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141 Cards in this Set

  • Front
  • Back

Tools such as ____ and____ which are necessary in the analysis of the performance of hospitals were unavailable.

snapshots and dashboard

As defined by the World Health Organization (2004),_________ is specially designed to assist in the management and planning of health programmes, as opposed to delivery of care.

Health Management Information Systems (HMIS)

refers to clinical studies to understand medical terminologies, clinical procedures,and database processes

Health component of HMIS

refers to the principles that help administer the health care enterprise.

Management

refers to the ability to analyze and implement applications for efficient and effective transfer of patient information.

Information system

HMIS was developed within theframework of the following concepts:


1. The information collected is _____to the policies and goals of the healthcare institution, and to the responsibilities of the health professionals at the level of collection.


2. The information collected is_____as it is to be used immediately for management and should not wait forfeedback from higher levels.


3. Information collected is____for there is one set of forms and no duplication of reporting.


4. The information is____on a routine basis fromevery health unit.

1. Relevant


2. Functional


3. Integrated


4. Collected

Roles of HMIS:


1. Provides quality information to support_____ at all levels of the healthcare system in any medical institution.


2.Aims to aid in the setting of performance targets at


______ of health service delivery and to assist inassessing performance at all levels of the healthsector.

1. decision-making


2. all levels

Functions of HMIS:

1. Data input


2. Data management


3. Data output

1. Data input


a. _______


b. _______

a.Data acquisition


b.Data verification

also called processing phase

Data Management

Data Management (also called the processing phase)



a.


b.


c.


d.

a.Data storage


b.Data classification


c.Data computation


d.Data update

Under data output are

a.Data retrieval


b.Data presentation

refers to the generation and collection of data through the input of standard coded formats to assist in the faster mechanical reading and capturing of data.

Data acquisition

involves data authentication and validation

Data verification

This helps ensure the quality of gathered data.

Data verification

Includes preservation and archiving of data. It is advisable that data which are no longer actively used should be archived.

Data storage

sets the efficiency of the HMIS. Key parameters or categories should be used for easier dat

Data classification/Data organization

requires various forms of data manipulation and data transformation, including mathematical models, statistical and probabilistic approaches, and other data analytic processes.

Data computation

facilitates new and changing information and requires constant monitoring.

Data update

pertains to the process of data transfer and data distribution. The transfer considers the transmittal of required data from a source to an appropriate end user.

Data retrieval

is the reporting of the interpretation of the information produced by the system. Summary tables, statistical reports, and the use of visuals is encouraged especially for high-level managerial decision-making.

Data presentation

Relates to all information of the client related to his/her transactions, reports and others

Client data

Observed to distribute resources to areas that need them

Scheduling

Observed to distribute resources to areas that need them

Scheduling

Focuses on monitoring of the authorized personnel and their use of authorized units

Authorization Tracking

Refers to the notification of charges for the patient and other related documents

Billing

Ensures that customers are properly notified about their bill and will settle it accordingly

Accounts Receivable (A/R) Management

Refers to reports issued by the health organization or facility

Reporting

Also known as “Electronic Health Record”, is a collection of digital information about a patient.

Medical Record

Procedure that should be followed for the improvement of the condition of the patient or the service provided.

Compliance

Information relating to the performance of the entity collected for administering purposes.

Financial Data

Technical Determinants

Dat quality, System Design, IT

Information system assessment, strategies and interventions

Input

DESIRED OUTCOMES


Improved information system performance:

-Good quality information


- Appropriate use of info

Knowledge/skills, attitudes, values and motivation

Behavioral determinants

Information culture,structure Roles & Responsibilities, resources

Organizational/Environmental Determinants

a conceptual framework that broadens the analysis of HMIS or RHIS by including the three determinants of HMIS performance namely behavioral, organizational, and technical determ

Performance of the Routine Information System Mangement (PRISM) Framework

involve the knowledge, skills, attitudes, values, and motivation of the people who collect and use data

Behavioral determinants

covers the culture, structure, resources, roles, and responsibilities of the health system and key contributors.

organizational or environmental determinants

involve data collection processes, systems, forms, and methods.

Technical Determinants

Confidence, Motivation and competence to perform HMIS tasks in order to improve the RHIS

Behavioral determinants

Structure of the health institution, resources, procedures, support, services and culture without the organization

Organizational Determinants

Involves the overall design used in the collection of information

Technical Determinants

a core component of current efforts to scale up for better health. Global partners and countries have developed a general framework for M&E of health system strengthening (HSS).

HMIS Monitoring and Evaluation (M&E)

refers to the collection, analysis and use of information from programs for the purpose of learning from the acquired experiences, accounting the resources used both internal and external, and obtaining results and making decisions.

Monitoring

the systematic assessment of completed programs or policies.

Evaluation

refers to the overall utility of a dataset as a function of its ability to be processed easily and analyzed for a database, data warehouse, or data analytics system

Data quality

signifies the data’s appropriateness to serve its purpose in a given context. Having ________ means that the data is useful and consistent.

