Terminology
Data able to be processed by a computer
What is structured data
The steps taken from an initial point of recognizing the need for a desired result, through the steps taken to ensure all components needed for the system to achieve the desired result are addressed
What is the systems development life cycle (SDLC)
As part of an enterprise architecture, what supporting infrastructure is used to ensure there is a logical structure for managing all of the healthcare entity’s data
What is Data governance framework
HIE is most often managed by an organization referred to as a
What is a health information organization (HIO)
Capture and supply the EHR and other broad health information systems with data. May include administrative and financial applications, ancillary/ clinical departmental applications, specialty clinical systems, and “smart” peripherals.
What are source systems
The ability to share health information with other health information systems
What is interoperability
This part of the SDLC is to ensure all technology is available to support an information system
the cycle aspect of the systems development life cycle
The process in which individual data elements are represented in the computer by special code to be used in the comparisons, trending results, and supplying clinical reminders and alerts.
What is Clinical decision support? Sometimes may contribute to unintended consequences for a patient
Identify some of these several key services that an HIO provides
What are
Directory- patient information
Directory- record locator service (RLS)
Identitiy management (IdM)
Consent management
Identify the application system based on these examples:
What are administrative and financial applications
Narrative information not able to be uniquely processed by a computer
What is unstructured data
A fundamental change in how medicine is practiced using health information systems
What is a clinical transformation
EHRs support evidence-based medicine, which refers to
In order for any system that makes recommendations (whether for CDS, documentation improvement, or quality improvement) to be trusted, it is necessary for the system to be evidence-based.
A group of federal agencies and non federal organizations that come together under a common mission and purpose to improve patient care, streamline disability benefit claims, and improve public health reporting through secure, trusted, and interoperable health information exchange.
What is the eHealth Exchange
Serve primarily to manage the department in which they exist, while at the same time providing key clinical data for the EHR.
Online transaction processing is conducted in ...?
A clinical data repository is a database structure that supports a vast number of data entries and retrievals (such as transactions on data) as distinguished from a clinical data warehouse that performs analytics on data in its database.
In conducting an EHR vendor selection project, the first step should be to _____.
Identifying needs, which is the first step in the systems development life cycle, ensures that goals for the EHR are fully articulated in order to specify requirements and seek vendors.
The role of a scribe with respect to EHR documentation is to
Document structured data into the EHR at the point-of-care
What are the two ways to connect using the eHealth exchange
What are
1. Direct Project - direct exchange for pushing health information
2. CONNECT - open source software that implements health exchange specifications
A continuous feed of data such as a fetal monitoring strip or blood sugar level.
What are "smart" peripherals, AKA automated medical devices
A term that refers to a statistical process of data to reveal new information is
Analytics is a process that takes a lot of data (“big data”) and processes it in a way that produces information not otherwise able to be known. A data model may support the ability to collect the data consistently and improve the quality of the resultant information. Analytics is compared to research, that is a more formal process of sampling and controlling for outliers, which are permitted and built into the analytics functionality.
At what stage are most hospital EHR systems today?
As the meaningful use (MU) incentive program for using EHR is phased out, what is taking its place?
Promoting Interoperability is part of CMS’ Quality Payment Program, in which providers must use an EHR for quality measure reporting.
When is two-factor authentication required by law?
While two-factor authentication is always a good practice, and some healthcare organizations and health information exchange organizations require its use by policy, it is only required by law for e-prescribing narcotics.
When a healthcare entity acquires an information system and manages it locally, the system is referred to as a(n) _____.
Client/server system- an application service provider or software as a service is a vendor-supported system; in contrast to a client/server system where the user takes full responsibility for its management.