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HIT 220 Module 4
| Question | Answer |
|---|---|
| Purpose is to manage the business of healthcare; data is mainly financial or administrative | Administrative information systems |
| utilized by many departments and employees throughout the organizations | Master patient index |
| utilized by a select group of authorized uses | Decision support system |
| The comprehensive database containing all the clinical, administrative, financial, and demographic information about each patient served by a hospital | Hospital information system |
| Monitors and controls the financial aspects of the healthcare facility. | Financial information system |
| collects information on patients receiving treatment | Patient registration |
| Allows the facility to make efficient use of resources such as operating rooms | Scheduling systems |
| Combine a number of applications required to manage a physician practice | Practice management systems |
| Manages the supplies and equipment within the facility | Materials management information systems |
| The management of the accounts receivable and the accounts payable on a daily basis | Revenue cycle |
| Automates the coding process for routine procedures such as laboratory tests and radiology examinations | Chargemaster |
| Generates the discharged not final billed report, which lists the patient accounts that have not been billed. | Patient accounting system |
| Updating the master codes is of utmost importance and must be updated annually. | True |
| Tracks employees within the organization. This tracking includes promotions, transfers, performance appraisal due dates, and absenteeism | Human resources information systems (HRIS) |
| Which administrative system tracks investments? | Financial information system |
| Which component of the financial information system tracks the amount of money that the facility owes a vendor? | Account payable |
| Which of the following tasks is one for which the HIM professional uses the financial information system? | Manage chargemaster |
| Which of the following statements is true? | The HRIS can track turnover and open positions |
| Which of the following data elements would be found in an administrative information system? | Charge for complete blood count |
| a computer-based system that gathers data from a variety of sources and assists in providing structure to the data by using various analytical models and visual tools in order to facilitate and improve the ultimate outcome in decision-making tasks | Decision support system |
| a type of decision support system that is designed to be used by healthcare administrators; assists the administrator and other top administration staff in making quick decisions | Executive information system |
| The HIM department staff do not use the HRIS. | True |
| The coding staff will populate the diagnosis and procedure codes either through direct data entry or from an interface to the encoder. | True |
| The HIM department is not a user of the DSS | True |
| a phonetic-based indexing system that searches names that sound alike but are spelled differently | Soundex |
| instances where 2 patients are assigned the same medical record number because of the incorrect assumption that they were the same patient | Overlay |
| a step-by-step process | algorithm |
| The MPI must be maintained permanently | True |
| used to initiate or update basic demographic data, establishes and tracks the location or service of the patient, and feeds data to other systems such as billing or the laboratory | Registration data of the admission, discharge, transfer (R-ADT) |
| look for exact matches; potential duplicates with this type of algorithm 20-40%; high percentage of false matches | Deterministic algorithms |
| fuzzy logic; may use phonetic searching in order to identify potential duplicates; 50-80% of the potential duplicates are identified | Rules-based algorithm |
| able to identify transpositions and name changes and can use phonetic search capabilities; highest rate of success - 90% | Probabilistic algorithms |
| allows all of the components of the IDS to share information about the patient; the medical record assigned may be the same for all hospitals, ambulatory settings, and other components of the system | Enterprise master patient index (EMPI) |
| The HIM department is the key user of the MPI | True |
| They type of algorithm that utilizes weights is called: | Rules-based |
| How would an HIM professional utilize the MPI? | Determine when the patient was last treated at the facility |
| Decision support systems are used for what types of decisions? | Nonroutine |
| The system designed to be used for top-level administration is: | Executive information system |
| The most sophisticated algorithm is: | Probabilistic |
| The ADT system generates some key reports used by many departments. These include: | Admission list Discharge list Census report Transfer list Bed utilization reports |
| Although the HIM department does not generally register patients, the HIM department utilizes the reports that come from this system; discharge list to confirm that all discharged records arrive in the HIM department | True |
| Scheduling systems are used to control the use of resources throughout the organization. | True |
| The HIM department is not a user of the scheduling system | True |
| scheduling, patient accounting, patient, collections, claims submission, appointment scheduling, human resources, and other functions are built into a single system | Practice management system |
