General Flashcards
What was the primary objective of the original social security act?
Provide retirement income to the elderly
Why was the American medical association established?
To represent the interest of physicians across the country.
Which is NOT an allied health profession?
- dietitian
- physical therapist
- EMT
- Surgeon
Surgeon
Under which president was the legislation on national health insurance passed?
Harry Truman
What provides healthcare benefits to low income persons and their children?
Medicaid
Is Medicaid a federal or state program?
It’s a federal program run by the states
People who receive acute care services in a hospital are considered what?
Inpatients
In almost every hospital, the largest clinical dept in terms of staffing, budget, clinical expertise is what?
Patient care services
What is the goal of managed care?
Manage cost, quality, and access to care
Any surgical procedure that doesn’t require an overnight stay
Ambulatory surgery
Why are home healthcare services the fastest growing sector of Medicare?
Because of increased economic pressure from third party payers.
The VA hospital was originally established for veterans of which war?
WWI
Federal program that finances healthcare services for the elderly
Medicare
What year was the first professional association for health information managers established in?
1928
Who started the hospital standardization program?
What year?
American college of surgeons in 1918
Who started accreditation?
American college of surgeons
Formal process for conferring a health information management credential is called:
Certification
What functions as the legislative body of AHIMA?
House of delegates
Virtual network of AHIMA members
Communities of practice (or Engage)
Arm of AHIMA that promotes education and research
AHIMA foundation
Which organization sponsors the CTR certification?
NCRA
Supports physicians, nurses and physician assistants.
Allied health professionals.
Mandated continued stay reviews for Medicare and Medicaid patients
Utilization review act of 1977
This act denied reimbursement for substandard quality of care
Consolidated omnibus reconciliation act of 1985
Made up of doctors, accredits medical schools and residency programs
American medical association
Who publishes the coding clinic?
American hospital association
Standards setting body, came about in 1952, accredits more than 17,000 healthcare organizations(hospitals. Ambulatory care centers etc.)
The joint commission
What’s the ALOS in an acute care hospital?
30 days or less
Has an organized medical staff, offers around the clock nursing services, provides diagnostic and therapeutic services
Hospital
This type of hospital puts its profits back into the organization
Not for profit
Who has the primary responsibility of setting the direction of the hospital?
Board of directors
Carries out the board of directors orders
CEO
To take part in the Medicare and Medicaid program, a facility has to follow these..
Conditions of practice
The traditional model of the HIM career was ____ based
Department
What evolving role assesses quality in health record banking
Health record reviewer
Consortia programs are designed to be completed in how long?
6 months
The adoption of minimum standards marked the beginning of what modern practice for healthcare organizations?
Accreditation
T or F:
PT assistants develop treatment plans
False
What govt agency supports medical research?
NIH
Why might someone argue for cell-based technology?
Diseases could be diagnosed earlier.
Required PROs to to report actions taken against physicians to state medical boards and licensing agencies
Omnibus budget reconciliation act of 1990
This organization developed the national patient safety guidelines
The joint commission
This organization certifies EHR
Commission on certification of health information technology (CCHIT)
This org shares info on health and medical practices
American medical association AMA
HIM dept is considered to be what type of department?
Clinical support services
T or F:
General hospitals provide short term care to diagnose and/or treat an illness
True
The right care provided at the right time
Quality of healthcare
What’s the purpose of evidence based guidelines
They help improve quality of patient care
Quality has several components:
Appropriateness, technical excellence, acceptability and _______
Accessibility
Staff on nursing units is cross trained…this is called
Patient focused care
This type of program has been in place in hospitals for years and is required by the Medicare and Medicaid programs as well as accreditation standards?
Quality improvement
Restructuring services so that more is done in the nursing unit
Patient focused care
Provides alternatives to inpatient care or serves as a transition from inpatient to outpatient care or discharge
Day treatment program
Health care rendered in a nonacute care facility to pt who require inpatient nursing and related services for more than 30 days
Skilled nursing facility
Designed to meet pt’s daily living, schooling, recreational, socialization, and routine medical care needs
Residential care facility
Has an analysis and leadership role for health promotion and disease prevention
Public health services
Medicare part B is optional
T or F
True
Medicaid is co funded by federal and state govts
T or F
True
Workers compensation plans are operated by state governments, T or F?
True
A group of healthcare organizations that collectively provides a full range of coordinated health-related services.
Integrated delivery system
What year was the first formal curriculum established?
1932
What year were the first programs accredited?
1934
What is the current accreditation organization?
CAHIIM
Commission on accreditation of health informatics and information management.
Who develops and administers the registration examination?
CCHIIM
commission on certification of health informatics and information management.
What three reform initiatives grew out of the flexner report?
- applicants to med school had to hold a college degree
- med training founded in the basic sciences
- med students receive hospital based training in addition to classroom work
Creates digital links among various terminologies and classification systems
Terminology modeler
AIDS in EHR system implementation, auditing documentation practices, assisting with revenue cycle management
Physician group consultant
Creates the rules for exchange of health information and ensures that health information remains confidential
Privacy officer
Works with design, development, and implementation of EHR monitoring and reconciling interfaces, run electronic data integrity audits, supervises staff in virtual HIM department
HIM director
The HIM professionals role these days is more ____ focused.
Enterprise
What are the two membership categories of AHIMA?
Active and student
AHIMA is made up of what two components?
Staff and volunteers
This component of AHIMA establishes the mission and goals, develops policy and provides oversight for the operations…
Volunteers
This component of AHIMA carries out the operational tasks and works within the policies established by the other component
Staff
This system of organizations in every state provides members with local access to professional education, networking and representation
Component state associations
AHIMA headquarters are located where?
Chicago
This earned recognition of AHIMA members requires active or senior membership, 10 years full time HIM experience, minimum of masters degree, evidence of sustained professional achievement.
AHIMA fellowship program
What law funded grants including the consortia program?
ARRA
What program, funded by the balanced budget act, allowed states to expand existing insurance programs to cover children up to age 19?
SCHIP
Who accredits medical schools and residency programs?
American medical association
This org developed the national patient safety guidelines
Joint commission
This org mission is to certify EHR
CCHIT
commission on certification of HIT
Part of this orgs mission is to work for improvement of health standards and availability of health care services
American nurses association
This org shares info on health and medical practice
American medical association
