WGU D033 "Health Information Systems Management"

Acceptance testing A type of testing that occurs after the go-live date Access controls A computer software program designed to prevent unauthorized use of an information resource 00:31 01:33 Addressable standards Must be evaluated by the entity to determine whether or not the standard is reasonable and appropriate Administrative information system A system that manages the business of healthcare; is the first information systems to be used in healthcare. The data collected in this system are mainly financial or business-oriented in nature, rather than clinical Administrative safeguards Administrative actions, and policies and procedures, to manage the selection, development, implementation, and maintenance of security measure to protect electronic-protected health information and to manage the conduct of the covered entity's workforce in relation to the protection of that information. (45 CFR 160, 162, and 164) Administrative simplification Improves the efficiency and effectiveness of the business processes of healthcare by standardizing the EDI of administrative and financial transactions and protects the privacy and security of protected health information (PHI) that is transmitted from one point to another Alpha site The first healthcare facility to implement the information system American National Standards Institute (ANSI) The SDO for the United States and a representative to the ISO American Recovery and Reinvestment Act (ARRA) Enacted to stimulate the US economy during a recession that started in 2007. A significant portion of ARRA was dedicated to expanding the use of HIT to improve the business efficiency and effectiveness of HCOs while increasing patient safety and positive health outcomes. It also enacted an incentive program known as Meaningful Use Anesthesia information system A system that collects information on preoperative, operative, and postoperative anesthesia-related clinical information. This system follows the patient through the surgical process Annotation The ability to add to the image in some way; because the image may be a legal document, the image itself cannot be altered; however, an overlay to the document will show the annotation ANSI Accredited Standards Committee X12N (ASC X12N) Responsible for developing the EDI standards used to share information needed for health insurance administrative transactions Audit controls The mechanisms that record and examine activity in information systems 00:02 01:33 Audit log Or audit trail, an electronic footprint of the actions that occurred in a particular file in an information system or that were performed by a specific individual Audit trails The record of information system activities, such as log-in, log-out, unsuccessful log-ins, print, query, and other actions Audit-reduction tools Tools that review the audit trail and compare it to criteria specified by the CE, which eliminates routine entries such as the periodic backups Authorship The origination or creation of recorded information attributed to a specific individual or entity acting at a particular time Automated codebook encoder An encoder that lists diagnoses and procedures in alphabetic order much like the alphabetic index Back-end speech recognition (BESR) A speech recognition technology in which the physician dictates in the traditional manner and an editor listens to the audio and reviews the document created Backscanning The process of scanning past health records into the DMS so there is an existing database of patient information, making the DMS valuable to the user from the first day of implementation Backward map A map that links the two coding systems in the opposite direction, moving from ICD-10 to ICD-9 Barcode medication administration record (BC-MAR) See Electronic medication administration record (EMAR) Best of breed Choosing the ISs based on functionality rather than by vendor 313 314 Glossary Best of fit The decision to purchase software from a single vendor Beta sites The healthcare facilities who subsequently implement the information system Bidder's conference A meeting for vendors to come to the healthcare facility to ask questions about the request for proposal, the healthcare facility, and other important points Biomedical device An article, instrument, apparatus, or machine that is used in the prevention, diagnosis, or treatment of illness or disease, or for detecting, measuring, restoring, correcting, or modifying the structure or function of the body for some health purpose Birth certificate information system A state-approved system in which the birth certificate data are entered, after the HIM staff interviews the mother or other parents or guardians and reviews the health record. This software reports births occurring in the healthcare facility to the state health agency Blue Button A campaign that was established by The Office of the National Coordinator for Health IT (ONC). It is a consumer-motivated method to improve healthcare by having the patient or caretaker actively involved in decisions and planning by having direct access to personal health information Bots Perform automated tasks, such as gathering information and instant messaging, thus relieving a person the responsibility of doing it Bring your own device (BYOD) Healthcare practitioners using their personal smartphones or other devices rather than devices provided by the HCO, the personal device must meet specific encryption and other security protocols to protect PHI as required by the HCO Cancer registry information system An information system that tracks information (including very detailed information regarding diagnosis and treatment) about the patient's cancer from the time of diagnosis to the patient's death Certified EHR technology An EHR that has been evaluated by a member of the Office of the National Coordinator-Authorized Certification Bodies (ONC-ACBs) and verified that it meets the criteria set by the MU incentive programs Certified health data analyst (CHDA) Advanced certification sponsored by AHIMA that covers data management, data analytics, and data reporting Certified in healthcare privacy and security (CHPS) Credential that demonstrates advanced privacy and security skills. These advanced privacy and security skills exceed those in the RHIA or RHIT examinations. It is sponsored by AHIMA Certified information security manager (CISM) Sponsored by ISACA; an international examination that is designed for leaders in security who oversee the security programs of organizations Certified information systems security professional (CISSP) Certification sponsored by the International Information Systems Security Certification Consortium. It is a generic security certification and therefore is not healthcare specific Change management The formal process of introducing change, getting it adopted, and diffusing it throughout the healthcare facility