HIMT: Data Sets and Standards (Ch 4)
Terms in this set (42)
This is designed to collect a minimum set of data about inpatients.
This is used to collect data about ambulatory care patients.
This is used to collect data about long term care residents.
This provides a structured way to develop a long term care resident care plan.
This is used to gather data about Medicare beneficiaries receiving home care.
This collects data about hospital emergency encounters.
This is a set of performance measures used to compare the performance of managed healthcare plans.
This data set was developed by the Joint Commission.
continuity of care record
This may be used as a core data set for a patient's clinical summary.
The resident assessment instrument is triggered by the data collected by the ____.
SDOs develop ____.
This is used to communicate information from one provider to another for referral, transfer, or discharge of the patient.
This was adopted as the federal health information interoperability messaging standard for imaging.
Which SDO develops messaging, data content, and document standards to support the exchange of clinical information?
Standard for communication between bedside medical devices and patient care information systems.
HIT Policy Committee, HIT Standards Committee
The two official HHS advisory groups established as a result of ARRA responsible for making recommendation to the National Coordinator.
HIT Policy Committee
This group provides recommendations to the ONC on policy framework for the development and adoption of a nationwide HIT infrastructure that permits electronic exchange of health information.
HIT Standards Committee
This group provide recommendations to the ONC on standards, implementation specifications, and certification criteria for the electronic exchange and use of health information.
Standard that assists in the sharing of information from one provider to another for patient care.
Organization that coordinates the efforts of other SDOs.
Type of standard that establishes common definitions for medical terms.
national committee on vital and health statistics
Name of the government agency that has led the development of basic data sets for health records and computer databases.
recommend common data elements
Minimum data sets in healthcare are developed to _____ be collected in health records.
Data that are collected from individual records and then combined are referred to as ____.
Inpatient data set that has been incorporated into federal law and is required for Medicare reporting.
performance improvement programs
Both HEDIS and ORYX are designed to collect data to be used for _____.
past, current, future
The continuity of care record contains ___, ___, and ___ clinical information.
Standardizing medical terminology to avoid differences in naming various medical conditions and procedures is a purpose of _____.
The federal law that directed the Secretary of HHS to develop healthcare standards governing EDI and data security.
extensible markup language
A key technology tool for enabling data.
Most healthcare informatics standards have been implemented by ____.
A critical early step in designing an EHR is to develop a _____ in which the characteristics of each data element are defined.
hispanic, non Hispanic, unknown
According to the UHDDS definition, ethnicity should be recorded on a patient record as ______.
Mary has been asked to work on the development of a hospital trauma data registry. What data set would be most helpful in developing this registry?
reason for encounter
While the focus of inpatient data collection is on the principal diagnosis, the focus of outpatient data collection is on _____.
A consumer interested in comparing the performance of health plans should review data from ____.
administrative, claims, health record review
HEDIS is designed to collect ____, ____, and ____ data.
core data elements
Each of the three dimensions of information defined by the NHII contains specific recommendations for ____.
A statewide cancer surveillance system is an example of which NHII dimension?
Providers and health plans share information using the _____ standard.
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 ____.
harmonization of standards, multiple sources
As many private and public standards groups promulgate health informatics standards, the ONC has been given responsibility for ____ from _____.
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