HIM Practice, Healthcare Delivery, and Data Governance Flashcards

Vocabulary flashcards covering the U.S. healthcare delivery system history, legislation, and hospital operations from Chapter 1, alongside data and information governance concepts and domains from Chapter 2.

Western Medicine

A system of medicine rooted in antiquity where medical care was delivered at home prior to the 18th century, leading to the creation of hospitals in the 18th century due to population growth.

Flexner Report

A seminal report that had a major impact on medical education, leading to the standardization of medical practice and the licensing of physicians and surgeons.

American College of Surgeons (A C S)

An organization that established the Minimum Standards and the Hospital Standardization Program to standardize hospital care.

Joint Commission

An agency that provides voluntary accreditation for hospitals.

Allied Health Professionals

Healthcare providers involved with the delivery of health or related services regarding disease identification, evaluation, prevention, nutrition, rehabilitation, and health systems management, comprising 60 percent of the healthcare workforce.

Health Information Technology for Economic and Clinical Health Act (H I T E C H)

Title 13 of the American Recovery and Reinvestment Act (A R R A) of 2009 that created the Office of the National Coordinator for Health Information Technology (O N C).

Health Care Quality Improvement Act of 1986

Federal legislation passed in 1986 that established the National Practitioner Data Bank (N P D B).

Hospital

A healthcare facility characterized by an organized medical staff, permanent inpatient beds, around-the-clock nursing services, and diagnostic and therapeutic services.

Licensure

A mandatory state process that gives legal approval for a healthcare facility to operate.

Certification

A process conducted by the Centers for Medicare and Medicaid Services (C M S) based on Conditions of Participation to establish provider eligibility for reimbursement under federal programs.

Accreditation

A voluntary process of institutional review performed by organizations such as the Joint Commission and the American Osteopathic Association.

Governance

The establishment of policies and the continual monitoring of their proper implementation for managing organization assets to enhance organizational prosperity and viability.

Corporate Governance

A framework of policies, rules, practices, and formal organizational structures that exercises authority across the enterprise to influence stakeholder behaviors in support of company objectives.

Enterprise Governance

A broader concept than corporate governance that applies to all organizational levels, including accounting, HR, financial reporting, risk management, and data/information.

Data Governance (D G)

A subset of corporate governance focused on data input that emerged in the 1990s to ensure structured and unstructured data are consistently defined, structured, accurate, and current across the enterprise.

Information Governance (I G)

A subset of corporate governance focused on information output that emerged in 2004 as a framework for records, documents, confidentiality, compliance, retention, and ethical information use.

D I K W Pyramid

A hierarchical framework where Data forms the foundation, Information requires data, Knowledge requires information, and Wisdom requires knowledge.

Generally Accepted Recordkeeping Principles (G A R P)

A set of eight principles developed by ARMA International to provide a consistent standard for recordkeeping across all industries.

Data Life Cycle Management

A data management domain that manages data from beginning to end by setting standards for collection, capture, storage, retention, access, distribution, archival, and disposal.

Data Architecture Management

A domain that integrates specification artifacts by establishing standards, policies, and procedures for data collection, storage, integration, system design, and data models.

Metadata Management

The domain responsible for managing structured information that describes, explains, locates, or helps retrieve and manage information, including data dictionaries and metadata schemas.

Master Data Management

The management of key business entity data (such as patients, vendors, and providers) by identifying reference data sources, maintaining value lists, and reconciling systems of record.

Content and Record Management

The domain focused on managing unstructured data in electronic, paper, image, and audio formats through categorization, taxonomic systems, and document links.

Data Security Management

The domain dealing with protection measures and safeguards for data, including security planning, policy enforcement, risk management, business continuity, and audit trails.

Data Quality Management

A data management domain that ensures data meet quality characteristics through profiling, root-cause analysis of defects, metric tracking, and continuous improvement measures.

Terminology and Classification Management

Processes for managing the range of healthcare terminologies, vocabularies, classification systems, and datasets used across an enterprise.

ARMA International Maturity Model

An IG maturity framework comprising five levels: Level 1 (substandard), Level 2 (in development), Level 3 (essential), Level 4 (proactive), and Level 5 (transformational).

Cloudficient’s Information Security Governance Framework

A security governance framework consisting of six components: policies and procedures, risk management, compliance, incident response, technology solutions, and people and roles.