Health Information Technology (HIT) - Use of technology as a resource to manage patient health care
information.
Protected Health Information (PHI) - Individually identifiable health information that is transmitted or
maintained by electronic media or in any other form or medium
What is considered Protected Health Information? (PHI) - Name, names of relatives, address, employers,
social security number, phone, fax number, email address, health plan identification number, account
number, fingerprints, website address, medical record number, serial number of vehicles and photos.
Electronic Health Record (EHR) - Computerized lifelong record health care record with data from all
sources. Technology that intertwines health information from a variety of sources of every encounter an
individual has with the health care system is documented. Lab, scripts etcetera.
New position created by EHR - Clinical Analyst Health Information Technician Records and information
coordinator
What setting may a CHERS work? - Doctors office labs Ref Labs Urgent Care Centers Nursing Home
Facilities Wellness Clinics Hospitals
Why were chances in technology made? - From the realization that medical records were not meeting
the needs of doctors & patients. Increase in errors, rising health care costs and missing link in a patients
coordination of care.
Current Procedural Terminology (CPT) - System of classification for services and procedures used in the
outpatient setting.
Medical Errors - Among most common causes of death, occur because:
1. Lost medical records
2. Miscommunicated patient request/messages
,3. Unreadable information due to poor handwriting
4. Mislabeled lab specimens.
5. Many of these errors could be overcome if information tech were applied throughout healthcare
system.
What potential does Health Information Technology have? (HIT) - Improve the quality of care and
possibly reduce the number of deaths attributed to medical errors.
HIPPA require the use of electronic rather than paper in claims? - Oh baby. Yes! Yes! Yes!
Standards - Commonly agreed upon specifications, are what helped establish the requirements
necessary for agencies to follow.
When did President Bush recommended the use of Health Information Technology? (HIT) - In 2004
What was the goal of Health Information Technology? (HIT) - Set a ten year goal for all Americans to be
using Electronic Health Records. (EHR)
Who or what was established to meet this goal? - Office of National Coordination for Health Information
(ONCHIT)
HITSP - A department / organization that identified standards for exchange of health information.
What does the Nationwide Health Information Network provide? (NHIN) - Links medical records across
the country.
CCHIT - Developed certification criteria for EHR software.
What 8 core functions does the Institute of Medicine suggest an EHR should include? - 1. Health
Information and data elements
2. Results Management
, 3. Order Management
4. Decision Support
5. Electronic communications and connectivity
6. Patient Support
7. Administrative Processes
8. Reporting and population management
Medical Record - An important business document used to support treatment decisions documents
services provided could also be used in court of law for evidence purposes.
Electronic Medical Record (EMR) - Computerized records of one doctor's encounter with a patient over
time including medical history, diagnosis, treatment and prognosis.
What is the contrast between EMR's and EHR's? - EMR's reflect treatment of a patient by one doctors as
EHR reflects data from all sources that have treated and individual.
Personal Health Record (PHR) - Maintained and owned by the patient, patient makes decisions whether
to share contents with their doctors.
Electronic Health Record (EHR) - Computerized lifelong record health care record with data from all
sources technology that intertwines health information from a variety of sources every encounter an
individual has with the health care system is documented. Labs, scripts, ER visits, etcetera.
New position created by EHR - Clinical Analyst Health Information Technician Records and information
coordinator.
What setting may a CHERS work? - Doctors office labs Ref Labs Urgent Care Centers Nursing Home
Facilities Wellness Clinics Hospitals
Why were chances in technology made? - From the realization that medical records were not meeting
the needs of doctors and patients. Increase in errors, rising health care costs and missing link in a
patients coordination of care.
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