Deck 13: Data Analytics: Reporting, Interpretation, and Use

Question 1

A hospital would like to evaluate readmission rates of total hip replacements. What data should be used to identify the cases in the organization?

A) Health Plan Employer Data and Information Set (HEDIS)
B) Core measures
C) Pay for performance
D) Claims data

Answer 1

Claims data

Question 2

Government agencies and third-party payers require that appropriate codes be used to represent the reason for the encounter. The aggregate data from these health encounters may be used to populate special databases for

A) Patient treatment.
B) Physician decision-making.
C) Research.
D) Interoperability analysis.

Answer 2

Research.

Question 3

If a patient meets the clinical definition of a reportable disease, the case is

A) Identified as the index case.
B) Reported on the basis of the epidemiologic definition.
C) Aggregated for batch reporting.
D) Evaluated for treatment of the disease.

Answer 3

Evaluated for treatment of the disease.

Question 4

A physician is able to evaluate her use of antibiotics compared with the use of antibiotics by other physicians in similar patients within the same organization. This is an example of

A) Lack of a Health Plan Employer Data and Information Set (HEDIS) format in a format usable by physicians who need it.
B) A warehouse format that is usable by quality improvement and health care professionals.
C) Lack of core measures in a format that is usable by those who need it.
D) A data warehouse format that is not usable by those who need it.

Question 5

Insurers often have access to longitudinal performance data through

A) Claims information such as coded and administrative data.
B) A more comprehensive clinical picture but limited sample size.
C) Data developed by standards development organizations but no external comparison.
D) A more limited clinical picture with added local data.

Question 6

Cancer screening and smoking cessation programs are a function of which type of population-based registries?

A) Incidence
B) Cancer control
C) Research
D) All of the above

Question 7

Which of the following cases is ineligible for inclusion in the hospital-based cancer registry?

A) Patient admitted to hospice care
B) Patient receiving planned therapy
C) Patient who was diagnosed elsewhere and is receiving part of therapy elsewhere
D) Both a and c

Question 8

One of the reasons that aggregate data analysis from varying payers is limited in accuracy is

A) Differing providers and coding systems from provider data.
B) Lack of legal right to data for encounter information.
C) Differing coding requirement and reimbursement rules.
D) Lack of data sharing agreements and differing data elements for the longitudinal records.

Question 9

Information regarding the treatment of community-acquired pneumonia is collected by the Joint Commission and subsequently provided through its Web site to the public. This is an example of what is most commonly known as

A) Pay for performance.
B) Process management.
C) Core measures.
D) Provider expertise.

Question 10

Compared with claims data, the value of registry data is of

A) Higher quality.
B) Lower quality.
C) Higher consistency.
D) Lower consistency.

Question 11

The information contained in the databases developed from the patient record is considered to be

A) Primary data.
B) Secondary data.
C) Tertiary data.
D) None of the above.

Question 12

Which organization plays an active role in trauma registries?

A) American College of Surgeons
B) American Heart Association
C) American Medical Association
D) None of the above

Question 13

In the physician office, codes for reimbursement may be assigned by those who have not been trained in established coding rules. Because of this,

A) The resulting codes may be more accurate than inpatient codes.
B) The resulting codes will be of equal quality to those generated in the inpatient coding process.
C) The resulting codes will be of lower quality than those generated in the inpatient coding process.
D) The resulting codes will be exactly the same.

Question 14

The outcomes data warehouse should be structured around

A) An individual person whose data are stored in the warehouse.
B) The health care industry's data.
C) The population of people served or to be served by the warehouse.
D) Billed data captured from coded data.

Question 15

A cancer registrar identifies applicable data elements and includes them in the registry data. This is an example of what kind of process required by the American College of Surgeons?

A) Abstracting
B) Posting
C) Quality control
D) Accessioning

Question 16

Coded and administrative data are used by public health agencies for

A) Reimbursing health services provided.
B) Planning related to health care services.
C) Tracking and preventing disability and disease.
D) Pay for performance.

Question 17

The process of developing a data dictionary involves which of the following?

