Midterm Review Flashcards
Intranet
a private corporate network that uses the same structure as the Internet and the same TCP/IP protocols
Extranet
a corporate intranet connected to other intranets outside the corporation
Biometrics
the science that measures body characteristics; enables security devices to identify a user by these charaacteristics
Encrypton
used to protect information from unauthorized users; involves encoding of messages
Bioinformatics
the application of information technology to biology
Medical informatics
the use of computers and computer technology in HC and its delivery electronically
E-Prescribing
the use of computers and software to enter prescriptions and send them to pharmacies electronically
HIPAA
Health Insurance Portability and Accountability Act of 1996 - Guidelines to protect electronic medical records were developed by the Department of Health and Human Services. By encouraging the use of the electronic medical record and facilitating the sharing of medical records among health care providers, it can a assure continuity of care and thus save lives
ARRA
American Recovery and Reinvestment Act of 2009 - singed into law of Feb 17, 2009, by Obama; includes financial incentives for adopting electronic health records
ONCHIT
Office of the National Coordinator of Health Information technology - in 2004, Bush established ONCHIT. Its mission is to “promote a national health information technology infrastructure and oversee its development.”
Administrative Applications
Use of information technology for tasks such as office management, finance and accounting, and material managment
Telehealth
Includes telemedicine and other health-related activities using telecommunication lines and computers, including education, research, public health, and administration of health services
Telemedicine
the delivery of healthcare over telecommunication lines
E-health Exchange
formerly NHIN, is the infrastructure that allows communication among RHIOs
Mobile Health
real-time teleconferencing using mobile devices and other wireless technology
Electronic Health Record (EHR)
Electronic record of patient health information generated by one or more encounters in any acute care delivery setting
Electronic Medical Record (EMR)
in a computerized office, the info that was gathered and entered onto a patient info form will then be entered into a computer into electronic medical records. This will form the pt’s medical record
All the different practice areas of telehealth
radiology, pathology, dermatology, cardiology, neurology, psychiatry, rehabilitation, wound care, home care, remote monitoring, mobile health
store-and-forward
technique in which data to be sent are digitized, stored, and transmitted over a telecommunication network
Videoconferencing
allows doctors to consult with each other and with patients in real time, at a distance
HITECH phases
- data capture and sharing
- advance clinical procedures
- improved outcomes
HITECH Meaningful Use
Incentivized healthcare organizations to actually utilize the digital health tools which they purchase
ICD 9 purpose
older form 1979
ICD 10 purpose and examples
1990’s, more codes, more detailed and specific, used worldwide, mandatory transition to ICD-10 occurred in 2015
DRG purpose
Diagnosis-related group; related to one primary diagnosis that gives the encounter a relative weight and/or classification. This formula determines reimbursement amounts for that particular encounter. Excess cost is absorbed by hospital. Covers all anticipated changes associated with an inpatient stay from admission to discharge
CPT purpose and examples
codes to represent various tests, lab work, exams, and treatments; complete blood count 85025, MRI brain - 70551
MIPS
Merit Based Incentives Based Program
MIPS overview
provides clinicians the flexibility to choose the activities and measures that are most meaningful to their practice to demonstrate performance
Criteria for Medicare Payment
65+, ESRD, disabled, ALS
Privacy issue related to telehealth
people seeing info that they aren’t supposed to be
Informatics
application of info technology to HC
Medical informatics
“interdisciplinary science of acquisition, maintenance, retrieval, and application of biomedical knowledge & info to improve pt care, medical info, and HS research
ACA
expanded access to HC, some insurance reform and continues to encourage computerization
Bucket Billing
insurance company must be billed and pay prior to pt billing
Charges, payment, and adjustments
all types of transactions to an account
Guarantor
Person responsible for payment
Schedule of benefits
list of all services that carrier (insurance) will cover
Deductible
amount a patient is required to pay before insurances kicks in
Co-payment
part of each charge that pt is responsible for
Medicaid
fed-state funded based on need
Medicare
65+, ESRD
Procedure, orders, specific medical care tasks all have _____ ______
CPT codes
All _________ pertaining to orders have correlating ICD-10 codes that need to be used to give reasons for order
Diagnosis
HIS
Health Information Systems
HIT
Health Information Technology
ONCHIT stands for
Office of the National Coordinator of Health Info Technology
HITECH stands for
Health Information Technology for Economic and Clinical Health
ACA stand for
Affordable Care Act
EMR stand for
electronic medical record
FIS
financial info system
CIS
clinical info system
PIS
pharmacy info system
NIS
nursing info system
LIS
lab info system
RIS
radiology info system
ICD-10
International Classification of Diseases = means you’ve given a diagnosis
CPT stands for
current procedural terminology
EOB
Explanation of benefits
HMO
Health maintenance organization
CMS
Centers for Medicare and Medical Services
CHIP
Children’s Health Insurance program
Tricare
for active duty military members/family members
“Use of _____ and __________ equipment to deliver medical care at a distance.”
computers and telecommunication
Barriers to telehealth
availability, cost, coverage, efficiency, quality, licensures, technology requirements
Advantages to telehealth
specialty care, chronic disease management and compliance, mental health, prison care, home telecare, cost
