Centers for Disease and Control and Prevention (CDC) - ✔✔A division of the Department of
|| || || || || || || || || || || || || || ||
Health and Human Services.|| || ||
Chief Executive Officer (CEO) - ✔✔Leader of a facility who reports to the Board of Directors.
|| || || || || || || || || || || || || || ||
Chief Financial Officer (CFO) - ✔✔Leader who oversees all financial and fiscal decisions and
|| || || || || || || || || || || || || ||
issues for a facility; generally reports to the CEO.
|| || || || || || || ||
Commercial Insurers - ✔✔Private, non-government insurers; these are often the insurance
|| || || || || || || || || || ||
options available through employers.
|| || ||
,Comorbidity - ✔✔Disease that exists at the same time as a primary disease that a patient is being || || || || || || || || || || || || || || || || || ||
treated for at the time; for example, a patient who has cancer is receiving cancer specific treatment
|| || || || || || || || || || || || || || || ||
and is also a diabetic - diabetes mellitus would be considered the comorbid condition.
|| || || || || || || || || || || || || ||
Complications - ✔✔Unexpected events or circumstances that happen to a patient during the || || || || || || || || || || || || ||
course of his care; hospital-acquired infections, such as those involving MRSA, are considered to
|| || || || || || || || || || || || || ||
be complications, as are reactions to medications or an adverse response to any treatment.
|| || || || || || || || || || || || ||
Copayment - ✔✔Money the patient must pay toward the bill as contracted between the insurer
|| || || || || || || || || || || || || || ||
and provider; amounts range from $5 to $50, and $75 for emergency room and specialist visits;
|| || || || || || || || || || || || || || || ||
provider's office visits are often in the $10 to $35 range. || || || || || || || || || ||
Daily Census - ✔✔The count of how many patients are in beds by patient care unit for an
|| || || || || || || || || || || || || || || || || ||
inpatient facility. ||
Department of Health and Human Services (HHS) - ✔✔Principle agency for protecting || || || || || || || || || || || ||
Americans' Health ||
Institute of Medicine (IOM) - ✔✔Non-governmental, independent, and nonprofit organization
|| || || || || || || || || ||
that provides unbiased, expert advice to governmental and private decision-makers, as well as the
|| || || || || || || || || || || || || ||
public.
Morbidity - ✔✔Refers to disease || || || ||
Mortality (death) Rate - ✔✔The percentage of all discharged patients who are discharged due to
|| || || || || || || || || || || || || || ||
death within a prescribed period; for example, if a hospital has discharged 30 patients in a month,
|| || || || || || || || || || || || || || || || ||
and of those 5 were deaths, the mortality rate for the month would be expressed as 5/30 or 16.7%.
|| || || || || || || || || || || || || || || || || ||
National Ambulatory Medical Care Survey (NAMCS) - ✔✔Collects data on ambulatory medical
|| || || || || || || || || || || ||
care provided in the U.S.; the data is collected from visits to office based providers who provide
|| || || || || || || || || || || || || || || || ||
direct patient care. || ||
, National Center for Health Statistics (NCHS) - ✔✔Nation's primary statistics organization; it
|| || || || || || || || || || || ||
works to compile, analyze, and disseminate information on the nation's health to influence and
|| || || || || || || || || || || || || ||
guide health policy and practice in a manner that best serves the population.
|| || || || || || || || || || || ||
National Health Inpatient Quality Measures - ✔✔A set of specific data that hospitals must collect
|| || || || || || || || || || || || || || ||
and report to CMS and the Joint Commission to document quality patient care.
|| || || || || || || || || || || ||
Occupancy Rate - ✔✔The percentage of licensed beds in a hospital that have a patient assigned to
|| || || || || || || || || || || || || || || ||
them, and thus are generating revenue.
|| || || || || ||
Patient Care Unit (PCU) - ✔✔For the purpose of census data, a PCU has a defined number of
|| || || || || || || || || || || || || || || || || ||
beds and is staff assigned; also called floors, units, or wards.
