Module 2 Health Information Services Flashcards
(101 cards)
HIM vs Health Informatics
HIM - data entry/retrieval/analysis
HI - database management/creation/mining, more technical
What are the four domains of practice in HIM?
- Data Quality
- Privacy
- e-HIM
- HIM Standards
Design, development, adoption, application of IT based innovations in health care services delivery, management, and planning.
Health Informatics
HIMs are responsible for management of health information through:
- Collection
- Organization
- Storage and retention
- Access
- Dissemination
- Analysis and interpretation
- Destruction
Key concepts for HIM
- Privacy
- Security
- Confidentiality
– Records Management – Access and Disclosure – Coding Specialist (HIM I) – Data Analysis – HI Manager (HIM II)
Traditional HIM Roles
– Deals with paper and electronic format (currently hybrid)
– form creation/management, documentation standards
– assembly and quantitative/qualitative analysis
– chart tracking
– storage, retrieval, protection, retention, and destruction of health info
Records Management ($19)
– May also be called Release of Information (ROI)
– Responsible for analyzing requests for patient information from various sources and responding appropriately
– Must be experts in all privacy laws, not just health privacy laws
Access and Disclosure ($28)
– Use software to classify patient information
– In some large facilities, coders will “specialize” in certain areas, but the move is away from this and towards “cross training”
Coding Specialist ($35)
Search ____ in job postings for HIM careers
HLTH
– Not an entry to practice position, but a career transition with experience
– Analyze patient information to answer questions posed by doctors, researchers, government, management, etc. regarding health trends, quality of care, patient outcomes, resource utilization statistics, wait times, and so on
Data Analysis (competitive)
– Often posted as HIM II
– May include regular HIM duties, but also includes managing staff and processes in an HI department
HI Manager ($32)
Most important stage as it provides direction for all HIM activities
Information Management Planning
Articulating a HIM strategy that links to the organization’s strategic plan and IT plan
First step in information management planning
What are the 7 phases of the health information cycle?
information management planning capture and collection preservation access, use, and dissemination maintenance and protection disposition evaluation
What 8 factors should a HIM strategy address?
- security, access and privacy of HI
- legislations and regulations
- disaster recovery plans
- information sharing
- documentation and data collection requirements
- migration plan to EHR
- IT infrastructure requirements
- staff competencies and training needs
8 types of data collected in the capture and collection phase:
- clinical data
- administrative data
- research
- education
- risk management
- professional practice assessments
- legal events
- legislative data
Involves data integrity and data quality
the preservation phase
T or F. Data quality = accuracy of content, while data integrity = accuracy of chart context; right patient, right location, etc
True
One way to ensure preservation of data
data quality audits
Sharing of information that involves granting authorization to retrieve or receive data and then act on it
access in the access, use, and dissemination phase
Phase that ensures HI is kept current and secure
maintenance and protection phase
_______ have forced hospitals to take careful inventory of all the physical locations and HI systems where health information is stored
hybrid records
Involves setting retention schedules compliant with legislation, as well as setting physical and technical safeguards
maintenance and protection phase
