C10 Healthcare Technology Flashcards
(44 cards)
General term informatics definition
the science of computer application to data in different industries
Health informatics
The science of computer application that supports clinical and research data in different areas of health care
Health information systems
Systems that store, transmit, collect, and retrieve these data
Goal of health information technology (HIT)
Manage health data
that can be used by patients/consumers,
insurance companies, healthcare providers,
healthcare administrators, and any
stakeholder that has an interest in health
care. The result is an electronic patient
record.
Establishment of chief information officer (CIO) emphasizes
How important information systems and technology has become to healthcare organizations
EHR stands for
Electronic Health Records
- The federal government pays 90%
of the state’s cost for implementing this type of electronic system
Health Information Technology for Economic and Clinical Health (HITECH) Act
Enacted as part of the 2009 American
Recovery and Reinvestment Act, was
designed to stimulate the adoption of health
information technology in the United States
Office of the National Coordinator (ONC) for HIT responsible for
Implementing the incentives and penalties program.
-ONC created meaningful use guidelines for physicians and others that will help them receive incentive payments and avoid future penalties (Over 95% of hospitals eligible for the
Medicare and Medicaid EHR Incentive
Programs have achieved meaningful use)
Meaningful use definition
Defined by the CMS,
has established core measures that
healthcare providers must meet to
determine the EHR system is being
adequately used
Electronic Medical Record (EMR)
The electronic record of
health-related information on an individual who is
accumulated from one health system and is utilized
by the health organization that provides patient
care
EHR definition
Accumulates more patient medical information from
many health organizations that have been involved
in the patient care that can be shared with other
sites
EHR benefits
▪Increased comprehensive reporting that
integrates both clinical and administrative data
▪Provide an opportunity to analyze and review
patient outcomes because of the
standardization of clinical assessments
▪Development of electronic automated reports
that improve patient discharge
▪Improved operational efficiency
▪Computerized documentation takes less
time than the previous handwritten notes.
▪Provides aggregate data in the patient
records to other departments
▪Patient information is legible
EHR Issues
▪A 2020 study of EHR use indicates that over
50% of physicians spend their time data
entering into the EHR system.
▪More physician burnout—less time with
patients
▪High implementation costs
▪No consistent national data standards
▪Adequate training for both healthcare
professionals and staff to fully utilize the
system
▪Uniform adoption of the EHR system by all
participants
Patient Portals
▪Linked to EHR systems
▪They enable patients to securely access their
patient information at any time.
▪Patients can review lab results, visit summaries,
records of tests, and prescriptions. Patients can
message their providers, request prescription
refills, and schedule routine appointments.
▪Patients are also able to make any payments.
Artificial Intelligence (AI)
a field of
computerized methods and technologies created
to imitate human decision making
Expert Systems (ESs)
Technique of AI which were developed to imitate expert’s
knowledge in decision-making
-can be used to alert
and remind healthcare providers of a
change in a patient’s condition or to have a
laboratory test or an intervention
performed (spot mistakes)
-Can assist with a diagnosis using the
system’s database
Clinical decision support systems (CDSSs)
Systems that are designed to integrate
medical information, patient information, and a decision-making tool to generate information to
assist with cases
CDSS: Computerized Physician Order Entry (CPOE)
enables a patient’s provider to enter a prescription
order or order for a lab or diagnostic test into a
computer system
4 Components of CPOE
- Information can be entered from a handheld
device, laptop, or desktop computer. - It enables the provider to order a test,
prescription, or procedure. - It is connected to a decision support system
that alerts providers to any problems with their
orders. - It can be integrated into the overall computer
system of the organization.
CPOE: E-Prescribing
form of CPOE focuses
on electronic prescription (no handwriting) ordering by a provider for their patient. (Over 90% pharmacies accepted)
- issues with drugs with similar-sounding
names, similar dosages, and similar
labeling
Medicare Improvements for
Patients and Providers Act of 2008 (MIPPA)
authorized incentives to encourage physicians to
e-prescribe (bonuses and penalties)
Pharmacy benefit managers (PBMs)
companies that administer drug benefits for employers and health insurance carriers.
-PBM integrates
medical and pharmacy data of the population
to determine which interventions are the most
cost-effective and clinically appropriate
Spread pricing
when PBMs are reimbursed at a
higher rate for generic drugs than what the
PBM actually paid for from the pharmacies
Drug-Drug Interactions (DDIs)
used by
software programs to alert pharmacists and
clinicians about potential drug-drug interactions
