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Multidisciplinary Team Terminology -CORRECT ANSWER (SNOMED-CT)
Systematized Nomenclature of Human and Veterinary Medicine Clinical Terms- clinical
terms covering nursing, medicine, & allied health
Standardized Terminology Supports -CORRECT ANSWER Data Mining
PHR - Private Health Record -CORRECT ANSWER Lifetime health record, supplied by
ind., healthcare providers, pharmacies, therapist, lab test, - Controlled by the consumer,
E-Sign -CORRECT ANSWER Same legal status as a hand written signature
MIPPA - Medicare Improvement for Patients & Providers Act provides -CORRECT
ANSWER financial incentive for e-prescribing to providers
HIPPA provides -CORRECT ANSWER 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 -CORRECT ANSWER provide funds for adoption of technology &
provides the right for every individual to receive and electronic copy of EHR
HITECH provides -CORRECT ANSWER strengthened HIPPA security & privacy
protection, & provides financial incentive for the user of EHR
EMR -electronic medical record provides -CORRECT ANSWER Legal record often
restricted to a Single episode of care, building block of EHR,
EHR- Electronic Health Record is -CORRECT ANSWER Longitudinal record that
includes client data, demographics, clinician notes, medications, diagnostics.
- Major driver for US Adoption is "Meaningful Use" financial incentives from HITECH
part of ARRA
Affordable Care Act provides -CORRECT ANSWER guarantee access to healthcare,
encourage PCP,
Data is -CORRECT ANSWER collection of #, characters, or facts (body weight- 128lb),
little meaning alone
, Information is -CORRECT ANSWER Collection of data examined for patterns or
structure that can be interpreted. ex notes prior BP and informs doc
Knowledge is -CORRECT ANSWER Synthesis of info from several sources to produce
a single concept or idea, ex read a journal about BP
Computer Technology is -CORRECT ANSWER 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 -CORRECT ANSWER Administrative System +
Clinical Information System,
Clinical Systems include: order entry, radiology, pharmacy, physician management
system
Adm system: non clinical, demographics, scheduling, risk management, decision
support,
Administrative System includes these functions -CORRECT ANSWER Managing
nonclinical, client-related information (demographics, codes for procedures, & Insurance
Hippa - Compliant Codes inlcude -CORRECT ANSWER (ICD) International
Classification of Disease, Common Procedural Terms, (ABC) Alternative Billing Codes,
ANA recognizes these terminologies -CORRECT ANSWER (CCC) Clinical Care
Classification, (ICNP) International Classification of Nursing Practice, NANDA, NIC,
NOC, the Omaha System, (PNDS) Perioperative Nursing Data Set
Teleconferencing is -CORRECT ANSWER use of computers, audio, & video equip. and
high-grade dedicated telephone line, cable/sat connections to provide interactive
communication between 2+ ppl at 2+ sites
Elearning provides -CORRECT ANSWER electronic media to present instruction, it
allows users to skip information they already know
Distance Education is -CORRECT ANSWER the use of print, audio, video, computer, or
teleconference capability to connect faculty & students; Can take place in real time or
on a delayed basis
Web Based Instruction is -CORRECT ANSWER the attributes & resources of the
internet to deliver & support education
Telehealth is -CORRECT ANSWER use of telecommunication technologies &
computers to provide healthcare info & services to clients at another location
- consumers are chronically ill, isolated, assisted living families