200 QUESTIONS AND CORRECT DETAILED ANSWERS
Health Information Technology (HIT) - ANSWER: Use of technology as a resource to
manage patient health care information.
Protected Health Information (PHI) - ANSWER: Individually identifiable health
information that is transmitted or maintained by electronic media or in any other
form or medium
What is considered Protected Health Information? (PHI) - ANSWER: Name, names of
relatives, address, employers, social security number, phone, fax number, email
address, health plan identification number, account number, fingerprints, website
address, medical record number, serial number of vehicles and photos.
Electronic Health Record (EHR) - ANSWER: Computerized lifelong record health care
record with data from all sources. Technology that intertwines health information
from a variety of sources of every encounter an individual has with the health care
system is documented. Lab, scripts etcetera.
New position created by EHR - ANSWER: Clinical Analyst Health Information
Technician Records and information coordinator
What setting may a CHERS work? - ANSWER: Doctors office labs Ref Labs Urgent Care
Centers Nursing Home Facilities Wellness Clinics Hospitals
Why were chances in technology made? - ANSWER: From the realization that
medical records were not meeting the needs of doctors & patients. Increase in
errors, rising health care costs and missing link in a patients coordination of care.
Current Procedural Terminology (CPT) - ANSWER: System of classification for services
and procedures used in the outpatient setting.
Medical Errors - ANSWER: Among most common causes of death, occur because:
1. Lost medical records
2. Miscommunicated patient request/messages
3. Unreadable information due to poor handwriting
4. Mislabeled lab specimens.
5. Many of these errors could be overcome if information tech were applied
throughout healthcare system.
What potential does Health Information Technology have? (HIT) - ANSWER: Improve
the quality of care and possibly reduce the number of deaths attributed to medical
errors.
,HIPPA require the use of electronic rather than paper in claims? - ANSWER: Oh baby.
Yes! Yes! Yes!
Standards - ANSWER: Commonly agreed upon specifications, are what helped
establish the requirements necessary for agencies to follow.
When did President Bush recommended the use of Health Information Technology?
(HIT) - ANSWER: In 2004
What was the goal of Health Information Technology? (HIT) - ANSWER: Set a ten year
goal for all Americans to be using Electronic Health Records. (EHR)
Who or what was established to meet this goal? - ANSWER: Office of National
Coordination for Health Information (ONCHIT)
HITSP - ANSWER: A department / organization that identified standards for exchange
of health information.
What does the Nationwide Health Information Network provide? (NHIN) - ANSWER:
Links medical records across the country.
CCHIT - ANSWER: Developed certification criteria for EHR software.
What 8 core functions does the Institute of Medicine suggest an EHR should include?
- ANSWER: 1. Health Information and data elements
2. Results Management
3. Order Management
4. Decision Support
5. Electronic communications and connectivity
6. Patient Support
7. Administrative Processes
8. Reporting and population management
Medical Record - ANSWER: An important business document used to support
treatment decisions documents services provided could also be used in court of law
for evidence purposes.
Electronic Medical Record (EMR) - ANSWER: Computerized records of one doctor's
encounter with a patient over time including medical history, diagnosis, treatment
and prognosis.
What is the contrast between EMR's and EHR's? - ANSWER: EMR's reflect treatment
of a patient by one doctors as EHR reflects data from all sources that have treated
and individual.
Personal Health Record (PHR) - ANSWER: Maintained and owned by the patient,
patient makes decisions whether to share contents with their doctors.
, Electronic Health Record (EHR) - ANSWER: Computerized lifelong record health care
record with data from all sources technology that intertwines health information
from a variety of sources every encounter an individual has with the health care
system is documented. Labs, scripts, ER visits, etcetera.
New position created by EHR - ANSWER: Clinical Analyst Health Information
Technician Records and information coordinator.
What setting may a CHERS work? - ANSWER: Doctors office labs Ref Labs Urgent Care
Centers Nursing Home Facilities Wellness Clinics Hospitals
Why were chances in technology made? - ANSWER: From the realization that
medical records were not meeting the needs of doctors and patients. Increase in
errors, rising health care costs and missing link in a patients coordination of care.
What was HIPPA designed for? - ANSWER: Enacted in 1996, designed to protect
patients' private health information, ensure health care coverage when workers
change or lose their jobs, and uncover fraud and abuse in health care systems.
True or False. HIPPA requires the use of electronic rather than paper insurance
claims? - ANSWER: True
Acute Care - ANSWER: Most often refers to a hospital, treats patients with urgent
problems that cannot be handled in another setting. Hospital records keep track of
time-limited episodes where doctor's charts reflect the ongoing health of individual.
Inpatient treatment.
Ambulatory Care - ANSWER: Refers to treatment without admission to the hospital.
What are the advantages of EHR's? - ANSWER: Safety Quality of Care Efficiency Cost
Reduction
Will the decision of going completely electronic have a huge impact on patient
efficiency? - ANSWER: Yes
What is a Total Conversion? - ANSWER: Method of converting medical records all at
one from paper to electronic, may be costly, but it allows all patient data to be
converted at once while office can still service patients. Typicall outsourced to an
external company.
What is Incremental Conversion? - ANSWER: Gradual changes of the electronic
record. Advantages of this type of change are lower cost and a smoother transition
due to less of an impact on the office.
What is Hybrid Conversion? - ANSWER: Using a combination of paper and digital
form of data. No matter what form is used doctors still need to enter progress notes.