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HSC 360 - Tech in HC > Final Review > Flashcards

Final Review Flashcards

1
Q

High speed broadband

A

high-speed internet access that is always on and faster than the traditional dial-up access

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2
Q

Intranet

A

a private network that uses internet software and TCP/IP protocols

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3
Q

Extranet

A

a corporate intranet connected to other intranets outside the corportation

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4
Q

Biometrics

A

the science that measures body characteristics; enables security devices to identify a user by these characteristics

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5
Q

Encryption

A

used to protect information from unauthorized users; involves encoding of messages

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6
Q

Bioinformatics

A

the application of information technology to biology

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7
Q

Medical informatics

A

the use of computers and computer technology in health care and its delivery

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8
Q

e-prescribing

A

the use of computers and software to enter prescriptions and send them to pharmacies electronically

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9
Q

HIPPA

A

-Health Insurance Portability and Accountability Act of 1996
-Guidelines to protect electronic medical records were developed by the Department of Health and Human Services by encouraging the use electronic record and facilitating the sharing of medical records among health care providers

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10
Q

HIPPA and Telemedicine

A

Email encrypted, facial recognition systems should allow the doctor to identify the patient on the network, digital identification cards should be used, and the computers and networks should be protected

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11
Q

AARA

A

American Recovery and Reinvestment Act 2009 by Obama. Includes financial incentives for adopting electronic health records

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12
Q

ONCHIT - Office of the National Coordinator for Health Information Technology

A

-2004 by Bush
-Mission is to “promote a national health Information and Technology infrastructure and oversee its development”

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13
Q

Administrative Applications

A

Office management, scheduling, and account tasks

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14
Q

Health informatics

A

Administrative applications, clinical applications, and special purpose application

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15
Q

Clinical applications

A

diagnosing and treating

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16
Q

Special purpose applications

A

research education pharmacy

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17
Q

telehealth

A

includes telemedicine and other health-related activities using telecommunications lines and computers, including education, research, public health, and administration of health services

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18
Q

Telemedicine

A

the delivery of healthcare over telecommunication lines

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19
Q

eHealth

A

the use of electronic means to transfer health information and resources

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20
Q

eHealth Exchange

A

is the infrastructure that allows communication among RHIOs

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21
Q

Electronic Health Records (EHRs)

A

Electronic record of patient information generated by one or more encounters in any care delivery setting

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22
Q

Electronic Medical Records (EMRs)

A

in a computerized office, the information that was gathered and entered onto a patient information form will then be entered into a computer into electronic records. This will form a patient’s medical record

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23
Q

Store-and-forward

A

technique in which the data to be sent are digitized, stored, and transmitted over a telecommunication network

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24
Q

Vidoeconfrencing

A

technologies for the reception and transmission of audio-video signals by users at different locations, for communication between people in real-time

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25
Q

HITECH Act

A

Health Information Technology for Economic and Clinical Health Act: part of the AARA, funds ONCHIT, and is designed to provide necessary assistance & technical support to providers, enable coordination & alignment within & among states, establish connectivity to the PH community in case of emergencies, & assures the workforce is properly trained and equipped to be meaningful users of EHRs

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26
Q

The _____ was signed into law on Feb 17, 2009, by Obama; it included billions of dollars for the expansion of health information technology. Through Medicare and Medicaid, monetary incentives would be offered to doctors and hospitals to adopt EHRs

A

American Recovery and Reinvestment Act (ARRA)

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27
Q

Which of the following are obstacles in the way of adopting electronic records?

A

cost

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28
Q

____ is the use of computers and software to enter prescriptions and send them to pharmacies electronically.

A

e-prescribing

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29
Q

Medical offices must use _____ billing to accommodate two or three insurers, who much be billed in a timely fashion before the patient is billed

A

bucket

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30
Q

_____ refers to the connection of people and diverse computer system

A

interoperability

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31
Q

___ use computers to solve biological problems.

A

bioinformatics

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32
Q

Administrative applications of computers include ____.

A

scheduling, coding, accounting

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33
Q

____ has the task of overseeing the adoption and meaningful use of EHRs, setting standards, and judging the impact.

A

ONCHIT

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34
Q

_____ refers to the use of computers to organize information in healthcare

A

medical informatics

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35
Q

what is the oldest form of telemedicine using computers and telecommunication equipment?