|| || || || || || || || || ||
Prospective Payment System (PPS) - ✔✔System initially implemented by Medicare in the early || || || || || || || || || || || || ||
1980's that replaced fee-for-service payments for the provision of health services with
|| || || || || || || || || || || ||
predetermined payments based on the principal diagnosis of the patient. || || || || || || || || ||
Service Lines - ✔✔Groups of patient services by specialty; hospitals define these individually,
|| || || || || || || || || || || || ||
and they vary by facility with some similarities, such as obstetrics; examples include cardiology,
|| || || || || || || || || || || || || ||
neurology, thoracic surgery, general surgery, and the gynecology; some facilities choose to
|| || || || || || || || || || || ||
combine similar or related lines, such as obstetrics and neonatology, obstetrics and gynecology,
|| || || || || || || || || || || || ||
and cardio-thoracic surgery; they are useful for compiling financial, compliance, and other in-
|| || || || || || || || || || || ||
house reports. ||
Total Inpatient Service Days - ✔✔The number of inpatients receiving care each day summed for
|| || || || || || || || || || || || || || ||
the days in the period under study; for example, if you are reviewing the total inpatient service
|| || || || || || || || || || || || || || || || ||
days for the month of September, which has 30 days, add the patients for Sept 1 (125), Sept 2
|| || || || || || || || || || || || || || || || || || ||
(119), and so on; the total is the sum of all patients per day. az
|| || || || || || || || || || || || || ||
Which of the following describes the impact on legacy systems when implementing an EHR
|| || || || || || || || || || || || || ||
system? - ✔✔They were not built to work with other health information technology solutions.
|| || || || || || || || || || || || ||
|| || || || || || ||
(CEHRS) Study Guide AVTEC Exam with accurate detailed || || || || || || || ||
answers
Accounts Receivable - ✔✔Patient bills for services that have already been provided that legally
|| || || || || || || || || || || || || ||
are due to a facility.
|| || || ||
Autopsy Rates - ✔✔The percent of autopsies performed on patients who die in the hospital;
|| || || || || || || || || || || || || || ||
reasons for not performing an autopsy in the hospital may include legal inquiry or family
|| || || || || || || || || || || || || || ||
preference.
Average Length of Stay (ALOS) - ✔✔The total number of patient days in a period divided by the
|| || || || || || || || || || || || || || || || || ||
number of patients; for example, the ALOS for cardiology services in February was 6.1 days.
|| || || || || || || || || || || || || ||
Benchmarks - ✔✔Goals or metrics a facility wants to meet; for example, if the industry standard
|| || || || || || || || || || || || || || || ||
is 90% of patients should have advance directives entered into their patient record within 24 hour
|| || || || || || || || || || || || || || || ||
of admission, and a hospital was only meeting this for 45% of the patients, they would use the
|| || || || || || || || || || || || || || || || || ||
external benchmark of 90% as a goal and track performance toward that goal by month or quarter.
|| || || || || || || || || || || || || || || ||
Centers for Disease and Control and Prevention (CDC) - ✔✔A division of the Department of
|| || || || || || || || || || || || || || ||
Health and Human Services.|| || ||
Chief Executive Officer (CEO) - ✔✔Leader of a facility who reports to the Board of Directors.
|| || || || || || || || || || || || || || ||
Chief Financial Officer (CFO) - ✔✔Leader who oversees all financial and fiscal decisions and
|| || || || || || || || || || || || || ||
issues for a facility; generally reports to the CEO.
|| || || || || || || ||
Commercial Insurers - ✔✔Private, non-government insurers; these are often the insurance
|| || || || || || || || || || ||
options available through employers.
|| || ||
,Comorbidity - ✔✔Disease that exists at the same time as a primary disease that a patient is being || || || || || || || || || || || || || || || || || ||
treated for at the time; for example, a patient who has cancer is receiving cancer specific treatment
|| || || || || || || || || || || || || || || ||
and is also a diabetic - diabetes mellitus would be considered the comorbid condition.
|| || || || || || || || || || || || || ||
Complications - ✔✔Unexpected events or circumstances that happen to a patient during the || || || || || || || || || || || || ||
course of his care; hospital-acquired infections, such as those involving MRSA, are considered to
|| || || || || || || || || || || || || ||
be complications, as are reactions to medications or an adverse response to any treatment.
