APPLICATION OF HEALTH INFORMATICS (CLINICAL, ADMINISTRATION) Flashcards

1
Q

are real-time, patient-centered records
that make information available instantly and
securely to authorized users.

A

EHR

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2
Q

benefits of EHR

A

1.Better health care
2.Better health
3.Improved efficiencies and lower
healthcare costs
4.Better clinical decision making.

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3
Q

❑ Comprise the patient data required to make sound
clinical decisions, including:
* demographics, medical and nursing diagnoses,
medication lists, allergies and test results.
❑ A comprehensive EHR will also contain nursing
assessments and problem.

A

health information and data

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4
Q

❑ is the ability to manage results of all
types electronically including:
* laboratory and radiology procedure
reports, both current and historical.

A

results management

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5
Q

❑ Is the ability of a clinician to enter
medication and other care orders including:
* laboratory, microbiology, pathology, radiology,
nursing, and supply orders; ancillary services;
and consultations, directly into a computer.
❑ A comprehensive EHR will also contain nursing
orders.

A

order entry management

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6
Q

❑ entails the use of computer reminders and alerts
to improve the diagnosis and care of a patient
including:
* screening for correct drug selection and dosing,
screening for medication interactions with other
medications, preventive health reminders in such
areas as vaccinations, health risk screening and
detection, and clinical guidelines for patient disease
treatment

A

decision support

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7
Q

❑ Include the online communication among
healthcare team members, their care partners,
and patients including:
* email, web messaging, and an integrated
health record within and across settings,
institutions, and telemedicine.

A

electronic communication and connectivity

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8
Q

❑ Encompasses patient education and selfmonitoring tools including:
* interactive computer-based patient education,
home telemonitoring, and telehealth systems.

A

patient support

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9
Q

❑ are activities carried out by the electronic scheduling,
billing, and claims management systems, including
electronic scheduling for inpatient and outpatient visits
and procedures, electronic insurance eligibility
validation, claim authorization and prior approval,
identification of possible research study participants,
and drug recall support.

A

administrative processes

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10
Q

❑ Are the data collection tools to support public and
private reporting requirements including:
* data represented in a standardized terminology and
machine-readable format.

A

reporting and population health management

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11
Q

❑“healing at a distance”
❑ “The delivery of health care services, where distance
is a critical factor, by all health care professionals
using information and communication technologies for
the exchange of valid information for diagnosis,
treatment and prevention of disease and injuries,
research and evaluation, and for the continuing
education of health care providers, all in the interests
of advancing the health of individuals and their
communities.”

A

telemedicine

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12
Q

telemedicine:

  • involves the exchange of pre-recorded data between two or more
    individuals at different times.
A

store and forward

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13
Q

telemedicine:

requires the involved individuals to be simultaneously present for
immediate exchange of information, as in the case of
videoconferencing.

A

real time / synchronous

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14
Q
  • remote health counseling and remote
    consultation
A

teleconsulation

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15
Q
  • Patients with mental disorders often
    refuse to see a doctor. In many cases,
    despite seeing a doctor, they refuse to
    talk to their doctor about their life issues,
    leading to serious disorders.
A

remote psychotherapy

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16
Q
  • is an important application of TLM for the diagnosis or
    treatment of patients.
A

remote imaging

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17
Q

the process of identifying damage in a patient far.

A

remote pathology

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18
Q
  • Remote skin treatment .
  • TLM can be used to help individuals with skin diseases.
A

teledermatology

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19
Q
  • Due to the growth of the elderly population and the
    shortage of specialist physicians, home care through TLM
    has great growth potential.
  • This type of treatment is required for the majority of
    patients with cardiovascular disease and chronic
    respiratory diseases.
A

remote home medical care

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20
Q
  • TLM can be used to monitor a variety of patients
    remotely.
A

remote patient monitoring

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21
Q
  • Emergency patients are examined by experienced
    physicians assigned at medical centers at this level of
    service. If required, communicate with a TLM system
    physician via audio, voice, and visual communication,
    and send vital signs (such as heart sound, lung sound,
    and patient’s heartbeat).
A

patient care in emergencies

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22
Q
  • In this TLM system, a doctor positioned at a distance from
    the medical center concurrently locates various patients
    suffering from level one medical illnesses, such as colds and
    hypertension disorders.
A

patient care at the first level of health care

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23
Q
  • In the TLM system, several general practitioner visits at the
    first level of medical service require specialized medical
    services. This technology can establish a three-way
    communication between a technical center’s physician or
    specialists, the general practitioner, and patients from various
    medical centers.
A

specialized counseling system

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24
Q
  • Robots and modern medical systems are used to
    perform remote surgery.
A