A

teleradiology

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36
Q

ICD-9

A

Abbreviation for international classification of disease, 9th revision, clinical modification. A reference in for reporting diagnoses code. No longer use - 14,025 diagnosis codes

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37
Q

ICD 10

A

Currently used system to classify and code diagnoses, symptoms, and procedures. It is more consistent with the rest of the world while providing more specific information per code

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38
Q

examples of ICD 10

A

-L89.624 - pressure ulcer left heel stage 4
-S88.119AA - partial traumatic amputation at level between knee and ankle, left lower leg initial encounter

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39
Q

CPT purpose

A

Describes medical service/tests/procedures completed. The data is collected and used on the EHR and data collected on public health issues

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40
Q

examples of CPT

A

-97001 - physical therapy evaluation
-97035 - ultrasounds

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41
Q

DRG (diagnosis related groups) purpose

A

hospital codes for payment

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42
Q

DRG examples

A

Heart Failure DRG 127

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43
Q

The ____ is a code used by private and government insurers to determine insurance reimbursement

A

DRG

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44
Q

______ informatics focuses on the use of technology to organize information in health care in order to improve health

A

clinical or medical

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45
Q

_____ informatics uses computer technology to support public health practice, research, and learning

A

public health

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46
Q

One important factor of clinical or medical informatics is the ____ of HIS, so that the results of one system are immediately available to the other.

A

integration

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47
Q

_____ has the tasks of overseeing the adoption and meaningful use of EHR, setting standards, and judging the impact

A

ONCHIT

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48
Q

The _____ is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting

A

EHR

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49
Q

The ____ belongs to one health care institution - a doctor’s office or hospital

A

EMR

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50
Q

ONCHIT was funded by the HITECH, part of the _____, signed into law in Feb 2009 by Obama

A

ARRA

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51
Q

Managed care plans and _____ may require that the provider get authorization before a procedure is performed

A

preferred provider organization (PPOs)

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52
Q

Regional cooperation was being fostered through the establishment of ____ in the US

A

Regional Health Information Organizations (RHIOs)

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53
Q

A _____ information system is concerned with the financial details of running a hospital

A

financial

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54
Q

_____ information systems are supposed to improve nursing by using computers to manage charting, staff scheduling, and the integration of clinical information

A

nursing

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55
Q

____ will permit the exchange of all medical information in the US?

A

eHealth exchange

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56
Q

____ information system manage patients in the radiology department, including scheduling appt, tracking film, and reporting results

A

radiology

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57
Q

PACS is a system associated with ____ information systems

A

radiology

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58
Q

____ application include the use of computer in office management accounting, scheduling, and planning

A

administrative

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59
Q

Medicare serves

A

people over the age of 65 and people with chronic renal disorders

60
Q

Practices that submit electronic claims use a/an _____ a business that collects insurance claims from providers and send them to the correct insurance provider

A

clearing house

61
Q

The insurance company’s response to paper claim includes an/a ____ which explains why certain services were covered and others were not

A

explanation of benefits (EOB)

62
Q

The insurance company’s response to an electronic claim includes a/an ___ which explains why certain services were covered and others were not.

A

electronic remittance advice (ERA)

63
Q

Telemedicine involves

A

linking of doctors and pts at a distance, transmission or radiologic images via telecommunication lines, and the transmission of pt data in any form

64
Q

One technology used the tele radiology is called

A

store-and-forward

65
Q

Before telemedicine can deliver high-quality medical services at a distance, _____.

A

a reliable broadband telecommunication network has to be in place and state licensing carriers have to be overcome.

66
Q

the transmission of microscopic images over telecommunications lines is called _____

A

telepathy

67
Q

Telemedicine projects in prisons have been found to ______.

A

improve health care, cut costs, and improve security

68
Q

______ allows doctors and pts to consult in real time at a distance

A

interactive videoconferencing

69
Q

Elderly, frail pts and pts in poor health are like than others to suffer from problematic injuries. ______ can increase access to specialists

A

telewound care

70
Q

Telemedicine is used in some way in the treatment of _______

A

skin rashes

71
Q

Remote medical consultations and exams were first tried

A

as soon as the telephone was invented

72
Q

A remote house call by visiting nurse is an example of

A

telenurisng

73
Q

______ technology is used to link electronic devices

A

bluetooth

74
Q

The ____ program at Massachusetts general allows quick diagnosis and can determine if tPA should be used in treatment

A

telestroke

75
Q

One of the most successful telemedicine programs links hospitalized premature infants with their parents at home. It is called ______

A

Baby CareLink

76
Q

Many telemedicine programs have been found to be effective; however, ___ is not.

