Questions and Answers 100%
Correct (verified)
• Triage categories (3) and time patient needs to be seen -✓✓1. Emergency-
immediately
2. Urgent-within 12-24 hours
3. Routine-next available
• HIPAA stands for -✓✓Health Information Portability and Accountability Act
• What is the purpose of HIPAA -✓✓-improve portability of health ins
-improve access to long-term care services and coverage
-simplify the administration of health care
• Fact: April 14, 2003 HHS issued 45 CFR (code of federal regulations) for HIPAA
-✓✓
• HIPAA definition of "Use" -✓✓sharing, application, utilization, examination, or
analysis of PHI (protected health information) WITHIN covered entity (within the
same practice)
• PHI -✓✓protected health information
• HIPAA definition of "Disclosure" -✓✓sharing or release of PHI (protected health
information) OUTSIDE the covered entity
• Do the patients have a right to receive a list of disclosures of PHI made by the
office within the past ____ years? What does this NOT include? -✓✓Yes. 6 years.
and this does not include PHI of:
1. treatment
2. payment
3. healthcare operations
• What are the HIPAA Penalties with $$ amount? -✓✓1. Failure to comply:
-$100 per violation
,-$25,000 max for all violations of a single requirement
2. Wrongful disclosure:
-$50,000/ 1 yr imprisonment
-under false pretenses: $100,000/ 5 yrs imprisonment
-if intent to sell: $250,000/ 10 yrs imprisonment
• Minimum Necessary Principle -✓✓You must obtain the minimum amount of PHI
to perform your task. You do not need to see information that does not apply to
that task at hand.
• Requirements for disclosing documents -✓✓1. date of disclosure
2. name, address, identity of requestor
3. description of PHI disclosed
4. purpose of disclosure/copy of request
5. verified identity of requestor
• Informed consent -✓✓the HIPAA form we give before appt.
-gives patient/guardian access to info about a patient's condition.
• The American Optometric Code of Ethics (9 things) -✓✓1. TO RESPECT
patients
2. TO ADVISE pts where consult/referral to another health professional is
appropriate
3. TO ENSURE confidentiality
4. TO STRIVE to ensure all persons have access to care
5. TO ADVANCE their professional knowledge
6. TO MAINTAIN practices according to healthcare standards
7. TO PROMOTE ethical relationships
8. TO RECOGNIZE their obligation to protect the health of society
9. TO CONDUCT themselves in public
• EMR -✓✓electronic medical record: record of encounters at one office
• EHR -✓✓electronic health record: record of encounters at multiple offices (like
faxes from CECA, etc)
• Interface -✓✓a program that can exchange data between two sources, preventing
the need of double data entry
,• accounts payable -✓✓outstanding balance a business owes to others
• accounts receivable -✓✓balance owed to business by a patient
• B2B -✓✓selling products "business-to-business"
• B2C -✓✓selling products directly from "business-to-customer"
• depreciation -✓✓degrading value of an asset over time
• E-commerce -✓✓buying/selling over the internet
• fixed cost -✓✓one time expense that does not vary with business volume/success
(opposite of variable cost)
• variable cost -✓✓expenses that change in proportion to activity of a business
(opposite of fixed cost)
• gross profit -✓✓% of business income before expenses
(compare to revenue)
• revenue -✓✓income before expenses are subtracted
• JIT -✓✓Just in time-
strategy to improve a business return on investment
some strategies include:
-reviewing regularly ROI (return of investment)
-eliminating/improve areas of poor performance
• net income/profit -✓✓revenues minus expenses
• payback period -✓✓amount of time it takes to recover the initial investment of a
business
• profit margin -✓✓profit/revenue x 100%
• ROI -✓✓return of investment
, measurement of success: % profit earned, how much time and expenses a task
takes
• HIT -✓✓health information technology
-acquisition, storage, retrieval, and use of electronic info in health care
EX: E-Rx
• What is the purpose of HIT (health information technology)? -✓✓it manages
health info across computerized systems and secures the exchange between
computers
• interportability -✓✓capability to pass info between systems
• HIE -✓✓health info exchange
-mobilization of health care info across organizations within a region, community,
or hospital system
• PQRI -✓✓physician quality reporting initiative
-reporting program using incentive payments and payment adjustment to promote
reporting of quality information
• meaningful use -✓✓using certified electronic health records (EHR) technology to
improve quality, safety, efficiency, and reduce health disparities
to engage patient and family, improve care coordination, and population and public
health, maintain privacy and security of patient health information
• anterior chamber -✓✓between cornea and iris
filled with aqueous humor-watery fluid
• posterior chamber -✓✓between iris and lens
the aqueous humor-watery fluid-fills the front part of the posterior chamber
• vitreous chamber -✓✓between the lens and retina
filled with vitreous humor-thick, clear, jelly-like substance
• aqueous humor -✓✓-clear, watery fluid
-produced by the ciliary body