CHAPTER 3: HEALTH INFORMATION
MANAGEMENT TECHNOLOGY. EXAM
QUESTIONS AND ANSWERS 100% PASS
Health Record - ANS Contains information relating to the physical or mental health or
condition of an individual, as made by or on behalf of a health professional in connection with
the care ascribed that individual. (Who, What, Where, Why, and how of patient care)
Data - ANS Raw facts and figures
Information - ANS data that has been turned into something meaningful
Primary Purposes of the health record - ANS are related to providing care to the patient
Patient care:One of the most important uses of the health record is the documentation of the
care provided by physicians, nurses and allied health professionals. Documentation is used as a
communication tool between these professionals.
Management of patient car: Health record is an important part of managing patient care
services performed at the healthcare facility because it includes: Development of patient care
standards, conduction research at the local, state, and national levels, and evaluating the quality
of care provided.
Administrative purposes: Health record is used for billing for services, making decisions about
the future of the health care facility, monitoring the fiscal health of the organization and
scheduling staffing.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 10
, Secondary purpose of the health record - ANS not related specifically to patient care.
Education of healthcare professionals: Health records are used by medical, nursing, and other
allied health professionals to teach present and future healthcare providers how to document
care provided and how to manage the healthcare information.
Legal, accreditation and policy development: Health record is used to protect the healthcare
facility from medical malpractice and other lawsuits , to monitor compliance with laws and
regulations, and to adhere to accreditation standards. Also used at that national level to
determine whee funding will be allocated.
Public Health: The information from the health record is used to determine treatment for these
new diseases and conditions to determine what traditional and nontraditional treatments are
effective. Local health departments use health information to identify outbreaks in diseases
early so the source of the disease can be managed and epidemic can be managed or prevented.
Three types of Health Records - ANS Paper Health record: is completely available in paper
media
Electronic Health Record (EHR): is a digital record of an individuals health related information
that conforms to nationally recognized interoperability standards and that can be created,
managed, and consulted by authorized clinicians and staff across more than on health care
organization.
Hybrid health record: Is a combo of the paper record and EHR.
Aggregate Data - ANS Is data that has been extracted from individual health records and
combined to form deidentified information about groups of patients that can be compared and
analyzed.
Ex: Data can be used to determine survival rates of various kinds of cancer or to determine if a
new drug is safe.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 10
MANAGEMENT TECHNOLOGY. EXAM
QUESTIONS AND ANSWERS 100% PASS
Health Record - ANS Contains information relating to the physical or mental health or
condition of an individual, as made by or on behalf of a health professional in connection with
the care ascribed that individual. (Who, What, Where, Why, and how of patient care)
Data - ANS Raw facts and figures
Information - ANS data that has been turned into something meaningful
Primary Purposes of the health record - ANS are related to providing care to the patient
Patient care:One of the most important uses of the health record is the documentation of the
care provided by physicians, nurses and allied health professionals. Documentation is used as a
communication tool between these professionals.
Management of patient car: Health record is an important part of managing patient care
services performed at the healthcare facility because it includes: Development of patient care
standards, conduction research at the local, state, and national levels, and evaluating the quality
of care provided.
Administrative purposes: Health record is used for billing for services, making decisions about
the future of the health care facility, monitoring the fiscal health of the organization and
scheduling staffing.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 10
, Secondary purpose of the health record - ANS not related specifically to patient care.
Education of healthcare professionals: Health records are used by medical, nursing, and other
allied health professionals to teach present and future healthcare providers how to document
care provided and how to manage the healthcare information.
Legal, accreditation and policy development: Health record is used to protect the healthcare
facility from medical malpractice and other lawsuits , to monitor compliance with laws and
regulations, and to adhere to accreditation standards. Also used at that national level to
determine whee funding will be allocated.
Public Health: The information from the health record is used to determine treatment for these
new diseases and conditions to determine what traditional and nontraditional treatments are
effective. Local health departments use health information to identify outbreaks in diseases
early so the source of the disease can be managed and epidemic can be managed or prevented.
Three types of Health Records - ANS Paper Health record: is completely available in paper
media
Electronic Health Record (EHR): is a digital record of an individuals health related information
that conforms to nationally recognized interoperability standards and that can be created,
managed, and consulted by authorized clinicians and staff across more than on health care
organization.
Hybrid health record: Is a combo of the paper record and EHR.
Aggregate Data - ANS Is data that has been extracted from individual health records and
combined to form deidentified information about groups of patients that can be compared and
analyzed.
Ex: Data can be used to determine survival rates of various kinds of cancer or to determine if a
new drug is safe.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 10