A

distance monitoring of problem pregnancies

77
Q

In Vermont and Arizona, ____ projects link trauma surgeons’ homes with hospital emergency departments.

A

teletrauma

78
Q

Mobile Health

A

-“use of mobile devices and global networks to deliver health services and info”
-tablets & smartphones using them for professional purposes: write prescriptions, look up info, look at EHR, or share info with pts.

79
Q

Is telehealth over utilized or underutilized?

A

under because of reimbursement issues

80
Q

What are basic telehealth licensure rules for clinicians?

A

Must be licensed in state they practice in and state their pt is in or the compact state agreement

81
Q

How many states are in the medical licensure compact?

A

17 as of 2016

82
Q

Examples of telehealth

A

telewound, telenursing, telepathology

83
Q

What is the impact on the clinician is they do not adopt EHRs within timeframe?

A

they don’t get incentive money, Medicare and medicaid reimbursement deduced

84
Q

CM-1500 Claim Form

A

Sec 1- carrier block, section contains the address of the insurance carrier & is located at the top of the form
Sec 2- Pt/insurance section contains info about the pt & the insured
Sec 3- Physician Supplier section

85
Q

Restrictions of Medicare’s coverage of telehealth for beneficiaries

A

restricted by provider type and by location of pt also restricted to live

86
Q

is telehealth right for everyone?

A

depends on many factors like older so it can’t run equipment, privacy issues, insurance coverage, cost of equipment

87
Q

What is the widely-used telehealth and most reimbursable?

A

Teleradiology

88
Q

What larger act is HITECH apart of?

A

AARA

89
Q

What is the purpose of HITECH

A

increase EHRS

90
Q

key elements of the HITECH act

A

money for EHRs, meaningful use, privacy regulation

91
Q

What is meaningful use?

A

providers need to show they’re using certified EHR technology in ways that can be measured significantly in quality and in quantity

92
Q

The purpose of meaningful use

A

The use of a certified EHR is a meaningful manner. The use of certified EHR technology for electronic exchange of health info to improve quality of HC. The use of certified EHR technology to submit clinical quality and other measures

93
Q

How many phases in meaningful use?

A

3

94
Q

Describe the licensure issues in telehealth

A

Clinician must know the laws/standards of practice in distant states and challenging when practicing in many states because states vary in rules

95
Q

Privacy issues and strategies to protect pt privacy in telemedicine

A

HIPPA: encryption, recognition system more than one identifier, card

96
Q

MIPS

A

Merit-based Incentive Payment Systems

97
Q

What is MIPS

A

It’s a system for value-based reimbursement the Quality Payment Program (QPP) with the goal of promoting the ongoing improvement and innovation to clinical activities

98
Q

Phases of meaningful use

A
  1. promotes basic EHR adoption and data gathering
  2. emphasizes care coordination and exchange of pt info
  3. improves HC outcomes
99
Q

MIDAS stands for

A

medical identity protection software

100
Q

What is MIDAS

A

Its the first and only solution to HC fraud that empowers you, the member, to monitor your Hc transactions and defend your medical identity

101
Q

Pandemic

A

Disease that occurs over a wide geographic area and affects a very high proportion of the population

102
Q

MRI (magnetic resonance imaging)

A

is the medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body. MRI scanners use strong magnetic fields, magnetic filed gradients, and radio waves to generate images of the organs in the body

103
Q

fMRI (functional MRI)

A

A technique for revealing blood flow and, therefore, brain activity by comparing successive MRI scan. fMRI scans show brain function

104
Q

PET scan (positron emission tomography)

A

A visual display of brain activity that detects where a radioactive form of glucose goes while the brain performs a given taask

105
Q

Human Genome Project

A

An international collaborative effort to map and sequence the DNA of the entire human genome.

106
Q

NMES (Neuromuscular electrical stimulation)

A

is a treatment for dysphagia - swallowing disorders. Uses a low-level electric current to activate muscles used for feeding and swallowing

107
Q

TNES (transcutaneous electrical nerve stimulation)

A

is a back pain treatment that uses low voltage electric current to relieve pain. Typically done with a TENS unit, a small battery-operated device

108
Q

Fludiotherapy

A

is a dry thermal physical agent that transfers its energy to soft tissues by forced convection. It is defined as: “A modality of dry heat that uses a suspended air stream with the properties of a liquid.”

109
Q

Endodontics definition

A

is a dental specialty concerned with the study and treatment of the dental pulp

110
Q

Periodontics

A

is the specialty of dentistry that studies supporting structure of teeth, as well as disease and conditions that affect them.

