C468 WGU Information Management
International Classification of Disease (ICD-9/ICD-10) –
System for classification of surgical, diagnostic, and therapeutic procedures.
Electronic Signatures in Global and National Commerce Act (ESIGN) –
Legislation that gives electronic signatures the same legal status as hand-written
signatures.
Electronic health record (EHR) –
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 –
Technique that looks for hidden patterns and relationships in large groups of
data using software.
Data exchange standards –
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) –
Person responsible for overseeing all activities related to maintaining a database
and optimizing its use.
Current Procedural Terminology (CPT) –
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) –
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) –
, Process by which the physician or provider directly enters orders for patient care
into a hospital information system.
Computer-based training (CBT) –
Educational format using the computer that is widely used to train persons to
use specific computer applications.
Computer-based patient record (CPR) –
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) –
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) –
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) –
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) –
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) –
Individual responsible for the protection of personal health information of
patients as required by federal law.
Chief information officer (CIO) –
International Classification of Disease (ICD-9/ICD-10) –
System for classification of surgical, diagnostic, and therapeutic procedures.
Electronic Signatures in Global and National Commerce Act (ESIGN) –
Legislation that gives electronic signatures the same legal status as hand-written
signatures.
Electronic health record (EHR) –
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 –
Technique that looks for hidden patterns and relationships in large groups of
data using software.
Data exchange standards –
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) –
Person responsible for overseeing all activities related to maintaining a database
and optimizing its use.
Current Procedural Terminology (CPT) –
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) –
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) –
, Process by which the physician or provider directly enters orders for patient care
into a hospital information system.
Computer-based training (CBT) –
Educational format using the computer that is widely used to train persons to
use specific computer applications.
Computer-based patient record (CPR) –
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) –
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) –
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) –
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) –
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) –
Individual responsible for the protection of personal health information of
patients as required by federal law.
Chief information officer (CIO) –