Data quality

aspects of data quality include its ___, completeness, ___ , relevance, _____, reliability, appropriate presentation, and ______.

The aspects of data quality include its accuracy, completeness, update status, relevance, consistency, reliability, appropriate presentation, and accessibility.

computer system structured to manage all records of health care providers to make information and reports available to other health care personnels – ultimately leading to increased efficiency in doing their tasks and responsibilities.

hospital information system

Information system for easier construction of patient charts;

Nursing Station

handling of personnel schedules, accurate patient charting and better clinical data integration.

Nursing Information System

Developed to enhance patient care.

Nursing Information System

Used to obtain cost-effective staffing and show staffing levels.

Nursing Information System

allow better analysis of critical signs.

Patient Charting Applications

Nurses could check admission information and care plans along with applicable nursing notes.

Patient Charting Applications

Useful in designing the patients' care plan since the medical information integration function allows nurses to collect and examine retrieved medical records.

Patient Charting Application

Designed to improve the practice of physicians.

Physicians Information System

automated systems based on document imaging or systems. This is the start of actual entering of patient information into an electronic system.

Electronic Medical Record

serve as lifetime records of patients. All health information of a patient is included.

EHR

Capable of providing billing services and appointment scheduling aside from reporting and database storage.

Radiology Information System

Handles information on medication-related complications and drug allergies of patients.


Phramacy Information System

Provides information to identify drug interactions which helps in administering the appropriate drugs by considering the physiological conditions of the patient (EMR Education Center, 2013).


Pharmacy Information System

aspects needed to be considered in selecting an HIS (EMR Education Center, 2013):



-Total cost of package -Web-based system -Implementation and support

The information system must fit the budget of the hospital or institution.

Total cost of package

The information system must be readily connected to the Internet to allow exchange of information within and between hospitals.

Web based system

The provider or vendor of the information system must also provide appropriate training and assistance on how to use the system

Implementation and Support

top 3 hospital information system providers in the Philippines

Bizbox, MedSys KCCI, and COMLOGIK

Clients are provided information and guidelines associated with a company’s or institution’s products and services without any hassle.

Help desk

allows entry of patient-related information into the system.

Patient Registration

refers to any information acquired when a patient is moved from “hospital to home”.

Discharge

refers to any information acquired when a patient is moved from “hospital to another health care facility”. The term may not be used to describe a patient who has been declared lifeless; or a patient who has left the facility without any authorized permission

Transfer

allows a user to view a patient’s record of hospital transactions and outstanding balances.

Billing

show all records pertaining to invoices , payments, and the current balance of a patient’s account. Through HIS, any overdue payments may be checked easily and balance of the patients are always kept updated.

Billing

process of managing contract creation, execution, and analysis to maximize the operational and financial performance of an organization while reducing financial risk (Goodrich, 2013).

Contract Management

When successfully implemented, organizations can see: -Realization of expected business benefits and financial returns


-Cooperation and responsive of the supplier to the organization’s needs



-No contract dispute or surprisesSatisfactory delivery of services to both parties

Contract Management

Posting diagnostic medical packages for in-patients, out-patients, and emergencies.

Package deal design

For identification and filling purposes, some laboratory reports display elements with administrative information such as:

-Patient name and identification number



-Name and address of the laboratory location



-Date when the report was printed



-Test report date



-Name of doctor or legally authorized person ordering the test(s)



-Reference intervals-Interpretation of results-Condition of specimen-Deviations form test -preparation procedures-Medications, health supplements, etc. taken by patient

elements that make a laboratory report more meaningful:

- Specimen source


-Date and time of specimen collection


-Laboratory accession number


-Name of test performed


-Test results-Abnormal test results-Critical results-Units of measurement

displays elements with administrative or clerical information (i.e. patient information and demographics), in addition to the information about the specimen and tests.

Laboratory report

an official medical document that provides the details of requested radiology examination and the procedure conducted by radiologist.

Radiology Report

The findings of the radiology report should account both ___and ____ findings. Important findings should be stated followed by incidental findings.

Postive and negative

The basic sections of radiology report must include:


- Administrative information


-Patient identification


-Clinical history


-Imaging technique


-Comparisons


-Observations


-Summary or impression


-Signature of Radiologist

contains important medical vascular information based on test results

Cardiology report

Information on these reports could include diagrams and ultrasonic ultrasound.

CIS

primarily concerned with the planning identifying, purchasing, storing, receiving and distribution, of materials.

Materials Management

purpose is to guarantee that the right and sufficient materials are in the right location when needed.

Materials Management

necessary for a hectic center to streamline the hospital supply chain. I

Automated/Computerized Stock Management

tracks inventories and devices used each day in a healthcare setting.

Automized/Computerized Stock Management

assists health care institutions by figuring out if merchandise are recalled or damaged.

Automated/Computerized Stock Management

has become a platform for reporting and controlling information valuable to the institution.

