Chapter 4 Review Answers – Flashcards
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The name of the government agency that has led the development of basic data sets for health records and computer databases is the:
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National Committee on Vital and Health Statistics
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Minimum data set in healthcare are developed to
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Recommend common data elements to be collected in health records
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Data that are collected from individual records and then combined are referred to as
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Aggregate data
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The inpatient data set that has been incorporated into federal law and is required for Medicare reporting is the
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Uniform Hospital Discharge Data Set
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Both HEDIS and the Joint Commission's ORYX program are designed to collect data to be used for
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Performance improvement programs
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Critique this statement: The continuity care record contains only current clinical information.
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This is a false statement as the CCR contains both future and past clinical information
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Standardizing medical terminology to avoid differences in naming various medical conditions and procedures (such as the synonyms bunionectomy, McBride procedure, and repair of hallus valgus) is one purpose of
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Vocabulary standards
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The federal law that directed the Secretary of Health and Human Services to develop healthcare standards governing electronic data interchange and data security is the
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Health Insurance Portability and Accountability Act of 1996
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A key technology tool for enabling data sharing is
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Extensible markup language
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Most healthcare informatics standards have been implemented by
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Consensus
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A critical early step in designing an EHR is to develop a ______ in which the characteristics of each data element are defined
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Data dictionary
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According to the UHDDS definition, ethnicity should be recorded on a patient record as
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Hispanic, non-Hispanic, unknown
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Mary Smith, RHIA has been asked to work on the development of a hospital trauma data registry. Which of the following data sets would be most helpful in developing this registry?
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DEEDS
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While the focus of inpatient data collection is on the principal diagnosis, the focus of outpatient data collection is on
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Reason for encounter
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In long term care, the resident's care plan is based on data collected in the
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MDS Version 3.0
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Reimbursement for home health services in dependent of data collected from
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OASIS
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A consumer interested in comparing the performance of health plans should review data from
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HEDIS
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HEDIS is designed to collect
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Administrative, claims, and health record review data
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Each of the three dimensions (personal, provider, community) of information defined by the National Health Information Infrastructure (NHII) contains specific recommendations for
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Core data elements
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statewide cancer surveillance system is an example of which of the NHII dimensions
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Community
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Providers and health plans need to share information. What standard must they use
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X12N
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A radiology department is planning to develop a remote clinic and plans to transmit images for diagnostic purposes. The most important standards to implement in order to transmit images is
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DICOM
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I work for an outpatient surgery center. What data set should I use
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Uniform Ambulatory Care Data Set
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Laboratory data is successfully transmitted back and forth from Community Hospital to three local physician clinics. This successful transmission is dependent on which of the following standards
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LOINC
