Overview of Health Informatics

Question 1

What is Rouse definition of Health InformationTechnology

Answer 1

The area of Information Technology involving the
design, development, creation, use, and maintenance of information systems for the healthcare industry

Question 2

(Kushniruk & Borycki, 2017)

Answer 2

Vows to provide innovation to health care delivery and connection among users and stakeholders in the e-health market

Question 3

Management of health data and medical records
needed to deliver quality healthcare

Answer 3

HEALTH INFORMATION MANAGEMENT

Question 4

A program that combines the knowledge of health care system and information technology as well as medical information management techniques, especially medical coding

Answer 4

Bachelor of Science in Health Information
Management

Question 5

The American Health Information Management
Association (AHIMA) was renamed three times

Answer 5

1928 – Association of Record Librarians of
North America
● 1938 – American Association of Medical
Record Librarians
■ Developed in 1938
■ Established by the American
College of Surgeons

● 1970 – American Medical Record Association
● 1991 – American Health Information
Management Association

Question 6

The application of technology tools and information
systems in a healthcare setting or context

Answer 6

health informatics

Question 7

The health data clearinghouse which is comprised of
health care organizations that share data among
their health information technology systems

Answer 7

Health Information Exchange (HIE)

Question 8

Local and Internal System
➔ Electronic/digital versions of medical records
➔ Includes only one healthcare organization

Answer 8

Electronic Medical Record (EMR)

Question 9

EMR allows to

Answer 9

Track patient improvements over time
○ identify patients who need screenings
○ improve their diagnosis and treatment
○ identify patients with particular needs

Question 10

➔ Inter-Organizational System
➔ Digital version of medical records
➔ Can be accessed by other institutions by the
approval of the initial institution
➔ Software that can be accessed by different clinics
➔ Previous records are accessed

Answer 10

Electronic Health Record (EHR)

Question 11

What is shared in EHR

Answer 11

○ Diagnoses and Allergies
○ Medications and other treatment plans
○ Immunization dates
○ Test results and radiology images
○ Provider contact information

Question 12

● Patient-centered organizational system
● Same as EHR but is meant to be owned, set up, and managed by patients.
● Just like EHRs, PHRs contain information like diagnoses, medications,
immunizations, family medical histories, and provide contact information

Answer 12

Personal Health Record

Question 13

TYPES OF HEALTH INFORMATION TECHNOLOGY

Answer 13

Picture Archiving and Communication System and Vendor Neutral Archives

Question 14

Medical Imaging Technology that allows for the
preservation and retrieval of the digital pictures after
consultation
● MRI
● X-ray
● PET scan
➔ Different departments of a hospital can access the
pictures that are produced in the radiology section
➔ Can be accessed only by certain computers and
softwares

Answer 14

Picture Archiving and Communication Systems (PACS)

Question 15

Predominantly used
➔ Can read any format
● Neutralizes different discrepancies [in
different formats]

Answer 15

Vendor Neutral Archives (VNA)

Question 16

Stores medical images but in a standard format via a standard interface, allowing authorized healthcare practitioners vendor-neutral access regardless of the proprietary image-generating system employed.
● Consolidates the image na nakaformat

Answer 16

Vendor Neutral Archives (VNA)

Question 17

Created to motivate the implementation of electronic health records (EHR) and supporting technology in the United States

Answer 17

The Health Information Technology for Economic and Clinical Health Act of 2009

Question 17

Part of an economic stimulus package introduced during the ____ administration (February ______)

Answer 17

Barack Obama; FebruARY 17, 2009

Question 18

A federal law that required the creation of national standards to protect the sensitive patient information from being disclosed

Answer 18

Health Information Portability and Accountability Act
of 1996 – HIPAAv

Question 19

– Unaware of the HIPAA violation

Answer 19

TIER 1

Question 20

Covered entity knew about or should have
known about the violation

Answer 20

TIER 2

Question 21

Willful neglect with violation corrected

Answer 21

TIER 3

Question 22

No effort made to correct the violation

Answer 22

TIER 4

Question 23

Stimulus package enacted in the 111th US Congress
➔ Signed into law by President Barack Obama
➔ Developed for the Great Recession
➔ The primary objective of this federal institute is to
save existing jobs and create new ones possible
➔ Provided a certain amount of money to improve the
electrical grid and systems including cybersecurity
➔ The goal is to increase productivity of aging
infrastructure to a better system that will be helpful to
the economy of the United States

Answer 23

AMERICAN RECOVERY AND REINVESTMENT ACT (ARRA)

Question 24

Agency within US Department of Health and Human Services that administers nation’s major healthcare programs.

