Health Management Information System Flashcards
An information system specially designed to assist in the management and planning of health programs.
HMIS or Health Management Information System
Clinical studies that assist in the understanding of medical terminology, clinical procedures, and database processes.
HEALTH
Principles enhanced by finance, law, and planning help administer the health care enterprise.
MANAGEMENT
The ability to analyze systems and to design and implement advanced computer applications make the transfer of patient information efficient and effective.
INFORMATION SYSTEM
Should provide information on all key aspects of the health system without duplication.
COMPLETE
If similar information is provided by different sources, their definitions need to be;
CONSISTENT
It should be very _____ what all the elements are actually measuring.
CLEAR
Should not be unnecessarily complicated.
SIMPLE
The actual usage of element should justify the costs of its collection and analysis.
COST EFFECTIVE
Data should be held in a form readily accessible to all legitimate users, and it should be clear who these people are.
ACCESSIBLE
It should ensure that people without legitimate access are effectively denied.
CONFIDENTIAL
Includes data acquisition and data verification.
DATA INPUT
Includes data storage, data classification, data update, and data computation.
DATA MANAGEMENT
Includes data retrieval and data presentation.
DATA OUTPUT
Involves both the generation and the collection of accurate, timely, and relevant data.
DATA ACQUISITION
Involves authentication and validation of gathered data.
DATA VERIFICATION
The preservation and archival of data may be regarded as part of the data storage function. When accumulated data are no longer actively used in the system, a method to archive the data for a certain period is usually advisable and may sometimes be mandatory, as when it is required by legislation.
DATA STORAGE
Also known as data organization. A critical function for increasing the efficiency of the system when the need arises to conduct a data search.
DATA CLASSIFICATION
Involves various forms of data manipulation and data transformation, such as the use of mathematical models.
DATA COMPUTATION
New and changing information.
DATA UPDATE
The process of data transfer and data distribution.
DATA RETRIEVAL
How users interpret the information produced by the system.
DATA PRESENTATION
Client data
CLIENT BILLING DATA, CLIENT CLINICAL DATA, and OTHER CLIENT DATA
Scheduling
LINKING SCHEDULE TO BILLING
Authorization Tracking
AUTHORIZED AND USE OF AUTHORIZED UNITS
Billing
COMPLAINT ELECTRONIC CLAIM
Accounts Receivable (A/R) Management
- TRACKING AGING OF UNPAID SERVICES
- TRACKING REASONS FOR DENIALS
- AGED RECEIVABLE REPORT BY PAYER SOURCE
Reporting
- BASIC REPORTS
- REPORT WRITER
Medical Record
- ASSESSMENT
- TREATMENT PLAN
- PROGRESS/ENCOUNTER NOTES
Compliance
- EXPIRED TREATMENT PLAN
- SERVICE IN TREATMENT PLAN
- PROGRESS NOTE PRESENT
Financial
- GENERAL LEDGER
- PAYROLL
- ACCOUNTS PAYABLE
- FINANCIAL REPORTING
What are the determinants of the HMIS?
BEHAVIORAL, ORGANIZATIONAL, TECHNICAL
Knowledge, skills, attitudes, values, and motivation of the people who collect and use data.
BEHAVIORAL DETERMINANTS
Data collection processes, systems, forms, and methods.
TECHNICAL DETERMINANTS
Information culture, structure, resources, roles, and responsibilities of the health system and key contributors at each level.
ORGANIZATIONAL DETERMINANTS
PRISM stands for?
PERFORMANCE ROUTINE INFORMATION SYSTEM MANAGEMENT
