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HIT 220 Ch. 6 & 7
Intro to Computer Systems for HIT
| Question | Answer |
|---|---|
| A report that is needed only once; may be used for a special report, a research program or other purpose | Ad hoc report |
| Coded information contained in secondary records, such as billing records, describing patient identification, diagnoses, procedures, and insurance | Administrative data |
| Data extracted from individual health records and combined to form de-identified information about groups of patients that can be compared and analyzed | Aggregate data |
| the ability to alter the image in some way by use of an overlay | annotation |
| the process of scanning past medical records into the system so that there is an existing database of patient information, making the system valuable to the user from the first day of implementation | Backscanning |
| a type of data entry that uses a computer-readable identifier | Barcode |
| An advanced search feature where the user can specify to add descriptive terms to the search such as "and, or, and not" to the search to help limit the search fields | Boolean search |
| A program that incorporates policies and procedures for continuing business operations during a computer system shutdown; sometimes called contingency and disaster planning | Business continuity planning (BCP) |
| generally collected by healthcare providers, including physicians, nurses, respiratory therapists, and physical therapists, as they care for the patient | Clinical data |
| The recommended bar code symbology or format; also known as Code 3 or 9 | Code 39 |
| Enterprise report management (ERM) is frequently used in place of scanning; the transfer of data from a computer directly into the document imaging system | Computer output to laser disk (COLD) |
| allows the user to add and delete rows in a table and to sort, find, and compare | Data manipulation |
| must be decided by each facility and is based on the needs of the organization, regulations, and laws | Data retention |
| The practice of electronically scanning written or printed paper documents into an optical or electronic system for later retrieval of the document or parts of the document if parts have been indexed | Document imaging |
| A storage solution based on digital scanning technology in which source documents are scanned to create digital images of the documents that can be stored electronically on optical disks | Electronic document management systems (EDMS) |
| also known as computer output to laser disk (COLD) technology and is frequently used in place of scanning; the transfer of data from a computer directly into the document imaging system | Enterprise report management (ERM) |
| comes from outside the facility and can be used to compare the facility with other similar facilities | External data |
| a health record that includes both paper and electronic elements | Hybrid record |
| comes from within the facility and includes administrative and clinical data | Internal data |
| holds and retrieves the individual disks just as the traditional jukebox holds records or CDs | jukebox |
| Personal information that can be linked to a specific patient, such as age, gender, date of birth, and address-specific data | Patient-specific data |
| comes directly from the source | Primary data |
| those that are needed repeatedly | Routine reports |
| This machine digitizes data so that it can be read, analyzed, and stored, if necessary, by a computer; enables the input of data that is not normally coded for computer use | Scanner |
| the personal computer that controls the scanner; it compresses the bitmap file created by the scanner | Scanning workstation |
| data taken from a primary source, (such as the medical record) and abstracted into another database or registry. Examples include cancer registry, MPI, and disease index | Secondary data |
| used to create and manipulate relational databases | Structured query language |
| the format of a bar code | symbology |
| pages that are blank except for a bar code that will tell the scanner and ultimately the computer the content of the pages that follow | Target sheet |
| Technology that allows computers to add and extract value from document content as the documents move throughout an organization | Workflow technology |
| write once, read many; the use of this technology prevents the user from altering what is stored, but the data can be viewed as many times as necessary | WORM technology |
| ORYX is sponsored by what organization? | Joint commission |
| The data in the database contain national data on costs of care. This is an example of: | external data |
| This system collects data on the patient's vital signs, medications, test results, and more, collected from patient care activities. This is what type of data? | Clinical |
| Part of the medical record is stored electronically, some is on microfilm, and the rest is still stored on paper. This is called; | hybrid record |
| What controls the specific data elements collected? | Data sets |
| When using a document imaging system, what happens to the paper record? | It is the decision of the facility whether to destroy or retain |
| Document imaging is | different from the EHR |
| Document capture is | scanning, OCR, forms recognition, and barcodes |
| What technology allows for direct data entry of clinical data into the imaging system? | Automated forms processing |
| The purpose of the EDMS is to | document management |
| Document imaging eliminates which of the following functions? | Assembly |
| The term used to describe scanning all existing records when implementing a document imaging system is: | backscanning |