| The HIM professional in a physician office manager role will utilize the practice management information system in many of the same ways as the financial information system, MPI, and other administrative systems | True |
| The HIM department is not a typical user of the materials management system. However, purchase requisitions may be used to order office supplies for HIM departments | True |
| Will track routine maintenance such as elevator inspections, fire extinguisher inspections, and equipment preventive maintenance | Facilities management |
| The HIM department is not a direct user of the facility management information systems. | True |
| The system that can monitor menus is: | Materials management |
| The census report would be generated by which system? | Patient registration |
| The scheduling system knows which of the following: | Amount of time needed to perform colonoscopy |
| The system used by the physician office is called: | Practice management |
| The facilities management system controls | major construction |
| collect and store data related to patient care | Clinical information systems |
| used to collect, store, and provide information on radiological tests such as ultrasound, MRI, and PET. | Radiology information system |
| x-rays, MRIs, mammograms, and other radiological examinations are stored digitally, thus eliminating the need to store and manage the physical film. | Picture archival communication system (PACS) |
| The ability of images to be viewed from any location by the radiologist and other users | teleradiology |
| collects, stores, and manages laboratory tests and their respective results | Laboratory information systems |
| The radiology system that provides postprocedure patient instructions is: | radiology information system |
| How can the HIM professional utilize the radiology information system? | Develop retention plan |
| Which of the following is a clinical information system? | Radiology information system |
| Demographic data: | are generally obtained from the hospital information system |
| The term used to describe viewing images from a remote location is: | teleradiology |
| Documents the nursing care provided to the patient; assists in the planning and monitoring of overall patient care | Nursing information system |
| assists the care providers in ordering, allocating, and administering medication | Pharmacy information system (PIS) |
| typically utilized in the ICU and other specialty areas such as the operating room and recovery room; used to monitor fetal distress, vital signs, O2 saturation | Patient monitoring systems |
| the use of telecommunications and networks to share information between a patient and a healthcare provider located at different sites | Telehealth |
| The use of robotics to perform surgery | Telesurgery |
| Telemedical records must be managed as with any other patient care encounter | True |
| The provision of health information, products, and services online as well as the automation of administrative and clinical aspects of care delivery. | E-care |
| A broad term that is often interchangeable with the term telehealth to refer to the provision of health information, products, and services online | E-health |
| The use of telecommunication and computer technology for the delivery of medical care | E-medicine |
| Transmission of cardiac catheterization studies, echocardiograms, and other diagnostic tests in conjunction with electronic stethoscope examinations for second opinions by the cardiologist at another site | Telecardiology |
| Videoconferencing between two healthcare professionals or a healthcare professional and a client | Teleconsultation |
| The use of telecommunication and computer technologies to monitor and render services and support to home care clients | Telehomecare |
| Real-time advice is offered during a procedure to a practitioner in a remote site viea a telecommunication system | Telemonitoring |
| The use of telecommunication and computer technology for the delivery of nursing care | Telenursing |
| Transmission of high-resolution still images, often using a robotic microscope, for interpretation by a pathologist at a remote location | Telepathology |
| The use of telecommunication technology to provide health | Teleprevention |
| Variant of teleconsultation that allows observation and interviews of clients at one site by a psychiatrist at another site | Telepsychiatry |
| The use of interactive technology to facilitate exercise and rehabilitation activites | Telerehabilitation |
| Transmission of high-resolution still images for interpretation by a radiologist at a distant location | Teleradiology |
| Surgeons at a remote site can collaborate with experts at a referral center on techniques | Telesurgery |
| The use of interactive videoconferencing to provide therapy and counseling | Teletherapy |
| Transmission of ultrasound images for interpretation at a remote site | Teleultrasound |
| plastic cards, similar in appearance to a credit card, with a computer chip embedded in it. | Smart cards |
| Three uses of smart cards in healthcare | Rapid identification of patients; improved treatment A convenient way to carry data between systems or to sites without systems Reduction of records maintenance costs |
| Three types of smart cards | Straight memory Protected/segmented Central processor unit/micorprocessor |
| the most basic type of memory card and can only store data; least expensive and look like a floppy disk | straight memory card |
| have the ability to use logic and restrict a user's capabilities to view or edit the data; utilizes passwords | protected/segmented card |
