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61 Cards in this Set

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A DIGITAL FORM OF THE PATIENT'S PAPER HEALTH CARE RECORD IS CALLED THE _____
COMPUTERIZED PATIENT RECORD
AN ____ IS USED TO IDENTIFY OR NAME A FILE OR RECORD SO THAT IT CAN BE LOCATED IN THE COMPUTER BASED HEALTH RECORD
INDEX
______ IS AN ALTERNATIVE STORAGE METHOD FOR PAPER RECORDS USING COMPUTER BASED MEHTODS
OPTICAL DISK (COMPUTER FILING)
THE NUMBERICAL FILE IDENTIFICATION SYSTEM USED TO IDENTIFY AN ENTIRE FAMILY'S HEALTH RECORD USING ONE NUMBER AND MODIFIERS IS CALLED ________________
FAMILY UNIT NUMBERING
THE LENGTH OF TIME THAT A RECORD MUST BE RETAINED IS CALLED _____________
RECORD RETENTION SCHEDULE
___ AND ____ ARE ALTERNATIVE STORAGE METHODS FOR PAPER RECORDS USING PLASTIC FILM
MICROFILM, MICROFICHE
A __ IS USED TO IDENTIFY THE LOCATION OF RECORDS WITHIN A FACILITY
CHART LOCATION SYSTEM
THE PHYSICAL CONTAINER USED TO STORE THE PAPER BASED HEALH RECORD IS A _______
FILE FOLDER
A ________ IS A COMPILATION OF PATIENT HEALTH INFO, AND VARIOUS MEDIA FORMS ALL CONNECTED FOR FAST ACCESS TO PATIENT INFO
A COMPUTER BASED PATIENT RECORD
THE ____ CONTAINS PATIENT AND ENCOUNTER INFO, OFTEN USED TO CORRELATE THE PATIENT INFO FILE IDENTIFICATION
MPI (MASTER PATIENT INDEX)
A NUMBERICAL PATIENT RECORD ID SYSTEM, WHERE THE PATIENT IS GIVEN A NEW NUMBER FOR EACH VISIT, HOWEVER WITH EACH NEW ADMISSION, THE PREVIOUS RECORD IS RETRIEVED AND FILED IN THE FOLDER WITH THE MOST RECENT VISIT IS CALLED _________ NUMBERING
SERIAL-UNIT
IN A ________ SYSTEM THE PATIENT RECORD IS FILED UNDER THE SAME NUMBER FOR ALL VISITS
UNIT NUMBERING
THE FILING METHOD OF ORGANIZING FOLDERS IN NUMERICAL ORDER IS ______ FILING
STRAIGHT NUMERIC
A COPIER-LIKE MACHINE CALLED A __________ IS USED TO CONVERT PAPER-BASED RECORDS INTO DIGITAL IMAGES FOR A COMPUTERIZED HEALTH CARE RECORD
SCANNER
A FILING METHOD IN WHICH THE PATIENT'S MR# IS SEPARATED INTO SETS FOR FILING, THE FIRST SET OF NUMBERS ARE TERTIARY, THE SECOND SET IS CALLED SECONDARY, AND THE LAST SET SET ARE CALLED PRIMARY IS CALLED ___________ FILING
TERMINAL DIGIT
A NUMBERICAL PATIENT RECORD ID SYSTEM, WHICH GIVES THE PATIENT A NEW NUMBER FOR EACH IS CALLED _____ NUMBERING
SERIAL
A PHYSICAL FILE CALLED AN ____ IS USED TO IDENTIFY AN ALTERNATE LOCATION OF A FILE, IN THE PAPER-BASED HEALTH CARE RECORD SYSTEM.
OUTGUIDE
IN THE ABSENCE OF STATE LAWS REGARDING RETENTION OF HEALTH CARE RECORDS, HCFA REQUIRES THAT RECORDS BE MAINTAINED FOR ---
5 YEARS
TO PREPARE FOR UNEXPECTED EVENTS SUCH AS A BOMB THREAT, HURRICANE, OR FLOOD, A FACILITY SHOULD ROUNTINELY EXERCISE WHAT POLICY?
DISASTER PLANNING
CAN YOU NAME WHAT IS NOT AN ALPHABETIC FILING RULE?
ABBREVAIATIONS AND SHORTENED NAMES ARE IGNORED
COLOR CODING OF THE NUMERICAL ID ON THE END TAB OF A FILE FOLDER DOES WHAT?
AIDS THE IDENTIFICATION OF MISFILES
THE MACHINE USED TO INPUT A PAPER DOCUMENT INTO A COMPUTERIZED IMAGING SYSTEM IS CALLED A ___
SCANNER
IMAGES STORED IN A DOCUMENT IMAGAING SYSTEM MUST BE ___ FOR IDENTIFICATION AND FUTURE RETRIEVAL --
INDEXED
NAME A FILE FURNITURE THAT WOULD NOT BE EFFIECIENT IN A NUMERICAL FILING SYSTEM
FILE CABINET
WHAT METHOD ASSISTS IN THE SECURITY OF RECORDS ON A COMPUTERIZED SYSTEM
ROUTINE BACKUPS
A DOCUMENT IMAGING SYSTEM
COMPUTER-BASED PATIENT RECORDS
A SYSTEM OF PATIENT HEALTH RECORDS WHICH USES A DATABASE
COMPUTERIZED RECORDS
A FILE ID SYSTEM IN WHICH THE PATIENT RECEIVES A NEW NUMBER FOR EACH SUBSEQUENT ADMISSION
SERIAL
A FILD ID SYSTEM IN WHICH THE PATIENT RECEIVES THE SAME NUMBER FOR ALL ADMISSIONS
UNIT
A FILE ID SYSTEM IN WHICH THE PATIENT RECEIVES A NEW NUMBER FOR EACH SUBSEQUENT ADMISSION; HOWEVER, EACH PREVIOUS ADMISSION IS BROUGHT FORWARD AND FILED WITH THE MOST RECENT VISIT
SERIAL UNIT
A FILD ID SYSTEM WHICH ASSIGNS THE SAME NUMBER TO AN ENTIRE FAMILY, UNIQUELY IDENTIFYING EACH MEMBER BY A MODIFIER
FAMILY UNIT
A METHOD OF IDENTIFYING PATIENT RECORDS IN A COMPUTER BASED SYSTEM
INDEX
A COPIER LIKE PIECE OF EQUIPMENT USED TO INPUT PAPER RECORDS IN A DOCUMENT IMAGING SYSTEM
SCANNNER
THE LENGHT OF TIME REQUIRED FOR MAINTENANCE OF RECORDS
RETENTION SCHEDULE
AN ALTERNATIVE METHOD FOR STORING RECORDS
MICROFILM
AN MPI CONTAINS WHAT?
