Electronic Health Record System

Question 0

Interoperability

Answer 0

The capability of two or more computer systems to share data and resources, even though they are made by different manufactures

Question 1

IOM

Answer 1

Institute of Medicine

Question 2

Technical Safegauards

Answer 2

Automated processes used to protect data and control access to data

Question 3

SOAP

Answer 3

Subject, objective, assessment, plan

Question 4

Qui Tam Staute

Answer 4

An individual with evidence of fraud against the government may file a claim, w/o retaliation, and receive a portion of the award

Question 5

Privacy

Answer 5

The right of an individual to keep biographical data, personal ideas, and feelings secret

Question 6

Need-To-Know-Principle

Answer 6

The release-of-information principle based on the minimum necessary standard that means that only the information needed by a specific individual to perform a specific task should be released

Question 7

Accessibility

Answer 7

Multiple users can view the same information at the same time

Question 8

Personal Data Assistant

Answer 8

Computer devices commonly used by the healthcare profession (PDA); used by physicians to allow clinician to enter or input data at the point of care. Ie: Enter in blood pressure

Question 9

Physical Safegauards

Answer 9

Mechanisms required to protect electronic systems, equipment, and data from threats environment hazards, and unauthorized intrusion

Question 10

Cyber Space Insurance

Answer 10

Term is used to describe the liability exposure encountered when communicating or conducting buisness online

Question 11

PHI - Protect Health Information

Answer 11

Any info about health statue, provision of healthcare or payment for healthcare that can be linked to an individual

Question 12

Administrative data

Answer 12

Medical record number, physician’s name and address. Info such the patient demographic is collected by the office and entered into the registration system. Insurance info is routinely collected too!

Question 13

Anti-– Kickbacks Staute

Answer 13

Prohibits the offer, payment, receipt or solicitation of compensation for referring Medicaid/Medicare patients; Referred to the Shark Statutes

Question 14

American health information management association

Answer 14

“The professional membership organization for managers of health records services and healthcare information system as well as coding services; provides accreditation, advocacy, certification, and educational services”, AHIMA

Question 15

American medical information association

Answer 15

AHIMA - supporting transition to electronic health records system

Question 16

Authentication

Answer 16

Verifying that a user credentials are genuine wine and not fabricated

Question 17

Clinical data

Answer 17

Documents the patient’s medical condition, diagnosis, treatment and services provided

Question 18

Clinical decision support system

Answer 18

A special subcategory of clinic information system that is designed to help healthcare providers make knowledge based clinical decisions

Question 19

Hybrid records

Answer 19

A combination of paper and electronic records; a health record that includes both paper and electronic elements

Question 20

Functional model

Answer 20

Serves as a foundation for what shoulder, shall or maybe included in EHRS. It’s a industry standard

Question 21

Fraud

Answer 21

Something intended to deceivemisrepresent, or for the purpose of gaining insurance benefits

Question 22

Encryption

Answer 22

Process of converting readable data into unreadable characters to prevent unauthorized access

Question 23

Electronic health record system

Answer 23

A running collection of health information that provides immediate electronic access by author rise users

Question 24

Zantac

Answer 24

Heartburn

Question 25

Acip Hex

Answer 25

Is used to treat all ulcers of the stomach

Question 26

Metamucil

Answer 26

Laxative

Question 27

Compazine

Answer 27

Severe nausea and vomiting in adults

Question 28

Protoxin

Answer 28

Is used to treat certain stomach and esophagus problems (such as acid reflux)