Data
The nurse documented that the medication was given directly after the time of administration is...
Wht is data currency?
The Joint Commission grants this type of status.
Data becomes __________________ when something is done to that data to make it meaningful.
What is information?
HITECH initiated this process that required certain criteria to be documented.
Event history and audit trails are considered this type of information.
The content of the medical record was complete having all signed documents and orders is...
Piece of legislation written and approved by a state or federal legislature and then signed into law by the state's governor or the president is...
What is a statue?
This is the first process of applying the Learning Health System concept into practice...
What is assemble data?
This software that captures scanned images is...
This is clinical information maintained by the patient or caregiver.
Both the ER doctor and the nurse are able to view the patient record at the same time is...
What is data accessibility?
The Joint Commission can survey facilities for compliance with the Medicare Conditions of Participation for Hospitals instead of the government is called...
What is deemed status?
Overall management of the availability, usability, integrity and security of data employed by the organization is...
What is data governance?
This document must be completed within 30 days of admission.
The spelling of the patient name is...
A rule established by an administrative agency of government is called...
What is a regulation?
This program may lead to complete and accurate documentation for data analysis and interpretation of the medical record documentation.
Hospital outpatient surgery is considered...
This document addresses the disposition of the patient.
The patient's zip code is 64110. Adding the additional four digits is...
Joint Commission survey methodology involves an evaluation that follows the hospital experiences of past or current patients is ...
What is tracer methodology?
This leadership framework helps organizations adapt and thrive in challenging environments.
This document is not needed in all ambulatory care settings where the patient received treatment.
What is a discharge summary?
Factual details aggreated data from a group of health records that provide no means of identifying specific patients is called...