What is the term used for the record of care in any health-related setting, used by healthcare professionals while providing patient-care or for administrative, business, or payment purposes.
Legal Health Record
Defining the legal records becomes ______ as organizations transition to EHR.
Complex
Where do healthcare facilities collect and store clinical data for individual patients?
Health Record
Each organization must define the parameters of its legal health record, taking into account?
Accrediting agencies, HIPAA and State Laws
_________is the driving force behind movement toward the universal adoption of EHR
HIPAA
Copies of personal health record (PHRs) are considered part of the legal health record when?
Used by the organization to provide treatment.
Health Insurance Portability and Accountability (HIPAA)'s Privacy Ruse states that ___________used for the purposes of treatment, payment, or healthcare operations does not require patient authorization to allow providers access, use, or disclosure. Howev
Demographic Information- Necessary
The process of retention and destruction of health information are subject to specific regulations in many states as well as guidelines found in Federal regulations and __________ standards.
Accredation
Due to widespread use of the internet to distribute health-related information, Americans have become more aware of what?
Large quantities of personal information stored in health records.
What is data called that consists of factual details aggregated or summarized from a group of health records that provides no means to identify specific patients
Derived Data
The primary goal of ______________ are to enable health information to follow the consumer, to make health information available for clinical decision making, and to support appropriate use of healthcare information beyond direct patient care.
The National Health Information Network
In 2003_____________, a public policy advisory board made up of representatives from numerous healthcare, trade, and professional organizations, recommended that standard-developing organizations be encouraged to adopt standards that promote interoperabil
NCVHS National Committee on Vital and Health Statistics
_______________is an organization that develops standards for interoperability of health information technology.
Health Level 7
How do healthcare providers use the administrative data they collect?
For regulatory operational financial purpose
A _____________ is a health record that includes all of the health-related information generated for an individual during his or her lifetime.
Longitudinal Health Record
What is the rage of healthcare services provided to a patient, from routine ambulatory care to intensive acute care, with an emphasis on communication among caregivers?
Continuum of care
What is the main difference between primary, secondary, and tertiary care?
Degree of specialization
What is the term for health records maintained by patients and their families?
PHR
What has been the challenge of implementation of EHR's
Cost of electronic Clinical document systems
What is a group of healthcare organizations that collectively provide a full range of coordinated health-related services?
Integrated Delivery System
The concept of continuum of care was initially developed in response to what trend in the healthcare environment
Increasing Healthcare costs
Which of the following is not true of PHR
It will replace the legal record of providers
Current healthcare delivery system in the US can be characterized as
Complex and more expensive now
How have recent biomedical advances affected healthcare
Revolutionized
What level of care is provide by medical specialists working in private offices, specialty group practices, private clinics, community-based clinics, and general and community hospitals?
Secondary Care
When did hospitals begin applying computer processing to operations and management
1960's
All of the following are barriers to healthcare providers adopting EHRs based on the American Recovery and Reinvestment Act (ARRA) except
Swiftness of adoption
What is becoming a factor in an organization's bottom line aside from financial factors?
Healthcare Data
According to definition put forth in the AHIMA Practice Brief, The Complete Medical Record in a Hybrid EHR Environment (2003) what must the functional components of a hybrid health record do?
Include both Paper and Electronic documents
Use both Manual and Electronic Processes
Consumer education about the PHR must include which of the following items in order for consumers to embrace the PHR?
Information about security and confidentiality.
Public and private sector stakeholders are focusing efforts on _______because there is increasing evidence that health information technology can improve healthcare quality and customer safety by reducing errors and unnecessary expenditures.
Health Information Exchange (HIE)
Which entities are NOT included in health information exchange?
Public schools
Does an HIE move health information among organizations while adhering to national standards?
True
What is NOT among the principles in an HIE?
Integration with a PHR