Chapters 4,5&6 Questions and Answers

Chapters 4,5&6 Questions and Answers Data uniformity is one characteristic of a health care data set True When designing forms and computer views,one should consult regulations and standards in addition to the needs of the user True When reference is made to health care data having integrity, it means that the data are complete and accurate True All of the following are health data sets EXCEPT: NCDB What data management criterion has been met when the data collected meet the needs and stated goals of the health care organization? data appropriateness Which is a demographic datum collected in a health information system database? DOB What prerequisite must data meed to be comparable among external users of the data? uniformity Which data set was developed for capturing primary data on outpatients and clinic patients? Uniform Ambulatory Care Data Set Each of the following are general formats of the primary patient record EXCEPT patient oriented Minimum data sets are available for use in all the following health care delivery systems EXCEPT Mental Health Care Which characteristic exemplifies the purpose of a data set? Uniform An integrated primary patient record is formatted by? Date Health information management control issues in data collection should include: All of the above 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 Categorical data 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: Redundancy What is a communication system? Electronic mail Which benefit can be realized from computerized health information systems? All of the above In an electronic health record system, how are chest x-rays processed? Image Which data type is a discharge summary? Text Which data type are International Classification of Diseases, 9th edition, Clinical Modification (ICD-9-CM) codes? Alphanumerical Expected electronic health record functions include: All of the above Select the best example of the electronic health record (EHR) documentation principle of integrity in action: When a transcribed report moves from the vendors dictation/transcription system to the facility's EHR system, the document's content remains the same as when it was transcribed A business rule applied to an electronic health record system would: Specify who can make entries in the record You are a supervisor for the release-of-information unit in a medium sized urban hospital. You notice that the unit is receiving an average of 100 requests a month from the Social Security Administration (SSA) for disability claims. What action and recommendation would you bring to the health information management director? analyze the type of document the SSA is requesting and create a designed record set to meet their needs. You are a clinical data specialist in an ambulatory care facility that has a newly implemented electronic health record (EHR). You notice that certain clinicians are copying and pasting discharge summaries written by others from partner hospitals into their patients' records. You are concerned and write an "issues brief" for the next EHR steering committee. Which of the following points will you include in the issues brief? a,b, and c When determining how long you must retain paper or computerized health information and health records, you consult: All of the above When considering how users retrieve information from an electronic health record (EHR), implementers should consider: Document titles Computerized health information systems have demonstrated a reduction in health care costs. True Al electronic health record system includes rules and procedures True Authorized users can access transcribed radiology reports and digital diagnostic images in radiology databases by a Web server using web browser. True Which is descriptive in the International Classification of Diseases (ICD) coding system? Statistical classification Which organization is responsible for revising the Healthcare Common Procedure Coding System National codes? Centers for Medicare and Medicaid Which of the following coding systems is a nomenclature? SNOMED Which of he following would require a Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) code? Both a and b The procedural coding system that replaces the procedures code in International Classification of Diseases, 9th edition, Clinical Modification (ICD-9-CM) is International Classification of Diseases, 10th edition, Procedure Coding System (ICD-10-PCS) The healthcare common procedure coding system contains levels of codes. True One of the uses of coded data (i.e., ICD, CPT) is reimbursement for health care services rendered by the health care providers. True Logical Observation Identifies Names and Codes (LOINC) uses naming standards to organize and retrieve data True Free text is preferable in describing health care because it is more concise and an efficient way of strong detailed information and transmitting the information to others. False