Facilities
Documentation
Attributes of Quality
Information Governance
Misc
100

Medical facility that specializes in same-day or outpatient surgical procedures.

Ambulatory Surgery Center


100

The official business record containing patient care information that may be used for evidentiary purposes.

Legal Health Record

100

This attribute states health care should be evidence based.

Effective


100

Defines responsibility/duties of facility governing bodies.

Accountability


100

The common term used to identify the range of healthcare services provided to a patient.

Continuum of Care


200

Medical and/or personal care is provided to the individual in their place of residence.

Home Healthcare


200

Health information technology that has consistent standards that allow for exchange, management and integration of data and information by computer systems that has value and meaning to the human user.

Interoperable


200

This attribute states that patients should not be harmed by care that is intended to help them.

Safety


200

Practices related to data, information, PHI are documented and verifiable.

Transparency


200

The level of care provided by medical specialists working in private offices, specialty group practices, private clinics, community-based clinics, and general and community hospitals?

Secondary


300

Medical and/or personal care is provided to the individual with life expectancies less than 6-months, or who choose palliative care in place of standard medical care.

Hospice


300

The U.S. Organization that coordinates the voluntary standards system for many types of industry.

ANSI


300

This attribute states health care should be based on individual patient needs.

Patient-Centered


300

Authenticity, timeliness, accuracy of health-related data and records.

Integrity


300

The mandatory process whereby state governments grant individual hospitals permission to operate within a specific geopolitical are.

Hospital Licensure


400

Professional nursing care and related medical, therapeutic, psychosocial, and personal services provided in a residential setting to individuals recovering from injury or illness after the acute phase of care.

Skilled Nursing Care


400

The classification system that is the most comprehensive, multilingual clinical healthcare terminology in the world.

SNOMED


400

This attribute state health care should be equal for all people.

Equitable


400

Meeting standards, laws and internal policy and procedure protocols.

Compliance


400

The index often considered the most important resource in a healthcare facility.

Master Patient Index


500

A healthcare facility providing therapy and retraining for the purpose of recuperation and recovery.

Rehabilitation Center


500

Non-profit organization that develops standards for interoperability of health information technology.

HL7


500

This attribute states health care should be delivered with a minimum of waste.

Efficient


500

Proper handling and destruction of health information once it is no longer needed and the law no longer requires retention.

Disposition


500

The health record is considered a ________?

It contains patient-specific data and information about a patient that has been documented by the professionals who provided care or services to that patient.

Primary Data Source