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HSC 500 Vocab quiz 2

Formulary A list of medications (both generic and brand names) that are covered by a specific health insurance plan or pharmacy benefit manager (PBM), used to encourage utilization of more cost-effective drugs. Hospitals sometimes use formularies of their own.
HCPCS (Healthcare Common Procedure Coding System) est. in 1978 to provide a standardized coding system for specific items & services provided in the delivery of health care.for Medicare, Medicaid,& other health insurance programs to ensure that insurance claims are processed orderly& consistent manner.
LOINC (Logical Observation Identifiers Names and Codes) a database and universal standard for identifying medical laboratory observations.Preferred code set for laboratory testing devices and public health authorities.
NPI (National Provider Identifer) a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).Required by HIPAA
SNOMED CT (Systematized Nomenclature of Medicine-Clinical Terms) systematically organized computer processable collection of medical terminology covering most areas of clinical information. Allows consistent way to index, store, retrieve, and aggregate clinical data across sites of care.
Relational Database A database in which all info is arranged in tables containing predefined fields. Changing a field in one record auto changes the same field in all related records, allows 4 easy global database management.
Biometric Authentication Technology that identifies a person through recognition of unique physical characteristics such as retina or iris patterns, face shape, voice patterns, or fingerprints
Cloud Computing Internet-based computing, whereby shared resources, software, and information are provided to computers and other devices on demand, like the electricity grid.
Digital Certificate An electronic certificate (actually a unique number) that establishes a user's identity when conducting business or other "secure" transactions on a network such as the internet.
Encryption Translation of data into a code in order to keep the information secure from anyone but the intended recipient
firewall a security device situated between a private network and outside networks like the internet. The firewall screens all information that attempts to enter the network
interface engine Special integration server that connects legacy systems by using a standard messaging protocol. Provide functionality such as: guaranteed store & forward msgs, support for HL7 standard, message translation etc.
PKI (Public Key Infrastructure) A system that uses electronic certificates and various authorities (servers that validate certificates, registrations, etc.) to authenticate each entity in an online transaction
Smart Card Electronic device that contains electronic memory and an embedded microchip. Stores data in a health care context
VPN (Virtual Private Network) A network that uses public connections, such as the internet, to link users but relies on encryption and other security measures to ensure that only authorized users can access the network
Web-Enabled software applications that can be used directly through the web. they are often used to collect information from, or make functionality available to geographically dispersed users (e.g. disease surveillance systems)
Architecture refers to the structure of an information system and how its pieces communicate and work together.
ASP (Application Service Provider) A business that deploys, hosts, and manages access to software applications for multiple parties from a central facility.
Clinical Decision Support System assist the physician in applying new information to patient care and help to prevent medical errors and improve patient safety. Many include computer-based programs that analyze information entered by the physician
Disease Management A coordinated and proactive approach to managing care and support for patients with chronic illnesses such as diabetes, congestive heart failure, asthma, HIV/AIDS, and Cancer
EMPI (Enterprise Master Patient Index) a database that contains a unique identifier for every patient in the enterprise.
HIE (Health Information Exchange) The movement of healthcare information electronically across organizations within a region or community.
MPI (Master Patient Index) A database program that collects a patient's various hospital ID numbers, and keeps them under a single, enterprise-wide identification number
PACS (Picture Archiving and Communication system) In medical imaging, its a combination of hardware and software dedicated to the short and long term storage, retrieval, management, distribution, and presentation of images.
Radiology Information System An external application that is typically interfaced with EMRs and is used by radiology depts to record activity in the department.
Registry specified data repositories on patients or conditions that include patient demographics, conditions, and treatments. Used to capture health care info on defined groups of patients, diseases, and other dimensions of medical practice.
RLS (Record Locator Service) Key service provided by HIE that allows healthcare entity info on their patients to remain decentralized.
Telehealth The use of telecommunications and information technology to deliver health services and transmit health information over distance.
Teleradiology A form of telemedicine that involves electronic transmission of radiographic patient images and consultative text.
AHIC (American Health Information Community) formed to help advance efforts to reach the president's call for most Americans to have electronic health records by 2014
ANSI (American Nation Standards Institute) U.S. standards organization that establishes procedures for the development and coordination of voluntary American National Standards
CCHIT (Certification Commission for Health Information Technology) A voluntary-private-sector organization launched in 2004 to certify health information technology products such as EHRs and the networks over which they interoperate.
DICOM (Digital Imaging and Communication in Medicine) a heavily used standard for representing and communicating radiology images and reporting: documents are used to communicate documents such as physician notes and other material.
EDI (Electronic Data Interchange) A direct exchange of data between two computers via the internet or other network, using shared data formats and standards
HIPAA (Health Insurance Portability and Accountability Act of 1996) federal law to improve the portability of health insurance & simplify health care administration. sets standards for elec. transmission of claims-related info and for ensuring the security and privacy of all individually identifiable health information.
"Protected Health Information" Past, present, or future physical or mental condition of an individual; provisions of healthcare to an individual; or payment of care provided to individual.
"Authorization" required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the rule. Its a detailed doc. that gives covered entities permission to use PHI for specified purposes
"Patient Notice" Any use or disclosure of protected health info for treatment, payment, or health care operations must be consistent with the covered entity's notice of privacy practices.