| The most common form of barcode format used in imaging is called: | Code 39 |
| A disadvantage of document imaging is: | fear of change |
| Which of the following statements is true? | Online accessibility of patient information can improve quality of patient care |
| To keep the document imaging operational when the power is out, what should be utilized? | UPS |
| Scanners are rated on | pages per minute |
| Images should be stored on what type of media? | WORM technology |
| Which of the following is a benefit of scanning after the chart is completed? | Do not have to train physicians to do online chart completion |
| Pages that tell the scanner information about the pages that follow are called: | Target sheets |
| The first stage in the scanning process is: | Document preparation |
| The supervisor is controlling what charts are sent to the coders. This is called | Automatic workflow |
| Which of the following is a true statement? | Workflow technology can be used by the HIM department and other departments |
| The term used to describe how indexing can be performed without data entry is: | Auto-indexing |
| Documents are moved from magnetic data to long-term storage: | At a time period determined by the facility |
| The reason for copying documents from long-term storage to magnetic storage would be: | faster access to chart |
| Which of the following statements is true? | Document imaging will have a role in the EHR environment |
| Which annotation tool allows the user to make comments on the imaged document: | Note |
| Productivity standards for imaging processes should be based on: | attributes of facility, such as equipment |
| When annotation is used, the document: | remains the same; however, an overlay displays the annotation |
| Retention of patient health information and birth registers should be maintained for the same period of time. | False. Birth registers should be maintained permanently and patient information for 10 years after the most recent encounter |
| The average size of a black and white scanned document is: | 50 kb |
| Incremental backups: | copy only files that have changed since the last backup |
| When a hard drive is filling up, what might a user notice: | Slower response time |
| Routine maintenance should be performed: | at off-peak times |
| Ad hoc reports are run: | when needed |
| Storing data in such a way to facilitate retrieval is called: | normalization |
| SQL is the standard language for which type of database? | relational |
| Reviewing a report to determine if the data makes sense is called | face validity |
| Which of the following terms would be seen in a Boolean search? | and |
| I need to provide an accounting of disclosure. Which of the following systems should I use? | Release of information |
| I have been hired to design and implement the HIM for a new hospital under construction. One of my tasks is to select systems that traditionally are used solely by the HIM department. Which one of these would I have to purchase? | Chart deficiency system |
| I need a computerized system to help me assign the proper code. The system that I need is an: | encoder |
| The system used to notify requesters of invalid authorization is called: | release of information |
| The software application that assigns the MS-DRG is: | grouper |
| The term used to describe messages that let the user know there is a problem when abstracting a cancer patient into the cancer registry system is called: | alert |
| Which type of registry software tracks patients who have been injured? | Trauma registry |
| Which system tracks the paper medical record? | Chart locator |
| Life expectancy is information that would come from the: | cancer registry software |
| Which system would tell a physician that she needs to sign an operation report? | Chart deficiency |
| A physician speaks into a phone and gives a summary of the patient's care, which is later transcribed. What type of system is the physician using? | Dictation |
| I am entering the number of units of blood that a patient received during the recent hospitalization. I must be using the: | quality indicator monitoring |
| I am entering the Apgar score. I must be using the: | birth certificate software |
| I type out the abbreviation EGD and the term esophagogastroduodenoscopy is spelled out. I am using an | expander |
| I want to take a piece of paper, scan it and then be able to edit the data. What technology should I use? | optical character recognition |
| Which of the following is a true statement? | I should copy data from one CD to another periodically |
| I want a list of Medicare patients discharged yesterday. This report would require what type of operation? | filtering |
| I am pushing to utilize COLD feeds whenever possible. Why would I do this? | save time in data capturing |
| I am filling in missing data and correcting some data entry problems. I am doing: | data cleansing |
| Which of the functionality below is more likely to be found in a birth certificate system designed by a vendor than the state? | productivity |
| A request for an accounting of disclosure has been received. I should access which of the following to fulfill this request? | release of information system |
| Which of the following systems could have voice recognition as a feature? | dictation system |
| Based on the functionality of the systems, which of the following systems would you expect to become obsolete in the short term with the EHR | chart locator |
| Reports designed specifically for one time use is called what type of report? | ad hoc |
Created by:
adale3171
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