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HITT 1301 > Ch 6 Data Management > Flashcards

Ch 6 Data Management Flashcards

1
Q

True/False: a data element is a single or individual fact that represents the smallest unique subset of larger data.

A

True

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2
Q

Critique each statement to determine the one that demonstrates the intent of a data set.

A

A recommended list of data elements that support a specific healthcare industry

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3
Q

The intent and purpose of the creation of a data dictionary is to:

A

Create support for structured data collection

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4
Q

The 2 most commonly used database in healthcare are:

A

Relational & object oriented databases

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5
Q

True/false: an index creates a definition for data elements within a database

A

False

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6
Q

True / false: there is usually only one source of data within a healthcare organization

A

False

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7
Q

Which term is defined as principal & oversight to manage the information that is produced by the different systems within a healthcare organization?

A

Information governance

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8
Q

Select the process that can help organizations evaluate the current state of best practices with data management, gaps, and areas of opportunity based on risk, strategy, and operations of the organization.

A

Information governance adoption model

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9
Q

Define the principle of integrity

A

Create assurances that the data generated and maintained by an organization maintains authenticity & reliability

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10
Q

True/false: an information governance initiative is a project within a healthcare organization led by middle level leadership

A

False

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11
Q

True/ false: information governance and data governance are the same concept and can be used interchangeably.

A

False

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12
Q

Distinguish which of the following are components of AHIMA’s principles of information governance.

A

Accountability and integrity

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13
Q

Compliance

A

create a process for ensuring that all the information meets requirements of appropriate laws & regulations, standards & organizational policies

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14
Q

Dispositions

A

create processes for secure & appropriate destruction of info that is no longer needed to be maintained by the healthcare organiztion

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15
Q

Retention

A

create a process for proper preservation of information based on requirements from regs, accrediting orgs and company policy

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16
Q

Transparency

A

create a clear & open documentation process for the information governance strategy & activities within a healthcare org. instruments & clinical info systems

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17
Q

accountability

A

create authority over the information governance process within an organization

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18
Q

When creating requirements of documentation for hospital bylaws, which of the following should be evaluated?

A

the documentation needs based on accrediting bodies

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18
Q

The 2 most commonly used database in healthcare are:

A

relational and object oriented databases

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19
Q

Define the principle of integrity

A

create assurances that the data generated & maintained by the organization maintains authenticity & reliability

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20
Q

T/F Data granularity is where the data collected is collected at a level of detail that meets the needs of the healthcare org

A

True

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21
Q

Recommend a guideline for maintaining integrity in the health record.

A

Prohibiting the entry of false info into any of the healthcare orgs health records

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22
Q

Which term is defined as principles & oversight to manage the information that is produced by the different systems within a healthcare org?

A

Information governance

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23
Q

True/ False Without proper definition & requirements of data quality & data collection it is challenging for healthcare org to hold healthcare providers accountable for documentation?

A

True

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24
Q

Which of the following data quality characteristics means all data items are included in the information collected?

A

Comprehensiveness

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25
Q

True/ False Information governance & data governance are the same concept & can be used interchangeably

A

False

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26
Q

True/ false An information governance initiative is a project within a healthcare org led by middle level leadership

A

False

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27
Q

True/ False When creating bylaws for the medical staff, expectations of data quality should be established within the bylaws.

A

True

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28
Q

True/ False A data element is a single or individual fact that represents the smallest unique subset of larger data.

A

True

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29
Q

Healthcare organization do not need to evaluate the purpose of data collection for assuring data quality.

A

False

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30
Q

Distinguish which of the following is a goal of a CDI program.

A

Identify & clarify missing, conflicting, or nonspecific physician documentation related to diagnoses and procedures

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31
Q

The intent & purpose of the creation of a data dictionary is to:

A

Identify the data elements that you want to collect

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32
Q

Identify which of the following are the 4 data quality management domains.

A

Application, collection, warehousing, and analysis

33
Q

Identify the 2 types of queries used in clinical documentation integrity.

A

Paper and electronic

34
Q

True/ False Data sharing is needed regardless of the info system used.

A

True

35
Q

True/ False The response from a query will never go into the health record as it is just communication between the CDI prof & the provider.

A

False

36
Q

Select the process that can help org evaluate the current state of best practices with data management, gaps and areas of opportunity based on risk, strategy and operations of the org.

A

Information governance adoption model

37
Q

True/ False Data stewardship is practices established to ensure the knowledgeable and appropriate use of data derived from individuals personal health information

A

True

38
Q

Critique each statement to determine the one that demonstrates the intent of a data set.

A

A recommended list of data elements that support a specific healthcare industry

39
Q

Distinguish which of the following are components of AHIMA’s principles of information governance

A

Accountability and integrity

40
Q

True/ False When creating provider contracts healthcare org should not define disciplinary actions in the event that the contract requirements ae not met.

