ANSWERS GRADED A+
✔✔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.
✔✔CPOE - ✔✔Allows a provider to order medications, diagnostic testing, rehabilitation,
and other services for inpatients.
, ✔✔ePrescribing - ✔✔Is the tool providers use in the outpatient setting to send
prescriptions to the patient's pharmacy. It replaces the paper prescription pad.
✔✔eFax - ✔✔Is a software application that allows EHR specialists to send a document
from the computer to a fax machine.
✔✔HIS - ✔✔Refers to the sum total of all information systems that support operations in
a facility.
✔✔CCHIT - ✔✔Approves and certifies EHR technology and is the required standard for
facilities and providers wanting to participate in the Meaningful Use incentive program.
✔✔Hybrid Record - ✔✔A record that is partially paper and partially electronic.
✔✔Affordable Care Act - ✔✔Mandates comprehensive health insurance reform.
✔✔American Recovery and Reinvestment Act of 2009 (ARRA) - ✔✔Consists of three
major goals: create and save jobs, spur economic activity and invest in long-term
growth, and support accountability and transparency in recovery spending.
✔✔Authorization - ✔✔Required for any release of patient PHI; consists of specific
elements that make it legal and appropriate to release information.
✔✔Business associate - ✔✔An organization or individual who provides specific services
to a covered entity involving the use or disclosure of PHI; for example, an off-site
storage company that houses EMR data.
✔✔Centers for Medicare and Medicaid Services (CMS) - ✔✔Federal agency charged
with administration of the Medicare and Medicaid programs, as well as the Children's
Health Insurance Program; operating division of the Department of Health and Human
Service (HHS).
✔✔Certification Commission for Health Information Technology (CCHIT) -
✔✔Established to evaluate and approve EHR and EMR systems; to participate in
incentive programs for EHR adoption and use, facilities must use a certified EHR or
EMR product.
✔✔Computer on Wheels (COW) - ✔✔Most often refers to a laptop computer that sits on
a cart with wheels that can be rolled from patient room to patient room and facilitates
real time documentation or charting of patient care; often called COW's.