Lesson 2 - Healthcare Delivery Systems Flashcards
Roles of Healthcare Professionals
CEO
Chief Executive Officer
CFO
Chief Financial Officer
COO
Chief Operations Officer
CIO
Chief Information Officer
CNO
Chief Nursing Officer
Licensed Practical Nurses
Provide routine care to patients under the supervision of a registered nurse (RN) or a physician.
Registered Nurses
Can administer medications, perform numerous procedures, and can provide patient care through patient assessment, performing nursing interventions, and recording nursing notes about patient progress.
Nurse Practitioners
Works in collaboration with a primary care physician. Do NOT need to work under the supervision of a physician. Can provide higher levels of care than a RN. Can diagnose and write prescriptions like a doctor. Cannot work in an independent office.
CRNA (Certified Registered Nurse Anesthetics)
Administer anesthesiology during surgery under the supervision of an anesthesiologist.
Nurse Midwives
Help pregnant women give birth and with postpartum care.
Physician Assistants
Works under the supervision of physicians to ease the physician’s workload. Can conduct physical exams, diagnose and treat illnesses, order and interpret tests, assist in surgery, and write prescriptions. They can only see a patient while the physician is in the facility.
Surgeon Assistants
Works under the supervision of physicians to assist in surgery. Work mainly in surgery centers or hospitals.
APRN (Advanced Practice Nurses)
Received certification above a RN. Examples of this position include, Acute Care Nurse Practitioner, Adult Nurse Practitioner, and Family Nurse Practitioner.
R (Registered)
Complied with standards of the registering organization.
C (Certified)
Completed the required criteria by a certifying body.
F (Fellow)
Demonstrated a significantly long-term contribution to their discipline or scope of practice. Designation is granted in a professional organization like an award.
L (License)
Is complied to state regulations.
Physical Therapists
Help patients regain strength, range of motion, and function of daily activities.
Occupational Therapists
Work with patients to improve their physical abilities with the goal of reducing the disability and increasing independent living.
Respiratory Therapists
Asses and treat patients with breathing disorders, those who have had a stroke, those with heart failure, asthma and emphysema, and others who have difficulty breathing.
Clinical Laboratory Technicians
Perform tests to analyze blood, urine, and other bodily fluids and tissues. Must work under the direct supervision of a medical doctor specializing in clinical pathology (pathologist). Study human tissues from surgery, autopsies, or studies.
Phlebotomists
Draw blood from patients then sent to the laboratory for testing. Employed by hospitals, laboratories, and blood banks.
Diagnostic Technologist
Operate equipment used to capture diagnostic images for physicians in the diagnosis and treatment of the patient. Radiology technicians, sonographers, and MRI technicians are some examples.
Pharmacists
Formulate and dispense medications as well as to provide consultation to the physician about the nature and use of the drugs they want to prescribe.
Dietitians
Experts in nutrition.
Audiologists
Measure how well patients hear and recommend hearing aids and fit the patients for a hearing aid.
Speech Pathologist
Evaluate speech problems in patients and then treat the problem with specialized therapy.
Social Workers
Assess patients to see the kinds of social assistance they need. Can include job training, child care, drug and alcohol cessation programs, financial assistance, housing or utility assistance, food assistance, parenting training, and individual or family counseling. The goal is to help the patient become more emotionally and financially stable, leading to independent living.
Medical Assistants
Perform both administrative and clinical tasks in physician offices as well as in offices of other health and allied health professionals. Work in the back office assisting the physicians and nurses with clinical care. Must work under the direct supervision of the physician or nurse.
Home Health Aides
Provide assistance to patients in their home by helping with their day-to-day tasks such as getting out of bed and bathing.
HIM
Health Information Management
HIM - Step 1
Forms Control: Design the actual form used to gather important information about the patient, so it can be used effectively.
HIM - Step 2
Notes: Doctors, nurses, and other caregivers make notes in the patient chart. Included here are other doctors’ orders, nurses’ orders, and other documents.
HIM - Step 3
Discharge Chart: When the patient is discharged, the patient’s chart is submitted to and analyzed by HIM department to assure it is complete and accurate and includes all needed info.
HIM - Step 4
Chart Abstraction and Coding: Discharge chart is then abstracted for data entry. This data includes the patient’s condition, illness, treatments, and outcomes. Codes are then assigned to specific elements of the data so that it can be sent to insurance payers and others in a standardized format.
HIM - Step 5
Review: Chart is examined for completeness including a check for missing documents, missing signatures, and other problems. If something is missing, the doctors or departments are contacted to correct the problem.
HIM - Step 6
Filing: When the chart is complete and has been checked, it is filed.
EHR
Electronic Health Record
IOM
Institute of Medicine
Health Information Manager
- Implements HIM systems, policies, and procedures.
- Monitoring HIM systems, policies, and procedures.
- Educating the employees.
- Enforcing the requirements of confidentiality, info security, info storage and retrieval, and record retention.
- Coordinating the preparation for audits by the various accrediting bodies and regulatory agencies.
Registered Health Information Administrator
Managers and directors in the HIM department overseeing the workers in the department who manage the records data.
Registered Health Information Technician
- Entering medical record data into computer systems.
- Validating the accuracy and completeness of the data.
- Coding for billing departments.
- Working with data from the cancer registry.
- Generating reports utilizing the patient data.
Clinical Data Specialist
- Ensuring the accuracy and completeness of the coding.
- Validating the data.
- Creating clinical reports.
- Auditing the codes.
- Reporting to various registries.
- Preparing outcomes management reports.
- Extracting info for research projects.
Clinical Coding Specialist
