Healthcare Information Systems Management
Exam Key Terms
1. Primary data sources: Some directly from the original source, such as the
patientwhen talking about symptoms or the reason for coming to the healthcare
facility
2. Secondary Data Sources: Come from primary data sources such as
healthrecord
3. Data Capture: The process of recording healthcare-related data in a
healthrecord system or clinical database
4. Acceptance testing:: A type of testing that occurs after the go-live date
5. Access controls:: A computer software program designed to prevent
unautho-rized use of an information resource
6. Addressable standards:: Must be evaluated by the entity to determine
whetheror not the standard is reasonable and appropriate
7. Administrative information system:: A system that manages the
business ofhealthcare;. The data collected in this system are mainly financial or
business-ori-ented in nature, rather than clinical
8. Administrative safeguards:: Administrative actions, and policies and proce-
dures, to manage the selection, development, implementation, and maintenance of
security measure to protect electronic-protected health information and to
managethe conduct of the covered entity's workforce in relation to the protection
of that information.
,9. Administrative simplification:: Improves the efficiency and effectiveness of
thebusiness 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
10. Alpha site:: The first healthcare facility to implement the information system
11. American Recovery and Reinvestment Act (ARRA):: Enacted to
stimulate theUS economy during a recession that started in 2007. A significant
portion of ARRAwas 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
12. Anesthesia information system:: A system that collects information on
pre- operative, operative, and postoperative anesthesia-related clinical information
Thissystem follows the patient through the surgical process
13. 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
14. ANSI Accredited Standards Committee X12N (ASC X12N)::
Responsible fordeveloping the EDI standards used to share information needed for
health insuranceadministrative transactions
,15. Audit controls:: The mechanisms that record and examine activity in
informa-tion systems
16. Audit log:: Or audit trail, an electronic footprint of the actions that occurred
in aparticular file in an information system or that were performed by a specific
individual
17. Audit trails:: The record of information system activities, such as log-in, log-
out,unsuccessful log-ins, print, query, and other actions
18. Audit-reduction tools:: Tools that review the audit trail and compare it to
criteriaspecified by the CE, which eliminates routine entries such as the periodic
backups
19. Authorship:: The origination or creation of recorded information attributed
to aspecific individual or entity acting at a particular time
20. Back-end speech recognition (BESR):: A speech recognition technology
inwhich the physician dictates in the traditional manner and an editor listens to
theaudio and reviews the document created
21. 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
theuser from the first day of implementation
22. Best of breed:: Choosing the ISs based on functionality rather than by vendor
23. Best of fit:: The decision to purchase software from a single vendor
24. Beta sites:: The healthcare facilities who subsequently implement the
informa-tion system
25. Bidder's conference:: A meeting for vendors to come to the healthcare
facilityto ask questions about the request for proposal, the healthcare facility, and
other important points
, 26. Biomedical device:: An article, instrument, apparatus, or machine that is
usedin 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
27. Birth certificate information system:: A state-approved system in which
thebirth certificate data are entered, after the HIM staff interviews the mother or
otherparents or guardians and reviews the health record. This software reports
births occurring in the healthcare facility to the state health agency
28. Blue Button:: A campaign that was established by The Office of the
NationalCoordinator 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
29. Bots:: Perform automated tasks, such as gathering information and
instantmessaging, thus relieving a person the responsibility of doing it
30. Bring your own device (BYOD):: Healthcare practitioners using their
personalsmartphones or other devices rather than devices provided by the HCO, the
personal