Answer 24

Centers for Medicare and Medicaid Services (CMS) Rule

Question 25

Responsible for defining the meaningful use criteria of every health information technology o Establish the incentive payments for the hospitals and physicians who uses government certified EHR

Answer 25

Centers for Medicare and Medicaid Services (CMS) Rule

Question 26

What are the CMS Strategic Pillars

Answer 26

1. Advance equity (in terms of addressing health disparities under the system) 2. Expand access (of medical information in terms of quality, affordable, health coverage, and care) 3. Engage partners (in terms of policy making and implementations) 4. Drive Innovation 5. Protect Programs (in terms of security and public funds) 6. Foster Excellence

Question 27

Established certification criteria that HER technology will need to meet in order to support meaningful use

Answer 27

Office of the National Coordinator for Health IT (ONC) Rule

Question 28

Five Areas ONC is Working to Improve:

Answer 28

Adoption – adopting electronic health records. ▪ Standards – establishing standards for various technologies to speak to each other. ▪ Incentives – establishing standards for healthcare providers/ ▪ Privacy and Security – making sure that data are protected and secured. ▪ Governance – providing governance and structure for the exchange of health information.

Question 29

Meaningful Use:

Answer 29

Improve quality, safety, and efficiency, and reduce health disparities. ▪ Improve care coordination and population and public health. ▪ Maintain privacy and security of patient health information.

Question 30

Repealed the flawed Medicare sustainable growth rate (SGR) formula that calculated payment cuts for physicians

Answer 30

Medicare Access and Children’s Health Insurance Plan (CHIP) Reauthorization Act

Question 31

Created a new framework for rewarding physicians for providing higher quality care by establishing two tracks for Quality Payment Program

Answer 31

Medicare Access and Children’s Health Insurance Plan (CHIP) Reauthorization Act

Question 32

when was Medicare Access and Children’s Health Insurance Plan (CHIP) Reauthorization Act signed

Answer 32

Signed into law on April 16, 2015

Question 33

closely resembles previous Medicare payment methods

Answer 33

Merit-Based Incentive Payment System

Question 34

Four criteria of MIPS

Answer 34

1. Quality 2. Cost 3. Improvement Activities 4. Promoting Interoperability or Advancing Care Information

Question 35

provide models that emphasize coordination of care, tying reimbursement to value ➔ They can focus on specific diseases or populations and span a variety of specialties, including primary care, cardiology, cardiothoracic surgery, orthopedic surgery, oncology, and nephrology

Answer 35

Advanced Alternative Payment Models (APMs)

Question 36

A composition of individuals, systems, and processes that share, exchange, and access all forms of health information, including discrete, narrative and multimedia

Answer 36

Health Information Ecosystem

Question 37

Advantages of HI in the cloud

Answer 37

Integrated and Efficient Patient Care ➔ Single access point for patient information Better Management of Data ➔ Allowing researchers to assess the health of the general public Error Reduction ➔ Improvement and accuracy ➔ Eliminate transcription, calculation, and transmission errors

Question 38

Disadvantages

Answer 38

Potential Risks to Personal Information ➔ Data breaches of patient information Cloud Set-up seems cumbersome ➔ Transition from handwritten notes in paper charts to a completely electronic system ● Disparities in the transition Cost Justification ➔ Some [information systems] require considerably more staff time than the manual system they replace

Question 39

Developed by the University of the Philippines Manila, National Institutes of Health, and National Telehealth Center ➔ Is an extensible, modular, open-source information system for rural health units (initially for the Philippines) ● Improves the monitoring of patient care through efficient data encoding and records retrieval ➔ An electronic medical record developed through the collaboration of the Information and Communication Technology community and health workers

Answer 39

Community Health Information Tracking System (CHITS)