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HIT 220 Ch. 6 & 7

Intro to Computer Systems for HIT

QuestionAnswer
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