WGU D033 Health Information Systems
Management (Glossary) Graded A+
Acceptance testing -
✔️A type of testing that occurs after the go-live date
Access controls -
✔️A computer software program designed to prevent unauthorized use of an
information resource
Addressable standards -
✔️Must be evaluated by the entity to determine whether or not the standard is
reasonable and appropriate
Administrative information system -
✔️A system that manages the business of healthcare; is the first information
systems to be used in healthcare. The data collected in this system are mainly
financial or business-oriented in nature, rather than clinical
Administrative safeguards -
✔️Administrative actions, and policies and procedures, to manage the selection,
development, implementation, and maintenance of security measure to protect
electronic-protected health information and to manage the conduct of the covered
entity's workforce in relation to the protection of that information. (45 CFR 160, 162,
and 164)
Administrative simplification -
✔️Improves the efficiency and effectiveness of the business processes of
healthcare by standardizing the EDI of administrative and financial transactions and
protects the privacy and security of protected health information (PHI) that is
transmitted from one point to another
Alpha site -
✔️The first healthcare facility to implement the information system American
National Standards Institute (ANSI) The SDO for the United States and a
representative to the ISO
American Recovery and Reinvestment Act (ARRA) -
✔️Enacted to stimulate the US economy during a recession that started in 2007. A
significant portion of ARRA was dedicated to expanding the use of HIT to improve
the business efficiency and effectiveness of HCOs while increasing patient safety
and positive health outcomes. It also enacted an incentive program known as
Meaningful Use
Anesthesia information system -
, ✔️A system that collects information on preoperative, operative, and postoperative
anesthesia-related clinical information. This system follows the patient through the
surgical process
Annotation -
✔️The ability to add to the image in some way; because the image may be a legal
document, the image itself cannot be altered; however, an overlay to the document
will show the annotation
ANSI Accredited Standards Committee X12N (ASC X12N) -
✔️Responsible for developing the EDI standards used to share information needed
for health insurance administrative transactions
Audit controls -
✔️The mechanisms that record and examine activity in information systems
Audit log -
✔️Or audit trail, an electronic footprint of the actions that occurred in a particular file
in an information system or that were performed by a specific individual
Audit trails -
✔️The record of information system activities, such as log-in, log-out, unsuccessful
log-ins, print, query, and other actions
Audit-reduction tools -
✔️Tools that review the audit trail and compare it to criteria specified by the CE,
which eliminates routine entries such as the periodic backups
Authorship -
✔️The origination or creation of recorded information attributed to a specific
individual or entity acting at a particular time
Automated codebook encoder -
✔️An encoder that lists diagnoses and procedures in alphabetic order much like the
alphabetic index
Back-end speech recognition (BESR) -
✔️A speech recognition technology in which the physician dictates in the traditional
manner and an editor listens to the audio and reviews the document created
Backscanning -
✔️The process of scanning past health records into the DMS so there is an existing
database of patient information, making the DMS valuable to the user from the first
day of implementation
Backward map -
✔️A map that links the two coding systems in the opposite direction, moving from
ICD-10 to ICD-9
, Barcode medication administration record (BC-MAR) -
✔️See Electronic medication administration record (EMAR)
Best of breed -
✔️Choosing the ISs based on functionality rather than by vendor 313 314 Glossary
Best of fit -
✔️The decision to purchase software from a single vendor
Beta sites -
✔️The healthcare facilities who subsequently implement the information system
Bidder's conference -
✔️A meeting for vendors to come to the healthcare facility to ask questions about
the request for proposal, the healthcare facility, and other important points
Biomedical device -
✔️An article, instrument, apparatus, or machine that is used in the prevention,
diagnosis, or treatment of illness or disease, or for detecting, measuring, restoring,
correcting, or modifying the structure or function of the body for some health purpose
Birth certificate information system -
✔️A state-approved system in which the birth certificate data are entered, after the
HIM staff interviews the mother or other parents or guardians and reviews the health
record. This software reports births occurring in the healthcare facility to the state
health agency
Blue Button -
✔️A campaign that was established by The Office of the National Coordinator for
Health IT (ONC). It is a consumer-motivated method to improve healthcare by having
the patient or caretaker actively involved in decisions and planning by having direct
access to personal health information
Bots -
✔️Perform automated tasks, such as gathering information and instant messaging,
thus relieving a person the responsibility of doing it
Bring your own device (BYOD) -
✔️Healthcare practitioners using their personal smartphones or other devices rather
than devices provided by the HCO, the personal device must meet specific
encryption and other security protocols to protect PHI as required by the HCO
Cancer registry information system -
✔️An information system that tracks information (including very detailed information
regarding diagnosis and treatment) about the patient's cancer from the time of
