Questions and Answers Graded A
Mutlidisciplinary Team Terminology ✔✔(SNOMED-CT) Systematized Nomenclature of
Human and Veterinary Medicine Clinical Terms- clinical terms covering nurisng, medicine, &
allied health
Standardized Terminology Supports ✔✔Data Mining
PHR - Private Health Record ✔✔Lifetime health record, supplied by ind., healthcare providers,
pharmacies, therapist, lab test, - Controlled by the consumer,
E-Sign ✔✔Same legal status as a hand written signature
MIPPA - Medicare Improvement for Patients & Providers Act provides ✔✔financial incentive
for e-prescribing to providers
HIPPA provides ✔✔legal protection for personal health info, set standards for elect. data
interchange of claims data, named specific code sets for use in Medicare related transactions, &
Privacy
,ARRA provides ✔✔provide funds for adoption of technology & provides the right for every
individual to receive and electronic copy of EHR
HITECH provides ✔✔strengthened HIPPA security & privacy protection, & provides financial
incentive for the user of EHR
EMR -electronic medical record provides ✔✔Legal record often restricted to a Single episode of
care , building block of EHR,
EHR- Electronic Health Record is ✔✔Longitudinal record that includes client data,
demographics, clinician notes, medications, diagnostics.
- Major driver for US Adoption are "Meaningful Use" financial incentives from HITECH part of
ARRA
Affordable Care Act provides ✔✔guarantee access to healthcare, encourage PCP,
Data is ✔✔collection of #, characters, or facts (body weight- 128lb), little meaning alone
, Information is ✔✔Collection of data examined for patterns or structure that can be interpreted.
ex notes prior BP and informs doc
Knowledge is ✔✔Synthesis of info from several sources to produce a single concept or idea, ex
read a journal about BP
Computer Technology is ✔✔collection of data for analysis, which can be used to justify the
efficacy of particular interventions & improve quality of care
HIS HEalthcare Information System is ✔✔Administrative System + Clinical Information
System,
Clinical Systems include: order entry, radiology, pharmacy, physician management system
Adm system : non clinical, demographics, scheduling, risk mgmt, decision support,
Administrative System includes these functions ✔✔Managing nonclinical, client-related
information (demographics, codes for procedures, & Insurance