Chapter 7 & 13 - Administrative Information Systems/Security Flashcards
administrative information system
A system that manages the business of healthcare. The data collected in this system are mainly financial or business-oriented in nature, rather than clinical
decision support system (DSS)
a system that gathers data from a variety of sources to assist management and staff in decision-making tasks associated with nonroutine and nonrepetitive problems
practice management system
the system that combines a number of applications required to manage a physician practice
materials management system
the system that manages the supplies and equipment within the healthcare organization
facilities management system
the system that allows physical plant operations to control the automated systems within the healthcare organization for patient safety and comfort—that is, heating and air systems, automated key control, and preventive maintenance tasks such as testing fire extinguishers, elevator inspections, and the care of various equipment used in the healthcare organization
human resources (HR)
the division of a business that is charged with finding, screening, recruiting, and training job applicants, as well as administering employee-benefit programs; they also are responsible for compensation and benefits, recruitment, firing, and keeping up to date with any laws that may affect the company and its employees
revenue cycle management
A very complex process involving several departments and many employees who perform tasks of reviewing services provided for claims submitted as well as reviewing outstanding claims, returned claims, denials, missing accounts, bill holds, and other claims involving the revenue of the healthcare organization. Many health information management (HIM) professionals are involved in working with the revenue cycle in their healthcare organizations and some work for vendors who specialize in the area of revenue cycle management and clean-up as a business.
revenue cycle
all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue
chargemaster
a financial management form or software that contains information about the healthcare organization’s charges for the services it provides to patients (also called a charge description master [CDM])
cardiopulmonary resuscitation (CPR)
an emergency procedure that consists of the use of chest compressions and artificial ventilation to maintain circulatory flow and oxygenation during cardiac arrest
executive information system (EIS)
A type of decision support system that is designed to be used by healthcare administrators. As such, it must be easy to use and have access to a wide range of data. With the EIS, a lot of graphs and charts generally are used as part of the results.
ganglion
(1) a sac-like swelling or cyst formed from the tissue that lines a joint or tendon. The tissue, called synovium, normally functions to produce lubricating fluid for these areas. A ganglion is a cyst formed by the synovium that is filled with a thick jelly-like fluid.
(2) a mass of nerve tissue containing cell bodies of neurons external to the brain or spinal cord
key performance indicator
a measurable value that demonstrates how effectively a company is achieving key business objectives
soundex
a phonetic-based indexing system that is easily incorporated into computer software for searching surnames that sound alike but are spelled differently. The soundex search is useful when there are multiple ways to spell a last name, such as Burger, Burgur, Berger, and Burgher.
R-ADT (Registration—Admission, Discharge, Transfer)
a type of administrative information system that stores demographic information and performs functionality related to registration, admission, discharge, and transfer of patients within the organization
benchmark
(1) something that serves as a standard by which others may be measured or judged
(2) a standardized problem or test that serves as a basis for evaluation or comparison (as of computer system performance)
Department of Health and Human Services Office of Civil Rights (OCR)
a federal organization that enforces federal civil rights laws, conscience and religious freedom laws, the Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security, and Breach Notification Rules, and the Patient Safety Act and Rule, which together protect your fundamental rights of nondiscrimination, conscience, religious freedom, and health information privacy.
three types of hospital audits
There are three types of audits that a CE (covered entity/hospital) may perform: process, product, and system.
The process audit confirms that the CE’s performance of tasks is meeting established standards. For example, are 100% of triggers reviewed (see chapter 12).
The product audit is evaluating a product or services to ensure that it meets expected requirements. For example, confirming that the network firewall is working to block spam, malware, and more.
The system audit reviews activities to ensure that the system used is appropriate and effective. For example, investigating the training program will determine how effective it is, if the required documentation is present and so forth.
resolution agreement
an agreement between the Department of Health and Human Services Office of Civil Rights (OCR) and either a CE (covered entity/hospital) or business associate (BA). The resolution agreement describes the failure of the CE to meet the HIPAA requirements, any civil monetary penalties, a corrective action plan, and more. The corrective action plan (CAP) portion outlines the CE or BA’s responsibilities over a designated period. During the CAP period, the CE or BA would have to periodically report to the OCR their progress towards compliance.
compliance audit
a review performed to ascertain an enterprise’s adherence to regulatory guidelines
computer forensics
(also known as computer forensic science)
a branch of digital forensic science pertaining to evidence found in computers and digital storage media. The goal of computer forensics is to examine digital media in a forensically sound manner with the aim of identifying, preserving, recovering, analyzing and presenting facts and opinions about the digital information
