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C427 Terminology & Key Concepts latest update 2024
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C427 Terminology & Key Concepts latest update 2024
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C427Terminology &
Key Concepts
latest update
2024
Healthcare Management Information System
(HMIS)
Healthcare Management Information System
(HMIS) is an integrated system designed to
manage the administrative, financial, and
clinical aspects of a healthcare operation. It
aids in the collection, processing, and
management of patient and healthcare
facility information, enhancing the efficiency
and effectiveness of services. HMIS can
include patient data, medical records,
inventory management, billing, and reporting
functions. It plays a crucial role in decision-
,making processes and in improving the
overall quality of patient care and health
services management.
Protected Health Information (PHI)
PHI stands for Protected Health Information.
It refers to any information in a medical
record that can be used to identify an
individual, and that was created, used, or
disclosed in the course of providing a health
care service, such as a diagnosis or
treatment. PHI is protected and regulated by
the Health Insurance Portability and
Accountability Act (HIPAA) in the United
States, ensuring that individuals' health
information is properly protected while
allowing the flow of health information
needed to provide high-quality health care.
Health Insurance Portability and Protection
Act (HIPAA)
the Health Insurance Portability and
Accountability Act (HIPAA) was enacted on
August 21, 1996, by the U.S. Congress to
accelerate the development of data
standards to improve the privacy,
confidentiality, integrity, and security
aspects of personal health information and to
simplify the movement of individual patients'
,protected health information (PHI) between
healthcare professionals and other covered
entities that require the information, such as
insurance companies
Health Level 7 (HL7)
HL7, or Health Level 7, is a set of
international standards for the exchange,
integration, sharing, and retrieval of
electronic health information. These
standards focus on the application layer
("Level 7") in the OSI model for
communication systems, which deals with the
interface to the user. HL7 standards are
widely used in healthcare for various data
types, including clinical and administrative
data, insurance claims, and other health-
related information. They facilitate
interoperability between different healthcare
systems, ensuring that data sharing is
seamless, accurate, and efficient, leading to
improved patient care and health
management.
American National Standards Institute (ANSI)
ANSI, the American National Standards
Institute, plays a key role in facilitating the
development of standards for products,
services, processes, systems, and personnel
, in the United States. As a private, non-profit
organization, ANSI oversees the creation,
promulgation, and use of thousands of norms
and guidelines that directly impact
businesses in nearly every sector. ANSI also
ensures that American standards are
consistent with international standards,
enabling U.S. products and services to be
globally competitive. In addition, ANSI
represents the U.S. in international standard-
setting activities and negotiates on its behalf
in international standards organizations.
Health Information Exchange (HIE)
HIE, or Health Information Exchange, refers
to the process of electronically moving
health-related information among
organizations according to nationally
recognized standards. Its primary purpose is
to facilitate access to and retrieval of clinical
data to provide safer, more timely, efficient,
effective, equitable, patient-centered care.
HIE systems enable healthcare providers and
patients to appropriately access and securely
share a patient's vital medical information
electronically, improving the speed, quality,
safety, and cost of patient care. There are
three types of HIE: Directed Exchange (for
sending and receiving patient information),
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