Ch 10 Computers In H I T Finals

Front 1

What are information systems that capture and feed data into the EHR?

Back 1

Source Systems

Front 2

What is a snapshot of data from the EHR and includes basic info. such as diagnoses, allergies, medications, and future treatment?

Back 2

Continuity of Care Record (CCR)

Front 3

What has been established as the minimum requirements for the CCR?

Back 3

A core data set

Front 4

What is a tool for collecting, tracking and sharing important, up–to–date information on the pt's medical history?

Back 4

Personal Health Record (PHR)

Front 5

What does a PHR include?

Back 5

Allergies, diagnoses, medications, and social and family history

Front 6

What is built into an EHR to prevent a medication error before the prescription is executed and the EHR can eliminate issues encountered with handwriting and illegibility?

Back 6

Alerts

Front 7

What can notify a physician of screening that should be performed based on the pt's age and gender?

Back 7

Reminders

Front 8

What is a reason to implement the EHR?

Back 8

Improve pt care

Front 9

What is an example of a reminder?

Back 9

Pt is due for MMR immunization

Front 10

What is the system that includes pt info from both the pt and the healthcare provider?

Back 10

PHR

Front 11

To receive full benefits of the EHR, when should one document?

Back 11

At the point of care

Front 12

What obtained a contract from HHS to develop and evaluate certification criteria and to develop a process to be used to certify vendor products?

Back 12

CCHIT

Front 13

What adds further info including charges for services provided and then creates a bill?

Back 13

Patient Financial Services

Front 14

What system notifies clinical departments of orders made by the physician?

Back 14

Order communication system

Front 15

What system includes intensive care units, anesthesia, and labor and delivery?

Back 15

Specialty clinical applications

Front 16

What are systems that capture data such as vital signs and fetal monitoring?

Back 16

Smart peripherals

Front 17

What is a structure method of communication between the healthcare provider and the pt, just the providers, or the provider and payer?

Back 17

Patient–Provider Portal

Front 18

Also called narrative data, what can be entered in a free text format by the user, usually typing?

Back 18

Unstructured data

Front 19

What automates many of the medication administration processes in a healthcare facility?

Back 19

Electronic Medication Administration Record (EMAR)

Front 20

What is controlled by the pt?

Back 20

PHR

Front 21

What is the exchange of health information electronically between providers and others with the same level of interoperability such as labs and pharmacies?

Back 21

Health Information Exchange (HIE)

Front 22

Which component of the EHR allows pts to retrieve their test results?

Back 22

Patient–Provider portal

Front 23

What is the ability of a healthcare facility to provide EHR software to physicians is allowed through?

Back 23

Stark law

Front 24

What is money an example of to the EHR?

Back 24

Barrier

Front 25

What function is typically found in the ambulatory EHR but not the inpt EHR?

Back 25

Practice Management

Front 26

What is a benefit of the EHR?

Back 26

Improved Efficiency

Front 27

What is an example of cost avoidance?

Back 27

Not repeating test

Front 28

What is a scanned image of an individuals actual signature?

Back 28

Digitized Signature

Front 29

What requires at least a password but can use a two–factor authentication method?

Back 29

Electronic Signature

Front 30

What is used for secondary data?

Back 30

Classification Systems

Front 31

What is responsible for accrediting SDOs in the United States?

Back 31

American National Standards Institute (ANSI)

Front 32

What does not develop standards but, rather, provides a neutral environment for others to work together to settle on a common agreement?

Back 32

ANSI

Front 33

What facilitate interoperability through the standardization of the structure and content of data elements?

Back 33

Data Content Standards

Front 34

What allows for comparison and aggregation of data?

Back 34

Systematized Nomenclature of Medicine Clinical Terms (SNOMED)

Front 35

What is a branch of linguistics dealing with the study of meaning, including the ways meaning is structured in language and how changes in meaning and forms occur over time?

Back 35

Semantics

Front 36

What were developed by the food and Drug Administration to act as a universal identifier for human drugs?

Back 36

National Drug Codes

Front 37

What is a crosswalk between the various terminologies?

Back 37

Mapping

Front 38

What is the most secure type of signature?

Back 38

Digital Signature

Front 39

What is SNOMED an example of?

Back 39

nomenclature

Front 40

What is the mapping system used to convert ICD–9–CM to ICD–10–CM?

Back 40

GEMs

Front 41

Who accredits SDOs?

Back 41

ANSI

Front 42

What is used to identify drugs?

Back 42

NDC

Front 43

What is a SDO that is accredited by ANSI and specialized in standards for clinical and administrative data?

Back 43

Health Level 7

Front 44

Whose mission is the provides standards for interoperability that improve care delivery, optimize workflow, reduce ambiguity and enhance knowledge transfer among all of our stakeholders, including healthcare providers, government agencies, the vendor community and fellow SDOs and pts?

Back 44

HL–7

Front 45

What is a standard developed for and used by pharmacies and payers?

Back 45

National Council for Prescription Drug Programs (NCPDP)

Front 46

What technology is used to navigate through an information system?

Back 46

Graphical User Interface (GUI)

Front 47

What is the messaging standard used in most clinical information systems?

Back 47

HL7

Front 48

What is DICOM an example of?

Back 48

messaging standard

Front 49

What is a database updated in real time?

Back 49

Data Repository

Front 50

What method of data entry is checkboxes?

Back 50

Structured

Front 51

What is part of the design process?

Back 51

Use case

Front 52

What organization supports, oversees, or governs the exchange of health–related information among organizations according to nationally recognized standards?

Back 52

Health Information Exchange Network

Front 53

What is the program that provides incentive payments to healthcare providers who meet certain criteria for using the EHR?

Back 53

Meaningful Use

Front 54

What is a health information exchange model?

Back 54

Directed exchange