|| || || || || || || || || || || || ||
Copayment - ✔✔Money the patient must pay toward the bill as contracted between the insurer
|| || || || || || || || || || || || || || ||
and provider; amounts range from $5 to $50, and $75 for emergency room and specialist visits;
|| || || || || || || || || || || || || || || ||
provider's office visits are often in the $10 to $35 range. || || || || || || || || || ||
Daily Census - ✔✔The count of how many patients are in beds by patient care unit for an
|| || || || || || || || || || || || || || || || || ||
inpatient facility. ||
Department of Health and Human Services (HHS) - ✔✔Principle agency for protecting || || || || || || || || || || || ||
Americans' Health ||
Institute of Medicine (IOM) - ✔✔Non-governmental, independent, and nonprofit organization
|| || || || || || || || || ||
that provides unbiased, expert advice to governmental and private decision-makers, as well as the
|| || || || || || || || || || || || || ||
public.
Morbidity - ✔✔Refers to disease || || || ||
Mortality (death) Rate - ✔✔The percentage of all discharged patients who are discharged due to
|| || || || || || || || || || || || || || ||
death within a prescribed period; for example, if a hospital has discharged 30 patients in a month,
|| || || || || || || || || || || || || || || || ||
and of those 5 were deaths, the mortality rate for the month would be expressed as 5/30 or 16.7%.
|| || || || || || || || || || || || || || || || || ||
National Ambulatory Medical Care Survey (NAMCS) - ✔✔Collects data on ambulatory medical
|| || || || || || || || || || || ||
care provided in the U.S.; the data is collected from visits to office based providers who provide
|| || || || || || || || || || || || || || || || ||
direct patient care. || ||
, National Center for Health Statistics (NCHS) - ✔✔Nation's primary statistics organization; it
|| || || || || || || || || || || ||
works to compile, analyze, and disseminate information on the nation's health to influence and
|| || || || || || || || || || || || || ||
guide health policy and practice in a manner that best serves the population.
|| || || || || || || || || || || ||
National Health Inpatient Quality Measures - ✔✔A set of specific data that hospitals must collect
|| || || || || || || || || || || || || || ||
and report to CMS and the Joint Commission to document quality patient care.
|| || || || || || || || || || || ||
Occupancy Rate - ✔✔The percentage of licensed beds in a hospital that have a patient assigned to
|| || || || || || || || || || || || || || || ||
them, and thus are generating revenue.
|| || || || || ||
Patient Care Unit (PCU) - ✔✔For the purpose of census data, a PCU has a defined number of
|| || || || || || || || || || || || || || || || || ||
beds and is staff assigned; also called floors, units, or wards.
|| || || || || || || || || ||
Prospective Payment System (PPS) - ✔✔System initially implemented by Medicare in the early || || || || || || || || || || || || ||
1980's that replaced fee-for-service payments for the provision of health services with
|| || || || || || || || || || || ||
predetermined payments based on the principal diagnosis of the patient. || || || || || || || || ||
Service Lines - ✔✔Groups of patient services by specialty; hospitals define these individually,
|| || || || || || || || || || || || ||
and they vary by facility with some similarities, such as obstetrics; examples include cardiology,
|| || || || || || || || || || || || || ||
neurology, thoracic surgery, general surgery, and the gynecology; some facilities choose to
|| || || || || || || || || || || ||
combine similar or related lines, such as obstetrics and neonatology, obstetrics and gynecology,
|| || || || || || || || || || || || ||
and cardio-thoracic surgery; they are useful for compiling financial, compliance, and other in-
|| || || || || || || || || || || ||
house reports. ||
Total Inpatient Service Days - ✔✔The number of inpatients receiving care each day summed for
|| || || || || || || || || || || || || || ||
the days in the period under study; for example, if you are reviewing the total inpatient service
|| || || || || || || || || || || || || || || || ||
days for the month of September, which has 30 days, add the patients for Sept 1 (125), Sept 2
|| || || || || || || || || || || || || || || || || || ||
(119), and so on; the total is the sum of all patients per day. az
|| || || || || || || || || || || || || ||
Which of the following describes the impact on legacy systems when implementing an EHR
|| || || || || || || || || || || || || ||
system? - ✔✔They were not built to work with other health information technology solutions.
|| || || || || || || || || || || || ||
