RETAKE EXAM C468 WGU INFORMATION MANAGEMENT PRACTICE
EXAM SOLUTION WITH ANSWERS
International Classification of Disease (ICD-9/ICD-10) - CORRECT ANSWER System for classification of
surgical, diagnostic, and therapeutic procedures.
Electronic Signatures in Global and National Commerce Act (ESIGN) - CORRECT ANSWER Legislation that
gives electronic signatures the same legal status as hand-written signatures.
Electronic health record (EHR) - CORRECT ANSWER Digital version of patient data found in traditional
paper records. Increasingly used to refer to a longitudinal record ideally of all healthcare encounters.
Data mining - CORRECT ANSWER Technique that looks for hidden patterns and relationships in large
groups of data using software.
Data exchange standards - CORRECT ANSWER Set of agreed-on rules that permit the uniform capture
and exchange of data between information systems from different vendors and between different
healthcare providers.
Database administrator (DBA) - CORRECT ANSWER Person responsible for overseeing all activities
related to maintaining a database and optimizing its use.
Current Procedural Terminology (CPT) - CORRECT ANSWER Classification system that lists medical
services and procedures performed by physicians and is used for physician billing and payer
reimbursement.
Continuity of care document (CCD) - CORRECT ANSWER Record comprised of contributions from many
types of caregivers, with each providing a summary of care provided for the purpose of improved
continuity of care when clients move between various points of care.
Computerized physician (or provider/prescriber) order entry (CPOE) - CORRECT ANSWER Process by
which the physician or provider directly enters orders for patient care into a hospital information
system.
, Computer-based training (CBT) - CORRECT ANSWER Educational format using the computer that is
widely used to train persons to use specific computer applications.
Computer-based patient record (CPR) - CORRECT ANSWER Automated patient record designed to
enhance and support patient care through availability of complete and accurate data as well as bodies of
knowledge and other aids to care providers.
Community Health Information Network (CHIN) - CORRECT ANSWER Organization that electronically
links providers; payers; and purchasers of care for the exchange of financial, clinical, and administrative
information via a wide area network in a particular geographic area. Precursor to RHIOs.
Commission on Accreditation of Rehabilitation Facilities (CARF) - CORRECT ANSWER Healthcare
accrediting body with a focus on the improvement of rehabilitative services to people with disabilities
and others in need of rehabilitation.
Clinical information systems (CIS) - CORRECT ANSWER Large computerized database management
systems used to access the patient data that are needed to plan, implement, and evaluate care. May
also be known as patient care information systems.
Clinical Care Classification System (CCC) - CORRECT ANSWER Nursing classification designed to
document the six steps of the nursing process across the care continuum. Consists of two
interconnected terminologies—the CCC of Nursing Diagnosis and Outcomes and the CCC of Nursing
Interventions.
Chief privacy officer (CPO) - CORRECT ANSWER Individual responsible for the protection of personal
health information of patients as required by federal law.
Chief information officer (CIO) - CORRECT ANSWER Person responsible for strategic planning, policy
development, budgeting, information security, recruitment and retention of information services staff,
and overall management of the enterprise's information systems. computer-related positions.
Barcode medication administration (BCMA) - CORRECT ANSWER Process or system used to ensure that
the correct patient receives the correct medication in the correct dosage via the correct route and at the
correct time. Patients and drugs both have barcode identification codes.
EXAM SOLUTION WITH ANSWERS
International Classification of Disease (ICD-9/ICD-10) - CORRECT ANSWER System for classification of
surgical, diagnostic, and therapeutic procedures.
Electronic Signatures in Global and National Commerce Act (ESIGN) - CORRECT ANSWER Legislation that
gives electronic signatures the same legal status as hand-written signatures.
Electronic health record (EHR) - CORRECT ANSWER Digital version of patient data found in traditional
paper records. Increasingly used to refer to a longitudinal record ideally of all healthcare encounters.
Data mining - CORRECT ANSWER Technique that looks for hidden patterns and relationships in large
groups of data using software.
Data exchange standards - CORRECT ANSWER Set of agreed-on rules that permit the uniform capture
and exchange of data between information systems from different vendors and between different
healthcare providers.
Database administrator (DBA) - CORRECT ANSWER Person responsible for overseeing all activities
related to maintaining a database and optimizing its use.
Current Procedural Terminology (CPT) - CORRECT ANSWER Classification system that lists medical
services and procedures performed by physicians and is used for physician billing and payer
reimbursement.
Continuity of care document (CCD) - CORRECT ANSWER Record comprised of contributions from many
types of caregivers, with each providing a summary of care provided for the purpose of improved
continuity of care when clients move between various points of care.
Computerized physician (or provider/prescriber) order entry (CPOE) - CORRECT ANSWER Process by
which the physician or provider directly enters orders for patient care into a hospital information
system.
, Computer-based training (CBT) - CORRECT ANSWER Educational format using the computer that is
widely used to train persons to use specific computer applications.
Computer-based patient record (CPR) - CORRECT ANSWER Automated patient record designed to
enhance and support patient care through availability of complete and accurate data as well as bodies of
knowledge and other aids to care providers.
Community Health Information Network (CHIN) - CORRECT ANSWER Organization that electronically
links providers; payers; and purchasers of care for the exchange of financial, clinical, and administrative
information via a wide area network in a particular geographic area. Precursor to RHIOs.
Commission on Accreditation of Rehabilitation Facilities (CARF) - CORRECT ANSWER Healthcare
accrediting body with a focus on the improvement of rehabilitative services to people with disabilities
and others in need of rehabilitation.
Clinical information systems (CIS) - CORRECT ANSWER Large computerized database management
systems used to access the patient data that are needed to plan, implement, and evaluate care. May
also be known as patient care information systems.
Clinical Care Classification System (CCC) - CORRECT ANSWER Nursing classification designed to
document the six steps of the nursing process across the care continuum. Consists of two
interconnected terminologies—the CCC of Nursing Diagnosis and Outcomes and the CCC of Nursing
Interventions.
Chief privacy officer (CPO) - CORRECT ANSWER Individual responsible for the protection of personal
health information of patients as required by federal law.
Chief information officer (CIO) - CORRECT ANSWER Person responsible for strategic planning, policy
development, budgeting, information security, recruitment and retention of information services staff,
and overall management of the enterprise's information systems. computer-related positions.
Barcode medication administration (BCMA) - CORRECT ANSWER Process or system used to ensure that
the correct patient receives the correct medication in the correct dosage via the correct route and at the
correct time. Patients and drugs both have barcode identification codes.
