WGU D033 Glossary Terms With
Answers
Acceptance testing - Answer A type of testing that occurs after the go-live date
Access controls - Answer A computer software program designed to prevent
unauthorized use of an information resource
Addressable standards - Answer Must be evaluated by the entity to determine
whether or not the standard is reasonable and appropriate
Administrative information system - Answer A system that manages the business of
healthcare; is the first information systems to be used in healthcare. The data
collected in this system are mainly financial or business-oriented in nature, rather
than clinical
Administrative safeguards - Answer Administrative actions, and policies and
procedures, to manage the selection, development, implementation, and
maintenance of security measure to protect electronic-protected health information
and to manage the conduct of the covered entity's workforce in relation to the
protection of that information. (45 CFR 160, 162, and 164)
Administrative simplification - Answer Improves the efficiency and effectiveness of
the business processes of healthcare 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
Alpha site - Answer The first healthcare facility to implement the information system
American National Standards Institute (ANSI) The SDO for the United States and a
representative to the ISO - Answer The SDO for the United States and a
representative to the ISO
American Recovery and Reinvestment Act (ARRA) - Answer Enacted to stimulate
the US economy during a recession that started in 2007. A significant portion of
ARRA was dedicated to expanding the use of HIT to improve 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
Anesthesia information system - Answer A system that collects information on
preoperative, operative, and postoperative anesthesia-related clinical information.
This system follows the patient through the surgical process
Annotation - Answer 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
,ANSI Accredited Standards Committee X12N (ASC X12N) - Answer Responsible for
developing the EDI standards used to share information needed for health insurance
administrative transactions
Audit controls - Answer The mechanisms that record and examine activity in
information systems
Audit log - Answer 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
Audit trails - Answer The record of information system activities, such as log-in, log-
out, unsuccessful log-ins, print, query, and other actions
Audit-reduction tools - Answer Tools that review the audit trail and compare it to
criteria specified by the CE, which eliminates routine entries such as the periodic
backups
Authorship - Answer The origination or creation of recorded information attributed to
a specific individual or entity acting at a particular time
Automated codebook encoder - Answer An encoder that lists diagnoses and
procedures in alphabetic order much like the alphabetic index
Back-end speech recognition (BESR) - Answer A speech recognition technology in
which the physician dictates in the traditional manner and an editor listens to the
audio and reviews the document created
Backscanning - Answer 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
Backward map - Answer A map that links the two coding systems in the opposite
direction, moving from ICD-10 to ICD-9
Barcode medication administration record (BC-MAR) - Answer See Electronic
medication administration record (EMAR)
Best of breed - Answer Choosing the ISs based on functionality rather than by
vendor
Best of fit - Answer The decision to purchase software from a single vendor
Beta sites - Answer The healthcare facilities who subsequently implement the
information system
Bidder's conference - Answer A meeting for vendors to come to the healthcare
facility to ask questions about the request for proposal, the healthcare facility, and
other important points
, Biomedical device - Answer An article, instrument, apparatus, or machine that is
used in the prevention, diagnosis, 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
Birth certificate information system - Answer A state-approved system in which the
birth certificate data are entered, after the HIM staff interviews the mother or other
parents or guardians and reviews the health record. This software reports births
occurring in the healthcare facility to the state health agency
Blue Button - Answer 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
Bots - Answer Perform automated tasks, such as gathering information and instant
messaging, thus relieving a person the responsibility of doing it
Bring your own device (BYOD) - Answer Healthcare practitioners using their
personal smartphones or other devices rather than devices provided by the HCO,
the personal device must meet specific encryption and other security protocols to
protect PHI as required by the HCO
Cancer registry information system - Answer An information system that tracks
information (including very detailed information regarding diagnosis and treatment)
about the patient's cancer from the time of diagnosis to the patient's death
Certified EHR technology - Answer An EHR that has been evaluated by a member of
the Office of the National Coordinator-Authorized Certification Bodies (ONC-ACBs)
and verified that it meets the criteria set by the MU incentive programs
Certified health data analyst (CHDA) - Answer Advanced certification sponsored by
AHIMA that covers data management, data analytics, and data reporting
Certified in healthcare privacy and security (CHPS) - Answer Credential that
demonstrates advanced privacy and security skills. These advanced privacy and
security skills exceed those in the RHIA or RHIT examinations. It is sponsored by
AHIMA
Certified information security manager (CISM) - Answer Sponsored by ISACA; an
international examination that is designed for leaders in security who oversee the
security programs of organizations
Certified information systems security professional (CISSP) - Answer Certification
sponsored by the International Information Systems Security Certification
Consortium. It is a generic security certification and therefore is not healthcare
specific
Change management - Answer The formal process of introducing change, getting it
adopted, and diffusing it throughout the healthcare facility
Answers
Acceptance testing - Answer A type of testing that occurs after the go-live date
Access controls - Answer A computer software program designed to prevent
unauthorized use of an information resource
Addressable standards - Answer Must be evaluated by the entity to determine
whether or not the standard is reasonable and appropriate
Administrative information system - Answer A system that manages the business of
healthcare; is the first information systems to be used in healthcare. The data
collected in this system are mainly financial or business-oriented in nature, rather
than clinical
Administrative safeguards - Answer Administrative actions, and policies and
procedures, to manage the selection, development, implementation, and
maintenance of security measure to protect electronic-protected health information
and to manage the conduct of the covered entity's workforce in relation to the
protection of that information. (45 CFR 160, 162, and 164)
Administrative simplification - Answer Improves the efficiency and effectiveness of
the business processes of healthcare 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
Alpha site - Answer The first healthcare facility to implement the information system
American National Standards Institute (ANSI) The SDO for the United States and a
representative to the ISO - Answer The SDO for the United States and a
representative to the ISO
American Recovery and Reinvestment Act (ARRA) - Answer Enacted to stimulate
the US economy during a recession that started in 2007. A significant portion of
ARRA was dedicated to expanding the use of HIT to improve 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
Anesthesia information system - Answer A system that collects information on
preoperative, operative, and postoperative anesthesia-related clinical information.
