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hit ch/6
Question | Answer |
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numbering systems | identify and file patient records according to preassigned numbers, including serial, unit, or serial-unit |
serial numbering system | each time the patient is registered, a new patient number is assigened by the provider and a new patient record is created |
unit numbering system | patient is assigned a patient number the first time they are registered, and the patient is reassigned that same number for all subsequent adminssions and encounters |
pseudonumber | assigned to patients who do not have a social security number; used in assiciation with social security numbering |
social security numbering | adaption of unit numbering system in which a patient's social security number (SSN) is assigned as the patient number |
family numbering | adaption of unit numbering system in which each household is assigened a unqiue patient number and each family member is assigened a two-digit modifier number that serves as a prefix to the patient number |
serial unit numbering | patients recieve a new number each time that are registered by the facility, and records from a previous admission or encounter are reassigned the new number |
soundex | is a phonetic indexing system that allows surnames (last name) that sound alike, but are spelled differnetly, to be filed together |
alphabetic filing system | the patients last name, first name, and middle name are initial are used to file patient records |
numeric filing | uses number to file patient records |
terminal-digit filing | commonly used in health care facilities that assign six-digit patient numbers |
straight numeric filing orconsecutive numeric filing | records are filied in strict chronologic order according to patient number, from lowest to highest |
middle digit filing | a vartation of terminal digit filing, which assigns the middle digitdas primary, digits on the left as secondary, and digits on the right as tertiary |
centralized filing system | organizes patient records in one central location under the control of the facility's health information department |
decentralized filing system | organizes patient records throughout the facility in patient care areas under the control of the department that creates them |
combination centralized/decentralized filing system | establishes the health information department manager as responsible for facility records management |
file folders | store paper-based records; are color coded, durable, come in many sizes and weights, can be customized for vendors |
jackets | store x-rays and other oversizied materials; open at the top and closed on three sides; also called envelopes |
binders | store records for hospitals patients who are currently receiving care |
bar coding | reprinted scanning code located on a file folder |
non-routine requisition(or emergency) | occurs when a patient record is needed for an unscheduled service, such as emergency room visit |
filing controls | established to ensure accurate filing and timely retrieval of patient records, including chart tracking system(manual or computerized), file guides and periodic audit of file system |
planned requisition | request of a patient record for a scheduled service |
charge-out system | controls the movement of records in and out of the file area and accounts for the location of each record removed |
outguide | replaces the record in the file area to indicate it has been removed and to identify its current location |
automated chart tracking systems | allows providers to request records using a computer, and the health information department clerk references a computer screen to process all requests |
requisition forms | submitted to the health information department to retrieve the record and track its return |
periodic audit of file area | review of charge-out records to ensure that all records removed from the file area are returned in a timely fashion |
loose filing | individual reports that must be filed in the patient record after discharge from the facility |
dumbwaiter | small elevator that transports records from one floor to another |
conveyor belt | device similar to a pneumatic tube, except it uses a belt instead of a tube and records are clipped to the belt for transport from one area to another |
pneumatic tube | transports a single record in a tube through a tunnel |
facsimile machines or Fax | computer device that transmits a document's image via telephone lines |
computers | allow for rapid circulation of patient information; access to all patient information contained in the automated record is possible for authorized users via a computer terminal, an internet |
deficiency slip | a device for tracking information missing from a paer based record |
retrospective review | the part of the ultization review procees that concertates on a review of clinical information following patient disacharge |
concurrent review | a review of the health record while the aptient is still hosptializaed or under treatment |
quantative analysis | a review of the health record to dtermine its completeness and acuracy |
Revenue Budget | is a predication of how much money an organzaitaions activites will genertae during a certain period |
expanse budget | is a prediction of how much expanse an organzaition is going to generate |
capital budget | is a projection or plan of what the organzation intends to spend on long lived assets susch as a oiece of equipment |
cash budegt | is the antipcated flow of cash into and out of the organzation |
master patient index(MPI) | a list or database created and maintained by a healthcare facility to record the name and identifcaition number of every patient who has ever been admitted or treated in the facilty |