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64 Cards in this Set

  • Front
  • Back
Adaptive Case Management (ACM)
Process improvement tech. most suitable for knowledge workers



(where processes performed are often NOT predictable & systems MUST be able to adapt to such situations)

Business Process Management
Continuous QI tech. focuses on:

~ Workflow & Process changes (to effect positive results)




~ Creating positive leadership culture




~ Improved interpersonal relationships




~ New management skills

Clinical Messaging
Function of electronically delivering data & automating workflow around management of clinical data
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


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)

Document Repository
Database storing indexed images of documents
Document Scanning & Imaging System



(AKA ~ 'DIS' Document Imaging System)

Computer systems that capture, store & reprint images of documents




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
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)

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)

Electronic Signature Authentication (ESA)
System utilizes user ID & password to indicate review & approval of content of a document
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)

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)

Enterprise Information Management (EIM)
Integration of EHR & ECRM w/respect to management & oversight of ALL info. content within organization
Groupware
Internet tech. consolidating documents from different Info. systems within organization to help people collaborate on specific tasks
Hybrid Record
System w/functional components that:



(1) Include both paper & electronic documents


AND


(2) Use both manual & electronic processes

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
Linear Bar Code
Alphanumeric, Self-Checking, Variable-Length Code



* Standardized by Health Industry Bar Code Council (HIBCC)

Mind-Mapping System
Software documenting concepts, ideas, or other info. randomly thought about to find relationships to help organize info. in meaningful way
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

Workflow Management
Planning, organizing, directing & controlling of workflow
Workflow Management System
System storing workflow definitions as collection of tasks, resources & conditional logic
Workflow Technology
Technology automatically routes electronic documents into electronic in-baskets of its dept. staff for disposition decisions
Bridge Technology
Transfer from paper to electronic:



~ Clinical Messaging



~ Electronic Document Management System (EDMS)

Enterprise Content & Record Management (ECRM)
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

Unstructured Data
~ Document (e-form)

~ E-fax


~ E-mail


~ Clinical Image


~ Wave Form


~ Sound File


(presentation for legal health record)

Structured Data
~ Formatable Data



~ Processable


(presentation to support care delivery)

Hybrid Records
~ Content: Paper & Electronic



~ Process: Manual & Electronic




~ Risk: Authoring & Printing/Access & Disclosure

Clinical Messaging
An appropriate Bridge Strategy (Maybe Ongoing Strategy)



* Service providing secure, electronic infrastructure to automate delivery of healthcare to any site

Migration Path
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)

Document Scanning & Imaging System
Computer system that capture, store & reprint images of document
Electronic Document Management System (EDMS)
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

Electronic Record Management (ERM)
Enables output from other info. system to be captured & stored in same repository as scanned document



*Considered component of EDM or separate system

Electronic Content Management (ECM)
Considered the ONLY software used to capture, manage, store, preserve & deliver BOTH analog document & digital records
EDMS Key Functions
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

(1) Document Capture
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)

(2) Document Indexing
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)

(3) Document Retrieval, Viewing & Distribution
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

(4) Document Management
1. Version Control


2. Access Controls & Audit Trails


3. Content Management (Integrate Document)


4. Report Management


5. Workflow Management

(5) Automated Form Processing
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

(6) Electronic Signature
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)

T/F?



With Forms Automation, imaged data on each form are intelligently recognized & extracted using intelligent character recognition (ICR)

TRUE
Radiofrequency Identification (RFID)
Wireless use of EMF's to transfer data



* Purpose is automatically identifying & tracking tags attached to objects (tags contain electronically stored info.)

Optical Character Recognition (OCR)
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

Digitized Signature
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

National Conference of Commissioners on Uniform State Law (NCCUSL)
Give Electronic Signature & records the same validity & enforceability as manual signature & paper-based transitions
Standard Guide for Electronic Authentication of Healthcare Information (ASTM)
Provides process for applying electronic signature & guidelines for handling multiple signatures & signature attribute
System Record Management & Evidentiary Support Functional Profile HL7
Identifies functionality related to authentication, attestation, pending record, amendments & version management
EDM use: Hospitals
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

EDM use: Physician Offices
1. Aids chart conversion



2. Incorporate external documents into EHR

Enterprise Information Management (EIM)
IS now being used to ensure that EHR & ECRM systems are integrated
T/F?



EDM must be considered as key component in the overall information architecture

TRUE

* Hospitals should use this in EDMS to distinguish between different types of documents in the chart

Bar Coded Separator Sheets

* Your looking at sequence of tasks needed to be performed within new coding process to include CDI. This review of tasks is called..

Workflow

* T/F?




Version control is NOT important when working in EHR

FALSE

* Primary function of EDMS

Document Printing

* Is NOT a key function of EDMS?

Billing

* Examples of key function of EDMS

~ Document Management




~ Document Capture




~ Forms Processing

* Software that manages analog & digital documents according to needs of team/project

Groupware

* Medical record combo of paper & electronic

Hybrid Record

* T/F?




An EHR collects data from multiple sources

TRUE

* HIM function that may be eliminated if a ECRM system is utilized

Assembly

* Examples of HIM functions still used if ECRM system is utilized

~ Analysis




~ Coding




~ Data Quality

* System that can capture, store & reprint images

Document Imaging System (DIS)