D033 Chapter 1 with 100% correct answers

Data raw facts and figures Information System (IS) an automated system that uses computer hardware and software to record, manipulate, store, recover, and disseminate data (that is, a system that receives and processes input and provides output) 00:26 01:33 Financial applications information systems that are designed to collect, store, and manage financial data. software applications that handle patient accounts, budgets, and other financial activities. Mainframe computers large computers that are used by the government and other organizations that require speed and the ability to process large amounts of data. dumb terminals, all of the processing is performed at the server or mainframe personal computers some or all of the processing is performed on the PC central processing unit (CPU) computer memory, and storage devices for data, also known as a microprocessor microprocessor a microchip that processes the information and the code (instructions) used by a computer; it is the "brains of a computer." Information data that have been manipulated into something meaningful. Wireless computers are often seen at the point of care (POC), the place or location where the physician administers services to the patient, such as the patient's bedside. One type of device used at the POC is the computer on wheels (COW)—also referred to as wireless on wheels (WOW)—which involves a wireless computer mounted on a mobile cart that can be moved from patient to patient. COW at the POC improves documentation because it is done as soon as the care occurs, also gives current information to other healthcare professionals involved in the patient's care. One of the downsides to wireless computers is that they are easy targets for both physical and virtual theft. Electronic health record (EHR) An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization American Recovery and Reinvestment Act of 2009. This law enacted an incentive program known as Meaningful Use, which gave healthcare providers who met the requirements financial incentives for implementing the EHR and using it in a meaningful way. Cloud computing a system that operates on a computer that is owned and maintained by a vendor. Storing data in the cloud facilitates the sharing of information, which is important to healthcare. The data storage is at a remote location, and information is moved via the Internet intranet a private information network that is similar to the Internet in that it uses Internet technologies; however, its servers are located inside a firewall or security barrier so that the general public cannot gain access to information housed within the network, distinguishing it from the Internet. facility's intranet gives updates on upcoming events, house the bylaws and rules and regulations as well as the policies and procedures of the facility, provide a repository for forms, and contain an employee directory, map of the facility, or other items helpful for employees. extranet uses a system of connections of private Internet networks outside an organization's firewall and uses Internet technology to enable collaborative applications to allow external users to access the IS. This system can be used by healthcare organizations to allow patients to access health information and schedule appointments and by vendors to allow healthcare facilities to monitor the status of orders. A patient can access his test results by using the _____________. a. Intranet b. Extranet c. COW d. Meaningful Use B. Extranets are used to access the healthcare facility's systems by those outside of the organization. Cloud computing refers to _____________. a. Data that is inaccurate or incomplete b. Using a computer that is owned and managed by a vendor c. Flexibility that is built into the IS d. Outdated information that is purged from an IS B. Cloud computing is a system that operates on a computer that is owned and maintained by a vendor. The American Recovery and Reinvestment Act of 2009 encouraged _____________. a. Implementation of wireless devices b. Implementation of the EHR c. Transition away from mainframes d. Creation of an intranet B. Implementation of the EHR The use of computers in healthcare began in the _____________. a. 1950s b. 1960s c. 1970s d. 1980s B. Computers in healthcare began in the 1960s with the use of financial systems. Where would an employee access the form to request reimbursement recent travel? a. Internet b. Intranet c. Extranet d. WOW B. The intranet uses Internet technologies to store information for employees. It is not the Internet. Impact of Technology on Patient Care- 5 ways • Actual care provided to the patient • Patient engagement in healthcare • Creation of evidence-based medicine • Creation of practice guidelines • Patient safety Health information exchange (HIE) the exchange of health information electronically between providers and others with the same level of interoperability. It allows healthcare providers access to patient information even if the previous health records are located with healthcare providers with other facilities whether local or in other states. Patient safety A discipline that emphasizes safety in health care through the prevention, reduction, reporting, and analysis of medical error that often leads to adverse effects Patient safety enhanced through the use of technology by- 4 ways • Use of barcodes to verify patient identification for medication administration • Checking medications ordered against allergies and other medications • Improved data quality through edits and standardization • Clinical provider order entry Evidence-based medicine Healthcare services based on clinical methods that have been thoroughly tested through controlled, peer-reviewed biomedical studies Clinical pathways A tool designed to coordinate multidisciplinary care planning for specific diagnoses and treatments clinical practice guidelines A tool that provides a detailed, step-by-step guide used by healthcare practitioners to make knowledge-based decisions related to patient care and issued by an authoritative organization such as a medical society Impact on the HIM Profession - 7 ways • Assigning diagnosis and procedures codes • Managing the MPI • Managing registries • Transcribing documents such as the discharge summary • Analyzing the health record • Documentation of release of information activities • Computer-assisted coding virtual HIM department HIM professionals can work from home. A virtual HIM department lowers the employer's costs associated with occupying office space and benefits both employers and employees in other ways. Working virtually allows employees to save on transportation costs, allows them more flexibility in their job, can lessen distractions, and may lead to improved job satisfaction. Studies have shown that the productivity of remote employees is higher than that of employees who worked on-site centralized HIM department providing HIM services at a centralized location rather than having staff at each individual healthcare facility Health informatics A scientific discipline that is concerned with the cognitive, information-processing, and communication tasks of healthcare practice, education, and research, including the information science and technology to support these tasks Health Informatics goal interdisciplinary field whose goal is to improve healthcare. This field of study uses ISs to manipulate and use information to improve healthcare. This is only possible because the data are stored in the ISs. This improvement takes the form of development of standards as well as clinical pathways and clinical practice guidelines