Health data content final| 379 QUESTIONS| WITH COMPLETE SOLUTIONS

A member of the AHIMA Board of Directors is which of the following? Correct Answer: Elected The Uniform Hospital Discharge Data Set's core data elements are collected by ______. Correct Answer: Acute care, short-term stay hospitals Traditionally physicians alone determine the timely and effective interventions in response to a wide range of problems related to a patient's treatment, comfort, and safety. Who else are playing a wider role in this function? Correct Answer: Nurses Which of the following is a true statement regarding abbreviations in the health record? Correct Answer: Only abbreviations approved by the healthcare organization can be used The creation of the National Practitioner Data Bank was mandated by the ___. Correct Answer: Health Care Quality Improvement Act Which of the following contains the physician's findings based on an examination of the patient? Correct Answer: Physical exam Identify an appropriate standard for forms design. Correct Answer: The form should include the original and revised dates A healthcare organization must ensure that data is presented in a way that is appropriate for the purpose of the data. Correct Answer: True Skilled nursing care is defined as skilled nursing observations and: Correct Answer: Technical procedures The physician can type anything in the comments field. This type of data is known as _____. Correct Answer: Free-text The ambulatory surgery record contains information most similar to _____. Correct Answer: Hospital operative records Which of the following data sets collect information on the provider, place of encounter, reason for encounter, problem, diagnosis, assessment, therapeutic services, preventative services, and disposition? Correct Answer: UACDS Central collection of data used to improve the quality of care and measure the effectiveness of a particular aspect of healthcare delivery Correct Answer: disease registry A risk analysis is useful to _________. Correct Answer: Identify security threats