Health Care Terms

After you define each term, describe in 40 to 60 words the health care setting in which each term would be applied. Include at least two research sources to support your position—one from the University Library and the other from the textbook. Cite your sources in the References section consistent with APA guidelines.

|Term |Definition |How It Is Used in Health Care | |Health Insurance Portability and |A federal legislation that was created to |It is used to protect the rights of | |Accountability Act |protect the patients’ health information |patients from being shared with any other | | |from being viewed by any unauthorized |organization or individual who does not | | |individual or company |have written documentation from the | | | |patient. It helps to keep certain people | | | |and companies out of the patients personal | | | |business and if it is violated it can be | | | |very harsh penalties such as fines, | | | |investigations, losing their license, or | | | |all of the above. This act is used in all | | | |areas of health care, employment, and | | ||schools. | |Electronic medical record |A electronic record of health-related |

This is a system that is used by more than | | |information on an individual that can be |one clinic are allowed to use and the staff| | |created, gathered, managed, or consulted by|that is there, no outside organization or | | |any authorized clinic or staff within one |individual can get access to those records | | |healthcare organization. |without written consent for the patient or | | | |immediate family. Plus this is protected | | | |under HIPAA. This type of system is used in| | | |hospitals and clinics. | |Electronic health record | An electronic record of health-related |

This is a system that is used by more than | | |information on an individual that conforms |one clinic are allowed to use and the staff| | |to nationally recognized interoperability |that is there, no outside organization or | | |standards and that can be created, managed,|individual can get access to those records | | |and consulted by authorized clinicians and |without written consent for the patient or | | |staff across more than one healthcare |immediate family. Plus this is protected | | |organization. |under HIPAA. This type of system is used in| | | |hospitals and clinics. It falls into place | | | |along with medical record. | |Personal health record |An electronic record of health-related |

This record can be used by the individual’s| | |information on an individual that conforms |private doctor and no outside organization | ||to nationally recognized interoperability |can use or request any information | | |standards and that can be drawn from |concerning that individual about his/her | | |multiple sources while being shared and |health. The only one who can access this | | |controlled by the individual |information is the individual themselves | | | |and they can request it from every | | | |organization that they dealt with | | | |concerning the health records. | |Computerized provider order entry system |

A system that was designed to help health |This system was created to keep track of | | |care organizations go paper-less. |all of the patient’s information such as | | | |medication orders, how many times they | | | |visited the doctor. This system also helps | | | |maintain the patients safety, to insure | | | |that the patients is not getting over | | | |dosed, it also helps the doctor pull the | | | |patients’ medical record to get an exacted | | | |understanding of what’s going on with that | | | |patient. | |Unique patient identifier |The identity of an individual consists of a|This is used to identify a patient who | | |set of personal characters by which that |visits any clinic or hospital.

This use a | | |individual can be recognized by and cannot |specific code that is assigned to an | | |be shared with any other individual. |individual upon entering any healthcare | | | |organization, it helps assure the doctors | | | |and nurses that they are dealing with the | | | |right patient, so they can determine the | | | |proper treatment needed for that | | | |individual. | |Protected health information |

An individual’s health information that |This is used in all aspects of health care;| | |relates to their past, present, or future |it is used to keep certain information | | |medical info. Also protects the patients |regarding a patients care and health from | | |physical, mental, any medical care |getting into the wrong hands. This is to | | |received, including payments made towards |protect the patient’s rights and privacy | | |their medical bills. | | |Centers for Medicare & Medicaid Services |This is a service that was put in place to |

This is used to help individuals find out | | |give any information on the difference |all they could about the different services| | |between Medicaid and Medicare Services and |that Medicare and Medicaid offers and where| | |a breakdown of everything that is included |they can find centers for them if needed. | | |and excluded from the benefits. |This also helps the individual to find the | | | |best cost efficient health care available. | |Covered entities |This means a public or private entity that |

This is used in hospitals, academic medical| ||does either of the following, process and |centers, between physicians and any other | | |facilitates any information received from |health care provider who transmit | | |another entity in a nonstandard format or |information directly or through | | |containing nonstandard data content into |intermediary electronically to a health | | |standard data elements or a standard |plan provider. | | |transaction. | | | |

Receives a standard transaction from | | | |another entity processes or facilitates the| | | |processing of information into nonstandard | | | |format or nonstandard data content for a | | | |receiving entity | | |Health information exchange |Is the process of reliable and |E very organization that deals with health | | |interoperable electronic health related |care uses this program. | | |information sharing conducted in a manner | | | |that protects the confidentiality, privacy,| | | |and security of one’s information. | |

References

http://www.ncbi.nlm.nih.gov http://medical-dictionary.thefreedictionary.com http://www.ncvhs.hhs.gov http://www.cms.gov http://www.ahima.org