question

1. Certified Tumor Registrar is

answer

- A credential Based on an examination

question

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

answer

- Data collector - Project Manager - Data analyst

question

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

answer

- Can be reused in a different system if it has a different definition

question

1. Data Analyses are dealing with the process of

answer

- Inspecting data to make sure data are appropriate - Cleaning data to make sure data can be used accurately - Transforming data to make sure data can be analyzed for appropriate format - Modeling data to generate useful result

question

Whats the required follow p rate for approved hospital cancer program?

answer

- 90%

question

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

answer

False

question

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

answer

- Secondary Data

question

1. 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.

answer

True

question

1. 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?

answer

Agency for Health Care Research and Quality

question

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

answer

True

question

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?

answer

Performance management

question

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

answer

Population-based registry.

question

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

answer

True

question

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

answer

The resulting codes will be of lower quality than those generated in the inpatient coding process.

question

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

answer

Mandate the adoption of your preferred definitions of data elements.

question

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

answer

Higher quality.

question

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

answer

True

question

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

answer

. Collecting real-time data to capture live streaming events and moments with speed or frequency of data generation

question

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

answer

Quality control policies and procedures.

question

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

answer

Research

question

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

answer

Correcta. Less collaboration among providers and death registration users.

question

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

answer

Claims data

question

The major difference between a registry and a surveillance system is

answer

A registry collects population-based data for each case, while a surveillance system may or may not collect population-based data.

question

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

answer

True

question

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

answer

Oversight of transplant, death, cancer, trauma, and immunization national registries

question

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

answer

Trauma registry

question

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?

answer

Abstracting

question

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

answer

Cancer program is approved

question

Coded and administrative data are used by public health agencies for

answer

Tracking and preventing disability and disease.

question

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

answer

Accumulating a list of data elements over time so that new elements are captured as the electronic health record evolves

question

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

answer

Patient admitted to hospice care

question

Identify the function that is NOT common to all registries.

answer

Staging of the disease process and periodic follow-up for ACS approval

question

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?

answer

Elixhauser Comorbidity Measurement

question

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

answer

Etiology

question

The outcomes data warehouse should be structured around

answer

The population of people served or to be served by the warehouse.

question

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

answer

Less collaboration among providers and death registration users.

question

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

answer

Cancer control

question

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

answer

Population-based registry.

question

Which organization plays an active role in trauma registries

answer

American College of Surgeons

question

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

answer

Research

question

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

answer

Secondary data.

question

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

answer

Core measures

question

Cancer registries have been established to

answer

Assess cancer incidence, treatment, and end results

question

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

answer

True

question

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

answer

Can be reused in a different system if it has a different definition

question

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

answer

True

question

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.

answer

True

question

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?

answer

Performance management

question

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

answer

False

question

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

answer

The resulting codes will be of lower quality than those generated in the inpatient coding process.

question

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

answer

Follow-up

question

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

answer

Hospital Compare

question

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

answer

-The potential need for rapid immunization in the event of bioterrorist attack. -Whether public health goals are being met. -Whether public health interventions are needed to increase immunization rates.

question

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

answer

Evaluate the quality of the coded data.

question

Data uniformity is one characteristic of a health care data set.

answer

True

question

When designing forms and computer views, one should consult regulations and standards in addition to the needs of the user.

answer

True

question

Parallel processing means

answer

Performing an application both the old way and with the newly installed computer system.

question

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

answer

X12N ASTM HL7 (Not NPDB)

question

When the legality of data is affirmed, the data have been created, authenticated, stored, and corrected according to law or regulation.

answer

True

question

Providers of care use clinical data for determining effective utilization of services.

answer

True

question

What is included in ASTM Standard E 1384?

answer

Structure of an EHR Entity relationships Definitions of data items

question

An integrated primary patient record is organized by

answer

Date

question

When reference is made to health care data having integrity, it means that the data are complete and accurate.

answer

True

question

Each of the following is an example of aggregate data

answer

11,522 inpatient service days 120 live births Postoperative infection rate = 1.37% (Not Product of Conception Weight)

question

All health care data should be collected for an identified purpose for their retrieval and use.

answer

True

question

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

answer

Uniform Ambulatory Care Data Set

question

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

answer

Database management system

question

Good forms design divides forms into logical sections by rules.

answer

True

question

When a health care organization analyzes market trend data, such as anticipated enrollment in managed care plans, they are examining external data.

answer

True

question

Categorical data in a database would include patient date of birth, sex, race, and disposition on discharge.

