Chapter 11 - Health Information Systems Flashcards
system
(1) a set of things working together as parts of a mechanism or an interconnecting network
(2) a set of principles or procedures according to which something is done; an organized framework or method
end user
those persons who will use the information system in the course of their daily processes and procedures
template
something that establishes or serves as a pattern or guide for some kind of work, such as creating a document
power user
people whose expertise in the information system is above others
optimization
an act, process, or methodology of making something (such as a design, system, or decision) as fully perfect, functional, or effective as possible
methodology
- a body of methods, rules, and postulates employed by a discipline: a particular procedure or set of procedures
e. g. the issue is massive revision of teaching methodology - the analysis of the principles or procedures of inquiry in a particular field
postulate
(noun) a hypothesis advanced as an essential presupposition, condition, or premise of a train of reasoning
(verb) to assume or claim as true, existent, or necessary
presupposition
(1) to suppose beforehand
(2) to require as an antecedent in logic or fact
antecedent (non-grammatical definition)
a preceding event, condition, or cause
discrete reportable transcription (DRT)
It is a transcription system that combines speech dictation with natural language processing.
A DRT enabled EHR takes transcribed output and enters it directly into the patient’s clinical chart as discrete recordable data, meaning the documentation can be queried for statistics, graphing, reporting and contributes to a “Full EHR” system.
consent management systems
systems that help maintain patient preferences about who may have access to their health information
content management system (CMS)
An application that is used to manage web content, allowing multiple contributors to create, edit and publish. Content in a CMS is typically stored in a database and displayed in a presentation layer based on a set of templates.
auto-analyzer
a device that analyzes specimen specimens
perioperative
The perioperative period is the time period of a patient’s surgical procedure. It commonly includes ward admission, anesthesia, surgery, and recovery.
ward
(1) the action or process of guarding, a means of defense
(2) a division of a city for representative, electoral, or administrative purposes
(3) a large room in a hospital where a number of patients often requiring similar treatment are accommodated
(4) a person who by reason of incapacity (such as age of minority or mental illness) is under the protection of a court either directly or through a guardian appointed by the court
point of care (POC) documentation
the ability for clinicians to document clinical information while interacting with and delivering care to patients
clinician
a doctor having direct contact with and responsibility for patients, rather than one involved with theoretical or laboratory studies
patient acuity staffing
a system where the number of staff needed for any shift or day is determined by how acutely ill the current patients are
acuity
the ability to see, hear, or understand something easily
medical scribe
an individual who enters clinical documentation into the EHR to reduce administrative burden
closed-loop medication management
Close loop medication management means that the whole medication chain should be electronic and that at no point in the chain is the data transferred via printed matter. Medication data is thus in real time at every stage and immediately available to the people participating in the patient’s care.
e-prescribing (e-Rx)
the electronic transmission of a drug prescription directly to a pharmacy through EHR technology, or via a standalone electronic prescribing suite
suite
(1) the personal staff accompanying a ruler, diplomat, or dignitary on official business
(2) a group of things forming a unit or constituting a collection
(3) a set of matched furniture
(4) a set of computer programs designed to work together and usually sold as a single unit
retinue
a group of retainers or attendants
retainer
(1) a person attached or owing service to a household: servant
(2) one that retains
(3) a device or structure that holds something in place
(4) a dental appliance used to hold teeth in correct position especially following orthodontic treatment
dental bridge
a false tooth (called a pontic) that is held in place by the abutment teeth on either side of the gap
abutment
(1) the place at which one thing borders on or abuts another
(2) the part of a structure (such as an arch or a bridge) that directly receives thrust or pressure
(3) dentistry : a tooth or part of a dental implant to which a prosthetic appliance (such as a bridge or artificial crown) is attached for support
abut
(1) to border on: to touch along an edge
(2) to cause to touch or lean for support
(3) to terminate at a point of contact
medication reconciliation
The process of identifying the most accurate list of all medications that the patient is taking, including name, dosage, frequency, and route, by comparing the medical record to an external list of medications obtained from a patient, hospital, or other provider
alert fatigue
the ignoring of alerts due to their volume and irrelevancy
drug knowledge database
a subscription service that provides current information about drugs
National Council for Prescription Drug Programs (NCPDP)
a standards development organization that sets standards for the pharmacy industry
bar code medication administration recording
Bar code medication administration recording is the documentation of administering medication to a patient and is a function performed by nurses in a hospital. Nurses use a bar code reader to positively identify the patient and the medications to be administered to the patient. Bar codes are parallel arrangements of dark elements, referred to as bars, and light elements, referred to as spaces, that represent information, such as the patient name, drug name, and other data.
online transaction processing (OLTP)
A type of data processing that consists of executing a number of transactions occurring concurrently—online banking, shopping, order entry, or sending text messages, for example. These transactions traditionally are referred to as economic or financial transactions, recorded and secured so that an enterprise can access the information anytime for accounting or reporting purposes.