| capable of segmenting and storing data. They also allow use with multiple functions and applications | CP/MU microprocessor |
| Every clinical information system can populate the EHR with information that is ultimately managed and maintained by HIM professionals | True |
| The type of smart card that allow multiple purposes on one card is called | CPU/MU microprocessor multifunction card |
| The clinical information system that records vital signs automatically is called a: | patient monitoring system |
| Telehealth utilizes which two technologies to communicate between a patient and healthcare provider? | Telecommunications and networks |
| The two types of pharmacy information system are: | Stand-alone and integrated |
| Which of the following statements is true about telehealth? | Documentation requirements are the same as the typical face-to-face patient care |
| technology that converts spoken words to machine-readable input | speech recognition technology |
| 2 types of SRT | Front-end speech recognition (FESR) Back-end speech recognition (BESR) |
| the specific use of SRT in an environment where the recognition process occurs in real time (or near real time) as dictation takes place; physician does the editing after the notes are transcribed | Front-end speech recognition (FESR) |
| the specific use of SRT in an environment where the recognition process occurs after the completion of dictation by sending voice files through a server; transcriptionist is a quality control editor | Back-end speech recognition (BESR) |
| a command is triggered when a user says a simple phrase or word; used frequently when phoning and getting a call-in line | key-word spotting |
| an early alogrithm used in voice recognition | hidden Markov model (HMM) |
| uses neural networks for speech recognition centered on simple tasks like recognizing a few phonemes or a few words | artificial neural networks (ANN) |
| sentence structure | sentax |
| meaning | semantics |
| uses sentence structure, meaning, and context to accurately process and/or extract free-text data, including speech data for application purposes; basically teaches the meaning of a word or phrase to a software application after several uses | natural language processing technology |
| the elapsed time from completion of dictation to the delivery of the transcribed document either in printed medium or electronically to a repository | Turnaround time (TAT) |
| the spectral representation of sounds or words | acoustic model |
| the representation of the grammar or syntax of the task | language model |
| an automated call handler that can be configured to automatically dial a log of callers and deliver appointment reminders, lab results, and other information when a person answers the phone | Interactive voice response system |
| the software determines where one word begins and the next stops | discrete speech |
| the user can use the system naturally and does not have to speak as slowly and distinctly as with previous systems; can recognize speech up to 160 wpm | Continuous speech recognition |
| in this type of speech recognition software the words appear on the screen and are corrected if they are not displayed correctly | front-end speech recognition (FESR) |
| server-based speech recognition | back-end speech recognition |
| The first efforts in SRT was based on what? | key-word spotting |
| The physician acts as the editor within which type of speech recognition technology method? | Front-end speech recognition |
| Key-word spotting was an early effort in SRT that was used mainly with ______ | call routing |
| Older voice recognition systems use this method where slower talkers must pause between each word that is said, which is called _____. | discrete speech |
| an approved document outline designed so that the practitioner only dictates to fill in the blanks within the template | template |
| uses a series of keystrokes and/or commands that are executed on command; generates large amounts of text using only a few commands that are easily recognized | macro |
| The productivity standard is 4 minutes of transcription time to each 1 minute of dictation, and average edit review time of 2-3 minutes per 1 minute | True |
| Because every "person's voice is different, the program cannot possibly contain a template for each potential user, so the program must first be 'trained' with a new user's voice input before that user's voice can be recognized by the program | True |
| a speech recognition that has been "trained' to a particular user and already has an established vocabulary for that user | speaker dependent |
| sound-alike word pairs; world affairs over whirled affairs | bigram |
| word phrases that have three sound-alike words | trigram |
| word phrases that have four sound-alike words | quadgrams |
| the standard with which voice applications are developed; creates speech recognition on the Internet and index data for audio files that enable searches and location of key words and phrases in audio files | Voice Extensible Markup Language or VoiceXML |
| How does the speech recognition software handle dialects and accents? | No differently than other words |
| For what purpose is the VoiceXML? | To handle speech recognition audio files on the internet |
| The most difficult SRT system to implement is the: | continuous speech |
| True or False: Speaker dependent means that the software has been trained to only one user. | True |
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adale3171
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