Chapter 3 - Health Informatics and Health Information Management Shaping the Evolving Healthcare System

Question 1

Health informatics

P. 67

Answer 1

The practice of information and Knowledge Management across clinical health-care and public-health domains.

• FYI - At its basic Level, Health informatics is the creation of new solutions to improve Healthcare, using information technology.

Question 2

Systems management

P. 68

Answer 2

The administration and maintenance of a distributed computer system across an organization, such as a hospital system.

Question 3

Regional Extension Center (REC)

P. 69

Answer 3

In organization funded by the HITECH Act to assist providers by extending EHR adoption training and Support Services, offering guidance in EHR implementation, troubleshooting related technical issues, and meeting Meaningful Use.

Question 4

e-Record

P. 70

Answer 4

A patient’s medical history, diagnostic test results, images, and clinical notes stored digitally in a database.

Question 5

Workflow

P. 71

Answer 5

A well-defined sequence of activities undertaken in order to achieve a work outcome.

Question 6

Change management

P. 71

Answer 6

A structured approach for ensuring that changes in an organization are thoroughly and smoothly Implemented and that the benefits of change are achieved.

Question 7

Project management

P. 73

Answer 7

The application of knowledge, skills, and techniques to execute projects efficiently and effectively.

Question 8

Interoperability

P. 73

Answer 8

The ability of two or more systems to exchange data and to use the information once it has been received.

Question 9

Legacy systems

P. 74

Answer 9

Prior computer or Business Systems used to accomplish the tasks now accomplished by a new system; often, Legacy systems continue to be partially used during system upgrade cycles.

Question 10

Database management

P. 74

Answer 10

The maintenance of digital data stored in computer systems to ensure accuracy, access, availability, usability, and security.

Question 11

Data mining

P. 75

Answer 11

The search for an extraction of large amounts of data for the purpose of turning it into useful information through data analysis.

Question 12

Data analysis

P. 75

Answer 12

The process of systematically applying statistical and or other techniques to describe and illustrate, condense and recap, and evaluate data.

(Source: HHS Definition)

Question 13

Health information exchanges (HIEs)

P. 77

Answer 13

The organizations that provide the infrastructure and services allowing for the movement of health-related data between non-affiliated stakeholders based on nationally established standards.

Question 14

Integrated delivery Network (IDN)

P. 78

Answer 14

A network of hospitals and Physicians organized under a single parent company for the purpose of providing care across the full continuum of a patient populations needs.

Question 15

Population Health Management

P. 80

Answer 15

Clinical and financial activities undertaken to improve health outcomes and to lower costs for a defined group of individuals.

Question 16

Personal health record (PHR)

P. 82

Answer 16

A paper record, a website, or software that contains information similar to that in an electronic health records EHR, such as diagnoses, medications, and medical history. The patient can also add information themselves, such as notes from other clinicians (e.g. specialists), their personal notes and observations, and data from home monitoring devices or other sources. The patient or the patient’s caregiver determines who has access to a PHR.

Question 17

Patient portal

P. 82

Answer 17

A secure website where a patient can access information from a provider’s EHR, such as diagnoses, lab results, discharge summaries, immunizations, and imaging study reports. A portal typically contains other information and functionality, such as the ability to schedule appointments, refill prescriptions, email clinicians, check insurance claims data, make payments, and gain access to online forms.

Question 18

mHealth

P. 83

Answer 18

Mobile-based or mobile enhance solutions that deliver Health Care.

Question 19

Meaningful Use (MU) initiatives

Power Point p. 10

Answer 19

Strive to put each patient in the center of Health Care system by getting the “right information to the right place at the right time”.

Question 20

There are consumer-oriented goals under Meaningful Use:

P. 81

Answer 20

• Providing consumers with access to their health data
• Making it easier for consumers to use their health Information
• Shifting attitudes about ownership of health data so that more Information will be shared with patients and their caregivers.

☆ The Ultimate goal is to empower patients to be healthier and to be proactive in their healthcare.

Question 21

The Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) endorsed a health Informatics curriculum at the graduate level, consisting of three parts:

(P. 68)

Answer 21

1. Information systems
2. Informatics Principles
3. Information technology

Question 22

Health information management (HIM)

P. 68

Answer 22

Is the practice of acquiring, analyzing, and protecting medical information to provide quality patient care, and until recent years, in a hard copy format.

Question 23

American Health Information Management Association (AHIMA)

P. 68

Answer 23

Is the organization for Health Information Management Association (HIM).

Question 24

The Advantages of Integrated Delivery Networks (IDN):

Answer 24

1. To capture efficiencies in savings from economies of scale by spreading costs over a larger base of operations.
2. To efficiently integrate HIT and health Information exchange into facilities.
3. To better provide continuity of care to patients.
4. To be better positioned for future changes to healthcare reimbursement.
5. To better compete on quality and costs.
6. To provide better care to patients by providing a full range of services on a timely and convenient basis.