Deck 4: Health Data Concepts and Information Governance

Question 1

Health information management control issues in data collection should include

A) Controlling costs.
B) Identifying all views and forms.
C) Capturing all the data.
D) All of the above.

Answer 1

All of the above.

Question 2

Which data set was developed for capturing primary data on outpatients and clinic patients?

A) Uniform Clinical Data Set
B) Uniform Ambulatory Care Data Set
C) Ambulatory Care Group Case Mix Management System
D) Minimum Data Set

Answer 2

Uniform Ambulatory Care Data Set

Question 3

Which characteristic exemplifies the purposes of a data set?

A) Scalable
B) Economical
C) Uniform
D) Secure

Answer 3

Uniform

Question 4

What prerequisite must data meet to be comparable among external users of the data?

A) Appropriateness
B) Reasonableness
C) Timeliness
D) Uniformity

Question 5

Standards pertaining to the electronic health record are developed by which organization?

A) ASTM
B) ANSI
C) Joint Commission
D) CMS

Question 6

Each of the following is a data set EXCEPT

A) UMLS.
B) LTS.
C) UAS.
D) UHDDS.

Question 7

Each of the following are general formats of the primary patient record EXCEPT

A) Integrated.
B) Patient-oriented.
C) Problem-oriented.
D) Source-oriented.

Question 8

What data management criterion has been met when the data collected meet the needs and stated goals of the health care organization?

A) Data appropriateness
B) Data availability
C) Data completeness
D) Data reasonableness

Question 9

Each of the following is an example of aggregate data EXCEPT

A) 120 live births
B) Product of conception weighed 1005g
C) Postoperative infection rate = 1.37%
D) 11,522 inpatient service days

Question 10

The UPIN is used for

A) Sequencing data.
B) Formatting data.
C) Event validation.
D) Identification.

Question 11

An integrated primary patient record is organized by

A) Date.
B) Source.
C) Problem.
D) None of the above.

Question 12

All the following are associated with creating standards for the electronic exchange of health care data EXCEPT

A) HL7
B) X12N
C) ASTM
D) NPDB

Question 13

Which is a demographic datum collected in a health information system database?

A) DOB
B) Financial guarantor
C) Discharge order
D) Admission date

Question 14

Health care data of particular interest in organizational planning include

A) Physicians' orders.
B) CBC results.
C) Consultations.
D) Services used.

Question 15

The organization that compiles data on osteopathic physician location and type of practice is the

A) ACS.
B) NPDB.
C) APA.
D) AOA.

Question 16

One of the primary goals of the United Network of Organ Sharing is

A) To ensure that organs are available for persons who are in need.
B) To provide for the distribution of organs.
C) To provide governmental control of organs.
D) To inform providers of available organs.

Question 17

Which registry collects data internationally?

A) Cancer
B) Implant
C) Organ sharing
D) Trauma

Question 18

Minimum data sets are available for use in all the following health care delivery systems EXCEPT

A) Acute care.
B) Ambulatory care.
C) Long-term care.
D) Mental health care.

Question 19

Which is secondary health care data?

A) Measles immunization: 3/12/89
B) 23 nosocomial infections
C) KCl 500 mg daily
D) BP 120/80

Question 20

All of the following are health care data sets EXCEPT

A) MDS.
B) NCDB.
C) UACDS.
D) UHDDS.

Question 21

What is the nominal title for ASTM Standard E 1384?

A) Standards for Patient Privacy, Confidentiality, and Access
B) Standards for Authentication of Health Information
C) Standards for Content and Structure of the Electronic Health Record
D) None of the above

Question 22

Which of the following is a narrative data type?

A) Delivery room note
B) Disposition on discharge
C) Significant procedure
D) Anesthesia risk

Question 23

The system that allows many applications and many fields using relational tables of information is termed a

A) File management system.
B) Flat file.
C) Database management system.
D) Category system.