111
Q

ADA (Americans with Disabilities Act)

A

The Americans with Disabilities Act of 1990 or ADA is a civil rights law that prohibits discrimination based on disability

112
Q

Iontophoresis

A

is a process of transdermal drug delivery use of a voltage gradient on the skin. Molecules are transported across the stratum corneum by electrophoresis and electroosmosis and the electric filed can also increase the permeability of the skin.

113
Q

Ultrasound

A

sound or other vibrations having an ultrasonic frequency, particularly as used in medical imaging.

114
Q

Examples of endodontics

A

root canals

115
Q

Gum disease is linked to

A

heart disease, stroke, cancers, premature delivery

116
Q

Why is the dental field growing?

A

-dental health has improved over the last century. Many children don’t have many cavities
-each generation is more likely to keep their teeth so there is more of a need for dental care providers

117
Q

Antibiotics resistance

A

the condition where certain bacteria no longer respond to antibiotics

118
Q

Disease mapping

A

finding genetic cause of disease

119
Q

Nanotechnology definition

A

science of bioengineering at the molecular level to produce new materials with new properties

120
Q

Nanotechnology examples

A

include titanium dioxide and zinc oxide nanoparticles in sunscreen

121
Q

Robotic surgery

A

Use of small surgical instruments attached to a computer and operated by the surgeon from a console several feet from the operating table

122
Q

Examples of robotic surgery

A

hip replacement, kidney, coronary artery bypass

123
Q

Endoluminal surgery

A

one form of minimally invasive robotic surgery is called endoluminal surgery. It doesn’t require incisions. It is also called natural orifice surgery

124
Q

Stem cells

A

special human cells that have the ability to develop into many different cell types, from muscle cells to brain cells. In some cases, they also have the ability to repair damaged tissues

125
Q

How are stem cells being used

A

Scientists have “grown” heart valves
-and converted adult skin into beating heart cells

126
Q

Computerized Physician Order Entry (CPOE)

A

refers to the process of a medical professional entering and sending medication orders and treatment instructions electronically via a computer application instead of on paper charts

127
Q

Conflict of interests in the FDA

A

-Drug companies pay fees to support the drug review process
-Members of FDA advisory panels have financial ties to big pharma

128
Q

FDA

A

Monitor safety and efficacy of new medications

129
Q

Pksis

A

products allowed healthcare personnel to avoid the manual recording of drugs dispensed or used by nurses and pharmacies based in a computerized and interconnected infrastructure, and allowed for the development of decentralized medication storages

130
Q

When did the Human Genome Project begin?

A

1990

131
Q

Purpose of Human Genome Project

A

Treatment can be gene therapy or drug development

132
Q

What are smart cards?

A

A plastic credit card with a memory chip on it. It can open, access and update, all the essentials of a pt’s health records from a cloud-based host

133
Q

Benefits of smart cards

A

-connect to multiple MRH
-can be used as a debit card as well

134
Q

Counterfeit medications

A

it may be contaminated or contain the wrong or no active ingredient. They could have the right active ingredient but at the wrong dose. Counterfeit drugs are illegal and may be harmful to your health.

135
Q

Epidemiology

A

distribution and determinants of health related conditions - control health problems in a population

136
Q

Social inequality

A

distribution of wealth (any kind of social health has social inequity)

137
Q

What-if Scenarios/simulations

A

like weather models for health or illness

138
Q

Syndromic Surveillance

A

Unusual reports or patterns in symptoms prior to diagnosis - outbreak of diarrhea

139
Q

computers can…

A

model and analyze past/current patterns and predict future trends

140
Q

MRI’s can diagnose…

A

brain tumors, MS, detect cancers, orthopedic injuries

141
Q

PET Scans use ______

A

radioisotopes that create images of the body in action

142
Q

WAND

A

microprocessors senses the tissue density to ensure a steady injection of anesthetic

143
Q

Visible Human Project

A

computerized library of human anatomy at the National Library of medicine. Started in 1986 using MRI and CT of cadavers that are available to anyone for use

144
Q

Virtual Human Embryo

A

11 years to complete, 7000 human embryos lost in miscarriages stored by National Museum of Health and Medicine of the Armed Forces Institute of Pathology since 1880s.

145
Q

CINAHL

A

group of four databases for nurses and 17 other allied health fields

146
Q
A

HSC 360 - Tech in HC (5 decks)

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