CCI flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

DIKW hierarchy

Model in which data are discrete facts, information is data with context, knowledge is synthesized relationships, and wisdom is applied judgment. It frames informatics value creation.

Automation bias

The tendency to over-rely on computer-generated suggestions and to under-detect errors the system makes. It is a key human-factors risk in clinical decision support and device use.

HITECH Act

2009 US law that funded EHR adoption incentives and expanded HIPAA privacy and security enforcement to business associates. It created the meaningful use program for eligible professionals and hospitals.

CMIO role

Chief Medical Information Officer: physician executive who bridges clinical practice and health IT, leads clinical informatics strategy, and chairs content and safety review for EHR changes.

Swimlane process map

A workflow diagram with one horizontal lane per role or system, showing task sequence, handoffs, and decision points. It exposes delays and rework across departments.

SBAR handoff

Structured communication tool covering Situation, Background, Assessment, and Recommendation. Standardizing handoffs reduces omission of critical information during care transitions.

Workaround

An alternate process users invent when the designed workflow does not fit practice. Workarounds reveal system-design mismatches and should be logged and analyzed, not simply disciplined.

Theory of Constraints

Improvement principle holding that throughput is limited by one bottleneck; improving non-constraint steps yields no net gain. Identify and relieve the constraint first.

BCMA

Bar-code medication administration: scanning the patient wristband and drug label to verify the five rights at the bedside. It reduces wrong-patient and wrong-drug administration errors.

CPOE

Computerized provider order entry: clinicians enter orders electronically instead of on paper. Benefit is greatest when paired with clinical decision support such as dose and interaction checks.

ADT messages

HL7 v2 messages that communicate admit, discharge, and transfer events. They trigger registration updates, bed management, and downstream interface activity across systems.

Master patient index

An enterprise index that links patient records across systems using identifiers and matching logic. Duplicate and overlay rates are key indicators of data integrity.

Downtime procedure

Documented plan for planned or unplanned system outages, including read-only access, paper forms, and post-restoration reconciliation. It must be tested before go-live.

LOINC

Standard code system for laboratory tests and clinical observations. It enables semantic interoperability of results across different laboratory and EHR systems.

SNOMED CT

Comprehensive clinical terminology covering findings, procedures, and body structures with defined relationships. It supports semantic interoperability and computable clinical content.

FHIR

HL7 Fast Healthcare Interoperability Resources: a RESTful standard using modular resources such as Patient and Observation, exchanged as JSON or XML. It is the basis of modern APIs.

Safe Harbor de-identification

HIPAA method removing 18 specified identifiers, including names, dates finer than year, and MRNs. Remaining data are presumed not individually identifiable.

Data governance

Framework assigning ownership, stewardship, definitions, access rules, and lifecycle management for data assets. A data dictionary and metadata repository are core artifacts.

CDS five rights

Osheroff framework: deliver the right information, to the right person, in the right format, through the right channel, at the right point in workflow.

Alert fatigue

Desensitization from excessive or low-value alerts, producing high override rates and missed true warnings. Tiering by severity and reducing firing frequency are standard mitigations.

Clinical Quality Language

CQL is a computable expression language for clinical logic and quality measures. It allows measure definitions to be shared and executed against structured EHR data.

Order set

A grouped set of orders for a clinical scenario, such as a community-acquired pneumonia admission. It standardizes evidence-based care and reduces omission errors.

HIPAA Security Rule

Regulation requiring administrative, physical, and technical safeguards for electronic protected health information. It covers access control, audit logs, encryption, and workforce training.

Minimum necessary standard

HIPAA principle that uses and disclosures of protected health information be limited to what is needed for the purpose. Treatment disclosures are generally exempt.

Breach notification rule

Requires notifying affected individuals without unreasonable delay and no later than 60 days after discovery of a breach of unsecured protected health information, plus HHS reporting.

Information blocking

Practice that interferes with access, exchange, or use of electronic health information, prohibited under the 21st Century Cures Act except when a defined exception applies.

Donabedian model

Quality framework classifying measures as structure (resources), process (care delivered), or outcome (patient result). It guides selection of balanced quality measures.

Root cause analysis

Retrospective team method to identify system failures underlying a sentinel event and define corrective actions. It focuses on processes, not individual blame.

FMEA

Failure mode and effects analysis: prospective risk assessment scoring each failure mode by severity, occurrence, and detectability. High scores drive redesign before harm occurs.

Just culture

Accountability model distinguishing human error (console), at-risk behavior (coach), and reckless behavior (sanction). It encourages reporting while preserving professional accountability.

Kotter eight steps

Change model beginning with urgency and a guiding coalition, then vision, communication, empowerment, short-term wins, consolidation, and anchoring change in culture.

ADKAR model

Individual change framework: Awareness, Desire, Knowledge, Ability, Reinforcement. Change succeeds only when each element is achieved in sequence for affected staff.