Study Summer Class Part 2

creativity's version from 2015-07-29 17:45

Section 1

Question Answer
Accession registryList of cases in a cancer registry arranged in the order in which the cases were entered
Disease indexList of diseases and conditions of patients treated in a facility, sequenced according to classification code numbers
Disease registryCentral collection of data used to improve the quality of care and measure the effectiveness of a particular aspect of healthcare delivery
Population-based registryRegistry that includes information from more than one facility in a geopolitical region
Facility-based registryRegistry that includes only cases for a specific facility
Operation indexList of the operations and procedures performed in a facility, sequenced according to classification code numbers
Physician indexList of patients by physician, usually arranged by physician code numbers
Trauma registryList of patients with severe injuries
National Ambulatory Medical Care SurveyDatabase from the National Health Care Survey that uses the patient health record as a data source?
MEDPARMade up of claims data from Medicare claims submitted by acute care hospitals and skilled nursing facilities?
Master patient/population indexIndexes and databases that includes patient-identifiable information?

Section 2

Question Answer
The Medicare Provider Analysis and Review file is made up of ___.Medicare claims from acute care hospitals and skilled nursing facilities
The collection of information on healthcare fraud and abuse was mandated by HIPAA and resulted in the development of ___.The Healthcare Integrity and Protection Data Bank
The creation of the National Practitioner Data Bank was mandated by ___.The Health Care Quality Improvement Act
The most prevalent trend in the collection of secondary databases is ___.The increased use of automated data entry
Two clerks are abstracting data for a registry. When their work is checked, discrepancies are found. Which data quality component is lacking?Interrater Reliability
Vital statistics include data on ___.Births, deaths, fetal deaths, marriages, and divorces
What is the information identifying the patient (such as name, health record number, address, and telephone number) called?Demographic data
Law requires the reporting of deaths and severe complications due to devices?Safe Medical Devices Act of 1990
National database includes data on all discharged patients regardless of payer?Healthcare Cost and Utilization Project
Database a healthcare facility must query as part of the credentialing process when a physician initially applies for medical staff privileges?NPDB
Databases developed by the National Library of Medicine?The Medical Literature, Analysis, and Retrieval System Online

Section 3

Question Answer
Why is the MPI the most important index in the hospital?The MPI includes patient specific data. The MPI includes information such as the patient name, date of birth and individual patient identification number assigned to the patient the first time the patient is treated at the hospital or facility. The MPI is the most important index that will be used by an HIM professional. The MPI is important in locating data that may need to be abstracted and then de-identified for secondary data bases. The MPI makes it easy for the healthcare professional to locate the patient information quickly.
What is the difference between primary and secondary data?Primary data is patient specific data that has been documented by the professionals who provided the care to the patient. Secondary data is patient information that has been de-identified for use by hospitals and/or organizations (exp. CDC) and may be used for things such as benchmarking.
Give three ways registries differ from indexes?Registries include more detailed information than indexes. Registries may be facility-based or population based. Registries contain de-identified patient information and indexes may have patient identifiable information.
Name and describe three elements of data quality to be concerned with when processing and maintaining secondary databases.Accuracy of data - This element deals with the validity of data. The data must be accurate. Comprehensiveness of data - This element deals with completeness of the data. All the needed data is available. Confidentiality of data - This element deals with the data being kept confidential and only being used for the intended purposes.
A collection of secondary data related to patients with a specific diagnosis, condition, or procedures?Disease registry
What is the role of the health information management professional in regards to being a data steward?The HIM professional must ensure that the data pulled from the patient record will be correct and free of edits and will be kept confidential in that it will only be used in the manner for which it was intended.
Contains a list maintained in diagnosis code number order of patients discharged from a facility during a particular time period?Disease index
Examples of an external user of data would be?The CDC or Public health department
Contains a list maintained in procedure code number order of patients discharged from a facility during a particular time period?Operation index
What is histocompatibility?The compatibility of the donor and the recipient tissues