A LIST OF ALL PATIENTS WHO HAVE HAD ENCOUNTERS AT THE FACILITY.
WHAT INFO IS CONTAINED IN AN MPI?
DEMOGRAPHIC, FINANCIAL AND CLINICAL DATA
COMPUTER BASED PATIENT RECORD IS WHAT?
BASIC INFO
COMPUTERIZED PATIENT RECORD IS WHAT?
DIGITIZED, SCANNED IN ENTIRE RECORD
NAME THE TWO TYPES OF MPI'S
COMPUTER BASED PATIENT RECORD
COMPUTERIZED PATIENT RECORD
WHO SHOULD HAVE ACCESS TO MEDICAL RECORDS
AUTHORIZED PERSONAL
NAME THE TWO TYPES OF FILING
ALPHA AND NUMERIC
NAME THE FIVE TYPES OF HEALTH RECORD IDENTIFICATION
ALPHA FILING, UNIT NUMBERING, SERIAL NUMBERING, SERIAL-UNIT NUMBERING, AND FAMILY UNIT NUMBERING.
X-RAYS, FACE-SHEET, H & P, OP REPORTS, ETC. ARE FOUND IN WHAT FILES?
PHYSICAL FILES
IN WHAT SIZE OFFICE ARE ALPHA FILES FOUND?
SMALL
WHAT THREE CONSIDERATIONS ARE USED TO PROTECT HEALTH RECORDS?
LOCATION, ACCESS, SECURITY
WHAT DEPARTMENT ENSURES QUALITY FOR ALL PATIENTS CARE?
QUALITY MANAGEMENT
WHAT KEEPS TRACK OF THE LOCATION OF ALL RECORDS IN THE HEALTH CARE FACILITY?
CHART LOCATER SYSTEM
NAME TWO CHART LOCATER SYSTEMS
MANUAL AND OUTGUIDE
WHAT SHOULD ONE CONSIDER WHEN SELECTING A STORAGE METHOD?
ANALYZE THE AMOUNT OF RECORDS YOU PLAN TO STORE AND THE LENGHT OF TIME YOU PLAN TO STORE THE RECORDS. ALSO FUTURE GROWTH OF THE PRACITCE.
NAME THE REPRODUCTION OF PAPER
OPTICAL DISK
IN TERMINAL DIGIT FILING NAME THE DIGITS: 01-23-45
TERITARY 01
SECONDAY 23
PRIMARY 45
NAME TWO STORAGE METHODS FOR RECORDS
MICROFILM
MICROFISH
SHELVES IN A LATERAL/VERTICAL POSITION ARE CALLED
FILE CABINETS
EACH TIME A PATIENT HAS AN ENCOUNTER AT THE FACILITY A NEW MEDICAL RECORD NUMBER IS ASSIGNED - WHAT IS THIS CALLED?
SERIAL NUMBERING
THIS SYSTEM IS A COMBO OF TWO NUMBERING SYSTEMS. THE PATIENT RECEIVES A NEW MEDICAL RECORD NUMBER EACH TIME HE OR SHE COMES IN THE FACILITY, THE OLD RECORDS ARE BROUGHT FORWARD AND FILED WITH THE MOST RECENT UNDER A NEW MEDICAL NUMBER.
SERIAL-UNIT NUMBERING
FIVE RULES FOR ALPHA FILING
1. PERSONAL NAMES ARE FILED LAST NAME FIRST
2. ALL PUNCTUATION & POSSESSIVES ARE IGNORED
3. ABBREVIATIONS, NICKNAMES, & SHORTENED NAMES ARE FILED AS WRITTEN.
4. SUFFIXES ARE CONSIDERED AFTER THE MIDDLE NAME OR INITIAL.
5.WHEN IDENTICAL NAMES OCCUR SEEK OTHER METHODS, SUCH AS BIRTH DATE, SOCIAL #
HEALTH RECORDS MUST BE MAINTAINED
SUBENAS, LATER MEDICAL NEEDS, ETC.
DIFFERENCE BETWEEN MICROFILM AND MICROFICHE
MICROFILM-THE REPRODUCTION OF THE ORIGINAL PAPER RECORD INTO MINIATURE PICTURES STORED ON PLASTIC FILM

MICRFICHE-THE FILM THAT IS SLICED AND PUT INTO JACKETS
HOW LONG ARE EMPLOYEE RECORDS RETAINED?
THIRTY
NAME METHODS TO PROTECT RECORDS (4)
SWIPING BADGE, USE PASSWORD, FINGERPRINTING, RETINAL SCREENING