OLAP (online analytical processing)
a computing method that enables users to easily and selectively extract and query data in order to analyze it from different points of view
human computer interfaces (HCI)
any form of input device used by humans, including monitors, keyboards, printers, scanners, and many other devices that enable human interaction with computing technology
interface engine
(aka integration engine)
It is a software program that processes data between numerous Healthcare IT systems. Think of it as the nerve center or traffic cop of all the data that flows between multiple technologies in a hospital or other Healthcare organization.
inference engine
(also called a rules engine)
a system which supplies the rules that govern clinical decision support
Web Service Architecture
Web Services are a mode of communication between the client and the server applications on the World Wide Web. The Web Service Architecture describes how to instantiate the elements and implement the operations in an interoperable manner.
instantiate
to represent (an abstraction) by a concrete instance
instance
(1) a step, stage, or situation viewed as part of a process or series of events
(2) the institution and prosecution of a lawsuit : SUIT
(3) an individual illustrative of a category or brought forward in support or disproof of a (4) generalization
(5) INSTIGATION, REQUEST
(6) example
project management office (PMO)
a group or department within a business, government agency, or enterprise that defines and maintains standards for project management within the organization
virtual private network (VPN)
an encrypted private connection over the internet
wide area network (WAN)
a telecommunications network that extends over a large geographic area for the primary purpose of computer networking
storage area network (SAN)
a specialized, high-speed network that provides block-level network access to storage
block-level storage
a concept in cloud-hosted data persistence where cloud services emulate the behavior of a traditional block device, such as a physical hard drive
data persistence
also called not ephemeral data structure
a data structure that always preserves the previous version of itself when it is modified
immutable
unchanging over time or unable to be changed
network-attached storage (NAS)
a term used to refer to storage devices that connect to a network and provide file access services to computer systems
kiosk
(1) a small structure with one or more open sides that is used to vend merchandise (such as newspapers) or services (such as film developing)
(2) a small stand-alone device providing information and services on a computer screen
(3) an open summerhouse or pavilion
continuity of care document (CCD)
a document that functions to improve communication between health care providers during a transition of care – when a patient is being referred to another provider or coming back to their normal provider after a hospital stay, for example
Clinical Document Architecture (CDA)
a markup standard developed by Health Level 7 International (HL7) that categorizes certain medical records
Fast Healthcare Interoperability Resource (FHIR)
a standard describing data formats and elements and an application programming interface for exchanging electronic health records
application program interface (API)
A connection between computers or between computer programs. It is a type of software interface, offering a service to other pieces of software.
A document or standard that describes how to build or use such a connection or interface is called an API specification. A computer system that meets this standard is said to implement or expose an API. The term API may refer either to the specification or to the implementation.
customer relationship management (CRM)
a technology for managing all your company’s relationships and interactions with customers and potential customers
identity management (IdM)
(not to be confused with patient identification)
provides security functionality, including determining who (or what information system) is authorized to access information, authentication services, audit logging, encryption, and transmission controls.
Data Use and Reciprocal Support Agreement (DURSA)
A trust agreement entered into when exchanging information with other organizations using an agreed upon set of national standards, services, and policies developed in coordination with the Office of the National Coordinator for Health Information Technology.
systems development life cycle (SDLC)
A conceptual model used in project management that describes the stages involved in an information system development project. The cycle (which can be repeated as necessary) is as follows: 1. Identify need 2. Specify requirements 3. Design or acquire 4. Develop or implement 5. Maintain 6. Monitor results
sunsetting
It’s what happens when a company no longer sells or supports a product. A software version of such a product is called abandonware.
chief medical informatics officer (CMIO)
a physician with some degree of formal health informatics training or a working equivalent thereof, who often works in conjunction with, or helps to manage other physician, nurse, pharmacy, and general informaticists within the organization better use health informatics platforms
best of fit
A vendor strategy used when purchasing an EHR in which all the systems required by the healthcare facility are available from one vendor.
best of breed
A vendor strategy used when purchasing an EHR that refers to system applications that are considered the best in their class.
due diligence
The actions associated with making a good decision, including investigation of legal, technical, human, and financial predictions and ramifications of proposed endeavors with another party.
steering committee
An overarching committee comprised of key stakeholders to health information systems in general, or, less commonly, a steering committee will be convened for each specific health information system project and include only stakeholders associated with that project.
application service provider (ASP)
a business providing computer-based services to customers over a network
Software as a Service (SaaS)
a software licensing and delivery model in which software is licensed on a subscription basis and is centrally hosted
change control program
A system that ensures that there is documented approval for the change to be made and evidence that all elements of implementation, testing, rollout, training, and such are performed.
issues management
- a strategic, anticipatory management process that helps organizations identify and respond to developing trends and changes within socio-political environments
- (healthcare) a system where any issues that arise during the implementation of a product are documented, brought to the attention of the vendor, and hopefully resolved, or escalated so that resolution is accomplished
system build
another name for the configuration of parts in a system (e.g. computer)
stakeholder
- (in gambling) an independent party with whom each of those who make a wager deposits the money or counters wagered.
- a person with an interest or concern in something, especially a business.
counter
- a piece (as of metal or plastic) used in reckoning or in games
- something of value in bargaining: ASSET
- a level surface (such as a table, shelf or display case) over which transactions are conducted or food is served or on which goods are displayed or work is conducted
- a person or thing that counts something
reckoning
- a settling of accounts
2. a summing up
overarching
- forming an arch overhead
2. dominating or embracing all else
