Healthcare Information Systems Management D033 2023
with complete solution
Primary data sources
ome directly from the original source, such as the patient when talking about symptoms
or the reason for coming to the healthcare facility
Secondary Data Sources
Come from primary data sources such as health record
Data Capture
The process of recording healthcare-related data in a health record system or clinical
database
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;. 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.
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 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
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
Best of breed:
Choosing the ISs based on functionality rather than by vendor
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
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 information security manager (CISM): Sponsored by ISACA; an
international examination that is designed for leaders in security who oversee the
security programs of organizations
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 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:
A system that track and record documentation omission due to deficiency in the health
record that comes to the HIM department. Deficiencies can be in paper, imaged, or
electronic records depending on the information system used
Clinical data repository (CDR):
A centralized data repository
Clinical decision support (CDS) system:
The process in which individual data elements are represented in the computer by a
special code to be used in making comparisons, trending results, and supplying clinical
reminders and alerts
Clinical document architecture (CDA):
with complete solution
Primary data sources
ome directly from the original source, such as the patient when talking about symptoms
or the reason for coming to the healthcare facility
Secondary Data Sources
Come from primary data sources such as health record
Data Capture
The process of recording healthcare-related data in a health record system or clinical
database
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;. 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.
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 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
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
Best of breed:
Choosing the ISs based on functionality rather than by vendor
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
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 information security manager (CISM): Sponsored by ISACA; an
international examination that is designed for leaders in security who oversee the
security programs of organizations
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 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:
A system that track and record documentation omission due to deficiency in the health
record that comes to the HIM department. Deficiencies can be in paper, imaged, or
electronic records depending on the information system used
Clinical data repository (CDR):
A centralized data repository
Clinical decision support (CDS) system:
The process in which individual data elements are represented in the computer by a
special code to be used in making comparisons, trending results, and supplying clinical
reminders and alerts
Clinical document architecture (CDA):
