CHIMA Flashcards
a brief summary of the major aims, hypotheses, results and methodology of a research paper; specific demographic, administrative and clinical data that are extracted from a source document, coded and submitted to health databases for use in planning, management, funding or research
Abstract
the process by which data that has been extracted from documentation is prepared and submitted for use
Abstracting
a voluntary process of institutional or organizational review in which an accrediting body evaluates the quality of the performance against pre-established criteria; a determination by an accrediting body that an organization complies with applicable standards
Accreditation
the degree to which a measurement or value represents the true value of the attribute being measured
Accuracy
care of limited duration that is provided in an inpatient hospital setting to diagnose and/or treat an injury or short-term illness; includes rehabilitative care provided to persons who are in the immediate recovery phase following an illness or accident
Acute care
service-specific data that are used to document a person’s encounter with the health care system; may also contain limited clinical information, such as codes for diagnoses and interventions
Administrative data
a system that documents demographic information obtained when a person registers for service at a health care institution or facility. Information in the ADT system may include name, sex, date of birth, next of kin, health insurance details, and dates of admission and discharge from the facility
Admission, discharge, and transfer information systems (ADT)
individual episodes or incidents of harm or potential harm to patients, t public or staff. An individual episode of harm may result from a breach of duty by staff, from faulty equipment or from poorly written policies
Adverse patient occurrence/incidents
an example of a quality improvement (QI) tool that organizes and sorts information into related groups, condensing large amounts of information into smaller more manageable groups
Affinity diagram
data that have been collected or combined from many different sources or records to form anonymized or de-identified information about groups of patients; data can be compiled into meaningful categories to facilitate comparison and analysis
Aggregate data
provides an alternate approach to funding physician services other than fee-for-service. The scope of services, deliverables, decision making, reporting requirements and accountability structure are defined in an AFP agreement between government (ministry of health), health facility or academic health research centre, medical association, or other partners within available funding
Alternative funding plans (AFP)
health treatment provided during an episode of care that does not require an overnight stay in a medical facility
Ambulatory care
a character encoding based on the English alphabet that represents text in computers, communications equipment, and other devices that work with text; provides definitions for 128 characters, including the 26 letters of the alphabet, 10 numbers (0-9) and additional graphics and control characters
American Standard Code for Information Interchange (ASCII)
support data analysis and decision making; example is a data warehouse
Analysis-oriented database systems
a severity of disease scoring system for seriously ill or injured patients, used to predict mortality, monitor outcomes, and facilitate decisions regarding treatment options
APACHE (Acute Physiology, Age, Chronic Health Evaluation)
a criteria-based review tool that assesses the appropriateness of hospitalization upon the patient’s admission to hospital
Appropriateness evaluation protocol (AEP)
the study and design of intelligent agents or technology that can be programmed to assume some capabilities normally thought to be like human intelligence (i.e. reasoning, knowledge, planning, learning, communication, perception, ability to move and manipulate objects)
Artificial intelligence (AI)
a qualitative characteristic of an individual or item (i.e age, sex, genetic, biochemical or physiological characteristics, economic status, occupation, residence) in a health study; of data in a file, a column of a table in a relational database
Attribute
documentary evidence of monitoring each activity of individuals on an information network, used to track unauthorized access by authorized users, to determine if a security breach occurred and what, if anything, was lost during the breach; a review process conducted by health care facilities to identify variations from established guidelines
Audit
to attest that something, such as a medical record, is genuine; confirm by signing
Authenticate
showing authorship and assigning responsibility for an act, event, condition, opinion, or diagnosis; might involve confirming the identity of a person or the origins of an artifact, or ensuring that a computer program is a trusted one
Authentication
the granting of permission to disclose confidential information; in computer security, allowing access to resources only to those permitted to use them
Authorization
one of the dimensions of a graph (i.e. the horizontal or x axis, the vertical or y axis); in a classification system, the conceptual framework of a classification system into which items are divided (i.e. topography, etiology, morphology, anatomic site)
Axis
a strategic planning and management tool that aligns activities related to the vision and strategy of the organization; that improves internal and external communications; that monitors organization performance against strategic goals
Balanced scorecard (BSC)