Chapter 21 (Notes)

Question 1

CS management and staff is important for two critic reasons:

Answer 1

1. ) The core mission is to support patients care. Information system can be used to ensure these objectives are accomplished.
2. )Using available systems appropriately will enhance the ability to provide efficient and cost-effective patient care.

Question 2

Examples of common components that comprise that system:

Answer 2

1. ) Clinical information systems are at the heart of the core mission of a healthcare provider. They capture data related to direct patient care
2. ) Admissions and registration,also known as admissions,discharge and transfer (ADT) systems, are used to manage inpatient and outpatient registration. This is important to CS because patient census information is received from the ADT system.
3. ) Electronic medical record or electronic health record (EMR/EHR) is the library of data related to the care provided to a patient by the organization. Healthcare providers must comply with “meaningful use” requirements. This ensures the certified EHR technology is being used to improve quality, safety, efficiency and care coordination, and maintain privacy of patient health information.
4. ) Centralized patient order entry (CPOE) systems are data portals used by physicians and other authorized caregivers to order tests, medications, supplies and equipment for patient, such as allergies or medications incompatibility. This is important to CS because automated requests for patients care items are generated by a CPOE system.
5. ) Diagnostic and therapeutic services systems are used to manage the scheduling, procedures performed, and results reported for their respective departments, such as radiology, ultrasound, vascular lab, ekg, respiratory and pulmonary functions lab, physical and occupational therapy
6. ) Interventional services systems are used to manage scheduling, procedures performed and results reported for their respective departments, such as OR, Labor & Delivery and cardiac catheterization lab. These systems are important to CS because information is received (schedule , pick lists, etc.) about the daily needs of CS’s critical customers

Question 3

Financial systems are essential in managing the financial activities of the organization. These include the following:

Answer 3

1. ) Accounts payable (AP) systems — Used to manage payment to vendors providing products or services to the organization.
2. ) Charge description master (CDM) systems – Used to manage a listing of services and items that are chargeable to patients. The CDM system is designed to communicate (interface) with other software systems to support government mandated standard billing requirements
3. ) Billing or patient accounting (revenue) systems – used to manage the issuing of bills to patients/insurance payors, and assist with collections of amounts due.
4. ) Payroll systems — Used to track hours, calculate wages, taxes and deductions, and print and deliver checks.
5. ) Decision support systems — Used to analyze operational and financial performance, and provide key metrics to senior leadership. Decision support includes information related to the volume of procedures and services provided,as well as the operational costs and revenue received. This is an essential tool used by leadership to evaluate the financial impact of services and programs offered by the organization.

Question 4

Public relations systems essential in managing the public perception of the organization:

Answer 4

1. ) The hospital’s website is a significant portal for patients, employees and physicians to obtain information about the services and programs offered: employment or volunteer opportunities; the facility
2. )Social media portals, such as Facebook and Twitter, are becoming increasingly important to hospitals as they are frequently used by patients to express their opinions about their experience with an organization (or learn about the opinions and viewpoints shared by others).

Media relations resources include information that resides on other websites not directly controlled by the organization, such as news articles on services provided.

Question 5

Tracking systems available for use in CS can ________

Answer 5

forecast needs and identify processing costs for tray and single instruments

Question 6

RFID

Answer 6

Real-time tracking of patient care equipment.

Question 7

Bar code tracking is generally use for _______.

Answer 7

tracking sterile surgical trays and instruments.

Question 8

Surgical instruments sets or single peel-packed items can be tracked (located) at the packaged and sterilized product level using _______

Answer 8

one dimensional (1D) barcode labels.

Question 9

Individual instruments can be tracked (located) within a set/tray using ________.

Answer 9

Two-dimensional (2D) data matrix barcode (Laser etching/engraving process_

Question 10

RFID enables _______.

Answer 10

real-time location of an instrument or equipment item as it moves through the facility and the processing cycle. the real-time location of complete instrument set or tray can also be assessed.

Question 11

Set-level tracking features to _____

Answer 11

allow staff members to know the last scanned location of an instrument set/tray

Question 12

Individual instrument level tracking features to _______.

Answer 12

allow staff to track a single instrument within a set or tray, and identify the set into which a specific instrument was placed.

Question 13

Six reasons why it is important for Central Service department to track items.

Answer 13

1. ) Ensure that it can be quickly located.
2. ) Determine when consumable supplies should be replaced.
3. ) Monitor item usage.
4. ) Maintain accurate records of processes, such as sterilization and distribution
5. ) Assist with quality assurance processes and regulatory compliance.
6. ) Capture information for financial analysis.

Question 14

Systems that communicate with each other

Answer 14

Intefaced

Question 15

Two types of tracking systems

Answer 15

1. ) Standard barcodes

2. ) Radio Frequencies Identification tags

Question 16

In addition to providing financial and operational management, information technology and systems are used to help ensure patient safety (T or F)

Answer 16

True

Question 17

Information technology is often the cornerstone of initiatives to transform healthcare (T or F)

Answer 17

True

Question 18

Which of the following is NOT a result of computer integration?

a. ) Eliminating redundant entry of information
b. ) Promotes efficiency
c. ) Automatically provides critical update to industry standards
d. ) Reduced inaccurate and conflicting information

Answer 18

c.) Automatically provides critical updater to industry standards

Question 19

Patient census information used in Central Service is obtained from the electronic health record (T or F)

Answer 19

False

Question 20

Computer supply chain management systems are used to monitor facility assets (T or F)

Answer 20

False

Question 21

Tracking individual instruments is important to help ensure specific instruments are kept with a specific set
(T or F)

Answer 21

True

Question 22

Which of the following is NOT a reason for tracking supplies, equipment and instruments?

a. ) Monitoring item usage
b. )Ensuring that items can be quickly located
c. ) Meeting Centers for Disease Control and Occupational Safety and Health Administration requirements
d. ) Assisting with quality processes

Answer 22

c.) Meeting Centers for Disease Control and Occupational Safety and Health Administration requirements

Question 23

Tracking method provides real time information

Answer 23

Radio frequency identification tags

Question 24

Point-of-use computing

Answer 24

moves computers into Central Service department

Question 25

Which of the following is NOT a feature of an instrument tracking system?

a. ) Productivity information
b. ) Financial data
c. ) Quality assurance information
d. ) Product updates and recall information

Answer 25

d.) Product updates and recall information

Question 26

Computerized tracking systems are fast, but manual tracking systems are more effective for tracking. (T or F)

Answer 26

False

Question 27

Once a tracking system is implemented, there is generally no need to update system information (T or F)

Answer 27

False

Question 28

At this time, tracking systems are unable to track worker productivity information. (T or F)

Answer 28

False

Question 29

Tracking systems can help manage preventive maintenance schedules. (T or F)

Answer 29

True

Question 30

Most Central Service departments employ some sort of automated information management system (T or F)

Answer 30

True