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64 Cards in this Set
- Front
- Back
Adaptive Case Management (ACM)
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Process improvement tech. most suitable for knowledge workers
(where processes performed are often NOT predictable & systems MUST be able to adapt to such situations) |
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Business Process Management
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Continuous QI tech. focuses on:
~ Workflow & Process changes (to effect positive results) ~ Creating positive leadership culture ~ Improved interpersonal relationships ~ New management skills |
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Clinical Messaging
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Function of electronically delivering data & automating workflow around management of clinical data
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Code 39 Bar Code Standard
(AKA ~ Linear Bar Code) |
Alphanumeric, Self-Checking, Variable-Length Code
* Standardized by Health Industry Bar Code Council (HIBCC) * Standard for FDA required to use on drug & biological product * Basic standard & interoperable w/other bar codes
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Code 128 Bar Code Standard
(2-D Bar Code) |
Very High Density Code
(Encodes ALL (complex info) alphanumeric & special characters, enabling bar codes to include large #'s, and upper & lowercase) * Produced by Uniform Code Council (UCC) |
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Document Repository
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Database storing indexed images of documents
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Document Scanning & Imaging System
(AKA ~ 'DIS' Document Imaging System) |
Computer systems that capture, store & reprint images of documents
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Electronic Content Management (ECM) System
AKA: ~ Knowledge Management System ~ Enterprise-Wide Content Management (ECMS) |
Software used to capture, manage, store, preserve & deliver analog documents & digital records where specific content has been indexed for subsequent retrieval
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Electronic Document Management (EDM) System
(EDMS) |
Storage solution based on digital scanning technology
(Source documents are scanned to create digital images of documents & be stored electronically on optical discs) |
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Electronic Record Management (ERM) System
AKA: ~ Enterprise Report Management ~ Enterprise Record Management ~ 'CRM' Customer Relationship Management (ERMS) |
Systems capturing data from print files & report-formatted digital documents (e-mail, e-fax, IM's, web pg, digital dictation, speech recognition)
~Stores for subsequent viewing ~ Enterprise (ERM)=organization & oversight of either paper-based or electronic records or both for entire organization of data about management constituencies (i.e. customers/physicians) |
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Electronic Signature Authentication (ESA)
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System utilizes user ID & password to indicate review & approval of content of a document
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Enterprise content, Collaboration & Communication Management (EC3M) System
(EC3MS) |
Systems aiding in management of electronic content, sharing & transmission of such content
(Like team members w/needs to dynamically interact w/documents when created) |
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Enterprise Content & Record Management (ECRM) System
(ECRMS) |
Convergence of Enterprise-Wide Content Management (ECM) & Electronic Record Management (ERM)
*(Provides functionality for managing ALL content across its life cycle by legal, regulatory & operational requirements) *(Ability to imbed content classification & retention rules & integrate w/collaboration tools) |
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Enterprise Information Management (EIM)
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Integration of EHR & ECRM w/respect to management & oversight of ALL info. content within organization
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Groupware
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Internet tech. consolidating documents from different Info. systems within organization to help people collaborate on specific tasks
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Hybrid Record
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System w/functional components that:
(1) Include both paper & electronic documents AND (2) Use both manual & electronic processes |
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Knowledge Management System (KMS)
(AKA ~ 'ECM' Electronic Content Management System) |
System supporting creation, organization & dissemination of business or clinical knowledge & expertise to providers, employees & managers throughout healthcare enterprise
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Linear Bar Code
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Alphanumeric, Self-Checking, Variable-Length Code
* Standardized by Health Industry Bar Code Council (HIBCC) |
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Mind-Mapping System
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Software documenting concepts, ideas, or other info. randomly thought about to find relationships to help organize info. in meaningful way
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Two-Dimensional Bar Code
(2-D Bar Code) |
Barcode w/data encountered in both height and width of barcode symbol
*Amount of data contained in 2-D barcode symbol is significantly greater than stored in 1-D symbol |
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Workflow Management
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Planning, organizing, directing & controlling of workflow
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Workflow Management System
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System storing workflow definitions as collection of tasks, resources & conditional logic
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Workflow Technology
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Technology automatically routes electronic documents into electronic in-baskets of its dept. staff for disposition decisions
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Bridge Technology
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Transfer from paper to electronic:
~ Clinical Messaging
~ Electronic Document Management System (EDMS) |
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Enterprise Content & Record Management (ECRM)
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Recognize ALL electronic tools w/focusing on available to use across an enterprise.
