Deck 8: Indexes, Registers, and Health Data Collection

Question 1

The number of inpatients present at census taking time is called the daily census count.

Answer 1

True

Question 2

A manual master patient index (MPI) is less expensive to purchase compared with an automated MPI.

Answer 2

True

Question 3

The process of translating data into information utilized for an application is data warehousing.

Answer 3

False

Question 4

An index is an organized system for the collection and dissemination of information on individual persons who have a particular disease.

Question 5

Registers are primary sources of patient information.

Question 6

Data are reliable if they are consistent throughout all systems in which they are stored, processed, and/or retrieved.

Question 7

The National Center for Health Statistics is the federal agency responsible for registration of vital events such as births.

Question 8

The Uniform Clinical Data Set is collected for ambulatory health care records.

Question 9

Automated case abstracting systems allow facilities to calculate prospective payment system reimbursement.

Question 10

Most hospital statistics are collected using automated computer systems.

Question 11

Indexes and registers allow health information to be maintained and retrieved for the purposes of education, planning, and research.

Question 12

Continuous quality improvement plays a role in the quality of clinical elements, but not in data quality.

Question 13

The Centers for Disease Control and Prevention is a federal agency that requires the reporting of information about diseases.

Question 14

Information should be entered into a master patient index by various departments to ensure accuracy and to avoid the creation of duplicate records.

Question 15

The physician index is organized primarily by disease codes of patients admitted by physicians.

Question 16

An automated master patient index consists of a computerized database of identification data about patients who have received health care services from a facility.

Question 17

MDS is the abbreviation for medical data set.

Question 18

A data dictionary is a standard method for collecting and reporting individual data elements.

Question 19

A registry is used to collect and sort data and to perform statistical analysis and study.

Question 20

The Medical Information Bureau was legislated by the Health Care Quality and Improvement Act of 1986.

Question 21

Federal agencies are the only organizations that maintain disease registers.

Question 22

The newborn death rate is calculated by dividing the number of newborn deaths by _____ and multiplying by 100.

A) number of pregnant women admitted
B) number of newborn patients
C) number of mothers discharged
D) number of fetal deaths

Question 23

A common item not found on an admission data entry screen is the

A) admission diagnosis.
B) date of birth.
C) patient's admission.
D) discharge diagnosis.

Question 24

Hillcrest Hospital is writing a retention policy for the health information management (HIM) department. Which index must be retained permanently?

A) Disease index
B) Master patient index
C) Procedure index
D) Operative index

Question 25

The QI department needs to obtain a list of patients discharged within the last three months with a diagnosis of diverticulitis. This information can be obtained from the

A) disease index.
B) master patient index.
C) procedure index.
D) physician index.

Question 26

Dr. James is completing a report for a medical staff committee. He needs to determine the number of patients admitted by Dr. Tops for the month of July with the diagnosis of anemia. The best source for this information would be the

A) disease index.
B) master patient index.
C) procedure index.
D) physician index.

Question 27

The premature newborn death rate is calculated by dividing the _____by the number of premature newborn patients and multiplying by 100.

A) number of newborns admitted
B) number of premature newborn deaths
C) number of newborn deaths
D) number of newborn patients

Question 28

A disease index organizes patient data according to

A) CPT codes.
B) ICD-10-CM disease codes.
C) ICD-10-CM disease and procedure codes.
D) HCPCS codes.

Question 29

An admission/discharge/transfer (ADT) system is interfaced with an automated MPI to input patient registration information.

Question 30

Sally Paper is responsible for gathering information for

A) health information office.
B) local vital statistics office.
C) state health department.
D) National Center for Health Statistics.

Question 31

A formal recording of items, names, or actions is known as a

A) chart.
B) index.
C) register.
D) line graph.

Question 32

The chief of surgery wants to determine the number of cholecystectomies performed over the last six months using a scope and as open surgeries. This information can be obtained from the

A) disease index.
B) master patient index.
C) procedure index.
D) physician index.

Question 33

A data set represents a standard method for collecting and reporting individual data elements.

Question 34

Continuous quality improvement (QI) plays an important role in data quality.

Question 35

The exchange of data among multiple software products is known as

A) data capture.
B) data collection.
C) computer interface.
D) computer sharing.

Question 36

During the month of May there were 130 births, of which 127 were full-term births and three were premature births. There were five newborn deaths. The newborn death rate is

A) 2.3%.
B) 3.8%.
C) 5.4%.
D) 7.2%.

Question 37

__________ summarize a set of data using charts, graphs, and tables.

A) Aggregate data
B) Medical statistics
C) Informational statistics
D) Descriptive statistics

Question 38

For the month of June, there were six newborn deaths and 260 newborn patients. What is the newborn death rate?

A) 1.3%
B) 2.3%
C) .86%
D) 1.86%

Question 39

Case mix analysis is the study of types of patients treated by a facility.

Question 40

When data is displayed along an X-axis and a Y-axis, a _____ is used:

A) bar graph
B) pie chart
C) run chart
D) line diagram

Question 41

The HIM director is writing a policy to ensure the accuracy of an automated MPI. The two departments that should be allowed to enter or update information in the master patient index are

A) admissions and nursing.
B) admissions and health information.
C) health information and nursing.
D) health information and medical staff.

