Ehr Key Terms Chapter Two

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Health Insurance Portability and Accountability Act(HIPPA

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Passed by Congress in 1996, this legal act enforces standards for electronic patient health, administrative, and financial data.

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National Committee on Vital and Health Statistics(NCVHS)

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Formed in 1949 and restructed following the passage of HIPAA, the NCVHS is an advocate for uniform health data sets, particularly for underrepresented populations. This advisory committee has responsibility for providing recommendations on health information policy and standards ot the Department of Health and Human Services (HHS)

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Telehealth Services

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These services use electronic and communication technology to deliever medical information and services over large and small distances through a standard telephone line.

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Institute Of Medicine(IOM)

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This independent,nonprofit organization works outside the government to provide unbiased and authoritative medical advice to decision makers and the public.

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Conslidated Health Informatics(CHI)

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This federal government initiative promotes the adoption of health information interoperability standards for health vocabulary and messaging.

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HL7

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Health level 7 is an international computer language by which various healthcare systems can communicate. HL7 is currently the selected standard for the interfacing of clinical data between software programs in most institutions.

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Certification Commission for Health Information Technology(CCHIT)

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The Certification Commissio's mission was to accelerate the adoption of health information technology by creating an efficient credible, and sustainable product certification program.

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Test Script

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A test script in software testing is a set of instructions that is performed on the system to ensure the system functions as expected.

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Meaningful Use(MU)

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Meaningful use is healthcare providers' use of certified EHR technology in ways that can be measured significantly in quality and in quantity. By demonstrating MU with an ONC-certified EHR program, providers then can receive stimulus money, as set up through the HITECH Act of 2009.

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Eligible Professional(EP)

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To participate in the HITECH Act incentive program for meaningful use(MU) on an ONC-certified EHR program, an EP qualifying under Medicare must be a doctor of eother medicine, osteopathy, dental surgery, dental medicine, podiatry, optometry, or chiropractic. Individuals qualifying under the Medicaid program must be a doctor of medicine or osteopathy, nurswe practiitioner, certified nurse-midwife, dentist, or qualifying physician assistant.

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Drug Formulary

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A drug formulary is a database of approved medications in drug therapy categories that includes information on the preparation, safety, effectiveness, and the cost of the medications.

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Structured Data

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Structured data is information that is organized in a coded manner so that it is identifiable, storable, retrievable, and analyzable in a computer system. Conversely unstructered data is unidentifiable.

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Computerized Provider Order Entry(CPOE)

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The CPOE is the process of communicating a clinician's instructions for patient treatment over a computer network to departments within a hospital or testing facilities outside the patient setting.

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Protected Health Information(PHI)

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Regulated under HIPAA, PHI includes any information(past, present, or future) about health status, provision of healthcare(including mental health), and payment for healthcare that can be linked to a specific individual.

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International Classification of Diseases(ICD) Codes

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ICD codes are the international standard diagnostic classification for allmedical data concerning the incidence and prevalence of disease in large populations and for other health management purposes.

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Current Procedural Terminology(CPT) Codes

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The five-digit CPT codes were developed by the AMA and adopted by insurance carriers and managed care companies as the means for identifying common medical procedures.

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Healthcare Common Procedure Coding System(HCPCS) Codes

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HCPCS codes are used by HHS's Centers for Medicare & Medicaid Services(CMS) to identify medical supplies such as durable medical equipment and medical procedures. Coding supplies ensures uniformity for billing and financial reimbursement.

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Template

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A template is an electronic file with a predesigned or set format and structure. It serves as a model for letters, faxes, and reports that need to be filled in to be completed.