* Like dept. in hospital or facilities w/integrated network (HIO) includes: ERM,EDM,ECM, DRT, EC3M |
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Unstructured Data
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~ Document (e-form)
~ E-fax ~ Clinical Image ~ Wave Form ~ Sound File (presentation for legal health record) |
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Structured Data
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~ Formatable Data
~ Processable (presentation to support care delivery) |
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Hybrid Records
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~ Content: Paper & Electronic
~ Process: Manual & Electronic ~ Risk: Authoring & Printing/Access & Disclosure |
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Clinical Messaging
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An appropriate Bridge Strategy (Maybe Ongoing Strategy)
* Service providing secure, electronic infrastructure to automate delivery of healthcare to any site |
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Migration Path
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Series of coordinated & planned steps required to move 1 situation level to another
*Organization move: paper to electronic records (from Migration Path to Bridge Technology) |
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Document Scanning & Imaging System
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Computer system that capture, store & reprint images of document
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Electronic Document Management System (EDMS)
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Add enhancement to better manage, control, locate & retrieve document & other info. in digital form
*Bar-code & other ID used to identify document in record/even parts of document *Used to support Workflow Management |
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Electronic Record Management (ERM)
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Enables output from other info. system to be captured & stored in same repository as scanned document
*Considered component of EDM or separate system |
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Electronic Content Management (ECM)
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Considered the ONLY software used to capture, manage, store, preserve & deliver BOTH analog document & digital records
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EDMS Key Functions
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1. Document Capture
2. Document Indexing, Bar Coding, Character/Form Recognition, Forms Design 3. Document Retrieval, Viewing & Distribution 4. Document Management 5. Automated Forms Processing 6. Electronic Signature, Document Annotation & Editing |
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(1) Document Capture
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Primary function of EDMS
(Most common: scanning & transactions) *Scanning or Imaging, creates exact image of document *Imaged data entered manually via bar code/OCR -sm# index fields *Organ. picks document (that's in digital form) ready to be electronically (COLD) fed into EDMS as: ~ Dictation (Voice Files) ~ Transcription (Word Processing Files) ~ Print Files (As generated by Lab System) |
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(2) Document Indexing
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To enhance retrieval, scanned or electronically fed documents should be indexed
*Most common types: 1. Bar Code 2. Radiofrequency ID (RFID) 3. Optical Character Recognition (OCR) |
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(3) Document Retrieval, Viewing & Distribution
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Ability to retrieve document from EDMS
*Determined by underlying tech. used to store document via separate app. called a CDR: ~ Integrated into (CDR) Clinical Data Repository (often w/picture archiving & communication systems 'PACS') ~ Image appears as icon indicating document is available or app. causes image to appear |
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(4) Document Management
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1. Version Control
2. Access Controls & Audit Trails 3. Content Management (Integrate Document) 4. Report Management 5. Workflow Management |
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(5) Automated Form Processing
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1. Scanning & Image Processing
2. Uses Intelligent Character Recognition (ICR) 3. Captures Extracted Data 4. Presents unique challenge in documenting data/time each entry was made 5. Usually assumed all entries at same time & in close proximity to when scanned |
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(6) Electronic Signature
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Applied by virtue of standard log-in user ID & password, biometric, or token used to provide authentication
(Legal under ESIGN Act & as states have adopted UETA) |
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T/F?
With Forms Automation, imaged data on each form are intelligently recognized & extracted using intelligent character recognition (ICR) |
TRUE
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Radiofrequency Identification (RFID)
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Wireless use of EMF's to transfer data
* Purpose is automatically identifying & tracking tags attached to objects (tags contain electronically stored info.) |
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Optical Character Recognition (OCR)
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Branch of computer science involves reading text from paper & translating images into form computer can manipulate
* Widely used as form of data entry from printed paper data records |
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Digitized Signature
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Confirm to minimum requirements set for in Electronic Signature in Global & National Commerce Act (ESIGN)
* Signature pad captures image of signature & used in retail industry |
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National Conference of Commissioners on Uniform State Law (NCCUSL)
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Give Electronic Signature & records the same validity & enforceability as manual signature & paper-based transitions
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Standard Guide for Electronic Authentication of Healthcare Information (ASTM)
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Provides process for applying electronic signature & guidelines for handling multiple signatures & signature attribute
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System Record Management & Evidentiary Support Functional Profile HL7
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Identifies functionality related to authentication, attestation, pending record, amendments & version management
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EDM use: Hospitals
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1. Overcome issues of hybrid record & gaps created by legacy systems
2. Achieve paperless environment while working toward full EHR implementation 3. Incorporate external documents into EHR |
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EDM use: Physician Offices
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1. Aids chart conversion
2. Incorporate external documents into EHR |
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Enterprise Information Management (EIM)
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IS now being used to ensure that EHR & ECRM systems are integrated
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T/F?
EDM must be considered as key component in the overall information architecture |
TRUE
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* Hospitals should use this in EDMS to distinguish between different types of documents in the chart |
Bar Coded Separator Sheets |
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* Your looking at sequence of tasks needed to be performed within new coding process to include CDI. This review of tasks is called.. |
Workflow |
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* T/F? Version control is NOT important when working in EHR |
FALSE |
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* Primary function of EDMS |
Document Printing |
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* Is NOT a key function of EDMS? |
Billing |
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* Examples of key function of EDMS |
~ Document Management ~ Document Capture ~ Forms Processing |
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* Software that manages analog & digital documents according to needs of team/project |
Groupware |
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* Medical record combo of paper & electronic |
Hybrid Record |
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* T/F? An EHR collects data from multiple sources |
TRUE |
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* HIM function that may be eliminated if a ECRM system is utilized |
Assembly |
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* Examples of HIM functions still used if ECRM system is utilized
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~ Analysis ~ Coding ~ Data Quality |
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* System that can capture, store & reprint images |
Document Imaging System (DIS) |