Exam 1 Flashcards
How has the overall percentage of Americans with health insurance coverage cahnged since the late 1980’s?
It has decreased
Many Americans cannot find affordable health insurance because of
the cost of medical-surgical and pharmaceuticals
what is acute care?
short-term medical and nursing care provided in an inpatient hospital setting to treat the acute phase of a patients injury or illness
What is acute care provided in all settings, from the least to the most intensive specialized and expensive?
continuum of care
What is the main difference between primary, secondary, and tertiary care?
the degree of specialization
what is the term for health records maintained by patients and/or their families?
personal health records
What are the mostly likely factors delaying the universal implementation of electronic health records (EHRs)?
The lack of shared vision/ An absense of functional standards
Under what circumstances would an outpatient become an inpatient?
the patient was admitted to an acute unit after receiving emergency room services
The concept of the continuum of care was initially developed in response to what trend in the healthcare environment?
the increasing cost of healthcare
_____, health records are the property of the healthcare providers who created them:_____, the personal information contained in each record belongs to the patient
Legally; ethically
Between 2004 and 2005, the percentage of Americans who qualified for employer-based health coverage____ and the number of people covered by government-sponsored health insurance______
Decreased; increased
The current healthcare delivery system in the United States can be characterized by which of the following phrases?
Complex and expensive
How have recent biomedical advances affected healthcare?
Recent advances have revolutionized healthcare services
What level of care is provided by medical specialist wrking in private offices, specialty group practices, private clinics, community-based clinics, and general and community hospitals?
secondary
when did hospitals begin applying computer processing to operations and managment?
in the 1960’s
which of the following was not cited by president Bush as being a challenge to the current healthcare system?
the cost of health insurance, diagnostic test, hospital stays, and prescription drugs continue to increase
What is President Bush’s goal for the U.S healthcare system in 2014?
most Americans will have their complete healthcare information available to them at the time and place of care
According to definition put forth in the AHIMA practice brief titled “The complete medical record in a Hybrid EHR Environment” (2003 what must the functional components of a hybrid health record do?
Include both paper and electronic documents and use both manual and electronic processes
Consumer education about the PHR must include which of the following intems in order for consumers to embrace the PHR?
information about security and confidentiality
Public and private sector stakeholders are focusing efforts on ________________ because there is increasing evidence that health information technology can improve healthcare quality and customer safety by reducing errors and unnecessary expenditures.
Health information exchange (HIE)
Which of the following entities is not included in health information exchange?
Public Schools
The main purpose for forming a RHIO is facilitating information sharing among health care providers using common, federally mandated standards for data content and exchange over existing networkds and the internet
False
Healthcare has ________________ other fields in the application of information technology to operations and communications.
Lagged far behind
What is the term used for the record of care in any health-related setting, used by healthcare professionals while providing patient-care services or for administrative, business, or payment purposes
legal health record
The ultimate goal for managing EHR information is that the information
Is kept in a manner that supports a facilitys business and legal processes / Eliminates the need for maintaining a duplicate paper process
Where do healthcare facilities store confidential clinical documentation
In health records
Each organization must define the parameters of its legal health record, taking into account
Their practice settings / state laws
who owns the health records of patients treated in a healthcare facility?
The facility
_________ is the driving force behind movement toward the universal adoption of EHR systems
The health insurance portability and accountability act (HIPAA)
Copies of personal health records (PHR’s) are considered part of the legal health record when
used by the organization to provide treatment
The purpose and value of documenting in the patients health records is effective communication to other care givers for continuity of customer care
True
___ Health Insurance Portability and Accountability Act (HIPAA)’s Privacy Rule states that ________________________ used for the purposes of treatment, payment, or healthcare operations does not require patient authorization to allow providers access, use, or disclosure. However, only the _______________________ information needed to satisfy the specified purpose can be used or disclosed
Protect health information; minimum necessary
___ The processes retention and destruction of health information are subject to specific regulations in many states as well as guidelines found in Federal regulations and _______________ standards.
accreditation
Regulatory and accreditation requirements for the various health care settings are standardized
False
Which healthcare settings must comply with federal documentation guidlines established by the CMS (2006) for medicare participants?
Almost all settings
Due to widespread use of the intermetto distribute health-related information Americans have become more aware of what
the large quantity of personal information stored in their health records
The primary objectives of _______________________ are to interconnect networks of clinicians, make information portable, and move consumers from one healthcare provider to another.
the National Health Information Network
In 2003 ____________________, a public policy advisory board made up of representatives from numerous healthcare, trade, and professional organizations, recommended that standard-developing organizations be encouraged to adopt standards that promote interoperability of electronic health records and PHRs.
. the National Committee on Vital and Health Statistics
How do healthcare providers use the administrative data they collect?
for regulatory, operational, and financial purposes
is an organization that develops standards related to healthcare delivery
Health Level Seven (HL7)
A _________________________ is a health record that includes all of the health-related information generated for an individual during his or her lifetime
longitudinal health record
