Class 2 - Health IT

Question 1

Health information technology

Answer 1

The application of EHRs and other digital technologies to the delivery and management of health care.

Question 2

Health informatics

Answer 2

The systematic application of information and computer sciences and technology to health care practice, research, and learning. Promotes the understanding, integration, and application of information technology in healthcare settings

Question 3

Clinical Informatics

Answer 3

Information used in health care by clinicians to treat a patient

Question 4

Population Health Informatics

Answer 4

The systematic application of health IT and other digital technologies and information sciences to the improvement of health and well-being of a defined community or other target population

Question 5

Public Health Informatics

Answer 5

The application of informatics in areas of public health, including surveillance, prevention, preparedness, and health promotion. Public health is extremely broad and can even touch on the environment, work and living places and more

Question 6

Health Information Exchange (HIE)

Answer 6

Refers to the sharing of clinical and administrative data across the boundaries of healthcare institutions and other health data repositories. “HIE” can mean either the verb (the electronic exchange of health-related data) or the noun (organizations dedicated to the secure exchange of health-related data).

Question 7

Interoperability

Answer 7

The ability of different information technology systems and software applications to communicate, exchange data, and use the information that has been exchanged. Means the ability of health information systems to work together within and across organizational boundaries order to advance the effective delivery of health care for individuals and community.

Question 8

Regional Health Information Organization (RHIO)

Answer 8

A group of organizations within a specific area that share healthcare-related information electronically according to accepted healthcare information technology (HIT) standards. A RHIO typically oversees the means of information exchange among various provider settings, payers and government agencies. Includes hospitals, ind providers, provider groups, pharmacies. (8 RHIOs in NYS; backbone of the SHIN-NY)

Question 9

SHIN-NY

Answer 9

• A “network of networks” that links NY’s 8 RHIOs

- Collaborated by eHealth Collaborative (NYeC)

Question 10

Barriers of interoperable health IT

Answer 10

1) Not enough standardization
2) Not fully used standards
3) Patient Matching
4) Privacy and Security
5) Incentive alignment
6) Provider workflow
7) Larger eco-system
8) Costs

Question 11

Data sources from health care providers

Answer 11

• Claims Data: Diagnoses, procedures, prescriptions, billable events
• Enrollment Files: Demographic data not included in claims; Records of people without claims
• Electronic Health Records (Clinical data): Detailed clinician notes, lab values, etc.
• Administrative: Nurse House hours, occupancy

Question 12

HIPAA Privacy Rule

Answer 12

prohibits a covered entity from using or disclosing PHI unless authorized by patients - except where prohibition would result in unnecessary interference with access to care. Permits covered entity to use and disclose PHI for treatment, payment, and health care operations activities.

Question 13

HIPAA Security Rule

Answer 13

Major goal is to protect the privacy of individuals’ health information while allowing covered entities to adopt new technologies to improve the quality and efficiency of patient care
-Covers: covered entities and business associates

Question 14

Covered entities

Answer 14

Electronically transmit any health information in connection with transactions for which HHS has adopted standards

1. Health Plans
2. Health care clearinghouses
3. Health care provider

Question 15

Health Plans

Answer 15

Generally an individual or group plan that provides or pays the cost of medical care
•Ex: UnitedHealthcare, Medicare, Oscar

Question 16

Health Care Clearinghouses

Answer 16

Electronic stations or hubs that allow healthcare practices to transmit electronic claims to insurance carriers in a secure way that protects PHI, or protected health information
Ex: Navicure, Apex EDI, Claim MD

Question 17

Health care provider

Answer 17

A provider of services and any other person or organization who furnishes, bills, or is paid for health care in the normal course of business.
•Ex: Hospitals, Provider groups

Question 18

Business Associates

Answer 18

A person or entity, who is not a member of the covered entity’s workforce and performs or assists in performing, for or on behalf of a covered entity. The Privacy Rule protects individually identifiable health information when it is created or maintained by a BA.

Question 19

Subcontractor

Answer 19

A “business associate” also is a subcontractor that creates, receives, maintains, or transmits protected health information on behalf of another business associate

Question 20

Business Associate Agreements

Answer 20

The HIPAA Rules generally require that covered entities and business associates enter into contracts with their business associates to ensure that the business associates will appropriately safeguard protected health information. BAAs clarify and limit, as appropriate, the permissible uses and disclosures of protected health information by the business associate.