"Uses and Disclosures" What the covered entity may make of the individuals information and the individual's rights with respect to that information
"Minimum Necessary" A covered entity must develop policies and procedures that reasonably limit its disclosures of, & requests for, protected health information for payment and health care operations to the minimum necessary. Also limits who has access to only necessary ppl
"Business Associate Agreements" The agreement standard document that clearly defines the roles and responsibilities of a business associate and the covered entity. Assurance that businesses will take proper steps to implement appropriate administrative, physical and technical safeguards
"Breach" impermissible use or disclosure under the privacy rule that compromises the security or privacy of the protected health info.
Covered Entity Any business entity that must comply with HIPAA regulations, which includes health-care providers, health plans and health-care clearinghouses.
ANSI X12 5010 The new standards will: Increase transaction uniformity Support pay-for-performance Streamline reimbursement transactions Support ICD-10-CM codification
CCD A type of CDA document that attempts to capture a patients health summary. Adds content to the CDA structure by describing various document sections, and represent a snapshot of patients health data.
CCR (continuity of care record) a standard specification being developed that is intended to foster and improve continuity of patient care, reduce medical errors, and assure at least a min standard of health info transportability when patient is seen by diff providers
HL7 not-for-profit ANSI-accredited standards developing organization dedicated to providing a comprehensive framework and related standards for exchange, integration, sharing, and retrieval of Elec Health Info
COBIT (The Control Objectives for Information and Related Technology) set of best practices for IT management that focus on defining program and management control functions.
Cyber Security The protection of data and systems in networks that connect to the internet
Enterprise Architecture a strategic resources that aligns business and technology. Leverages shared assets, builds internal and external partnerships, and optimizes the value of information technology services.
ITIL (Information Technology Infrastructure Library) a set of best practice guidance for IT service management. Consists of a series of publications giving guidance on the provision of quality IT services, and processes and facilities needed to support them.
PMBOK (Project Management Body of Knowledge Guide) A publication by the Project Management Institute on best practices for project management.
RFI (Request for Information) procurement document sent to one or more vendors, producing similar products, to secure comparative info on product function, ancillary services, and price.
RFP (Request for Quotation) used when the product that is being sought is rather conventional and does not require much description or requirements. this document generally secures vendor prices for commodities
Scalability The ability to add users and increase the capabilities of an application without having to make significant changes to the application software of the system on which it runs
Service Level Agreement Contract between a service provider and a user that specifies the level of service expected during a contract term. Determine how performance will be measured and how penalties will be calculated and paid
Subscription-Based Model A business model based on a monthly fee charged for the use of equipment, software, services or content. Used by many vendors
Total Cost of Ownership A long-term view of all costs associated with a specific technology investment. Costs include that of acquiring, installing, using, maintaining, changing, and disposing of technology during its useful life
Transaction-Based Model Business model based on service fees charged for each transaction conducted using the vendor's equipment, software, services or network
ARRA (American Recovery and Reinvestment Act of 2009) The federal stimulus bill passed by the US congress on 2/16/09
CFR (Code of Federal Regulations) codification of the general and permanent rules published in the Federal Register by the executive depts and agencies of the Fed. Gvt. Its divided into 50 titles that represent broad areas subject to Federal Regulation.
HITECH (Healthcare Information Technology for Economic and Clinical Health Act) Title XIII of the ARRA of 2009 which legislatively created the office of the national coordinator, its funding, and the associated policy groups on HIT
HIMSS (healthcare Information Management Systems Society) a comprehensive healthcare stakeholder membership organization exclusively focused on providing global leadership for the optimal use of information technology and management systems for the betterment of healthcare
Leapfrog Group a group of fortune 500 companies and other large health care purchasers founded with the goal of leveraging employer purchasing power to initiate improvements in the safety and value of U.S. Healthcare.
MU (Meaningful Use Criteria) The ways in which practitioners must use federally-certified EHR products in order to secure EHR incentive program payments from either medicare or medicaid
MDSS (Michigan Disease Surveillance System) a web based communicable disease reporting system developed for MI. provides secure transfer, maintenance, and analysis of communicable disease surveillance information.
M-CEITA (Michigan Center for Effective IT Adoption) dedicated to helping providers navigate the complect EHR marketplace by providing neutral, unbiased info and support. Funded by national coordinator for Health IT.
MCIR (Michigan Care Improvement Registry) collects reliable immunization info and makes it accessible to authorized users online.
NHII (National Health Information Infrastructure) came before NHIN. its an acronym that encompasses all of the necessary components needed to make EHRs interoperable.
NHIN (National Health Information Network) Describes the technologies, standards, laws, policies, programs and practices that enable health info to be shared among health decision makers.
NIST (National Institute of Standards and Technology) non-regulatory federal agency within the U.S. Commerce Department's Technology Administration, promoting U.S. innovation and industrial competitiveness by advancing measurement science, standards and technology
ONC (Office of the National Coordinator) gvt agency thats part of HHS that oversees and encourages the development of a national, interoperable health information technology system to improve the quality and efficiency of health care
Open Source software in which the source code is available to users who can read and modify the code
Accountable Care Organization (ACO) an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it.
PCMH (Patient Centered Medical Home) an approach to providing comprehensive primary care that facilitates partnerships between individual patients, and their personal provider.
"Treatment" the provision, coordination, or management of healthcare and related services among health care providers or by a health care provider with a third party consultation between health care providers regarding.
Payment encompasses the various activities of health care providers to obtain payment or be reimbursed for their services and of a health plan to obtain premiums, to fulfill their coverage responsibilities, and provide benefits under the plan
Healthcare Operations certain administrative, financial, legal, and quality improvement activities of a covered entity that are necessary to run its business and to support the core functions of treatment and payment
Breach Notification the regulations requiring HIPAA covered entities and their business associates to provide notification following a breach of unsecured protected health information.
Created by: 22415800