Chapter 13 - Health Information Systems Strategic Planning Flashcards
Accountable care organization (ACO)
An organization of providers that work together collaboratively to improve the quality and cost of a population of patients
Administrative data
Data associated with identifying patients, location of care, healthcare professionals, etc. These data are vital for organizational operations and to ensure accurate documentation about patients
Administrative metadata
This is the third type of metadata and it is programmed to be generated by the information technology. It provides information about how and when data were created and used and it is also a record of the instructions given to users about actions to be taken with the information technology and what the user response was
Adoption
Refers to the stage where every intended user is fully using the basic functionality of the system
Application service provider (ASP)
In the past, most healthcare organizations used client-server technology. The organization purchased computers that served as the location where software and data were stored and from which data and functionality were delivered to user’s computers. Over time, this form of technology acquisition was replaced with an application service provider (ASP) strategy. In this case, the organization did not need to purchase servers. Instead, the ASP provided the servers, loaded the organization’s software and data on these servers, and provided the organization’s users with the data and functionality through a secure connection.
Benefits realization
A formal process of studying whether the value (for example, cost savings, productivity improvements, revenue enhancements, improved quality of care and patient safety, patient and provider experience of care satisfaction) was work the investment of time, energy, and money
Best of breed
Selecting a vendor for each type of technology throughout the migration path resulting in potentially a number of different vendors
Best of fit
The situation in which the goal is to minimize the number of vendors
Change control
A formal process of documenting what change in an information system is needed, the rationale for the change, necessary approvals, when the change was made, who made the change, that related documentation has been updated to reflect the change, and that monitoring for a period of time was performed
Chart conversion
Refers to moving from paper to an electronic system and it most often impacts physician offices and clinics moving from paper-based health records to EHRs.
Chief information officer (CIO)
Responsible for the “management, implementation, and usability of information and computer technologies” for an organization
Chief medical informatics officer (CMIO)
Physicians who have special interest in health information systems and technology. They typically are practicing physicians who can put policy into practice
Chief technology officer (CTO)
Responsible for overseeing current technology and creating relevant policy for its use
Clinical data
Data produced by healthcare providers in the process of diagnosing and treating patients
Clinical data analyst
Contribute to configuring information systems specific to organization needs, conduct training on use of technology and specific healthcare applications, and may be engaged in creating reports and monitoring data usage for specific clinical applications—especially those related to clinical research
Clinical transformation
Optimization focuses on using a health information system to improve the clinical practice of medicine. Such profound changes often are referred to as clinical transformation. For example, if a physician has always prescribed a certain medication for a given condition, the physician who has optimized use of CPOE will follow evidence-based medicine guidelines in selecting the appropriate medication
Cloud computing
Refers to servers that may be located anywhere in the world (where there is room on servers for a low price) and that supply data and functionality via the Internet, rather than a local place that provides data and functionality via virtual private network (VPN) or even direct cabling to a healthcare organization
Contract negotiation
The process of going back and forth with the vendor on the issues identified until all are resolved to the satisfaction of both parties
Data administrator
Persons who apply domain expertise to the logical design of a database, establish policies and standards governing creation and use of data, maintain data dictionaries, and manage the quality of the data
Data conversion
Taking data already in one automated system and putting it into the new system
Data governance
The “function of defining, implementing, and enforcing policies and standards for data”
Data model
Generally used to describe how data elements are used in processing data, including the various attributes and relationships between data
Data provenance
Another type of administrative data and refers to where data originated and where data may have moved between databases
Data quality management
The business processes that ensure the integrity of an organization’s data during collection, application (including aggregation), warehousing, and analysis’
Data quality measurement
A mechanism to assign a quantity to quality of care by comparison to a criterion
Database administrator
Technical staff members within information technology departments who design and manage the technical implementation and maintenance of databases
Decision support
Rules are programmed into software to recognize various combinations of data that are being captured in information technology and to generate various types of actions by the technology according to the rule requirements
Dependency
Exists when one component cannot operate without another component (Ex. Hardware cannot be used without software)
Descriptive metadata
Describes each data element to be captured and processed by information technology
Due diligence
Steps taken to confirm various facts about the product. Due diligence for health information system components acquisition almost always includes reference checks, frequent site visits to see how the products work in a real life setting, and for very big acquisitions, corporate site visits and investigations
e-discovery
It is important to note that metadata is generally not considered part of the legal health record, but may be subject to compulsory discovery in a court of law under the Amendments to Federal Rules of Civil Procedure and Uniform Rules Relating to Discovery of Electronically Stored Information (referred to as e-discovery)
End user
Those using the system for everyday tasks
Environmental scan
A process to formally identify challenges that considers both internal and external factors
Financial data
Data associated with healthcare is produced by and often exchanged between healthcare providers and health plans, including eligibility and benefits information, healthcare claims, and the like.
