Free CAHIMS Exam Flashcards

A hospital supports inpatient and high-acuity services; an ambulatory clinic delivers care without an overnight admission.

It finances or reimburses covered care, applies benefit rules, and processes claims for members or beneficiaries.

An external body evaluates an organization against defined quality, safety, or operational standards.

The administrative encounter and identity information needed to connect the patient, services, scheduling, and billing workflow.

The processes that capture services and move them from registration and documentation through coding, billing, payment, and follow-up.

Direct care activities such as documentation, orders, medication administration, results review, or clinical decision support.

Business functions such as scheduling, registration, staffing, supply chain, billing, or finance.

It provides shared computing, application, storage, or network services to authorized clients.

A network connecting devices within a limited area such as a clinic, office, unit, or campus segment.

An encrypted connection that lets an authorized user or site access resources across an untrusted network.

On-demand use of shared computing resources delivered as services, with responsibility divided between customer and provider.

The use of communication technology to deliver or support health services, education, monitoring, or consultation across distance.

A secure patient-facing service for functions such as viewing information, messaging, scheduling, forms, or managing care tasks.

System changes cross workflows; knowing each department's role helps identify dependencies, users, risks, and requirements.

Applying information and technology to organize, analyze, and use health data in support of care and clinical work.

An EHR integrates a longitudinal patient record across care functions; a departmental system focuses on a specialized workflow.

The ability of systems to exchange information and use the exchanged information with preserved meaning.

Standards-based exchange of healthcare information through modular resources and modern web-oriented interfaces.

The format and exchange of medical images and related information between imaging devices and systems.

Laboratory tests, clinical observations, measurements, and document types with standardized codes.

Detailed clinical concepts and relationships used to encode meaning in health records.

Knowledge or patient-specific information delivered at an appropriate point to assist a clinical decision or action.

Reduced attention or response when users receive too many low-value or repetitive alerts.

It lets authorized clinicians enter orders electronically for routing, checking, fulfillment, and documentation.

It supports verification that the selected patient and medication match the active order at administration time.

An arrangement or service that enables authorized health information sharing across separate organizations or systems.

The map reveals handoffs, delays, workarounds, decision points, and safety dependencies that requirements must address.

It structures work from planning and analysis through design, implementation, evaluation, maintenance, and retirement.

Waterfall moves through largely sequential phases; agile delivers in shorter iterations with repeated feedback and reprioritization.

The current state with a desired future state to identify missing capabilities, processes, resources, or controls.

A statement of what a system must do for a user, workflow, or business process.

A quality or constraint such as availability, response time, usability, security, capacity, or recoverability.

A request for information explores vendor capabilities and the market before a formal solution solicitation or decision.

A request for proposal asks vendors to present a solution, approach, qualifications, terms, and pricing against defined needs.

Measurable service expectations, responsibilities, performance targets, and remedies or escalation between parties.

The target time for restoring a process or service after disruption.

The maximum targeted amount of data loss measured backward in time from a disruption.

A small component or function in isolation against its expected behavior.

Whether connected components, systems, and interfaces exchange and process information correctly together.

Authorized users verify that the solution supports agreed requirements and real workflows before approval for use.

It ensures proposed changes are reviewed, authorized, tested, documented, scheduled, and reversible when needed.

Give each user or service only the permissions needed for current authorized duties, and remove access when no longer needed.

Confidentiality prevents unauthorized disclosure, integrity protects accuracy and completeness, and availability keeps information accessible when needed.

Preserve accurate reporting, explain the concern, and escalate through the appropriate ethical or compliance channel.

Technology priorities, capabilities, measures, and investments to the organization's mission, clinical goals, and business strategy.

It is clearly defined, measurable, relevant to an objective, consistently calculated, and paired with a target or decision use.

Different groups influence, use, support, or are affected by the change; early engagement exposes requirements and resistance.

The decision rights, accountability, policies, and oversight used to align technology and data with organizational goals.

The people side of transition through communication, sponsorship, participation, training, readiness, reinforcement, and feedback.

A maintained record of identified risks, likelihood, impact, owners, responses, status, and monitoring actions.