45 Questions
True or false: Clinical messaging involves the secure transmission of clinical information among members of a healthcare community, such as within a regional health information organization (RHIO)
True
True or false: Evaluation and Management (E&M) codes must be assigned accurately in order to obtain optimal reimbursement
True
True or false: EHRs are largely focused on care delivery, not data analysis and reporting
True
True or false: Ambulatory EHR implementation is accelerating more than in acute care
True
True or false: Challenges of cost, change, and product maturity remain in EHR adoption
True
Explain the difference between clinical messaging and portals in the context of healthcare information exchange.
Clinical messaging involves the secure transmission of clinical information from one entity to another, while portals provide access to information and/or applications in another system.
What are some common challenges that physician offices face when adopting electronic health records (EHRs)?
Some common challenges include buying hardware before selecting an EHR, purchasing standalone systems that are not standards compliant or certified, starting down the EHR path without engaging all stakeholders, and engaging in self-development or alpha testing.
Why is it important for evaluation and management (E&M) codes to be assigned accurately in healthcare reimbursement?
Accurate assignment of E&M codes is crucial for obtaining optimal reimbursement and ensuring the integrity of professional service documentation and coding.
True or false: Behavioral health EHR functionality includes standardized treatment plans and normative scaling of outcomes
True
True or false: EHR functionality for LTPAC includes electronic health records, ADL documentation, and e-prescribing
True
True or false: Specialty medical societies often develop clinical practice guidelines
True
True or false: Electronic information systems for medical records are the same as EHR
False
True or false: Incentives for EHR adoption are not available for correctional facilities
False
Explain the challenges and benefits of implementing electronic health records (EHR) in long-term post-acute care (LTPAC) facilities.
Challenges of EHR implementation in LTPAC include reduced personal contact, desire for more training, system issues, and a learning curve. Benefits include reduced time spent on data collection, decreased medication costs, improved reporting, and better data for forecasting.
Discuss the functionality and challenges of electronic health records (EHR) in behavioral health settings.
The functionality of EHR in behavioral health includes call processing, referral and waiting list management, patient registration, standardized diagnostic assessments, treatment plans, and more. Challenges include few implementations, low maturity, and benefits expectations focused on financial ROI.
What are the key considerations for achieving coordination of care across different healthcare specialties through electronic health records (EHR)?
Specialists have different needs, but agree that EHRs are not 'IT projects.' Everyone needs to be engaged in planning, training is vital, and users need to be process and content experts. Achieving coordination will depend on specialty 'gaps' being filled.
True or false: Health Record Banking Alliance at www.healthbanking.org identifies interest by several states in using this model for HIE
True
True or false: The most common model of personal health records (PHRs) is one tethered to a provider
True
True or false: The number of persons with paper-based PHRs is much larger than those with e-PHRs
True
True or false: PHRs are meant for patients, even though they may need help in making wise choices
True
True or false: Health 2.0 is a new concept wherein all constituents focus on healthcare value and use competition at the medical condition level over the full cycle of care as the catalyst for improving the safety, efficiency, and quality of healthcare
True
Explain the concept of Health 2.0 and its impact on healthcare value.
Health 2.0 is a concept where all constituents focus on healthcare value, using competition at the medical condition level over the full cycle of care as the catalyst for improving the safety, efficiency, and quality of healthcare.
What are the challenges and benefits of implementing Health Record Banking?
The challenges of implementing Health Record Banking include authentication, minors' access, and responses varying among settings. The benefits include enabling consumers to administer health information, controlling access to information, and serving as a trusted custodian of healthcare information.
Discuss the current status of Personal Health Record (PHR) utilization and the common concerns regarding PHR policies and practices.
The current status of PHR utilization is low but interest is strong. Common concerns regarding PHR policies and practices include accuracy and fraudulent use, reimbursement for review, liability for not reviewing content, health literacy, sharing information, and security.
