Chapter 1

Question 1

Electronic Medical Records

Answer 1

(EMR) An electronic version of patient files within a single organization

Question 2

Electronic Health Records

Answer 2

(EHR) A computer system used to improve healthcare delivery; EHRs replace traditional paper medical records and make health information accessible to healthcare providers across the world with only a few keystrokes.

Question 3

American Recovery and Reinvestment Act of 2009

Answer 3

(ARRA) an economic stimulus package signed into law by President Barack Obama

Question 4

Centers for Medicare & Medicaid Services

Answer 4

(CMS) A federal agency that oversees federal healthcare programs including Medicare Conditions of Participation (CoPs)

Question 5

Healthcare Delivery System

Answer 5

(HCD) A healthcare facility

Question 6

Healthcare Information and Management Systems Society

Answer 6

(HIMSS) an organization that focuses on using information technology and management systems to improve the quality and delivery of healthcare

Question 7

Longitudinal

Answer 7

a patient’s record that will continue to develop over the course of care.

Question 8

Interoperability

Answer 8

the ability of an EHR system to exchange data with other sources of health information, including pharmacies, laboratories, and other healthcare providers.

Question 9

No Interoperability

Answer 9

Stand-alone systems that do not communicate

Question 10

Technical Interoperability Level

Answer 10

Allows systems to exchange bits and bytes of data without any ability to interpret the shared data.

Question 11

Syntactic Interoperability Level

Answer 11

The level that introduces a common data format for information exhcange, but the meaning of the data cannot be interpreted

Question 12

Semantic Interoperability Level

Answer 12

The level that allows the meaning of data that be shared and information interpreted

Question 13

Computer Protocol

Answer 13

A standardized method of communicating or transmitting data between two computer systems

Question 14

Health Level Seven International

Answer 14

(HL7) The most common communication protocol that focuses on the international group of collaborating healthcare subject matter experts and information scientists

Question 15

Health IT Ecosystem

Answer 15

A collection of individuals and groups that are interested in health information technology

Question 16

Office of the National Coordinator for Health Information Technology

Answer 16

(ONC) The US federal body that recommends policies, procedures, protocols, and standards for interoperability.

Question 17

Learning Healthcare System

Answer 17

(LHS) An approach to improving the quality of health care by using patient clinical data from EHRs to drive medical research, and by using medical research to influence clinical practices.

Question 18

Nationwide Health Information Network

Answer 18

(NwHIN) A set of standards that enable the secure exchange of health information over the Internet

Question 19

Health Information Technology for Economic & Clinical Health Act

Answer 19

(HITECH) An act enacted in February 20009 a as part of the ARRA that promoted the nationwide implementation of EHR technology

Question 20

Health Information Management

Answer 20

(HIM) Professionals hat plan information systems, develop health policy, identify current and future information needs, and practice the maintenance and care of health records

Question 21

American Health Information Management Association

Answer 21

(AHIMA) A professional organization that provides resources, education, and networking with other professionals, confusing on the quality of health information used in the delivery of healthcare

Question 22

Regional Extension Center

Answer 22

(REC)

Question 23

Registered Health Information Administrator

Answer 23

(RHIA) Professional who works as a liaison between healthcare providers, organization staff, payers, and patients; an expert in managing health information and the professionals responsible for managing health information.

Question 24

Registered Health Information Technician

Answer 24

(RHIT) Professional who performs the technical procedures relate to the management of health information, frequently working in positions of medical coding, billing, and data management.