Mds or minimum data set - Study guides, Class notes & Summaries

Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: Data sets Data elements Electronic data interchange Bills of mortality Data Set In long-term care, the resident's care plan is based on data collected in the? UHDDS OASIS MDS HEDIS MDS (Minimum Data Set) Which of the following statements describes alphabetical filing? File the record alphabetically by first name, follow...

Coded Data - Data that is translated into standard nomenclature of classification so that it may be aggregated, analyzed and compared. Materials required in a emergency care record: - Time & Means of the patients arrival Treatment Rendered Instructions @ discharge Minimum data set (MDS) - component of the resident assessment instrument (RAI) and is used to collect information about the residents risk factors and to plan the ongoing care and treatment of the resident in the long term care...

RHIT EXAM PREP PRACTICE QUESTIONS AND ANSWERS (Data Analysis and Management) 2024/2025 | 100% Verified Answers. A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of each data element are defined. A) Accreditation manual B) Core content C) Continuity of care record D) Data dictionary - ANSWER-D) Data dictionary (2) Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was establishe...

Activity and participation Correct Answer-What does OT focus on in regards to function? MDS Correct Answer-minimum data set modes of therapy Correct Answer-individual, concurrent and group minutes treatment day Correct Answer-fifteen minutes of therapy or more during that day Therapy start date Correct Answer-the day of the initial evaluation Skilled services include Correct Answer-minutes provided, set up time, education when the resident is present and active reevaluation time ...

Example of Point-of-Service care & documentation answer is: - RN using a terminal to record vital signs. There's a difference between computer application in health care and clinical application of computers What do I find in Medical Staff Rules & Regulations? answer is: - Doc requirements for pts' records, time frame for completion of MRs, penalties for failure to comply C these requirements Auto authentication. Why doesn't TJC approve it? answer is: - No guarantee that MD ...

A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of each data element are defined. A) Accreditation manual B) Core content C) Continuity of care record D) Data dictionary - ANSWER-D) Data dictionary (2) Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: A) Data sets B) Data elements C) Electronic data interchange D) Bills of ...

Source-Oriented Health Record - Documents organized into sections according to the provider's and departments that provide treatment (lab together, rad. together, clinical notes together) Problem-Oriented Health Record - Divided into four parts: database, problem list, initial plan, progress notes (SOAP) SOAP what does S stand for? - Subjective (patient's point of view) SOAP what does O stand for? - Objective (what the practitioner finds) SOAP what does A stand for? - Assessment (c...

Source-Oriented Health Record - Documents organized into sections according to the provider's and departments that provide treatment (lab together, rad. together, clinical notes together) Problem-Oriented Health Record - Divided into four parts: database, problem list, initial plan, progress notes (SOAP) SOAP what does S stand for? - Subjective (patient's point of view) SOAP what does O stand for? - Objective (what the practitioner finds) SOAP what does A stand for? - Assessment (c...

RHIT - Compliance Domain 3What type of plan is Joint Commission-accredited facilities required to maintain to protect health information from catastrophes such as fire, flooding, bomb threats, and theft? A. patient care B. case management C. budget D. disaster REFERENCE: AHIMA Practice Brief, "Disaster Planning for Health Information" McWay, p 326 - correct answer disaster Documentation found in acute care health records should include core measure quality indicators required for...

Ethics - Answer knowledge of right and wrong OBRA - Answer omnibus budget reconciliation act 1987 designed to improve quality of care in LTCF set minimum standards for NA training, state registry MDS - Answer Minimum Data Set form with guidelines for assessing residents must be completed within 14 days of admission + again each year and redone if there is a major change in conditioned + reviewed every 3 months Neglect - Answer harming a person physically, mentally...