Health Information: Test 4-3

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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

Committee on Vital and Health Statistics

The primary purpose of a minimum data set in healthcare is to:

Recommend common data elements to be collected in health records.

Data that are collected on large populations of individuals and stored in databases are referred to as:

Aggregate data.

The inpatient data set that has been incorporated into federal law and is required for Medicare reporting is the:

Uniform Hospital Discharge Data Set.

Both HEDIS and the Joint Commission's ORYX program are designed to collect data to be used for:

Performance improvement programs.

A National Health Information Network is:

A network of networks.

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:

Vocabulary standards.

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:

Health Insurance Portability and Accountability Act of 1996.

The number that has been proposed for use as a unique patient identification number but is controversial because of confidentiality and privacy concerns is the:

SSN.

Most healthcare informatics standards have been implemented by:

Consensus.

A critical early step in designing an EHR is to develop a(n) ___ in which the characteristics of each data element are defined.

Data dictionary.

According to the UHDDS definition, ethnicity should be recorded on a patient record as:

Hispanic, non-Hispanic, unknown.

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.

While the focus of inpatient data collection is on the principal diagnosis, the focus of outpatient data collection is on:

Reason for encounter.

In long term care, the resident's care plan is based on data collected in the:

MDS, v. 2.0.

Reimbursement for home health services in dependent of data collected from:

OASIS.

A consumer interested in comparing the performance of health plans should review data from:

HEDIS.

I need a standard that allows data to be transferred across the Internet. Which of the following is my choice?

XML.

Each of the three dimensions (personal, provider, community) of information defined by the National Health Information Infrastructure (NHII) contains specific recommendations for:

Core data elements.

A statewide cancer surveillance system is an example of which of the NHII dimensions?

Community.

In order to effectively transmit healthcare data between a provider and payer, both parties must adhere to which electronic data interchange standards?

X12N.

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:

DICOM.

A core data set developed by ASTM to communicate a patient's past and current health information as the patient's transitions from one care setting to another is:

Continuity of Care Record.

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?

LOINC.

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:

Harmonization of standards from multiple sources.

Which of the following indexes and databases includes patient-identifiable information?

Master Patient Index.

Which of the following is an external user of data?

Public health department.

Review of disease indexes, pathology reports, and radiation therapy reports is part of which function in the cancer registry?

Case finding.

What is the information identifying the patient (such as name, health record number, address, and telephone number) called?

Demographic data.

Cancer registries receive approval as part of the facility cancer program from the which of the following agencies?

American College of Surgeons.

Two clerks are abstracting data for a registry. When their work is checked, discrepancies are found. Which data quality component is lacking?

Reliability.

Which national database includes data on all discharged patients regardless of payer?

Healthcare Cost and Utilization Project.

What does an audit trail check for?

Unauthorized use of a system.

Which law requires the reporting of deaths and severe complications due to devices?

Safe Medical Device Act of 1990.

Which of the following is a database from the National Health Care Survey that uses the patient health record as a data source?

National Ambulatory Medical Care Survey.

Which of the following contains a list maintained in diagnosis code number order of patients discharged from a facility during a particular time period?

Disease index.

Which of the following contains a list maintained in procedure code number order of patients discharged from a facility during a particular time period?

Operation index.

Which of the following is a collection of secondary data related to patients with a specific diagnosis, condition, or procedures?

Disease registry.

Case findings is a method used to:

Identify patients who have been seen or treated in a facility for a particular disease or condition for inclusion in a registry.

In a cancer registry, the accession number:

Is the number assigned to each case as it is entered into a cancer registry.

A population based registry:

Includes information from more than one facility in a particular geopolitical area, such as a state or region.

Which of the following is made up of claims data from Medicare claims submitted by acute care hospitals and skilled nursing facilities?

MEDPAR.

The Medicare Provider Analysis and Review file is made up of:

Medicare claims from acute care hospitals and skilled nursing facilities.

Which database must a healthcare facility query as part of the credentialing process when a physician initially applies for medical staff privileges?

NPDB.

Vital statistics include data on:

Births, deaths, fetal deaths, marriages, and divorces.

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