diagnosis to the patient's death
Management (Glossary) Graded A+
Acceptance testing -
✔️A type of testing that occurs after the go-live date
Access controls -
✔️A computer software program designed to prevent unauthorized use of an
information resource
Addressable standards -
✔️Must be evaluated by the entity to determine whether or not the standard is
reasonable and appropriate
Administrative information system -
✔️A system that manages the business of healthcare; is the first information
systems to be used in healthcare. The data collected in this system are mainly
financial or business-oriented in nature, rather than clinical
Administrative safeguards -
✔️Administrative actions, and policies and procedures, to manage the selection,
development, implementation, and maintenance of security measure to protect
electronic-protected health information and to manage the conduct of the covered
entity's workforce in relation to the protection of that information. (45 CFR 160, 162,
and 164)
Administrative simplification -
✔️Improves the efficiency and effectiveness of the business processes of
healthcare by standardizing the EDI of administrative and financial transactions and
protects the privacy and security of protected health information (PHI) that is
transmitted from one point to another
Alpha site -
✔️The first healthcare facility to implement the information system American
National Standards Institute (ANSI) The SDO for the United States and a
representative to the ISO
American Recovery and Reinvestment Act (ARRA) -
✔️Enacted to stimulate the US economy during a recession that started in 2007. A
significant portion of ARRA was dedicated to expanding the use of HIT to improve
the business efficiency and effectiveness of HCOs while increasing patient safety
and positive health outcomes. It also enacted an incentive program known as
Meaningful Use
Anesthesia information system -
, ✔️A system that collects information on preoperative, operative, and postoperative
anesthesia-related clinical information. This system follows the patient through the
surgical process
Annotation -
✔️The ability to add to the image in some way; because the image may be a legal
document, the image itself cannot be altered; however, an overlay to the document
will show the annotation
ANSI Accredited Standards Committee X12N (ASC X12N) -
✔️Responsible for developing the EDI standards used to share information needed
for health insurance administrative transactions
Audit controls -
✔️The mechanisms that record and examine activity in information systems
Audit log -
✔️Or audit trail, an electronic footprint of the actions that occurred in a particular file
in an information system or that were performed by a specific individual
Audit trails -
✔️The record of information system activities, such as log-in, log-out, unsuccessful
log-ins, print, query, and other actions
Audit-reduction tools -
✔️Tools that review the audit trail and compare it to criteria specified by the CE,
which eliminates routine entries such as the periodic backups
Authorship -
✔️The origination or creation of recorded information attributed to a specific
individual or entity acting at a particular time
Automated codebook encoder -
✔️An encoder that lists diagnoses and procedures in alphabetic order much like the
alphabetic index
Back-end speech recognition (BESR) -
✔️A speech recognition technology in which the physician dictates in the traditional
manner and an editor listens to the audio and reviews the document created
Backscanning -
✔️The process of scanning past health records into the DMS so there is an existing
database of patient information, making the DMS valuable to the user from the first
day of implementation
Backward map -
✔️A map that links the two coding systems in the opposite direction, moving from
ICD-10 to ICD-9
, Barcode medication administration record (BC-MAR) -
✔️See Electronic medication administration record (EMAR)
Best of breed -
✔️Choosing the ISs based on functionality rather than by vendor 313 314 Glossary
Best of fit -
✔️The decision to purchase software from a single vendor
Beta sites -
✔️The healthcare facilities who subsequently implement the information system
Bidder's conference -
✔️A meeting for vendors to come to the healthcare facility to ask questions about
the request for proposal, the healthcare facility, and other important points
Biomedical device -
✔️An article, instrument, apparatus, or machine that is used in the prevention,
diagnosis, or treatment of illness or disease, or for detecting, measuring, restoring,
correcting, or modifying the structure or function of the body for some health purpose
Birth certificate information system -
✔️A state-approved system in which the birth certificate data are entered, after the
HIM staff interviews the mother or other parents or guardians and reviews the health
record. This software reports births occurring in the healthcare facility to the state
health agency
Blue Button -
✔️A campaign that was established by The Office of the National Coordinator for
Health IT (ONC). It is a consumer-motivated method to improve healthcare by having
the patient or caretaker actively involved in decisions and planning by having direct
access to personal health information
Bots -
✔️Perform automated tasks, such as gathering information and instant messaging,
thus relieving a person the responsibility of doing it
Bring your own device (BYOD) -
✔️Healthcare practitioners using their personal smartphones or other devices rather
than devices provided by the HCO, the personal device must meet specific
encryption and other security protocols to protect PHI as required by the HCO
Cancer registry information system -
✔️An information system that tracks information (including very detailed information
regarding diagnosis and treatment) about the patient's cancer from the time of
diagnosis to the patient's death