Question 24

Referring to the information below, what type of data is illustrated? Coding scheme
Reimbursement Source
1 = Medicare
2 = Medicaid
3 = Blue Cross/Blue Shield
4 = Private Insurance
5 = Self-pay

A) Categorical data
B) Numeric data
C) Textual data
D) Alphanumeric data

Question 25

In a computerized patient record system, the patient's provider name and identification number are stored in

A) 1 column.
B) 2 columns.
C) 1 row.
D) 2 rows.

Question 26

Which of the following can electronically facilitate the creation of views for data capture and data display?

A) UHDDS
B) DBMS
C) MDS
D) OCR

Question 27

Transposition of a patient medical record number can be detected by a

A) Check digit.
B) Sequencing check.
C) Format check.
D) Transaction check.

Question 28

In a database, "2835" is an example of

A) Information.
B) Datum.
C) A byte.
D) Alphanumeric code.

Question 29

Parallel processing means

A) Performing an activity both manually and electronically.
B) Performing an application both the old way and with the newly installed computer system.
C) Two or more departments keeping redundant data on separate file management systems.
D) Downloading data from the server to a department PC and uploading the data when complete.

Question 30

Which of the following are advocated by AHIMA to help standardize clinical data?

A) Classifications
B) Nomenclatures
C) Patient record formats
D) All of the above

Question 31

What is included in ASTM Standard E 1384?

A) Structure of an HER
B) Entity relationships
C) Definitions of data items
D) All of the above

Question 32

Which of the following activities is supported by patient data?

A) Evaluation of care
B) Clinical education
C) Financial viability
D) All of the above

Question 33

Within how many hours, according to The Joint Commission, must all verbal orders associated with a potential hazard to the patient be authenticated?

A) 24 hours
B) 48 hours
C) 72 hours
D) Within a time frame defined in the medical staff rules and regulations

Question 34

Referring to the information below, which datum is truncated? The master patient index screen for John VanVolkenburg reads as follows:

A) Patient name
B) Birth date
C) Physician

Question 35

All the following are costs associated with data collection EXCEPT

A) Data input.
B) Data management.
C) Data brokering.
D) Data transaction time.

Question 36

All the following are important features of a personal computer database software program EXCEPT the ability to

A) Set up user menus.
B) Set up own screen formats for data input.
C) Perform desktop publishing functions.
D) Import data from other databases.

Question 37

The abbreviation ANSI represents the ______________________________________.

Question 38

A skip in the assignment of admission numbers is a

A) Transaction error.
B) Batch error.
C) Sequence error.
D) Digit error.

Question 39

Entering the same data over and over again in different application programs (e.g., patient name, address, Social Security number, telephone number, etc.) is termed

A) Normalization.
B) Inconsistency.
C) Integrity.
D) Redundancy.

Question 40

The duplicate storage media should be kept

A)In the same room as the computer for staff efficiency.
B)In a room different from the one where the computer is located but within the facility.
C)In a building not housing the computer system.
D)In a room different from the one where the computer is located but within the same building.

Question 41

The major purpose of the ____________________ organization is to provide guidelines for electronically exchanging data within health care organizations or between organizations.

Question 42

The ___________________________________ sets standards for the collection of cancer data by hospitals.

Question 43

Match the descriptor with the correct abbreviation.
MDS 2.0

A)Comprehensive assessment of a long-term care patient
B)Data content standard by ASTM
C)Data set for hospitals used by federal and state agencies for billing
D)Agency that collects vital statistics data
E)Data set for ambulatory care
F)Agency that accredits rehabilitation organizations
G)Data set for home health care
H)Agency that encourages the use of guidelines to improve health care
I)Data set for long-term care

Question 44

Following are several types of data commonly found in a health information system.Match each according to the appropriate category it represents.When two possible categories exist, select the "best" category.
History of current illness: This is a 62-year-old male who has complained of fever and congestion for the past 4 days and now enters for tests to rule out possible viral pneumonia.
12. 404.90 (ICD-9-CM code field)