Question 42

The admissions clerk at Tops Hospital is responsible for entering patient registration information into a computerized system, which creates an admission log as well as daily census summaries. She enters the data into the

A) ADT system.
B) admission/discharge register (log book).
C) computer-interfaced master patient index.
D) manual master patient index system.

Question 43

Hillcrest Hospital is conducting research on Alzheimer's disease and wishes to obtain information from its state's registry. Which information below would be unavailable from the registry?

A) Incidence of disease
B) Number of cases
C) Patient names
D) Types of patients

Question 44

The admission date and discharge date are considered

A) demographic information.
B) financial information.
C) medical information.
D) clinical information.

Question 45

The exchange of data among multiple software products is known as _________________________.

Question 46

It is recommended that a manual master patient index be maintained for at least ____________________ months after conversion to an automated MPI.

Question 47

The purpose for which data is collected is known as

A) data application.
B) data collection.
C) data warehousing.
D) data validity.

Question 48

The director of the HIM department at Sunny Valley Hospital needs to prepare a presentation for the finance committee to convince them to fund an automated MPI system. Which statement would best support her argument?

A) An automated MPI is less expensive than a manual master patient index.
B) An automated MPI allows for rapid retrieval of patient information.
C) Staff training time is decreased when an automated MPI is implemented.
D) The security of information is increased when an automated MPI is implemented.

Question 49

The HIM department is responsible for generating reports and statistics on the types of patients treated by the facility. This function is called

A) case mix analysis.
B) patient record abstracting.
C) quality management.
D) utilization review.

Question 50

Indexes, registers, and registries are considered ____________________ sources of patient information.

Question 51

Susan Clerk works in the admissions office at Hillcrest Medical Center, a large teaching hospital. She would like to obtain a job in the HIM department entering and abstracting data from the disease and procedure indexes for various projects. The hospital offers "minicourses" on a variety of topics. Which course topics would apply to the job she hopes to obtain?

A) Health care finance
B) ICD-10-CM coding
C) ICD-9-CM/ICD-10-CM, ICD-10-PCS, and CPT/HCPCS coding
D) Medicare regulations

Question 52

Sally Jones presents to the department (ED) with lower-left abdominal pain. The ED physician asks the ED clerk to determine if the patient was previously seen in the facility. The quickest way for the ED clerk to obtain this information is to reference the

A) disease index.
B) ED log.
C) master patient index.
D) patient's record.

Question 53

The _________________________ links a patient's medical record number with common identification data elements.

Question 54

The process of translating data into information utilized for an application is known as

A) data application.
B) data collection.
C) data warehousing.
D) data analysis.

Question 55

The process by which data elements are accumulated is known as data ____________________.

Question 56

When a set of data is displayed using charts, graphs, and tables _____ statistics are being used.

A) demographic
B) descriptive
C) comparative
D) aggregate

Question 57

Calculating health care statistics is commonly a function of the _____ department.

A) admission
B) health information
C) finance
D) medical

Question 58

Data that is directly related to patients is known as

A) aggregate data.
B) comparative data.
C) patient-centric data.
D) transformed-based data.

Question 59

Data ____________________ is the reliability of data regardless of the way in which data is stored, displayed, or processed.

Question 60

Hillcrest Hospital and Endwell Hospital are merging. The new HIM director for both hospitals needs to ensure that the two MPIs are accurately merged. Each hospital currently uses manual MPIs, and they will convert to one automated MPI. Which activity below should the director avoid?

A) Establishing a merger plan for the hospital MPIs
B) Performing a manual alphabetical search to identify duplicate MPI files
C) Shredding the manual MPI within four weeks after the conversion
D) Using software to identify and correct errors in the automated MPI

Question 61

The data set established by the National Center for Health Statistics for collecting hospital data for Medicare and Medicaid programs is called the ___________________________________.

Question 62

Explain the purpose of an Alzheimer's registry, and identify the group(s) that sponsor the registry.

Question 63

The use of charts, graphs, and tables to summarize data is called _________________________.

Question 64

A quality management approach that focuses on process and customers and promotes the improvement of processes is called ______________________________.

Question 65

Each organization should maintain a _________________________, which is a collection of data element definitions.

Question 66

Computerized systems that consolidate vaccination histories as provided by individual health care providers are called ______________________________.

Question 67

List and define five characteristics of ensuring data quality.

Question 68

Automated case abstracting systems facilitate a number of hospital functions. List the functions.

Question 69

The Uniform Clinical Data Set is maintained by the ___________________________________, which collects approximately 1,800 data elements.

Question 70

An ADT system is used to input patient ____________________ information, which creates an automated MPI database.

Question 71

Define each of the following: daily census count, daily inpatient census, and average daily census.

Question 72

The HIM director wants to create a display of the percentage of transcription records that need to be corrected as compared with the total number of reports transcribed. This could be visually displayed using a ____________________.

Question 73

Summarize how a manual MPI is maintained.

Question 74

Identify and define the four areas of data quality management as described by the American Health Information Management Association.

Question 75

Manual case abstracting systems require patient data to be entered onto a case abstract form and submitted to vendors in predetermined or ____________________ groups.

Question 76

Sally Jones has been asked to calculate the average daily census for the month of January. Record the formula that she would use.

Question 77

Health care facilities maintain either a manual or automated MPI. Briefly describe the purpose of an MPI and state the retention period for the MPI.

Question 78

List the types of entities that maintain registers and registries.

Question 79

Explain how birth and death certificates are completed.