Exam 8: Health Information Management Issues in Other Care Settings
The accrediting agency unique to ambulatory care is the _________.
AAAHC
Describe the unique data collection issues in behavioral health care.
Much of the data collection in behavioral health is free text. Psychology notes tend to be voluminous and detailed and do not lend themselves to menu-driven data collection. Of particular concern are psychology notes and documentation of restraints. Psychology notes may include testing instruments and extensive interview notes. Many of these notes are retained in the psychology department and do not become part of the patient's legal health record. The facility must have a policy specifically dealing with the storage, retention, and access to these notes. The use of restraints requires a physician order. Restraints include not only physical restraints but also confinement in protective enclosures. Documentation of the order, the application of restraints, the monitoring of a restrained patient, and the timely release from restraints are all required.
Describe the unique data collection issues in radiology and laboratory services.
An operation performed on an outpatient basis is called _________.
This stand-alone facility has an average length of stay of over 30 days. This facility is most likely which of the following types of facilities?
Health care service rendered in the patient's residence is ___________.
The ambulatory care setting in which the physician is the primary health care provider is called a ___________.
Physical medicine and rehabilitation therapy occurs under the direction of a:
The mandated minimum data set for ambulatory care patients is the ________.
In emergency services, the system of prioritizing patients by severity of illness is called __________.
Describe services available in rehabilitation that are NOT generally available in acute care.
Health care service that is intended to soothe, comfort, or reduce symptoms but is not intended to cure is called __________.
The minimum data set used for ambulatory care settings is also known as the:
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