Chapter 7 & 13 - Administrative Information Systems/Security

Question 1

administrative information system

Answer 1

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

Question 2

decision support system (DSS)

Answer 2

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

Question 3

practice management system

Answer 3

the system that combines a number of applications required to manage a physician practice

Question 4

materials management system

Answer 4

the system that manages the supplies and equipment within the healthcare organization

Question 5

facilities management system

Answer 5

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

Question 6

human resources (HR)

Answer 6

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

Question 7

revenue cycle management

Answer 7

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.

Question 8

revenue cycle

Answer 8

all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue

Question 9

chargemaster

Answer 9

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])

Question 10

cardiopulmonary resuscitation (CPR)

Answer 10

an emergency procedure that consists of the use of chest compressions and artificial ventilation to maintain circulatory flow and oxygenation during cardiac arrest

Question 11

executive information system (EIS)

Answer 11

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.

Question 12

ganglion

Answer 12

(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

Question 13

key performance indicator

Answer 13

a measurable value that demonstrates how effectively a company is achieving key business objectives

Question 14

soundex

Answer 14

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.

Question 15

R-ADT (Registration—Admission, Discharge, Transfer)

Answer 15

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

Question 16

benchmark

Answer 16

(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)

Question 17

Department of Health and Human Services Office of Civil Rights (OCR)

Answer 17

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.

Question 18

three types of hospital audits

Answer 18

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.

Question 19

resolution agreement

Answer 19

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.

Question 20

compliance audit

Answer 20

a review performed to ascertain an enterprise’s adherence to regulatory guidelines

Question 21

computer forensics

Answer 21

(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