Documentation

Question 1

Types paper based charts

Answer 1

Source oriented
Problem oriented
Integrated

Question 2

CIHI

Answer 2

Canadian institute for health information

Established in 1994

Question 3

What is CIHI

Answer 3

National leader in development of canadas health information system

Question 4

What CIHI provides

Answer 4

Provides quarterly facility specified and comparative provincial level reports to RAI homes via the web.

Question 5

CIHI purpose

Answer 5

Cihi is where LTC homes send the data collected after completing the MDS assessment.

Question 6

CIHI CASE MIX

Answer 6

Health care data set

Question 7

HCRS

Answer 7

Home care reporting system

Question 8

RUG

Answer 8

Resource utilization group

Question 9

RUG

Answer 9

resource utilization group III

With HC ( home care)

Question 10

RAI

RAI-HC

Answer 10

Resident assessment instrument

Resident assessment instrument home care

Question 11

RAI - MDS

Answer 11

MDS is the basis for determining the payment/RUG class, the medical record documentation.

Question 12

RAI- MDS acronym

Answer 12

Resident assessment instrument - minimum data set

Question 13

2 on RAI

Answer 13

Represents version currently used in ONtario

Question 14

Purpose RAI- MDS

Answer 14

Improving care of residents in LTC homes by standardizing the assessment and care planning process.

Question 15

RAI MDS other purpose

Answer 15

Assessment tool can be used to support care planning for residents, especially if done correctly

Question 16

RAI MDS is the only assessment tool needed to assess residents. Have 2 parts

Answer 16

It is a 2 step process

1st part : MDS
2nd part: RAPS

Question 17

RAPS

Answer 17

2nd part of RAI.

Resident assessment protocols.

Cover key problem areas that present often for residents in long term care.

Question 18

Rai mds need to be done

Answer 18

• At admission ( within 14 days of arriving at LTC facility)
• Quarterly - every 3 mos
• When there is significant change in health status
• Yearly

Question 19

CIHI roles

Answer 19

e Canadian Institute for Health Information (CIHI) also plays a
unique and crucial role in the development of this new Canadian health information system. CIHI
has described its’ role as:
1. Setting National standards for financial, statistical, and clinical data
2. Setting National standards for health information technology,
3. Collecting, processing, and maintaining health related databases and registries

Question 20

CIHI links federal, provincial, and territorial governments with non-government, health-related
groups.

Answer 20

Rhial LeBlanc, President and Chief Executive Officer of CIHI described the organization as
having one main focus, “The work of health care facilities and professionals is what CIHI supports,
and truly improving that service is our constant objective,”

Question 21

CIHI main focus

Answer 21

“The work of health care facilities and professionals is what CIHI supports,
and truly improving that service is our constant objective,”

Question 22

Canadian Organization for

the Advancement of Computers in Health or COACH,

Answer 22

founded in 1975, has actively initiated professional protocols for using computer systems in Canadian health care. One important

Question 23

COACH document

Answer 23

Guidelines to Promote Confidentiality and Security of Automated Health-related
Information (1979),

Question 24

COACH, as Canada’s Health Informatics Association,

launched the Patron Program.

Answer 24

As an individual member based
organization, COACH promotes understanding and effective
utilization of information and information technologies within the
Canadian Healthcare industry through education, information,
networking and communication.

Question 25

COACH’s vision

Answer 25

is to be THE catalyst in advancing the practice of health information management in Canada.

Question 26

CNIA

Answer 26

Canadian Nursing Informatics

Association

Question 27

Mission of CNIA

Answer 27

to be the voice for Nursing Informatics in Canada