A) It is a consensus among individuals to share information in a specified way so that all participants derive the same meaning from the content.
B) Accumulating a list of data elements over time so that new elements are captured as the electronic health record evolves
C) Performance indicators are constantly evolving, and it facilitates sharing of information.
D) It is an information repository that gives participants several meanings on the basis of the content of the electronic health record.

Question 18

The reference date for a cancer registry is defined as the date the

A) Registry is implemented.
B) Data collection begins.
C) Cancer committee is formed.
D) Cancer program is approved.

Question 19

Use of aggregate data from various payers is limited because of

A) Differing providers and coding systems from provider data.
B) Lack of legal right to data for encounter information.
C) Differing diagnostic code requirements for reimbursement.
D) Lack of data sharing agreements and differing data elements for the longitudinal records.

Question 20

A registry established by the state to capture all patients with reportable cases is a

A) Population-based registry.
B) Specialty registry.
C) Cancer-control registry.
D) Hospital-based registry.

Question 21

Identify which one of the following is NOT a core public health function.

A) Assessment and monitoring of the health of communities and populations at risk
B) Formulation of public policies designed to solve identified local and national health problems and priorities
C) Assurance that all populations have access to appropriate and cost-effective care, including health promotion and disease prevention services
D) Oversight of transplant, death, cancer, trauma, and immunization national registries

Question 22

What is the required follow-up rate for approved hospital cancer programs?

A) 60%
B) 75%
C) 80%
D) 90%

Question 23

CMS attempts to make the Medicare beneficiary a better informed public consumer of health care for inpatient services by providing which of the following?

A) Health Grades
B) Hospital Compare
C) Texas Medical Foundation Health Quality Institute
D) Agency for Health Care Research & Quality

Question 24

Which of the following cancer registry files is considered a working file?

A) Accession register
B) Follow-up
C) Patient index
D) Primary site

Question 25

Identify the function that is NOT common to all registries.

A) Case definition and eligibility criteria
B) Abstracting and entering specified data elements into a database
C) Staging of the disease process and periodic follow-up for ACS approval
D) Data reporting for use by agencies, the scientific community, and the public

Question 26

In Best Health General Hospital, the cancer registrar associated with the cancer program undertakes a systematic sampling of 5% to 10% of cases in the registry. The main goal of the evaluation is to

A) Compare the results of the two studies with each other.
B) Optimize care for patients with cancer.
C) Evaluate the quality of the coded data.
D) Contribute to public health cancer-control goals.

Question 27

The selection of a data element should meet which of the following criteria?

A) Can be reused in a different system if it has a different definition
B) Should be obtainable in the normal work process
C) Must be unique and clearly definable
D) Should be used to make decisions important to the organization

Question 28

Which of the following registries would report information on the national health objectives set for the Healthy People 2020?

A) Cancer registries
B) Trauma registries
C) Immunization registries
D) Diabetes registries

Question 29

Immunization registries store data electronically on all National Vaccine Advisory Committee-approved core data elements. Knowledge of vaccination rates helps to determine

A) The potential need for rapid immunization in the event of bioterrorist attack.
B) Whether public health goals are being met.
C) Whether public health interventions are needed to increase immunization rates.
D) All of the above.

Question 30

Certified Tumor Registrar is

A) A credential based on education.
B) A credential based on an examination.
C) A credential that is honorary.
D) None of the above.

Question 31

The AIS scores would be found in which of the following registries?

A) Trauma registry
B) Cancer registry
C) Birth registry
D) Diabetes registry

Question 32

A study is conducted that evaluates the impact on the use of coronary artery bypass grafts in patients with myocardial infarctions in the populations of two states. Which of the following is the most likely way to adjust for risk in the two populations?

A) Coding Classification Sets
B) Elixhauser Comorbidity Measurement
C) Weiner Data Complexes
D) Charleson Index

Question 33

Which of the following cancer data may be released without patient authorization?

A) Aggregate
B) Patient
C) Physician
D) Facility

Question 34

Which organ-specific registry is associated with the National Organ Procurement Transplantation Network?

A) Kidney
B) Heart/lung
C) Pancreas
D) All of the above

Question 35

Which of the following lead agencies has the primary responsibility to improve quality, safety, efficiency, and effectiveness by collecting data on published Patient Quality and Patient Safety Indicators?

