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Medical Terminology > health info technology > Flashcards

Flashcards in health info technology Deck (24):
1

Health informatics

A branch of health information management that uses computer systems to gather, organize, maintain and store patient healthcare data.

2

Alphabetical filing system

A method of organizing health records according to a patient's surname

3

Numeric filing system

A method of organizing health records according to a unique patient identification number

4

Alphanumeric filing system

A method of organizing health records by combining the first 2 letters of the patient's surname with a numerical identifier.

5

Out guide

A card placed in a collection of paper files to indicate that a file has been removed

6

Requisition

A written request for a health record

7

Quality management

The process of planning, controlling and improving the quality of a product or system

8

Deficiency slip

A report generated to notify staff that a medical record is missing required information

9

Index

A database that contains patient healthcare information that can be used for research, healthcare quality control or statistical purposes

10

Master patient index

The primary index used for HIM record keeping, which includes a unique record for each patient I within a healthcare organization

11

Physician index

A database that records the physician associated with each patient, diagnosis made and procedure performed at a healthcare organization

12

Registry

A database of information concerning births, deaths, admissions and discharges

13

Centers for Disease Control and Prevention (CDC)

A US government organization that seeks to promote healthy behaviors and the prevention of disease, injury and disability

14

World Health Organization (WHO)

A global organization, created by the UN, that provides global leadership on health, health research and health policy

15

Cancer and trauma registries

Compilations of healthcare data on different types of cancer and traumatic events

16

Centers for Medicare and Medicaid Services (CMS)

A US government organization that administers the Medicare and Medicaid health insurance programs

17

Birth certificate completion

The process of fully completing an infant's birth certificate

18

Statistical and research services

Data analysis services provided for health information professionals who are conducting medical studies or tracking diseases

19

Health data security

The process of ensuring that medical records are unaltered, readily accessible and used legitimately

20

Patient confidentiality

The right to expect that healthcare information will not be disclosed without a patient's authorization

21

Breach of confidentiality

Disclosure of patient information without prior written consent

22

Compliance

The process of adhering to state and federal laws

23

Department of Health and Human Services (DHH)

A US government organization that establishes guidelines for health information management compliance

24

Office of the Inspector General (OIG)

Investigates abuse, fraud, waste and mismanagement within a government organization