answer

False

question

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

answer

AOA

question

The abbreviation ANSI represents the ______________________________________.

answer

American National Standards Institute

question

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

answer

parallel processing

question

The duplicate storage media should be kept

answer

In a building not housing the computer system

question

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

answer

EDI

question

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

answer

Uniformity

question

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

answer

Check digit

question

Computer views should guide the data collection and data validation process.

answer

False

question

Each data item should be captured once by an information system for all users who need the data item.

answer

True

question

Which of the following activities is supported by patient data?

answer

Evaluation of care Clinical education Financial viability

question

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

answer

Acute care. Long-term care. Ambulatory care. (Not Mental Health Care)

question

In a database, "2835" is an example of

answer

DATUM

question

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

answer

Redundancy

question

The creation, authentication, and retention of health information in all health care settings are permitted and protected by federal legislation.

answer

Falso

question

The U.S. Census Bureau plays an active role in sponsoring, developing, and approving data sets in health care.

answer

False

question

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

answer

2 Columns

question

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

answer

ASTM

question

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

answer

currency, timeliness

question

All the following are costs associated with data collection

answer

Data input. Data transaction time. Data management. (Not Data brokering

question

The RAI is used to capture assessment data every 14 days in long-term care.

answer

False

question

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

answer

Classifications Nomenclatures Patient record formats

question

Data from patient satisfaction surveys are an example of internal data.

answer

True

question

The meaningful electronic exchange of detailed patient data elements requires the use of common data definitions.

answer

True

question

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

answer

Within a time frame defined in the medical staff rules and regulations

question

A password can be a word or a series of letters, numbers, and symbols.

answer

True

question

All the following are costs associated with data collection

answer

Data management. Data input. Data transaction time (Not Data brokering.)

question

Health care data of particular interest in organizational planning include

answer

Services used

question

What is included in ASTM Standard E 1384

answer

Structure of an EHR Entity relationships Definitions of data items

question

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

answer

Categorical data

question

Which is secondary health care data?

answer

23 nosocomial infections

question

All of the following are health care data sets

answer

UHDDS UACDS NCDB (Not UACDS)

question

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

answer

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

question

Typically, data should be collected for a pre-specified, identified purpose and user.

answer

True

question

Third-party payers use primary data for health care reimbursement.

answer

True

question

Results of a complete blood cell count are an example of numerical/integer type of data.

answer

False

question

Each of the following is a data set

answer

UHDDS. LTS. UAS. (Not UMLS)

question

Which of the following is a narrative data type?

answer

Delivery room note

question

Which characteristic exemplifies the purposes of a data set

answer

Uniform

question

Administrators of health care organizations use internal and external data for benchmarking.

answer

True

question

What is the nominal title for ASTM Standard E 1384?

answer

Standards for Content and Structure of the Electronic Health Record

question

Logic data fields are used for "yes/no" data entries.

answer

True

question

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

answer

DOB

question

Because of the Health Insurance Portability and Accountability Act (HIPAA), privacy and security of health information technology are not a concern in regional health information organizations.

answer

False

question

According to the Department of Health and Human Services report "Framework for Strategic Action, The Decade of HIT: Delivering Consumer-Centric and Information-Rich Health Care," linking electronic health records nationwide is an important goal.

answer

True

question

The Nationwide Health Information Network's goal is to share clinical information securely.

answer

True

question

Centers for Medicare and Medicaid Services contracts with quality improvement organizations to ensure that patients get the right care at the right time.

answer

True

question

The Institute of Medicine report "Crossing the Quality Chasm" links health care quality to health information technology.

answer

True

question

In 2004, President George W. Bush publicly supported building a national health information infrastructure.

answer

True

question

As of January 2006, the Department of Health and Human Services is requiring electronic prescribing for Medicare prescription benefits.

answer

True

question

The Electronic Disease Surveillance System is designed to

answer

Transfer certain clinical information to public health departments

question

Match the uses of health information with the major users of health information.

answer

Treat Patients - Providers Measure Outcomes - Provider Researchers Verify Eligibility for Treatment - Payers Make cost-effective decision regarding treatment - Provider, payers, and Policy makers Ensure Public Health - Providers, Researchers, and Regulators

question

The federal government is mandating that all health information be in digital format by 2014.

answer

False

question

The Institute of Medicine report "Crossing the Quality Chasm" recommends that vendors help build an information infrastructure to support the elimination of handwritten clinical notes.

answer

True

question

Joint Commission standards for accredited health care facilities encourage the regional sharing of protected health information to improve patient safety.