A

False

41
Q

Identify which of the following describes what information assets are

A

Information collected by a healthcare organization that has value

42
Q

True/ False When creating provider contracts healthcare orgs should not define disciplinary actions in the event that the contract requirements are not met.

A

False

43
Q

True/ False Data sharing is needed regardless of the info system used.

A

True

44
Q

True/ False There is usually only one source of data within a healthcare organization

A

False

45
Q

True/ False An index creates a definition for data elements within a database.

A

False

46
Q

AHIMA has created 8 principles to help orgs create_________ within their organization.

A

Information governance

47
Q

Critique the following statement: when writing a query for clinical documentation questions, the physician should be told specifically what needs to be written.

A

This is false statement as queries should not lead the physician

48
Q

Recommend a strategy that will help a healthcare org use personal health information in a knowledgeable way.

A

Data stewardship

49
Q

The way that information is used is spelled out in an ________

A

Use case

50
Q

To identify 10 pts who had an appendectomy, the _______ should be consulted.

A

Procedure index

51
Q

The term that describes data that define & characterize other data within an electronic system is ________

A

Metadata

52
Q

The ________ characteristic of quality data means the data is completely free from any errors.

A

Accuracy

53
Q

A visual process to understand the data being collected in 2 different systems & how it is linked to one another is known as _______

A

Data mapping

54
Q

________ is the process of extracting info stored in structured data formats within a database.

A

Data mining

55
Q

Identify the data characteristic that is met when documenting the specific height of a pt within the health record.

A

Precision

56
Q

The quality characteristics that address the level of detail is _______

A

Granularity

57
Q

The capability for 2 or more electronic systems to communicate and exchange information electronically is known as _____

A

Interoperability

58
Q

Identify a collection of data that is organized in a manner to be accessed, managed, reported and updated electronically.

A

Database

59
Q

Authorship validation is one part of ______

A

Data integrity

60
Q

Recommend a data set to collect uniform data across the United States for inpatient pt stays.

A

Uniform Hospital Discharge Data Set (UHDDS)

61
Q

A _______ is a communication tool used during clinical documentation integrity to communicate between a clinical documentation integrity professional and the provider.

A

Query

62
Q

______ includes the process of data governance, pt identification, authorization validation, amendments and record corrections & audit validation

A

Data integrity

63
Q

The data set that collects data on the provider, place of encounter, reason for encounter, problem, diagnosis, assessment, therapeutic services, preventative services and disposition

A

Uniform Ambulatory care data set (UACDS)

64
Q

A health information manager took the 3 elements, blood pressure, weight and cholesterol to analyze for potential indicators of a heart attack. The combined data is referred to as ______

A

Information

65
Q

The healthcare org needs to create a unique numbering system to identify all forms used within the healthcare org. It needs to create a

A

Form tracking system

66
Q

A pts birthday and gender documented in the healthcare record are examples of a data______

A

Element

67
Q

The data characteristics that refer to promptly entering up to date info into the pts medical record is ______

A

Timeliness

68
Q

Identify a principal of data stewardship as defined by the National Committee on Vital & Health Statistics

A

Individuals rights

69
Q

An example of a clinical documentation integrity tool is ______

A

Computer assisted coding

70
Q

The HIM director was asked to justify the use of IGAM. The appropriate response is ______

A

It helps evaluate an information governance initiative

71
Q

The processes & functions created by an org to help plan, organize & coordinate people, processes, technology, and content to manage info systems is known as ____

A

Enterprise info management

72
Q

_____ define the process for documentation within a health record for all members of the workforce.

A

Hospital bylaws

73
Q

The term that describes data that define & characterizes other data within an electronic system is ______

A

Meta data

74
Q

The process that focuses on the improving the quality & integrity of pt data while supporting timely coding & reimbursement is known as _______

A

Clinical documentation integrity

75
Q

Identify which of the following is an example of an electronic data source in healthcare

A

Radiologic info system

76
Q

Creating a graph is an example of _______

A

Data visualization

77
Q

Which of the following documents defines how health records & documentation are assembled & authenticated within the hospital?

A

Medical staff bylaws

78
Q

The process of completing an inventory of all electronic systems that create, transmit, & store health information is known as _______

A

System characterization

79
Q

A specific fact about a pt is known as _______

A

Data element

80
Q

Will a registration staff member,is trying to enter Arizona as a pts state of residence. Every time he starts typing it. Arkansas pops up. Identify the issue preventing Will from entering the correct state

A

The data dictionary is built to accept only 2 characters for this field (postal code for state)

81
Q

Will begins to key in the pt’s phone number 867-530-6967 & only gets as far as 867-530-69 when the field will not accept any more characters. Identify this issue

A

The phone number field is built to accept only 10 characters which would account for the numbers with no dashes

HITT 1301 (9 decks)

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