remote surgery

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25
* It uses cognitive-behavioral therapy (CBT) to treat several psychological issues in children, including depression and hyperactivity, and provides schoolbased treatment.
telemedicine in pediatrics
26
* In times of crisis TLM can provide a dependable and accessible means of fully functional communication, despite the severity of accidents and infrastructure damage. * Mobile communications and information transmission in times of crisis are among the advantages of wireless technology, and so are cost reductions. * TLM’s applications in the field of military medicine
telemedicine in crises and unforeseen events
27
is the cost-effective and secure use of information and communications technologies in support of health and health-related fields, including health-care services, health surveillance, health literature, and health education, knowledge and research
e-health
28
the use of information and communication technologies (ICT) for health.
e-health
29
10 e's in e-health
efficiency enhancing quality of care evidence based empowerment of consumers and patients encouragement education enabling information exchange extending the scope of health care ethics equity
30
- decreasing costs by avoiding duplicative or unnecessary diagnostic or therapeutic interventions
efficiency
31
- improving quality - allowing comparisons between different providers.
enhancing quality of care
32
- effectiveness and efficiency should not be assumed but proven by rigorous scientific evaluation.
evidence based
33
- by making the knowledge bases of medicine and personal electronic records accessible to consumers.
empowerment of consumers and patients
34
of a new relationship between the patient and health professional - decisions are made in a shared manner.
encouragement
35
of physicians through online sources - tailored for preventive information for consumers
education
36
and communication in a standardized way between health care establishments.
enabling information exchnage
37
beyond its conventional boundaries - enables consumers to easily obtain health services online from global providers
extending the scope of health care
38
- online professional practice, informed consent, privacy and equity issues.
ethics
39
to make health care more equitable is one of the promises of ehealth
equity
40
Administrative roles that requires the use of Information System * F___ m___ * r___ m___ * q___ a___ * h___ r___ * p___ * p___ r___ * a___ * c___ * s___ f___ * d___ m___
financial management risk management quality assurance human resources payroll patient registration acuity communication scheduling functions data mining
41
- Identify resources, patterns, and variances in care to prevent costly complications related to chronic conditions and to enhance the overall outcomes for patients with chronic illness. - span past episodes of treatment and search for trends among the records. - especially beneficial for patient populations with a high cost of care and complex health needs, such as the elderly or patients with chronic disease conditions. - increasingly being integrated with electronic health records (EHRs)
case management information systems
42
- promote interaction among healthcare providers and between providers and patients. - Integrating communication systems with clinical applications provides a real-time approach that facilitates interactions among the entire healthcare team, patients, and their families to enhance care. - These systems enhance the flow of communication within an organization and promote an exchange of information to care better for patients.
communication systems
43
* enhance administrative tasks within healthcare organizations. * provide the framework for reimbursement, support of best practices, quality control, and resource allocation.
core business systems
44
4 common core business systems
❑ admission,discharge, and transfer (ADT) systems ❑ financial systems ❑ acuity systems ❑ scheduling systems
45
- provide the backbone structure for the other types of clinical and business systems. - These systems were among the first to be automated in health care. - Admitting, billing, and bed management departments most commonly use ADT systems. - These systems hold key information on which all other systems rely.
Admission, discharge, and transfer systems
46
- manage the expenses and revenue for providing health care. - determine the direction for maintenance and growth for a given facility. - They often interface to share information with materials management, staffing, and billing systems to balance the financial impact of these resources within an organization. - These systems are key components in the decision-making process as healthcare institutions prepare their fiscal budgets. They often play a pivotal role in determining the strategic direction for an organization.
Financial systems
47
- monitor the range of patient types within a healthcare organization using specific indicator - these systems provide feedback about how intensive the care requirement is for an individual patient or group of patients. - forecast future trends to allow an organization to successfully strategize on how to meet upcoming market demands.
Acuity systems
48
- coordinate staff, services, equipment, and allocation of patient beds. - these systems provide data to the financial systems. - These systems also provide great assistance to financial systems when they are used to track medical equipment within a facility. - Scheduling systems help to track resources within a facility while managing the frequency and distribution of those resources.
Scheduling systems
49
- They automate the way that orders have traditionally been initiated for patients— that is, clinicians place orders using these systems instead of creating traditional handwritten transcriptions onto paper. - provide major safeguards by ensuring that physician orders are legible and complete, thereby providing a level of patient safety that was historically missing with paper based orders.
Order Entry Systems
50
- These patient-centered systems focus on collecting data and disseminating information related to direct care
Patient Care Support Systems
51
The four systems most encountered in health care include
❑clinical documentation systems ❑pharmacy information systems ❑ laboratory information systems ❑ radiology information systems.
52
- also known as “clinical information systems,” - CISs are designed to collect patient data in real time.
Clinical documentation systems
53
- They typically allow pharmacists to order, manage, and dispense medications for a facility. - They also commonly incorporate information regarding allergies and height and weight to ensure effective medication management. - Pharmacy information systems streamline the order entry, dispensing, verification, and authorization process for medication administration.
Pharmacy information systems
54
- Laboratory information systems report on blood, body fluid, and tissue samples, along with biological specimens collected at the bedside and received in a central laboratory. - They provide clinicians with reference ranges for tests indicating high, low, or normal values to make care decisions. - Often, the laboratory system provides result information in the EHR and directs clinicians toward the next course of action within a treatment regimen.
❑Laboratory information systems
55
- These systems schedule, result, and store information related to diagnostic radiology procedures. - These systems collect, store, and distribute medical images, such as computed tomography scans, magnetic resonance images, and X-rays. PACS replace traditional hard-copy films with digital media that are easy to store, retrieve, and present to clinicians.
Radiology information system (RIS)
56
is defined as “the ability of a system to exchange electronic health information with and use electronic health information from other systems without special effort on the part of the user.
interoperability
57
is basic data reception from one system to another without interpretation
Foundational interoperability
58
is more complex and depends on consistency of clinical terminology and meaning of the data
Structural interoperability
59
depends on data that is consistent and codified allowing for information system interpretation and analysis of the data
Semantic interoperability
60
is considered the highest and most complex form of interoperability.
Semantic interoperability
61
-structured or organized collection of data that is typically the main component of an information system
database
62
Databases and database management software allow the user to input, sort, arrange, structure, organize, and store data and turn those data into useful information.
Aggregating Patient and Organizational Data
63
- The team members work strategically to align their goals with the goals of the organization where the system is to be used. - The focus for these groups is on planning, resource management, transitioning, and ongoing support of the system. - Their collaboration determines the way in which the project is managed, the deliverables for the project, the individuals held accountable for the project, the time frame for the project, opportunities for process improvement using the system, and the means by which resources are allocated to support the system.
Department Collaboration and Exchange of Knowledge and Information