A) The Leapfrog Group
B) Agency for Health Care Research and Quality
C) Texas Medical Foundation Health Quality Institute
D) Health Grades

Question 36

Health care organizations and providers are required to report data on specific core measures. This is an example of which use of health care data reporting?

A) Benchmarking
B) Clinical decision support
C) Consumer education
D) Performance management

Question 37

All the following are included in the International Classification of Diseases for Oncology, 3rd edition (ICD-O-3) coding scheme except

A) Differentiation.
B) Etiology.
C) Grading.
D) Morphology.

Question 38

Cancer registries have been established to

A) Investigate the cause(s) of cancer as a disease.
B) Eradicate cancer as a disease.
C) Assess cancer incidence, treatment, and end results.
D) Monitor physician performance in treating cancer patients.

Question 39

Which one of the following is NOT a step in building a data dictionary?

A) Perform an inventory of the current system.
B) Identify new data content needs of the current system.
C) Mandate the adoption of your preferred definitions of data elements.
D) Develop a consensus between all users of the system.

Question 40

A physician at Best Health General Hospital questions the quality of the data in the computerized cancer registry. The quality control process would be specified in the Cancer Registry Manual under

A) Coding and abstracting policies and procedures.
B) Computerized database policies and procedures.
C) Confidentiality policies and procedures.
D) Quality control policies and procedures.

Question 41

The International Classification of Diseases for Oncology, 3rd edition (ICD-O-3) is published by the World Health Organization (WHO).

Question 42

Registries are established for different purposes and respond to different regulating bodies.

Question 43

Big data are characterized with Velocity, Volume, and Variety. Velocity is talking about

A) Collecting real-time data to capture live streaming events and moments with speed or frequency of data generation.
B) A large amount of data from patient care.
C) Data structured in different formats with multiple applications.
D) Both b and c

Question 44

The Certified Health Data Analyst (CHDA) is a newly created credential offered by the American Cancer Society.

Question 45

The HIM professional can participate in a variety of public health research roles including

A) Data collector.
B) Project manager.
C) Data analyst.
D) All of the above.

Question 46

The major benefits of implementing an electronic death registration system include all of the following except

A) Greater efficiency and timeliness of death registration.
B) Higher quality of data with real-time edits.
C) Increased security and fraud prevention.
D) Less collaboration among providers and death registration users.

Question 47

The Surveillance, Epidemiology, and End Results (SEER) program was federally mandated.

Question 48

Data analyses are dealing with the process of

A) Inspecting data to make sure data are appropriate.
B) Cleaning data to make sure data can be used accurately.
C) Transforming data to make sure data can be analyzed for appropriate format.
D) Modeling data to generalize useful results.
E) All of the above.

Question 49

The International Classification of Diseases for Oncology, 3rd edition (ICD-O-3) serves as the basis for developing reportable cases for registry eligibility in a hospital cancer program.

Question 50

The establishment of statewide cancer registries in states where population-based registries did not exist was a result of federal legislation.

Question 51

The United Network for Organ Sharing (UNOS) has administered the contract for the nation's only Organ Procurement and Transplantation Network (OPTN) since 1986.

Question 52

Approved cancer programs are required to publish and distribute an annual report.

Question 53

The registration and tracking of implantable medical devices by manufacturers is mandated by law.

Question 54

When health care organizations compare their organizations' patient safety and quality indicators against peer organizations that are known for their excellence, they are using which of the following tools?

A) Benchmarking
B) Decision Support
C) Administrative Analysis
D) Consumer Assessment of Health Providers & Systems Survey (CAHPS)

Question 55

The primary goal of a hospital-based cancer registry is the improvement of care to the cancer patient.

Question 56

Management of data incorporates governance over architecture, analysis, design, security, quality management, and data management warehousing.

Question 57

Federal law requires the reporting of implant problems to the Food and Drug Administration when there is a probability a device has caused a death, serious illness, or injury.

Question 58

The major difference between a registry and a surveillance system is

A) A registry collects population-based data for each case, while a surveillance system may or may not collect population-based data.
B) A registry may or may not collect population-based data, while a surveillance system only collects population-based data.
C) Both a registry and a surveillance system collect only population-based data.
D) Both b and c