True or false: Health Information Exchange (HIE) in the U.S. has been solely promoted by the federal government
False
True or false: The national health information infrastructure (NHII) has evolved into the concept of the nationwide health information network (NHIN)
True
True or false: Data stewardship in an HIE structure is the same as record custodian role
False
True or false: The U.S. healthcare system is identified as highly interoperable by the Department of Health and Human Services (HHS).
False
True or false: The U.S. spends less per capita on healthcare compared to Switzerland.
False
True or false: The U.S. infant mortality rate ranks among the top 10 countries worldwide.
False
True or false: HITECH clarifies that HIOs are not considered business associates
False
True or false: NHIN Direct is a closed source software solution
False
True or false: Health Record Banking Alliance identifies interest by several states in using this model for HIE
True
True or false: HIT initiatives are primarily impacted by technical challenges
False
Explain the concept of Health Information Organization (HIO) Agreements and their significance in the context of healthcare information exchange (HIE).
Health Information Organization (HIO) Agreements, such as HIE data sharing agreement and HIO participation agreement, are essential legal frameworks that govern the sharing and participation of entities in HIE. These agreements establish the terms and conditions for data sharing, privacy, security, and other critical aspects, ensuring that HIE operations are conducted in a compliant and coordinated manner.
Discuss the challenges and benefits associated with the implementation of Health Information Exchange (HIE) and its impact on the healthcare industry.
The implementation of HIE presents challenges such as accurately linking patient data, defining value for users, addressing government policy and mandates, privacy and confidentiality issues, technical aspects, systems integration, and legal issues. However, the benefits of HIE include improved quality of care, increased consumer satisfaction, cost savings, healthier populace, improved cash flow for providers, and enhanced coordination of care across different healthcare specialties.
Explain the role and importance of NHIN Core Service and Capabilities in shaping the national health information network and its impact on healthcare delivery.
The NHIN Core Service and Capabilities, including NHIN Planning, Healthcare Information Technology Standards Panel (HITSP), Certification Commission for Health Information Technology (CCHIT), Health Information Security and Privacy Collaboration (HISPC), American Health Information Community (AHIC), NHIN Prototypes, NHIN Trial Implementations, NHIN Exchange, and NHIN Direct, play a crucial role in establishing the technical infrastructure, national standards, governance, and vision for a nationwide health information network. These components contribute to the interoperability, security, and scalability of health information exchange, ultimately shaping the landscape of healthcare delivery and information management.
DICOM is a file format definition for medical images.
True
The openEHR foundation is a for-profit organization.
False
SNOMED CT contains more than 500,000 concepts.
False
IHE initially focused on radiology before moving on to other specialties.
True
CDISC was founded by the pharmaceutical industry to develop standards for clinical trials data exchange.
True
Explain the main goals and functions of the Digital Imaging and Communications in Medicine (DICOM) standard in the healthcare industry.
DICOM enables storing, printing, handling, and transmitting medical images, and it facilitates integrating medical images from multiple manufacturers' devices. It includes a protocol for network communications and a file format definition.
What is the main aim of the Integrating the Healthcare Enterprise (IHE) organization, and how has its focus evolved since its establishment?
The main aim of IHE is to improve the way healthcare computer systems share information. Initially focused on radiology, it has expanded its focus to cardiology, clinical laboratories, and other specialties.
Discuss the role and significance of the International Health Terminology Standards Development Organization (IHTSDO) in the context of healthcare data standards and interoperability.
IHTSDO, the custodian for SNOMED CT, aims to support the perfect recording of clinical data, with the overall aim of enhancing the healthcare of patients. It plays a crucial role in developing and maintaining the SNOMED CT standard, which is viewed as the most multilingual, exact, and complete clinical terminology standard worldwide.
