Lesson 6 - 7 Flashcards
Standardized _____________ enable data collection at the point of care, and retrieval of data, information, and knowledge in support of clinical practice.
terminologies
> (SNOMED) comprehensive multiracial nomenclature and classification system for indexing human and veterinary medical vocabulary, including signs and symptoms, diagnoses and procedures.
Systematized Nomenclature of Human Veterinary Medicine International, Clinical terms
consist of metathesaurus of terms and concepts from dozen of vocabularies: a semantic network of relationships among the concepts recognize in the metathesaurus: and an information sources map of the various biomedical database referenced.
Unified Medical Language System
________________________ is a core data set of the most relevant and timely facts about a patient’s healthcare.
Continuity of care record
Is an organization that develops and publishes standard internationally.
International Organization of standardization
this standard includes the development of reference terminology models for nursing diagnosis and nursing actions and relevant terminology and definitions for its implementatio
Integration of reference Terminology Model for Nursing
this serves as the coordinator for voluntary standards activity in the U.S also the U.S representative to ISO and is responsible for bringing forward U.S standards to that organization.
American National Standard Institute
> (OMG) is representative of different approach to standard development.
is an international consortium of over 800 organizations, primarily for profit vendors of information system technology, who are interested in the development of standard based on object oriented technologies
Object Management Group
- the set of components that form the mechanism by which patient records are created, used, stored, and retrieved. It
includes people, data, rules and procedures, processing and storage devices.
Electronic Health Record Systems
- Within the federal government, different departments exert different influences toward common goal of and EHR for most Americans. Agencies providing direct healthcare offer evidence that the use of EHRs across a multi-facility enterprise is a realistic goal with measurable, repeatable positive outcomes.
Federal Initiatives
The Veterans Health Information Systems and Technology Architecture support day to day clinical and This new interface named the Computerized Patient Record System provided a single place for healthcare providers to review and update a patient’s health record and order medications, special procedures, x-rays, nursing orders, diets, and laboratory tests.
Department of Veterans Affairs
The IHS has long been a pioneer in using computer technology to capture clinical and public health data. Its Resource and Patient Management Systems was developed in the 1970s, and many facilities have access to decades of personal health information and epidemiologic data on local populations.
Indian Health Service
Technology The executive order of April 2004, mentioned earlier, created the ONCHIT to coordinate HIT efforts in the federal sector and to collaborate with the private sector in driving HIT adoption across the healthcare system.
Office of the National Coordinator for Health Information
Held a series of national hearings to develop a consensus vision of National Health Information Infrastructure (NHII)
The National Committee on Vital and Health Statistics
Unveiled a major HIT portfolio, with grants, contracts, and other activities to demonstrate the role of HIT in improving
patient safety and the quality of care.
Agency for Healthcare Research and Quality
CMS has initiated several pilot projects to promote health IT.
Centers for Medicare and Medicaid Services
Focused on the use of EHR-Ss and HIT to improve care. Among these private sector organizations are those formed specifically to address issues of connectivity, HIT, and standards development.
Public-Private Partnership
