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HIT 220 Module 4

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
Created by: adale3171