WGU D033 "Health Information Systems Management"
study guide 2022 with complete solution
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
Certified EHR technology
An EHR that has been evaluated by a member of the Office of the National Coordinator-
Authorized Certification Bodies (ONC-ACBs) and verified that it meets the criteria set by
the MU incentive programs
Certified health data analyst (CHDA)
Advanced certification sponsored by AHIMA that covers data management, data
analytics, and data reporting
Certified in healthcare privacy and security (CHPS)
Credential that demonstrates advanced privacy and security skills. These advanced
privacy and security skills exceed those in the RHIA or RHIT examinations. It is
sponsored by AHIMA
Certified information security manager (CISM)
Sponsored by ISACA; an international examination that is designed for leaders in
security who oversee the security programs of organizations
Certified information systems security professional (CISSP)
Certification sponsored by the International Information Systems Security Certification
Consortium. It is a generic security certification and therefore is not healthcare specific
Change management
The formal process of introducing change, getting it adopted, and diffusing it throughout
the healthcare facility
Chargemaster
A financial management form or software that contains information about the healthcare
facility's charges for the services it provides to patients (also called a charge description
master [CDM]); it automates the coding process for routine procedures
Chart deficiency system
study guide 2022 with complete solution
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
Certified EHR technology
An EHR that has been evaluated by a member of the Office of the National Coordinator-
Authorized Certification Bodies (ONC-ACBs) and verified that it meets the criteria set by
the MU incentive programs
Certified health data analyst (CHDA)
Advanced certification sponsored by AHIMA that covers data management, data
analytics, and data reporting
Certified in healthcare privacy and security (CHPS)
Credential that demonstrates advanced privacy and security skills. These advanced
privacy and security skills exceed those in the RHIA or RHIT examinations. It is
sponsored by AHIMA
Certified information security manager (CISM)
Sponsored by ISACA; an international examination that is designed for leaders in
security who oversee the security programs of organizations
Certified information systems security professional (CISSP)
Certification sponsored by the International Information Systems Security Certification
Consortium. It is a generic security certification and therefore is not healthcare specific
Change management
The formal process of introducing change, getting it adopted, and diffusing it throughout
the healthcare facility
Chargemaster
A financial management form or software that contains information about the healthcare
facility's charges for the services it provides to patients (also called a charge description
master [CDM]); it automates the coding process for routine procedures
Chart deficiency system
