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

Ch 1 - Technology in Care Delivery Flashcards

(56 cards)

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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

Study These Flashcards
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

Study These Flashcards
A

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

25
2010 - ACA
Affordable Care Act - goal was to make health insurances accessible and affordable, expand Medicaid, and support methods to lower the cost of HC
26
Meaningful use of EHR's
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
ACA in a nutshell
Signed into effect in 2010, individual mandate repealed in 2017 but some provisions of original act in place
28
HIE
Health Insurance Exchange - marketplace to purchase insurance
29
Biometrics
Uses body parts to identify user (retina, finger) like in the movies
30
Encryption
Data is scrambles as it passes through the internet
31
Office Management
Ordering supplies, staff scheduling, budget analysis etc...
32
Scheduling
staff, pts, outreach clinics, procedures, therapies, out-pt services
33
Accouting
Payment collection, billing, insurance coding, payment processing
34
Personal Health Records (PHR)
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
Meaningful Use of PHR
Defined by ONCHIT in meeting criteria in stages
36
Quality Based Repayment Programs
includes protected health info, e-perescribing, pt electronic access, pt engagement, health info exchange, & public health & clinical data registry reporting
37
CHIP
Children's Health Insurance for those who don't qualify for Medicaid
38
ADE
EHR's try to improve pt's outcome by decreasing Adverse Drug Events
39
RHIO
Regional Health Information Organizations (regional shared data)
40
NHIN
(National Health Information Network) communication between regions
41
FIS
Financial Information System
42
CIS
Clinical Information System
43
PIS
Pharmacy Information System
44
RIS
Radiology Information System
45
LIS
Laboratory Information System
46
NIS
Nursing Information System
47
PACS
Picture Archiving and Communication System
48
DRG
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
ICD
International Classification of Disease
50
Charges, payments, and adjustments
all types of transactions to an account
51
Guarantor
persons responsible for the payment (pt or third party)
52
Schedule of Benefits
List of services that carrier will cover
53
Deductible
Amount of pt is required to pay before insurance kicks in
54
Co-payment
part of each charge that pt is responsible for
55
Medicaid
federal state funded based on need
56
Medicare
65+, ESRD

HSC 360 - Tech in HC (5 decks)

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