HIM TEST 1 PART 2 Flashcards
(56 cards)
<p>registers emergency patients, inpatients, and outpatients</p>
<p>Admitting (Patient Registration)</p>
<p>maintains all clinical equipment used at the facility</p>
<p>Biomedical Engineering</p>
<p>accounting, payroll, accounts payable</p>
<p>Business Office (Finance Office)</p>
<p>initiates discharge planning upon inpatient admission</p>
<p>Case Management (discharge planning)</p>
<p>processes the sterilization of surgical instruments and supplies</p>
<p>Central Sterilizing Service</p>
<p>meets spiritual and religious needs of patients and families
</p>
<p>Chaplain</p>
<p>conducts diagnostic tests ordered by physicians</p>
<p>Clinical Laboratory</p>
<p>Communicates special events, media concerns, and hospital publications to the public</p>
<p>Community Relations</p>
<p>facility wide program that monitors standards of conduct, offers educational programs, implements sanctions for noncompliance, and maintains a confidential integrity hotline to report concerns about possible legal and ethical violations</p>
<p>Compliance</p>
<p>provides patients with medical equipment to facilitate continuity of quality care from hospital to home</p>
<p>Durable Medical Equipment</p>
<p>provides crisis care 24 hours per day after triage</p>
<p>Emergency Department</p>
<p>Provides electroneurodiagnostic testing to patients with neurological diseases </p>
<p>electroneurodiagnostic testing</p>
<p>provides professional guidance to employees and family members when personal or work-related problems become difficult to manage</p>
<p>Employee Assistance Program (EAP)</p>
<p>coordinates and monitors health-related activities for employees</p>
<p>Employee Health Services</p>
<p>provides general housekeeping services for hospitals</p>
<p>environmental services</p>
<p>maintains complete inpatient, outpatient surgery, and emergency records in a confidential manner</p>
<p>Health Information Management Services(Medical Records)</p>
<p>conducts an orientation program to acclimate new employees to their work environment</p>
<p>Human Resources</p>
<p>manages information resources and provides computing services to facility and medical staff</p>
<p>Information Systems</p>
<p>provides 24hour patient care to inpatients, outpatients, and emergency department patients</p>
<p>Nursing</p>
<p>manages production and service of meals for patients, staff, and visitors</p>
<p>Nutrition and Food Service</p>
<p>Provides services to patients using an interdisciplinary team approach</p>
<p>Hospice Care</p>
<p>Review policies and other documents for hospital departments </p>
<p>Legal Services</p>
<p>Coordinates the internship and residency programs</p>
<p>Medical Education</p>
<p>- Provides library services and resources to hospital and medical staff
- contains health care books etc
- linked to libraries worldwide </p>
<p>Medical Library </p>
serves patients who have experienced loss of function resulting from injury or disease
Occupational Therapy
includes operating rooms with scrub areas, equipment, and instrument storage, dressing rooms, and recovery rooms
Operating Room Suites
serves as a representative for patients who issue recommendations or concern about the hospital to uphold care, ethics, morals, and operational standards
Patient Advocacy
helps patients make informed decisions to better manage health care needs
Patient Education
facilitates desired outcomes by monitoring and evaluating the quality and appropriateness of patient care, measuring both process and outcome and conducting trend analyses, pursuing opportunities to improve patient care, ensuring high quality care, and developing standards for monitoring quality care
Performance Improvement (PI)
supplies all medications administered to patients during hospitalizations
Pharmacy
Uses physical agents of exercise, massage, and other modalities
Physical Therapy
repairs and maintains non-medical equipment
Plant Operations and Maintenance
patients visit PAT prior to elective admission (inpatient or outpatient surgery) to register with admitting, undergo preoperative nursing assessment, and receive pre anesthesia evaluation by an anesthesiologist
Readmission Testing (PAT)
procures equipment, products, and services
Purchasing
Provides radiation therapy for cancer patients
Radiation Oncology
provides image guided procedures for inpatients and out patients including: CT, MRIs, Mammography, etc...
Radiology
restores, remediates, and rehabilitates patients to improve functioning and independence, as well as reduce or eliminate the effects of illness or disability
Recreation Therapy
Occupational therapy, physical therapy, and speech and language pathology
Rehabilitative Services
supplies oxygen, breathing aids, prescribed inhalants, and other aids for patients with respiratory distress
Respiratory Therapy
Inpatient care provided to homebound hospice patients(Aids, Alzheimer's, cancer) to provide primary care givers with temporary relief from care
Respite Care
- Promotes quality health care and safety - Identify and control hazards and injuries - Incident reports - works with facility insurance and attorney when lawsuits are filed
Risk Management
Provides any body with a physical environment free of hazards and reduces the risk of injuries
Safety Management
Assists patients and families in locating resources that are specific to their health care needs
Social Services
Evaluates, diagnoses, plans, and provides therapy to patients with speech language, and swallowing difficulties
Speech and Language Pathology
Connects practitioners and patients through on-line consultation with specialists, live and interactive clinical and educational programs, and custom or internet-based video streaming
Telemedicine
-reviews and/or recommends admission for all levels of care -monitors appropriate levels of care, assesses compliance with stated standards, and monitors utilization of patient care delivery resources
Utilization Management
Feeds and transports patients, deliver flowers and mail, staffs the gift shop, assists visitors at the information desk , and works as support staff
Volunteer
- Developing, monitoring, and improving systems related to the establishment, maintenance, control, and dissemination of medical records an patient information. - Planning activities to ensure continuous quality operation - Part taking in variety of team work activities that monitor, policies, and procedures
Department Administration
-function is to collect and report all patients that are diagnosed with cancer - usually a certified tumor specialist - operate at the local, regional, and national level - responsible for life time follow ups - done by the American College of Surgeons
Cancer Registry
-assigns codes based off what the physicians diagnosed - coders assign ICS codes - critical for reimbursement
Coding and Abstracting Department
-purpose is to generate statistical reports and disease/ procedure indexes, which are used for administrative decision-making and quality management purposes -a human manually searches through a medical record. to identify data required for a secondary use.
Coding and Abstracting Department
convert paper records to electronic health record
Image Processing Department
-includes the assembly and analysis of discharged patient records - after 30 days of discharging a patient the incomplete record is known as delinquent - these individuals check to make sure each record is complete - very critical function
Incomplete Record Processing
-involves the accurate and timely transcription of dictated reports -today, it is done by voice commands on a computer
Medical Transcription
-responsible for pulling and checking out charts to various hospital departments -includes the retrieval of patient records for the purpose of inpatient readmission, scheduled and unscheduled outpatient clinic visits, authorized quality management studies, and education and research.
Record Circulation
-written request for release of information are reviewed for authenticity and processed by the health information department staff
Release of Information Processing