A)Text/categorical
B)Narrative/textual
C)Logic
D)Quantitative

Question 45

Following are several types of data commonly found in a health information system.Match each according to the appropriate category it represents.When two possible categories exist, select the "best" category.
102.4 (temperature field)

A)Text/categorical
B)Narrative/textual
C)Logic
D)Quantitative

Question 46

Match the descriptor with the correct abbreviation.
UHDDS

A)Comprehensive assessment of a long-term care patient
B)Data content standard by ASTM
C)Data set for hospitals used by federal and state agencies for billing
D)Agency that collects vital statistics data
E)Data set for ambulatory care
F)Agency that accredits rehabilitation organizations
G)Data set for home health care
H)Agency that encourages the use of guidelines to improve health care
I)Data set for long-term care

Question 47

Data entry at the time and location of direct patient service is called ______________________________ documentation.

Question 48

Following are several types of data commonly found in a health information system.Match each according to the appropriate category it represents.When two possible categories exist, select the "best" category.
Has the surgeon been notified of the spike in temperature? (Yes/No)

A)Text/categorical
B)Narrative/textual
C)Logic
D)Quantitative

Question 49

Match the descriptor with the correct abbreviation.
AHRQ

A)Comprehensive assessment of a long-term care patient
B)Data content standard by ASTM
C)Data set for hospitals used by federal and state agencies for billing
D)Agency that collects vital statistics data
E)Data set for ambulatory care
F)Agency that accredits rehabilitation organizations
G)Data set for home health care
H)Agency that encourages the use of guidelines to improve health care
I)Data set for long-term care

Question 50

When an application is performed using both the old and new computer system for a period, it is called ________________________________________.

Question 51

Match the descriptor with the correct abbreviation.
NCVHS

A)Comprehensive assessment of a long-term care patient
B)Data content standard by ASTM
C)Data set for hospitals used by federal and state agencies for billing
D)Agency that collects vital statistics data
E)Data set for ambulatory care
F)Agency that accredits rehabilitation organizations
G)Data set for home health care
H)Agency that encourages the use of guidelines to improve health care
I)Data set for long-term care

Question 52

Match the descriptor with the correct abbreviation.
CARF

A)Comprehensive assessment of a long-term care patient
B)Data content standard by ASTM
C)Data set for hospitals used by federal and state agencies for billing
D)Agency that collects vital statistics data
E)Data set for ambulatory care
F)Agency that accredits rehabilitation organizations
G)Data set for home health care
H)Agency that encourages the use of guidelines to improve health care
I)Data set for long-term care

Question 53

The abbreviation ____________________ refers to the ability to exchange data electronically.

Question 54

The process of ensuring that a processing event is acceptable, authorized, and legitimate is called ___________________________________________.

Question 55

Match the descriptor with the correct abbreviation.
RAI

A)Comprehensive assessment of a long-term care patient
B)Data content standard by ASTM
C)Data set for hospitals used by federal and state agencies for billing
D)Agency that collects vital statistics data
E)Data set for ambulatory care
F)Agency that accredits rehabilitation organizations
G)Data set for home health care
H)Agency that encourages the use of guidelines to improve health care
I)Data set for long-term care

Question 56

Data have the quality of ____________________ when they are recorded at or near the time of the event or observation.