answer

False

question

Governmental agencies participate in the Consolidated Health Information Initiative plan to share medical information with one another.

answer

True

question

Centers for Medicare and Medicaid Services is a very large purchaser of health care in the United States.

answer

True

question

Healthcare Information Technology Standards Panel reports to the National Committee on Vital and Health Statistics.

answer

False

question

Match the abbreviation with the correct description.

answer

Retrieves and transfers radiology images and diagnostic information. Correct g. DICOM Describes orders for medication at a retail pharmacy. Correct c. NCPDP Transmits data from medical devices. Correct i. IEEE 1073 Develops message standards for health care. Correct d. HL7 Contains data content standards for electronic health records. Correct j. ASTM 1384 Facilitates electronic exchange of laboratory test orders. Correct e. LOINC Describes anatomy and diagnoses. Correct h. SNOMED Facilitates electronic health care billing. Correct a. HIPAA transactions Describes clinical drugs. Correct f. RxNorm Makes health care information instantly accessible among government entities. Correct b. CHI

question

A major change in _____ was influenced by the Flexner Report of 1910.

answer

Medical education

question

Which one of the following organizations is currently responsible for the accreditation of health care organizations?

answer

Joint Commission

question

________________________ is a model of primary care that emphasizes care coordination and communication. This form of care encourages comprehensive care with accessible services and an emphasis on quality and safety.

answer

Patient-centered medical home

question

Which one of the following statements is true about the organization of community hospital governing boards?

answer

The membership is composed of a diverse group, each of whom has a skill that is of value to the function of the board.

question

_________________________ are provider collaborations created with the goal of coordinating and providing high-quality, efficient, and effective care for Medicare patients or other specific patient populations.

answer

Accountable Care Organizations

question

When a public health issue, such as an Escherichia coli outbreak from contaminated food, makes the news, what organization is responsible for investigating and minimizing such threats to society?

answer

Centers for Disease Control and Prevention

question

Which legislation increased the public's awareness of patient rights, advance directives, and options for health care?

answer

Patient Self-Determination Act

question

Which Department of Health and Human Services agency was established by Omnibus Budget Reconciliation Act in 1989 for supporting scientific research?

answer

Agency for Health Care Research and Quality

question

The CEO is employed by and is directly responsible to the

answer

Governing body.

question

Which one of the following statements describes the primary objective of the medical staff?

answer

Maintain proper standards of medical care.

question

Which one of the following officers in a health care organization is responsible for developing a strategic plan for supporting the mission and goals of the organization?

answer

CEO

question

Each of the following has been an influential factor in how health care has been delivered in the United States except

answer

Demand for jobs by health professionals.

question

What type of care is primarily provided to hospice patients?

answer

Palliative

question

Which organization was responsible for establishing the hospital standardization program in the early 1900s?

answer

American College of Surgeons

question

Which one of the following legislative acts led to a rapid increase in the construction of new hospitals, purchase of equipment, and renovation of existing hospitals?

answer

Hill-Burton Act

question

What did the Tax Equity and Fiscal Responsibility Act of 1983 pertain to?

answer

Reimbursement of care

question

Which process gives legal authority to a person to practice health care in a state?

answer

Licensure

question

As an employee of a managed care organization in the area of quality improvement, which of the following is an important resource for quality management?

answer

National Committee for Quality Assurance

question

Which one of the following departments is considered to be an ancillary department in the hospital organization?

answer

Clinical laboratory services

question

Which publication communicates the goals and objectives for promoting health and preventing disease in the United States?

answer

Healthy People: 2010

question

How would a facility be classified by the American Hospital Association if the length of stay for its inpatients averaged 4.8 days?

answer

Acute care

question

Which one of the following officers in a health care organization manages the financial, administrative, and clinical information systems of the hospital?

answer

CIO

question

Medicaid reimbursement for health care services is administered by state government.

answer

True

question

Which term refers to a health care organization's ability to provide a full range of health care services from the least acute to the most acute?

answer

Continuum of care

question

Two major issues for competing managed care organizations are

answer

Cost and quality

question

A(n) _________________________ intermediary is the organization that has contracted with the federal government to process Medicare claims and payments for hospital inpatient health care services.

answer

fiscal

question

What is the fee for a given health care procedure called that is charged by the physician and other physicians in the area?

answer

Usual, customary, and reasonable

question

Where are the Conditions of Participation regulations that govern the Medicare Program printed?

answer

Federal Register

question

Which officer in a health care organization is primarily responsible for its fiscal integrity?

