HIM1100C Chapter 4 Healthcare Data Sets & Standards – Flashcards

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question
Which of the following is designed to collect a minimum set of data about inpatients?
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UHDDS (Uniform Hospital Discharge Data Set)
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Which of the following is used to collect data about ambulatory care patients?
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UACDS (Uniform Ambulatory Care Data Set)
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Which of the following is used to collect data about long-term care residents?
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MDS (Minimum Data Set)
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Which of the following provides a structured way to develop long-term resident care plan?
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MDS (Minimum Data Set)
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Which of the following is used to gather data about Medicare beneficiaries receiving home care?
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OASIS-C
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Which of the following best describes DEEDS data set?
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Collects data about hospital emergency encounters
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Which of the following is a set of performance measures used to compare the performance of managed healthcare plans?
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HEDIS (Healthcare Effectiveness Data & Information Set)
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Which of the following was developed by the Joint Commission ?
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ORYX
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Which of the following would be a core data set for a patient's clinical summary?
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CCR (Continuim of Care Record)
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The Resident Assessment Instrument is triggered by the data collected by the :
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MDS (Minimum Data Set)
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Which of the following best describes an SDO?
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Develops standards
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Which of the following should be used to communicate information from one provider to another for referral, transfer, or discharge of the patient?
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CCR (Continum of Care Record)
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Which of the following was adopted as the federal health information interoperability messaging for imaging?
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DICOM (Digial Imaging of Communication in Medicine)
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Which SDO develops messaging, data content, and document standards to support the exchange of clinical information
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HL7 (Health Level 7)
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Which of these standards is a standard for communication between bedside medical devices and patient care information systems?
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IEEE 1073 (Institute of Electrical & Electronics Engineering)
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One of the two office HHS advisory groups established as a result of ARRA responsible for making recommendations to the National Coordinator:
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HIT Policy Committe (HITPC)
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Which standard assists in the sharing of information from one provider to another for patient care?
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CCR
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What organization coordinates the efforts of other SDO's?
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ANSI (American National Standards Institute)
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What type of standard establishes common definitions for medical terms?
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vocabulary
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XML
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extensive mark up language, interoperability- sharing data via web/ transfer of data possible thru internet (web)
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Name 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 development 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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UHDDS Uniform Hospital Discharge Data Set
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Both HEDIS and the Joint Commission's ORYX program are designed to collect date 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 - CCR contains both current and past information
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Standardizing medical terminology to avoid differences in naming various medical conditions and procedures (such as the synomyms buionectomy, 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 is
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XML - extensive 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 the the UHDDS definition, ethnicity should be recorded on a patient record as a:
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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? DEEDS, UACDS, MDS Version 3.0 OASIS
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DEEDS
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While in the focus of inpatient data collection is on the principal diagnosis, the focus of outpatient data collection is on the : Reason for admission, reason for encounter, discharge diagnosis, activities on daily living
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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 : UHDDS OASIS MDS Version3.0 HEDIS
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MDS Version 3.0
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Reimbursement for home health services in dependent of data collected from: HEDIS, UHDDS, OASIS, MDS Version 3.0
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OASIS
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A consumer is 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
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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: Government regulations, core data elements, privacy controls, technology requirement
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core data elements
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A statewide cancer surveillance system is an example of which of the NHII dimensions? personal, provider, community, Payer
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community
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Providers and health plans need to share information. What standard must they use? X12N, LOINC, IEEE1073, DICOM
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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 is order to transmit images is:
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DICOM
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I work for an outpatient surgery center. What data should I use?
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UACDS 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 standard?
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LOINC
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As many private and public standards groups promulgate health informatics standards, the Office of the National Coordinator of Health Information Technology has been given responsibility for:
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Harmonization of standards from multiple sources
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