Section 4

Question Answer
Name four purposes for collecting secondary data.Quality, performance, and patient safety (exp. collecting for CMS) - Research - Population health (exp. CDC, Health Dept.) - Administration (Physician credentialing).
4 Types of Facility-Specific Indexes?MPI (Master Population/Patient Index) contains paient-identifiable data - Disease index (listing diagnosis code number of discharged data) - Operation index (arranged in numerical order by patient's procedure code) - Physician Index (cases in order by physician name or physician identification number).
3 Types of secondary data sources?Facility-Specific Indexes - Registries (Disease) - Healthcare databases.
What does it mean to be transparent when working with secondary data?Refers to the degree to which patients included in secondary data sets are aware of their inclusion.
What are the 4 Data Quality Issues?Accuarcy of the data - Consistency of the data - Comprehensiveness of the data - Timeliness of the data.
Accuracy of the data deals with?Validity of the data - correct and accurate use of edits.
Consistency of the data deals with?Reliability - might employ interrator reliability.
What is comprehensiveness of the data?Also referred to as completeness. Used to avoid missing data.
What is Timeliness of the data?The healthcare data should be up-to-date.
List some of the different types of registries?Cancer - Trauma - Birth Defects - Diabetes - Implant - Transplant - immunization

Section 5

Question Answer
What are the 4 different types of standards?Structure and content Standards - Content Exchange Standards - Vocabulary Standards - Privacy and Security Standards.
What is the 1st type of standard and what does it do?Structure and content standards. - Establish and provide clear and "uniform definitions for fields (data elements) in the EHR.
What is the 2nd type of standard and what does it do?Content Exchange Standards. - a core data set of relevant current and past information about a patient's health status and healthcare treatment. (Includes the CCR, CDA, and CCD)
What is the 3rd type of standard and what does it do?Vocatulary Standards - Provide common definitions for medical terms. Include vocabularies, code sets, and nomenclatures (a set or system of names or terms, as those used in a particular science or art, by an individual or community, etc).
What is the 4th type of standard and what does it do?Privacy and Security Standards - Protects personal health information (define appropriate use and what is not appropriate use of health care data). Implemented throughout healthcare.
What is XML?Extensible markup language. - Universal language to be able to facilitate and store data and transmission of data published on the internet.
Name the 6 SDO's we must be familiar with.ASC X12 - ADA - ASTM International - HL7 - IEEE - NCPDP
The term "standard" is a well-defined approach that supports a business process and has characteristics. Give examples of these characteristics.agreed upon by a group of experts - been publicly vetted - provides rules, guidelines, or characteristics - available in an accessible format - subject to ongoing review - ensures materials, products, processes, and services are fit for thie intended purpose.
What 2 committee's were established as a result of ARRA and ran out of ONC?HITPC (HIT Policy committee) - HITSC (HIT Standards Committee).
What are the 2 purposes of Healthcare data sets?Identify data elements to be collected on each patient. - Provide uniform definitions for common terms.

Section 6

Question Answer
What does the HITPC (Heatlh Information Technology Policy Committee) do?Recomments to the National Coordinator on a policy framework for the development and adoption of a national health information technology infrasturcture.
What does the HITSC (Health Information Technology Standards Committee) do?Recommends to the National Coordinator on standards, implementation specification and certification criteria for electronic exchange and use of health information.
What is IEEE (Institute of Electrical and Electronic Engineers) and what does it do?Links between critical care "bedside" instruments and clinical information systems. (Equipment machines, bedside & telemedicine).
What is ASC X12 and what does it do?Accredited Standards Committee - Standards for business transactions for Health care claims and billing.
What is ADA and what does it do?American Dental Association - Develops dental standards.
What is ASTM International and what does it do?Formerly known as the American Society for Testing and Materials. Standards for Lab.
What is HL7 (Health Level 7) and what does it do?Develops messaging, data content, and document standards to support the exchange of clinical information. (Think clinical data).
What is NCPDP and what does it do?National Council for Prescription Drug Programs - Develops standards for prescription and payment information.
What are the 6 specific types of data sets.UHDDS (Uniform Hospital Discharge Data Set) - UACDS (Uniform Ambulatory Care Data Set)- RAI and MDS (Resident Assessment Instrument and Minimum Data Set) - OASIS-C (Outcomes and Assessment Information Set) - HEDIS (Healthcare Effectiveness Data and Information Set) - DEEDS (Data Elements for Emergency Department Systems)
Core data set for a patient's clinical summary?CCR (Continuity of Care Record).