Study Notes
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Sustainable HIO Services: connectivity to Electronic Health Records (EHRs), alerts for providers, consultations, results delivery, health summaries, clinical documentation, e-prescribing
-
Advanced HIO Services: de-identification and data aggregation, data warehousing and analytics, billing and clearinghouse services, transcription, coding/revenue cycle management, EHR hosting, public health surveillance
-
HIO Agreements: HIE data sharing agreement, HIO participation agreement
-
HITECH clarifies that HIOs are business associates
-
Health data stewardship: encompasses managing, collecting, viewing, storing, sharing, disclosing, or otherwise making use of personal health information, extends beyond HIPAA’s protected health information to personal health information
-
Benefits of HIE: improved quality of care, increased consumer satisfaction, cost savings, healthier populace, improved cash flow for providers
-
Challenges of HIE: accurately linking patient data, defining value for users, addressing government policy and mandates, privacy and confidentiality issues, technical aspects, systems integration, engaging purchasers, managing growth, addressing legal issues, engaging commercial labs
-
Hallmarks of HIE success: governance by diverse stakeholders, common set of principles, technical infrastructure based on national standards, model for sustainability, measures performance in patient care, public health, provider value, and economic value, national privacy and security framework, vision for a nationwide health information network, key challenges include accurately matching patients, standards, addressing discordant laws, privacy concerns, and paying for development.
-
NHIN Core Service and Capabilities: NHIN Planning, Healthcare Information Technology Standards Panel (HITSP) Certification Commission for Health Information Technology (CCHIT), Health Information Security and Privacy Collaboration (HISPC), American Health Information Community (AHIC), NHIN Prototypes, NHIN Trial Implementations, NHIN Exchange, NHIN Direct, open source software solution, complementary to the work of the Exchange, focuses on a simple, secure, scalable, standards-based way to send authenticated, encrypted health information to known, trusted recipients over the Internet.
-
HIT initiatives: advancing but could be impacted by the shifting sands of time, challenges not only technical.
-
Project Presentations and Course Wrap up, final examinations, reading due in class, textbook chapters to be read.
-
Sustainable HIO Services: connectivity to Electronic Health Records (EHRs), alerts for providers, consultations, results delivery, health summaries, clinical documentation, e-prescribing
-
Advanced HIO Services: de-identification and data aggregation, data warehousing and analytics, billing and clearinghouse services, transcription, coding/revenue cycle management, EHR hosting, public health surveillance
-
HIO Agreements: HIE data sharing agreement, HIO participation agreement
-
HITECH clarifies that HIOs are business associates
-
Health data stewardship: encompasses managing, collecting, viewing, storing, sharing, disclosing, or otherwise making use of personal health information, extends beyond HIPAA’s protected health information to personal health information
-
Benefits of HIE: improved quality of care, increased consumer satisfaction, cost savings, healthier populace, improved cash flow for providers
-
Challenges of HIE: accurately linking patient data, defining value for users, addressing government policy and mandates, privacy and confidentiality issues, technical aspects, systems integration, engaging purchasers, managing growth, addressing legal issues, engaging commercial labs
-
Hallmarks of HIE success: governance by diverse stakeholders, common set of principles, technical infrastructure based on national standards, model for sustainability, measures performance in patient care, public health, provider value, and economic value, national privacy and security framework, vision for a nationwide health information network, key challenges include accurately matching patients, standards, addressing discordant laws, privacy concerns, and paying for development.
-
NHIN Core Service and Capabilities: NHIN Planning, Healthcare Information Technology Standards Panel (HITSP) Certification Commission for Health Information Technology (CCHIT), Health Information Security and Privacy Collaboration (HISPC), American Health Information Community (AHIC), NHIN Prototypes, NHIN Trial Implementations, NHIN Exchange, NHIN Direct, open source software solution, complementary to the work of the Exchange, focuses on a simple, secure, scalable, standards-based way to send authenticated, encrypted health information to known, trusted recipients over the Internet.
-
HIT initiatives: advancing but could be impacted by the shifting sands of time, challenges not only technical.
-
Project Presentations and Course Wrap up, final examinations, reading due in class, textbook chapters to be read.
Test your knowledge of electronic health records (EHRs) in ambulatory care by taking this quiz. The quiz covers topics such as differences and similarities between elements of EHRs for acute versus ambulatory settings, ambulatory interoperability strategies, and EHR functionality for ambulatory care facilities.
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