Question 57

Match the descriptor with the correct abbreviation.
UADS

A)Comprehensive assessment of a long-term care patient
B)Data content standard by ASTM
C)Data set for hospitals used by federal and state agencies for billing
D)Agency that collects vital statistics data
E)Data set for ambulatory care
F)Agency that accredits rehabilitation organizations
G)Data set for home health care
H)Agency that encourages the use of guidelines to improve health care
I)Data set for long-term care

Question 58

Match the descriptor with the correct abbreviation.
E 1384

A)Comprehensive assessment of a long-term care patient
B)Data content standard by ASTM
C)Data set for hospitals used by federal and state agencies for billing
D)Agency that collects vital statistics data
E)Data set for ambulatory care
F)Agency that accredits rehabilitation organizations
G)Data set for home health care
H)Agency that encourages the use of guidelines to improve health care
I)Data set for long-term care

Question 59

Following are several types of data commonly found in a health information system.Match each according to the appropriate category it represents.When two possible categories exist, select the "best" category.
404.90 (ICD-9-CM code field)

A)Text/categorical
B)Narrative/textual
C)Logic
D)Quantitative

Question 60

Match the descriptor with the correct abbreviation.
OASIS

A)Comprehensive assessment of a long-term care patient
B)Data content standard by ASTM
C)Data set for hospitals used by federal and state agencies for billing
D)Agency that collects vital statistics data
E)Data set for ambulatory care
F)Agency that accredits rehabilitation organizations
G)Data set for home health care
H)Agency that encourages the use of guidelines to improve health care
I)Data set for long-term care

Question 61

Name an effective method to prevent computer viruses from entering the health information system database.

Question 62

Discuss ASTM E 1384 and its impact on health information systems.

Question 63

Distinguish between primary and secondary data.

Question 64

Using the information in Question 9 above, which floor of the hospital had the most admission/discharge and transfer activity during this census period?

Question 65

Referring to the information below, what are the two errors on the ADT list?

Question 66

Name a data element comprising socioeconomic data.

Question 67

Name a data element comprising financial data.

Question 68

Referring to the information below, which information refers to the data value?
Coding Scheme
Sex
1 = female
2 = male

Question 69

Referring to the discharge summary below, identify three general data elements missing from the report that are required by The Joint Commission standards. Do not include the fact that the summary was not signed.

Question 70

The lengths of stay (LOS) for 10 patients in the renal dialysis unit were 2, 1, 2, 3, 1, 1, 5, 1, 4, and 3, respectively, from which the average LOS can be computed for patients using this service. What type of data is this?

Question 71

You are the health information management (HIM) department manager at Rocky Mountain Nursing Home, which has been cited by the state surveyors for lack of receipt of an admission history and physical examination in a timely manner. This information is extremely important for patient care at the time of transfer to the nursing home and is an important part of the clinical database. It has been difficult for you to receive the transfer information from one hospital in particular, one that is the major referral source for your nursing home. Your administrator requests that you send a letter to the HIM director at the hospital with a copy to the hospital administrator and to himself regarding this problem and seeking their help. Write the letter and address it to Chris Morgan, RHIA, Director of Health Information Services, Rocky Mountain Hospital, 1299 94th Ave., SW, Cougar, WA 98000. The hospital administrator's name is Josephine Anderson, and the nursing home administrator is Frank Henderson. Be sure to include enough information so that they understand your requirements and the methods to meet the requirements.

Question 72

Name a data element comprising clinical data.

Question 73

You now are Chris Morgan, Director of Health Information Services at Rocky Mountain Hospital. You have received this letter from Rocky Mountain Nursing Home and have received complaints from several other nursing homes and home health agencies that they do not receive transfer information from your hospital in a timely fashion. List or describe procedures you could put into place in your department to resolve this problem.

Question 74

Using the information in Question 9 above, which patients were transferred from one floor of the hospital to another floor?

Question 75

Define this quality factor in relation to health care data: timely data.

Question 76

Describe three principles of computer view design.

Question 77

A major portion of health care data is obtained at the time of initial interview with the patient/family. Identify problems that can occur at this point regarding data quality and provide solutions an organization could institute to correct them.

Question 78

Define this quality factor in relation to health care data: organized data.

Question 79

Name two categories of data the MDS collects on long-term care inpatients or residents.

Question 80

Using the information in Question 9 above, which patients were admitted and discharged the same day?