Chapter 2 Health Care Data Quality – Flashcards
Unlock all answers in this set
Unlock answersquestion
Data
answer
Characters, words, symbols, measurements..stats
question
Information
answer
Is processed data
question
Knowledge
answer
A combination of rules, relationships, ideas and experience
question
Processing
answer
(1) Healthcare Data (2) Healthcare Information and (3) Healthcare Knowledge
question
Medical Records Institutes (MRI)
answer
Professional organization dedicated to the improvement of patient records through 5 major functions: (1) Patient Safety (2) Public Safety (3) Continuity of Patient Care (4) Healthcare Economics and (5) Clinical research and outcomes analysis
question
Information Capture
answer
Process of recording representatives of human thought, perceptions, or actions in documenting patient care as well as device generated information.
question
Report Generation
answer
Process of analyzing, organizing, and presenting recorded patient information for authentication and inclusion in the patient's healthcare record.
question
Data Standards
answer
Must be set to ensure high quality. ie. margin of error must be zero for critical lab tests to ensure patient safety is not in jeopardy.
question
Medical Records Institutes (MRI)
answer
Published "Essential Principles of Healthcare Documentation"
question
American Heart Info Management Association (AHIMA)
answer
Data Quality Model Characteristics: (1) Accuracy (2) Accessibility (3) Comprehensiveness (4) Consistency (5) Currency (6) Definition (7) Granularity (8) Precision (9) Relevancy (10) Timeliness
question
Data Accuracy
answer
Data that reflect correct, valid values are accurate ie. misspelled names
question
Data Accessibility
answer
Data that are not available to the decision makers needing them are of no use
question
Data Comprehensiveness
answer
All of the data required for a particular use must be present and available to the user.
question
Data Consistency
answer
Quality data are consistent ie. an abbreviation with two meanings
question
Data Currency
answer
Many times the admitting dx is not the same as the one recorded upon d/c
question
Data Definition
answer
Clear definitions of data elements must be provided so that both current and future data users will understand what the data mean.
question
Data Granularity
answer
"automicity" cannot be further subdivided
question
Data Precision
answer
How close to an actual size, weight, or other standard a particular measurement is
question
Data Relevancy
answer
Data must be relevant to the purpose for which they are collected
question
Data Timeliness
answer
ie. critical lab values must be available to the health care provider in a timely manner
question
Error Types
answer
[1] Systemic and [2] Random
question
Systemic Error
answer
Results from incorrect programming of the encoding software OR improper training of the individuals assigning the code ie. unclear data definitions, lack of sufficient data checks, poor interface and programming errors
question
Random Error
answer
Results of poor handwriting or transcripting due to carelessness ie. illegible handwriting in data source, typing errors, and lack of motivation
question
Government Accountability Office (GAO)
answer
Found that many of the data in existing EMR systems were recorded in an unstructured format ie. narrative rather than in data fields designated to contain specific pieces of information
question
AHIMA Data Quality Management Model
answer
[Application] the purpose for which the data are collected [Collection] the processes by which data elements are accumulated [Warehousing] processes and systems used to archive data and data journals and [Analysis] the process of translating data into information utilized for an application