health info technology Flashcards
Health informatics
A branch of health information management that uses computer systems to gather, organize, maintain and store patient healthcare data.
Alphabetical filing system
A method of organizing health records according to a patient’s surname
Numeric filing system
A method of organizing health records according to a unique patient identification number
Alphanumeric filing system
A method of organizing health records by combining the first 2 letters of the patient’s surname with a numerical identifier.
Out guide
A card placed in a collection of paper files to indicate that a file has been removed
Requisition
A written request for a health record
Quality management
The process of planning, controlling and improving the quality of a product or system
Deficiency slip
A report generated to notify staff that a medical record is missing required information
Index
A database that contains patient healthcare information that can be used for research, healthcare quality control or statistical purposes
Master patient index
The primary index used for HIM record keeping, which includes a unique record for each patient I within a healthcare organization
Physician index
A database that records the physician associated with each patient, diagnosis made and procedure performed at a healthcare organization
Registry
A database of information concerning births, deaths, admissions and discharges
Centers for Disease Control and Prevention (CDC)
A US government organization that seeks to promote healthy behaviors and the prevention of disease, injury and disability
World Health Organization (WHO)
A global organization, created by the UN, that provides global leadership on health, health research and health policy
Cancer and trauma registries
Compilations of healthcare data on different types of cancer and traumatic events
Centers for Medicare and Medicaid Services (CMS)
A US government organization that administers the Medicare and Medicaid health insurance programs
Birth certificate completion
The process of fully completing an infant’s birth certificate
Statistical and research services
Data analysis services provided for health information professionals who are conducting medical studies or tracking diseases
Health data security
The process of ensuring that medical records are unaltered, readily accessible and used legitimately
Patient confidentiality
The right to expect that healthcare information will not be disclosed without a patient’s authorization
Breach of confidentiality
Disclosure of patient information without prior written consent
Compliance
The process of adhering to state and federal laws
Department of Health and Human Services (DHH)
A US government organization that establishes guidelines for health information management compliance
Office of the Inspector General (OIG)
Investigates abuse, fraud, waste and mismanagement within a government organization
