C468 WGU Information Management QUESTIONS AND ANSWERS GRADED A
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.
American Recovery and Reinvestment Act of 2009 (ARRA) Correct Answer: Legislation that
included provisions for health information technology and funding for the Office of the National
Coordinator of Health Information Technology (ONCHIT).
Logical Observation Identifiers, Names, and Codes (LOINC) Correct Answer: Terminology that
includes laboratory and clinical observations.
Medicare Improvements for Patients and Providers Act (MIPPA) Correct Answer: Legislation
that called for financial incentives for e-prescribing.
NANDA International (NANDA-I) Correct Answer: Terminology recognized by the American
Nurses Association. Represents Nursing Diagnoses as data elements within SNOMED CT.
National Health Information Network (NHIN) Correct Answer: Office of the National
Coordinator (ONC) for Health Information Technology (HIT) initiative to provide the standards,
services, and policies that enable secure health information exchange (HIE) over the Internet.
Nursing Interventions Classification (NIC) Correct Answer: Standardized classification of
interventions that describes the activities that nurses perform.
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.
American Recovery and Reinvestment Act of 2009 (ARRA) Correct Answer: Legislation that
included provisions for health information technology and funding for the Office of the National
Coordinator of Health Information Technology (ONCHIT).
Logical Observation Identifiers, Names, and Codes (LOINC) Correct Answer: Terminology that
includes laboratory and clinical observations.
Medicare Improvements for Patients and Providers Act (MIPPA) Correct Answer: Legislation
that called for financial incentives for e-prescribing.
NANDA International (NANDA-I) Correct Answer: Terminology recognized by the American
Nurses Association. Represents Nursing Diagnoses as data elements within SNOMED CT.
National Health Information Network (NHIN) Correct Answer: Office of the National
Coordinator (ONC) for Health Information Technology (HIT) initiative to provide the standards,
services, and policies that enable secure health information exchange (HIE) over the Internet.
Nursing Interventions Classification (NIC) Correct Answer: Standardized classification of
interventions that describes the activities that nurses perform.