This system follows the patient through the surgical process
Annotation - Answer 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
,ANSI Accredited Standards Committee X12N (ASC X12N) - Answer Responsible for
developing the EDI standards used to share information needed for health insurance
administrative transactions
Audit controls - Answer The mechanisms that record and examine activity in
information systems
Audit log - Answer 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
Audit trails - Answer The record of information system activities, such as log-in, log-
out, unsuccessful log-ins, print, query, and other actions
Audit-reduction tools - Answer Tools that review the audit trail and compare it to
criteria specified by the CE, which eliminates routine entries such as the periodic
backups
Authorship - Answer The origination or creation of recorded information attributed to
a specific individual or entity acting at a particular time
Automated codebook encoder - Answer An encoder that lists diagnoses and
procedures in alphabetic order much like the alphabetic index
Back-end speech recognition (BESR) - Answer A speech recognition technology in
which the physician dictates in the traditional manner and an editor listens to the
audio and reviews the document created
Backscanning - Answer 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
Backward map - Answer A map that links the two coding systems in the opposite
direction, moving from ICD-10 to ICD-9
Barcode medication administration record (BC-MAR) - Answer See Electronic
medication administration record (EMAR)
Best of breed - Answer Choosing the ISs based on functionality rather than by
vendor
Best of fit - Answer The decision to purchase software from a single vendor
Beta sites - Answer The healthcare facilities who subsequently implement the
information system
Bidder's conference - Answer A meeting for vendors to come to the healthcare
facility to ask questions about the request for proposal, the healthcare facility, and
other important points
, Biomedical device - Answer An article, instrument, apparatus, or machine that is
used in the prevention, diagnosis, 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
Birth certificate information system - Answer A state-approved system in which the
birth certificate data are entered, after the HIM staff interviews the mother or other
parents or guardians and reviews the health record. This software reports births
occurring in the healthcare facility to the state health agency
Blue Button - Answer 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
Bots - Answer Perform automated tasks, such as gathering information and instant
messaging, thus relieving a person the responsibility of doing it
Bring your own device (BYOD) - Answer Healthcare practitioners using their
personal smartphones or other devices rather than devices provided by the HCO,
the personal device must meet specific encryption and other security protocols to
protect PHI as required by the HCO
Cancer registry information system - Answer An information system that tracks
information (including very detailed information regarding diagnosis and treatment)
about the patient's cancer from the time of diagnosis to the patient's death
Certified EHR technology - Answer An EHR that has been evaluated by a member of
the Office of the National Coordinator-Authorized Certification Bodies (ONC-ACBs)
and verified that it meets the criteria set by the MU incentive programs
Certified health data analyst (CHDA) - Answer Advanced certification sponsored by
AHIMA that covers data management, data analytics, and data reporting
Certified in healthcare privacy and security (CHPS) - Answer Credential that
demonstrates advanced privacy and security skills. These advanced privacy and
security skills exceed those in the RHIA or RHIT examinations. It is sponsored by
AHIMA
Certified information security manager (CISM) - Answer Sponsored by ISACA; an
international examination that is designed for leaders in security who oversee the
security programs of organizations
Certified information systems security professional (CISSP) - Answer Certification
sponsored by the International Information Systems Security Certification
Consortium. It is a generic security certification and therefore is not healthcare
specific
Change management - Answer The formal process of introducing change, getting it
adopted, and diffusing it throughout the healthcare facility