Management Reporting

a software that provides simplified solutions to operations in health institutions such as registration, accounting, inventory management, tax management, etc.

Tally.ERP9

help in capturing the data sets that are needed for managers to run an effective enterprise.

Management Reporting System

designed to help process information in health care to improve the efficiency of the services and operations of the laboratory by reducing manual tasks and procedures

Laboratory Information Management System

software that allows you to effectively manage samples and associated data.

Laboratory Information Management System

.The system is also useful for biobanks and genomic testing centers and laboratories that study drugs and develop formulations.

Laboratory Information Mangement System

six functional requirements and features of LIMS

sample management, workflow management, reporting, electronic health record, mobile, and enterprise resource planning

used to ensure that sample mix-up is avoided.

Sample management

refers to coding methods, instruments, and procedures (ie, each laboratory test must be linked to an appropriate section or analyzer of the laboratory).

Workflow management

refers to data analysis andformulation of recommendations for future policy-making. An example is the implementation of necessary changes to laboratory protocol if LIMS reports show that the turn-around time for a certain test is not met by thelaboratory.

Reporting

allows a medical technologist to perform inventory functions such as monitoring current laboratory supplies, storage capacity, and location of supplies.

Enterprise resource planning (ERP)

Applications of LIMS

patient registration, billing, contract management, accounts receivables

To facilitate laboratory safety, the Occupational Safety and Health Administration (OSHA) released

Occupational Exposure to Hazardous Chemicals in Laboratories Standard in 2011.

One of the provisions in this standard is the creation of a chemical hygiene plan

Occupational Exposure to Hazardous Chemicals in Laboratories Standard in 2011.

discusses all aspects of the laboratory standards from purchase, storage, handling, to final disposal of chemicals used in a laboratory.

chemical hygiene plan

assists laboratories in setting priorities of current workloads based on analyst and instrument availability.

LIMS

enables users to plan workload schedules and assignments, and employee information and training.

Worklist and workflow

May be the outcome of diagnostic tests performed inside the clinical laboratory. The outcome can be qualitative (positive or negative), quantitative (in numerical), or semi-quantitative (limited to a few different values).

Patient result or quality control

To confirm that the instrument is operating within the specified parameters, _____ are used.

QC data

Diagnostic tests executed in the clinical laboratory may yield two kinds of results

patient result or quality control (QC) result

used to verify whether or not the instrument is working within prescribed parameters. Based on the said results, the reliability of a patient’s test results will be determined

Quality Control

two-way communication between the information system and the clinical instrument is required.


The LIMS downloads the test orders and specimen ID for each test. The clinical instrument uploads the same information for analysis.

In-Built Bidirectional Interfaces with Equipment

LIMS

specially designed to assist in the management and planning of health programmes, as opposed to delivery of care.

HIMS

plays an important role in improving or refining the quality of health care services since lives of people are on the line and medical costs are increasing

Inventory control

minimum quantity of an item that a company has in stock.

Reorder levep

When the minimum quantity is reached, the item shall be

Reordered

most common technique

First in first out

Last items to enter the system are used or sold first.

LIFO- Last in First Out

Materials are used or sold based on the dates they should be consumed, regardless of when they are purchased

FEFO- First expired First Out

difference between the Max and Min level is known as the

Economic ordef quantity

process where a business physically counts its entire inventory.

Inventory count

represents the stock level that prompts the reorder.

Min value

sets the new targeted stock level that must be fulfilled upon the reorder.

Max value

sometimes referred to as data transformation, are the basis for evidence and knowledge to shape healthaction

Information product

include frameworks required to ensure a fully-functioning HIS and the resources

HIS resources

are divided into population-based approaches (e.g. censuses and civil registration) and institution-based data (e.g. service records).

Data Sources

primary sources of information for determining the size, geographical distribution and characteristics of a population; ideally held every 10 years

Censuses

continuous, permanent, compulsory and universal recording of the occurrence and characteristics of vital events such as live births, deaths, and changes in marital status

Civil Registration

continuous, permanent, compulsory and universal recording of the occurrence and characteristics of vital events such as live births, deaths, and changes in marital status

Civil Registration

cover records of health service providers and records of events with important health consequences from other sectors (ex: records on unintentional injuries, homicides, suicides, road traffic accidents, environmental incidents, food and product safety)

Service record

Health information is made to be readily accessible to decision-makers

Dissemation and use

the basis for HIS plan and strategy; needs to encompass the determinants of health

Indicators

health information system is made up of six components, namely:

resources, indicators, data sources, data management, information products, and dissemination and use.

Institution based data

Service record

Population based approach

Censuses and Civil Registration

include the framework on legislation, regulation, planning, and the resources required for the system to be fully functional

Health Information system resources

defines HIS as consisting of six components:

Framework and Standards for Country Health Information (2008)

Data is transformed into useful information that serves as evidence and provides insight crucial to shaping a health action.


Information product

explains the comprehensive database for health information systems

Donaldson and Lohr (1994)