Overview Of Health Informatics

Question 1

The area of IT involving the design, development, creation, use and maintenance of information systems for the healthcare industry.

Answer 1

Health information technology
Rouse 2016
More on tools

Question 2

In the health information technology,
Automated and interoperable healthcare information systems are expected to …

Answer 2

Improve medical care
Improve patients satisfaction
Increase efficiency
Reduce error
Lower costs

Question 3

HIT promises to modernize and streamline healthcare and to connect different users and stakeholders in the e-health market.

Answer 3

Kushniruk and Borycki 2017
More of the purpose/ use of tools

Question 4

What are some systems that are promising and are becoming widely deployed worldwide

Answer 4

Electronic health records
Decision support systems
Personal health records

Question 5

2C’s

Answer 5

To provide quality health care to patient

• collection
• storage
• communication

Question 6

Management of health data and medical records needed to deliver quality healthcare.

Answer 6

American health information management association

Question 7

Briefly explain the course in heath information management

Answer 7

BS in Health Information Management

Graduates are called health information management professionals

Question 8

Examples of HIT & HIM

Answer 8

HIT
claire says don’t have private network
Computers
Security
Data storage
Hardware/ software
Programming
Networking

HIM
claire completely don’t allow personal records
Coding
Compliance
Documentation
Administration
Policy and guidelines
Records

Question 9

It is an intersection between health information technology and health information management

Answer 9

Health informatics

Question 10

Application of technology tools and information systems in a healthcare setting or context

Answer 10

Applied Educational System, Inc. 2012

Question 11

The health data cleaning house which is composed of health care organizations that share data among their health information technology systems.

Answer 11

Health information exchange

Question 12

Briefly explain the different types of healthcare software systems

Answer 12

electronic medical record:
local ad internal system
ex: withing institution

electroic health record:
internal-organizational system
other organizations r involoved
family history included

personal health record:
patient-centered organizational system
record patient whr he/ she can add manually

Question 13

What is healthcare ecosystem

Answer 13

EMR
EHR
PHR

Question 14

Briefly explain the two widely used types of health information technology which manage and store the patient’s medical images

Answer 14

PACS - picture archiving and communication system
no single point access
ex: HEIC - high efficiency image format, need to download other apps to access

VNAs - vendor neutral archives
unified viewing experience
can open file regardless its format and origin

Question 15

What are some examples of patient’s medical images

Answer 15

X-rays
CT scans
Ultrasound images
PET scans
Dental X-rays

Question 16

Briefly explain the HITECH Act of 2009

Answer 16

The health information technology for economic and clinical health act of 2009
Signed into law on feb 17 2009 by president Barack Obama

Question 17

It is created to motivate the implementation of electronic health records and supporting technology u the US

Answer 17

HITECH Act of 2009

Question 18

Goals of the HITECH Act:

Answer 18

Promote and expand the adoption of health information technology

Remove loopholes in the health insurance portability and accountability act of 1966 by thightening up the language

Tougher penalties for HIPPA compliance failures

[in dollars]
*yung maxis for repeated violations

Tier 1 - unknowing
100 - 50 000
max. 25 000

Tier 2 - reasonable
1 000 - 50 000
max. 100 000

Tier 3 - willful neglect but corrected within the required time period
10 000 - 50 000
max. 250 000

Tier 4 -willful neglect and is not corrected within required time period
50 000
max. 1.5 million

Question 19

ARRA

Answer 19

American recovery and reinvestment act

Great Recession in 2007
To implement to save the US
To provide immediate economic relief to those who were impacted

Question 20

It is to promote the use of EHR

Answer 20

HITECH

Question 21

CMS Rule
&
ONC Rule

Answer 21

Centers for Medicare and Medicaid services
- defines meaningful use criteria
- establish:
incentive payment for meeting criteria
penalties for not meeting

ONC Rule
Office of the national coordinator for health IT
- establish certification criteria that EHR tech will need to meet on order to support the meaningful use

Question 22

MACRA

Answer 22

Medicare Access and Children’s Health Insurance Plan (CHIP) Reauthorization Act of 2015

Signed on April 16 2015

Replace the old Medicare payment systems for doctors - Medicare sustainable growth rate formula
Ensure quality care for patient
Reward physicians for providing better care
- MIPS: merit-incentive payment system

• APMs: advanced alternative payment model

Question 23

Defines a health interoperability ecosystem as a composition of individuals, system and processes that want to share, exchange and access all forms of health information including discrete narrative and multimedia

Answer 23

Health information and management system society 2017

Question 24

In the health information ecosystem, who are the potential stakeholders within such an ecosystem

Answer 24

Individuals
Patients
Providers
Hospital health systems
Researcher
Payers
Suppliers
Systems

Each is involved in the creation, exchange and use of health information

Question 25

It was named finalist at the Stockholm Challenge 2006 and one of top there e-government projects in the Philippines by the Asia Pacific Economic Cooperation Digital Opportunity Center.

Answer 25

CHITS - community health information tracking system

Question 26

CHITS is what type of Healthcare software system

Answer 26

An electronic medical record developed through the collaboration of the information and communication technology community and health workers, primarily used for use in Philippine health centers in disadvantaged areas.

Question 27

CHITS is currently utilized in how many gov health facilities

Answer 27

111

Question 28

CHITS is created by the …

Answer 28

University of the Philippines Manila

Question 29

What are the advantages and disadvantages of Health Informatics in the cloud

Answer 29

Advantage:
Integrated and efficient patient care
Better management of data
Error reduction

Disadvantage:
Potential risk to personal information
Cloud set up seems cumbersome
Cost justification

Question 30

It is the central component of health IT infrastructure

Answer 30

Electronic health record

Question 31

MIPS vs APMs

Answer 31

merit-incentive payment system:
per episode viewed assessment
formerly known as the physician quality reporting system
performance based payment
- quality of care
- resource
- meaningful use of electronic health records
- clinical practice

advanced alternative payment model:
coordination of care, lying reimbursement to value
focus on specific disease or populations
one-sided and two-sided risk
providers gives expected cost
less actual cost than expected = bonus
more actual cost than the expected cost = patient will be penalized
has higher risk