WGU D033 Glossary Terms
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1. Acceptance test- A type of testing that occurs after the go-live date
ing
2. Access controls A computer software program designed to prevent unauthorized use of an infor-
mation resource
3. Addressable Must be evaluated by the entity to determine whether or not the standard is
standards reasonable and appropriate
4. Administrative A system that manages the business of healthcare; is the first information systems
information to be used in healthcare. The data collected in this system are mainly financial or
system business-oriented in nature, rather than clinical
5. Administrative Administrative actions, and policies and procedures, to manage the selection,
safeguards development, implementation, and maintenance of security measure to protect
electronic-protected health information and to manage the conduct of the cov-
ered entity's workforce in relation to the protection of that information. (45 CFR
160, 162, and 164)
6. Administrative Improves the efficiency and effectiveness of the business processes of healthcare
simplification by standardizing the EDI of administrative and financial transactions and protects
the privacy and security of protected health information (PHI) that is transmitted
from one point to another
7. Alpha site The first healthcare facility to implement the information system
8. American Na- The SDO for the United States and a representative to the ISO
tional Standards
Institute (ANSI)
The SDO for
the United States
and a represen-
tative to the ISO
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WGU D033 Glossary Terms
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9. American Recov- Enacted to stimulate the US economy during a recession that started in 2007. A
ery and Reinvest- significant portion of ARRA was dedicated to expanding the use of HIT to improve
ment Act (ARRA) the business efficiency and effectiveness of HCOs while increasing patient safety
and positive health outcomes. It also enacted an incentive program known as
Meaningful Use
10. Anesthesia infor- A system that collects information on preoperative, operative, and postoperative
mation system anesthesia-related clinical information. This system follows the patient through
the surgical process
11. Annotation The ability to add to the image in some way; because the image may be a legal
document, the image itself cannot be altered; however, an overlay to the document
will show the annotation
12. ANSI Accredited Responsible for developing the EDI standards used to share information needed
Standards Com- for health insurance administrative transactions
mittee X12N (ASC
X12N)
13. Audit controls The mechanisms that record and examine activity in information systems
14. Audit log Or audit trail, an electronic footprint of the actions that occurred in a particular file
in an information system or that were performed by a specific individual
15. Audit trails The record of information system activities, such as log-in, log-out, unsuccessful
log-ins, print, query, and other actions
16. Audit-reduction Tools that review the audit trail and compare it to criteria specified by the CE, which
tools eliminates routine entries such as the periodic backups
17. Authorship The origination or creation of recorded information attributed to a specific indi-
vidual or entity acting at a particular time
18.
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WGU D033 Glossary Terms
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Automated code- An encoder that lists diagnoses and procedures in alphabetic order much like the
book encoder alphabetic index
19. Back-end speech A speech recognition technology in which the physician dictates in the traditional
recognition manner and an editor listens to the audio and reviews the document created
(BESR)
20. Backscanning The process of scanning past health records into the DMS so there is an existing
database of patient information, making the DMS valuable to the user from the
first day of implementation
21. Backward map A map that links the two coding systems in the opposite direction, moving from
ICD-10 to ICD-9
22. Barcode med- See Electronic medication administration record (EMAR)
ication admin-
istration record
(BC-MAR)
23. Best of breed Choosing the ISs based on functionality rather than by vendor
24. Best of fit The decision to purchase software from a single vendor
25. Beta sites The healthcare facilities who subsequently implement the information system
26. Bidder's confer- A meeting for vendors to come to the healthcare facility to ask questions about
ence the request for proposal, the healthcare facility, and other important points
27. Biomedical de- An article, instrument, apparatus, or machine that is used in the prevention, di-
vice agnosis, or treatment of illness or disease, or for detecting, measuring, restoring,
correcting, or modifying the structure or function of the body for some health
purpose
28.
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WGU D033 Glossary Terms
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Birth certificate A state-approved system in which the birth certificate data are entered, after the
information sys- HIM staff interviews the mother or other parents or guardians and reviews the
tem health record. This software reports births occurring in the healthcare facility to
the state health agency
29. Blue Button A campaign that was established by The Office of the National Coordinator for
Health IT (ONC). It is a consumer-motivated method to improve healthcare by
having the patient or caretaker actively involved in decisions and planning by
having direct access to personal health information
30. Bots Perform automated tasks, such as gathering information and instant messaging,
thus relieving a person the responsibility of doing it
31. Bring your own Healthcare practitioners using their personal smartphones or other devices rather
device (BYOD) than devices provided by the HCO, the personal device must meet specific encryp-
tion and other security protocols to protect PHI as required by the HCO
32. Cancer registry An information system that tracks information (including very detailed information
information sys- regarding diagnosis and treatment) about the patient's cancer from the time of
tem diagnosis to the patient's death
33. Certified EHR An EHR that has been evaluated by a member of the Office of the National
technology Coordinator-Authorized Certification Bodies (ONC-ACBs) and verified that it meets
the criteria set by the MU incentive programs
34. Certified health Advanced certification sponsored by AHIMA that covers data management, data
data analyst analytics, and data reporting
(CHDA)
35. Certified in Credential that demonstrates advanced privacy and security skills. These advanced
healthcare priva- privacy and security skills exceed those in the RHIA or RHIT examinations. It is
cy and security sponsored by AHIMA
(CHPS)