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HSC 360 - Tech in HC > Ch 1 - Technology in Care Delivery > Flashcards

Ch 1 - Technology in Care Delivery Flashcards

1
Q

Informatics

A

Application of information technology

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2
Q

Medical Informatics

A

“Interdisciplinary science of acquisition, maintenance, retrieval, and application of biomedical knowledge and information to improve pt care, medical info, and health science research”

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3
Q

Who is needed to develop an EMR system?

A

Clinical professionals

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4
Q

What kind of data needs to be collected into an EMR?

A

Anything and everything

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5
Q

How do we measure safety, efficacy, and reliability?

A

Once we crunch all numbers together, we will know if there is a safety issue in the EMR, how fast can we correct it

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6
Q

How do we determine responsibility for errors?

A

Who put info into the chart

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7
Q

Administrative Applications

A

Office management use - scheduling, account and billing

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8
Q

Clinical Applications

A

Anything to do with direct pt care - includes diagnosis, monitoring, and treatments

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9
Q

EHR

A

Belongs to a single pt and is the info from one or more encounters, test results, vital signs, demographics, etc (Pt portal/MySanfordChart)

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10
Q

EMR

A

Belongs to a single health care institution and is where the pt info is entered into a system and managed (EMR = medical professionals)

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11
Q

Interoperability

A

Computer systems and programs that can communicate and transfer data between systems (where it doesn’t work, like D2L and Pages)

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12
Q

Health Information Technology (HIT)

A

EMR and computer information systems

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13
Q

What would complete interoperability look like?

A

Would be great if all systems could talk to each other but there are glitches

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14
Q

Problems & Challenges w/ EMRs

A

Costs, accuracy, reliability, workflow, system automation & defaults, distracting, privacy, complex interfaces, shortcuts in charting

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15
Q

EMR for the win!

A

Reduce errors, handwriting is hard to read, default alerts and thresholds, data support systems, smart sets, clinical care picture, pt access, tracking care, continuation of care, screenings & preventative care

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16
Q

Foundational Interoperability

A

One EHR system can receive data from another system but doesn’t need to be able to interpret it

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17
Q

Structural Interoperability

A

Data can be exchanged between information technology systems and interpersonal at the data field level

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18
Q

Semantic Interoperability

A

Where two or more systems can exchange information, and the exchanged information can be used

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19
Q

CMS

A

Center for Medicare and Medicaid

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20
Q

ONC

A

Office of the National Coordinator for Health Information

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21
Q

1996 - HIPAA

A

Privacy and security to individual records and insurance portability

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22
Q

2004 - ONCHIT

A

Bush Admin - declared 2004-2014 “The decade of HIT” aimed promote and oversee to development of national health information tech infrastructure, adoption, and meaningful use of EHR

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23
Q

2009 - ARRA

A

The American Recovery and Reinvestment Act - Obama Admin - promotes the expansion of HIT even further and offered monetary incentives through Medicare and Medicaid for HC systems to adopt EHR’s

24
Q

2009 - HITECH

A

Provision of ARRA and increases penalties for violating HIPAA (fined)

25
Q

2010 - ACA

A

Affordable Care Act - goal was to make health insurances accessible and affordable, expand Medicaid, and support methods to lower the cost of HC

26
Q

Meaningful use of EHR’s

A

providers need to show they are using the EHR tech in ways that can be measured significantly in quantity and quality - it all has to have purpose and can be measured

27
Q

ACA in a nutshell

A

Signed into effect in 2010, individual mandate repealed in 2017 but some provisions of original act in place

28
Q

HIE

A

Health Insurance Exchange - marketplace to purchase insurance

29
Q

Biometrics

A

Uses body parts to identify user (retina, finger) like in the movies

30
Q

Encryption

A

Data is scrambles as it passes through the internet

31
Q

Office Management

A

Ordering supplies, staff scheduling, budget analysis etc…

32
Q

Scheduling

A

staff, pts, outreach clinics, procedures, therapies, out-pt services

33
Q

Accouting

A

Payment collection, billing, insurance coding, payment processing

34
Q

Personal Health Records (PHR)

A

electronic form of individuals health info, available on an Web enabled device, used in emergency situations to communicate important info, routine dr visits, pt owns records & controls the use & access to it

35
Q

Meaningful Use of PHR

A

Defined by ONCHIT in meeting criteria in stages

36
Q

Quality Based Repayment Programs

A

includes protected health info, e-perescribing, pt electronic access, pt engagement, health info exchange, & public health & clinical data registry reporting

37
Q

CHIP

A

Children’s Health Insurance for those who don’t qualify for Medicaid

38
Q

ADE

A

EHR’s try to improve pt’s outcome by decreasing Adverse Drug Events

39
Q

RHIO

A

Regional Health Information Organizations (regional shared data)

40
Q

NHIN

A

(National Health Information Network) communication between regions

41
Q

FIS

A

Financial Information System

42
Q

CIS

A

Clinical Information System

43
Q

PIS

A

Pharmacy Information System

44
Q

RIS

A

Radiology Information System

45
Q

LIS

A

Laboratory Information System

46
Q

NIS

A

Nursing Information System

47
Q

PACS

A

Picture Archiving and Communication System

48
Q

DRG

A

Diagnosis-related group - related to one primary diagnosis that gives the encounter a relative weight and/or classification. This formula determines reimbursement amounts for that particular encounter. Excess cost is absorbed by hospital. A DRG payment covers all anticipated charges associated with an inpatient stay from admission to discharge.

49
Q

ICD

A

International Classification of Disease

50
Q

Charges, payments, and adjustments

A

all types of transactions to an account

51
Q

Guarantor

A

persons responsible for the payment (pt or third party)

52
Q

Schedule of Benefits

A

List of services that carrier will cover

53
Q

Deductible

A

Amount of pt is required to pay before insurance kicks in

54
Q

Co-payment

A

part of each charge that pt is responsible for

55
Q

Medicaid

A

federal state funded based on need

56
Q

Medicare

A

65+, ESRD

HSC 360 - Tech in HC (5 decks)

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