answer

CFO

question

Which federal branch of the government is charged with the health and welfare of the U.S. people, including numerous regulatory programs?

answer

Department of Health and Human Services

question

Which one of the following is the mechanism by which a health care organization is recognized as having met the Conditions of Participation because it is accredited by the Joint Commission?

answer

Deemed status

question

When the cost of care is based on the patient's ability to pay, it is referred to as a(n) _________________________ scale fee.

answer

Sliding

question

The new Rocky Mountain Hospice Care Center will be providing patient care beginning January of next year. From which of the following resources can they anticipate financial reimbursement for their services?

answer

a. Medicaid b. Private pay c. Private insurance

question

All the following are accrediting agencies except

answer

Department of Health and Human Services

question

All the following activities are a legitimate function of a hospital governing board except

answer

Appointment of the president of the medical staff

question

Prospective reimbursement altered the incentives for providing health care.

answer

True

question

The Association of Medical Record Librarians of North America was the first name for the association now known as American Health Information Management Association.

answer

True

question

Requirements for the licensing of health care organizations are called "regulations."

answer

True

question

The Joint Commission accreditation preempts the need for state licensing of a health care organization in all 50 states.

answer

False

question

Fifty component state associations plus associations in the District of Columbia and Puerto Rico comprise the organizational structure of American Health Information Management Association.

answer

True

question

Fee-for-service reimbursement was mandated in the early 1980s for all inpatients and outpatients.

answer

False

question

The members of the Council on Certification are appointed by the board of directors of American Health Information Management Association.

answer

False

question

The emphasis of health care organization accreditation is on the provision of cost-effective health care.

answer

False

question

The official publication of the American Health Information Management Association is the Journal of the American Health Information Management Association.

answer

True

question

The code of ethics is a professional practice standard applicable to all certified health information professionals.

answer

True

question

The amendments to the Social Security Act of 1965 resulted in both the Medicare and Medicaid programs.

answer

True

question

In the 1920s, the patient record was a source of needed information for board certification by the American College of Surgeons.

answer

True

question

Current Joint Commission standards emphasize departmentalized health care versus integrated health care.

answer

False

question

The earliest medical records in the United States were

answer

Ledger-formatted.

question

A registered health information administrator (RHIA) who also holds a certified health data analyst (CHDA) credential needs 40 continuing-education units (CEUs) for the 2-year reporting cycle.

answer

True

question

The earliest medical records in the United States had some characteristics of a business record.

answer

True

question

Elevating the standards for clinical records was the mission of the first organization of medical record librarians.

answer

True

question

The board of directors of American Health Information Management Association manages the property, business, and affairs of the association.

answer

True

question

Which is a primary function of American Health Information Management Association?

answer

Certification and Program Accreditation

question

All the following components were specified for a computerized patient record system by the Institute of Medicine Study of 1991 except

answer

Communications systems.

question

The process of assessing the quality of physician education by the American College of Surgeons in the early 1900s was dependent on the quality of the patient record.

answer

True

question

At its inception, the Joint Commission was composed of the American College of Surgeons, the American Hospital Association, and other organizations.

answer

True

question

Continuing education is mandatory for maintenance of certification as a health information professional.

answer

True

question

Which of the following is a legitimate and stated use of health information according to American Health Information Management Association?

answer

The development of public policy on health care The prevention of disease and the promotion of health

question

In the early 1900s, the Joint Commission assumed the position of the American Heart Association in assessing the quality of patient records.

answer

False

question

Prospective, fixed-rate reimbursement was initiated by the Joint Commission.

answer

False

question

Information management standards are developed by the Joint Commission in collaboration with American Health Information Management Association and other organizations.

answer

True

question

Essentials for health information education programs are monitored by American Health Information Management Association in collaboration with the Joint Commission.

answer

False

question

Professional practice standards have been developed by American Health Information Management Association.

answer

True

question

Which requirements apply to certifying health care facilities for the treatment of Medicare and Medicaid patients?

answer

Conditions of Participation

question

The earliest medical records in the United States were

answer

Ledger-formatted

question

The first minimum standards pertaining to physicians and hospitals in the United States were established by the American College of Surgeons.

answer

True

question

A registered health information administrator (RHIA) who also holds a certified health data analyst (CHDA) credential needs 40 continuing-education units (CEUs) for the 2-year reporting cycle.

answer

True

question

The protection of secondary health information is an ethical tenet promoted by American Health Information Management Association.

answer

True

question

Before the mid-1990s, the accreditation of allied health education programs was a cooperative effort with the American Medication Association.

answer

True

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