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| List 5 types of NCHS Statistics | 1. Teenage Pregnancy, 2. Alcohol and Drug Use, 3. Deaths, 4. Sexually Transmitted Diseases, 5. Suicide |
| NCHS stands for | National Center for Health Statistics |
| Name 9 characteristics of High-Quality Health Data | 1. Valaidity, 2. Reliability, 3. Completeness, 4. Recognizability, 5. Timeless, 6. Relevance, 7. Accessibility, 8. Security, 9. Legality |
| HIPAA stands for | Health Insurance Portability and Accountability Act |
| HIPAA | became law in 1996, is regulated by the office of Civil Rights (OCR), the Privacy Rule for HIPAA is to assure that individuals' health information is properly protected, to provide and promote high quality health care and give a degree of control to patients about who accesses their records, patients must give specific authorization for the use and dissemination of the information contained int he medical record. These Rules covered records that are created or maintained by healthcare providers, health plans, and healthcare clearinghouses that engage in electronic transactions. |
| Provisions of HIPAA's Privacy Rule | Patients must give specific authorization before protected information can be disclosed, patient generally can access their personal medical records and request changes to correct any errors. |
| TQM stands for | Total Quality Management, consists of management and control activities designed to enhance the quality of services rather than quantity provided to patients. |
| EKG errors | Electrical artifacts are unwanted erractic movement of the stylus on the paper r esulting from outside interference, make it difficult to accurately interpret the ECG. The main types includes: Wandering Baseline: in which the stylus gradually shifts away from the center of the paper because of the slight movement of the patient or poor electrode attachment, the patient should remain still as possible. Somatic Tremor artifacts: are a result of patient muscle movements that cause jagged peaks of irregular height and spacing and a shifting baseline. AC Alternating current interference: causes a series of uniforms small spikes on the paper because of electrical energy in the area. Interrupted Baseline artifacts: occurs when the electric connection between the electrode and the lead is interrupted |
| Dyspnea | Difficulty breathing |
| JCAHO | Joint Commission on Accreditation of Healthcare Organization |
| Sentinel Event | is an unexpected death or serious physical including loss of limb or function or psychologic injury to a patient not related to the natural course of the patient's illness |
| AHIMA (organization that promotes the field of health information management) | The American Health Information Management Association |
| Quality Assurance Problems | Overuse, underuse, misuse |
| Some overused treatments | Are excessive and cause cost increases like (using the emergency room for non emergencies, hysterectomies, tympanostomy tubes, antibiotics) |
| Some underused treatments | Patients do not take advantage or many services they should be using specially if they are at-risk (mammograms, cervical cancer screenings, Beta-blockers for heart patients, eye examinations for diabetic patients) |
| Some misuses of Healtcare Services | Often reflects errors such as (Laboratory tests errors or misdiagnoses, medication errors, hospital injuries to patients, nosocomial infections. |
| JCAHO | is a non profit organization that provides accreditation services to healthcare facilities |
| Risk Management focus on: | Loss prevention, avoiding patient injury, avoiding any fianancial loss resulting from liability, avoidance of negative publicity resulting from sentinel events |
| TPO | Treatment, payment and Health Care Operations |
| Risk Management | is any occurrence that could result in patient injury or any type of financial loss to the healtcare facility, is to minimize, monitor, and control the probability or impact of unfortunate events. |
| Why are third-party payors interested inthe information contained in the medical record? | To determine whether claims should be paid |
| The Quality Assurance Office | is concerned with providing the best and most efficient care possible to the patients. |
| Health Information Management | is the profession that focuses on healtcare data and the management of healthcare information resources, it collects, integrate, and analyze primary & secondary healthcare data. |
| 5 ways in which healthcare data are used | to plan care for patients and ensure they receive care, to determiine whether claims should be paid, gather information on the number of patients withthe same diagnosis. |
| Apnea | No breathing |
| Orthopnea means | Difficulty breathing when in supine position |
| Bradycardia | Slow heart rate of less than 60 beats per minute |
| Tachycardia | Fast heart rate |
| Health Information is used: | to ensure continuity of care from provider to provider, it assits manufacturers lin determining side effects of drugs, it provides statistical information regarding primary and secondary diagnoses, helps the medical facility plan for future needs and capital equipment |
| Cardiac Arrest | Complete cessation of cardiac contractions |
| Infarction | Area of tissue that has died because of lack of blood supply |
| Ischemic | temporary interruption in blood supply to a tissue or orgoan |
| Sinoatrial (SA) node | the pacemaker of the heart located in the right atrium |
