Ch 7 Flashcards
Identify an instance of pt identifiable data.
The pt was born on March 10 and lives at 123 Main street
Identify when an internal user might utilize secondary data.
Bench marking with other healthcare organizations
Secondary data are used for multiple reasons including:
Assisting researchers in determining effectiveness of treatments
True/false: a pt health record is a secondary data source
False. The pt health record is a primary data source
True/ false: a pt health record contains aggregate data.
False, the pt health record contains pt specific data. Aggregate data are found in registries
True/false: HIM supervisors and managers are internal users of secondary data.
True, managers of HIM & other departments use secondary data to make decisions
True/false: secondary data may be used to improve the health of an entire human population
True, secondary data are used for quality performance & pt safety, research, population health & administrative purposes
Which of the following indexes would be used if a physician wanted to conduct a study who have had a c section?
Operation index
The healthcare org would like to get approval for their cancer program. They should contact the
The American college of surgeons commission on cancer
After several visits to the hospital, a 78 yo female has just been diagnosed with cancer. What is the first thing you would do to get this pt entered in the cancer registry?
Assign an accession number
Patient data such as name, age and address are known as?
Secondary data
Patient data such as name, age and address are known as?
Secondary data
What type of registry maintains a database on pts injured by external forces in events out of their control?
Trauma registry
Why is MEDPAR file limited in terms of being used for research purposes?
It only contains Medicare pts
Which of the following acts mandated the establishment of the National Practitioners Data Bank?
Health care quality improvement act of 1986
I started work today on a clinical trial and need to familiarize myself with the rules & procedures to be followed. This information is called the:
Protocol
An advantage of HCUP is that it:
Contains only Medicare data
Secondary data
Data derived from the primary patient record
Primary data
Info about the pt that is documented by the clinicians who provide services to the patient
Demographic data
Info such as age and date of birth
Aggregate data
Data extracted from individual pt records and combined to form info about groups of pts
what type of registry maintains a database on pts injured by external forces in events out of their control?
Trauma registry
The healthcare org would like to get approval for their cancer program. They should contact the:
American College of surgeons commission on cancer
Which of the following acts mandated establishment of the National Practitioner Data bank?
Health care quality improvement act of 1986
Identify an instance of pt identifiable data
The patient was born March 10 and lives at 123 Main street
After several visits to the hospital, a 75 yo female has just been diagnosed with cancer. What is the first thing you would do to get this pt entered in the cancer registry
Assign an accession number
I started work today on a clinical trial and need to familiarize myself with the rules and procedures to be followed. This information is called the:
Protocol
Identify when an internal user might utilize secondary data
Benchmarking with other healthcare organization
Why is MEDPAR file limited in terms of being used for research purposes?
It only contain Medicare patients
True/ False HIM supervisors and managers are internal users of secondary data.
True
Which of the following indexes would be used if a physician wanted to conduct a study on pts who have had a c- section?
Operation index
True/False Secondary data may be used to improve the health of an entire human population.
True
An advantage of HCUP is that it:
Contains data on all payer types
True/ false A pt health record contains aggregate data
False
Patient data such as name, age, and address are known as:
Identification data
True/False A pt health record is a secondary data source
False
Secondary data are used for multiple reasons including:
Assisting researches in determining effectiveness of treatments
Disease index
list of diseases & conditions of pts treated in a facility sequenced according to classification code numbers
Facility based registry
registry that includes only cases for a specific facility
Physician index
List of patients by physician, usually arranged by physician code numbers
Accession registry
list of cases in a cancer registry arranged in the order in which the cases were entered
Operation index
list of the operations and procedures performed in a facility sequenced according to classification code numbers
population based registry
registry that includes info from more than one facility, sequenced according to classification code numbers
disease registry
central collection of data used to improve quality of care and measure the effectiveness of an healthcare delivery
Trauma registry
list of patient with severe injuries
Critique this statement: Case definition for trauma registries is determined by individual healthcare org
This is true
The medical staff has asked to include benign cancers in the cancer registry. This process is known as _____
case definition
Identify the true statement about the health record.
the health record is a primary data source
A level 1 trauma center provides care
For every aspect of the injury from prevention through rehab
A 78 yo male patient’s medical information was hacked. The hackers found out that pt was last seen for malfunction of a pacemaker. Determine which of the following is the likely source the hackers targeted?
Implant registry
The Medicare Provider analysis and review file is made up of ____
Medicare claims from acute care hospitals and skilled nursing facilities
Identify the organization that has a certification program for state population based registries
North American association of central cancer registration
Which of the following is an external user of data
Public health department
Identify the database made up of claims data from medicare claims submitted by acute care hospitals and skilled nursing facilities
MEDPAR
The information identifying the patient (such as name, health record number, address, and telephone number) is called ____
Demographic data
Vital statistics include data on ____
Births, deaths, fetal deaths, marriages and divorces
Review of disease indices, pathology reports and radiation therapy reports is part of which function in the cancer registry
case finding
which of the following is an example of aggregate data?
average length of stay
Case finding is a method used to _____
identify pts who have been seen or treated in a facility for a particular disease or condition for in
Secondary data is generally used _______
By external users
Explain what the accession number 21 -214 means
the year the patient was entered in the registry is 2021 and this was the 214th patient entered in the registry during 2021
A population based registry _______
Includes information from more than one facility in a particular geopolitical area such as a state or region
A physician has a patient with a cancer that is not responding to treatment so he looks for research being conducted on the cancer. Who developed a database that he can use to locate any existing clinical trial?
National Library of medicine
In a cancer registry the accession number _____
is the number assigned to each case as it is entered into a cancer registry
The incidence of cancer is identified through the _____
population registry
A pt in rural town Kentucky was visiting his daughter in Maine. He had a heart attack & was rushed to a hospital in Maine. Identify the best example of hospital A sharing with hospital B
Health information exchange
Identify the law that requires the reporting of deaths and severe complications due to devices.
Safe medical devices act of 1990
Identify the index that includes diagnosis code number order of patients discharged from a healthcare organization during a particular time period.
Disease index
Choose the correct statement regarding population registries
population registries may or may not contain follow up information on patients
A ___ is a collection of secondary data related to pts with a specific diagnosis, condition, or procedures.
disease registry
The agency responsible for developing the clinical trials database is the ____
National Library of medicine
The creation of the National Practitioner data bank was mandated by the _____
Health care quality improvement act
Dr. Smith has applied for medical staff privileges. The healthcare facility must query the _____database
NPDB
A physician is looking for the number of pts born with cerebral palsy. Identify the type of registry that should be queried.
Birth defect
A record is considered a primary data source when it _____
Contains info about the pt that has been documented by the professionals who provided care to the pt
Identify the database from the National Health care survey that uses the pt health record as a data source
National ambulatory medical care survey
Identify an example of an external user utilizing secondary data
Agency for health care research and quality
Integration of biomedical concepts from many sources is performed by ____
Unified medical language system
Secondary data sources consists
Regisistgb
A researcher wants to identify all cardiac bypass surgeries performed for a given time period. The researcher should use the _____
Operation index
A pt in a rural town in Kentucky was visiting his daughter in Maine, He had a heart attack & was rushed to the hospital in Maine. Identify the best example of hospital A sharing info with hospital B
Health Information Exchange
A population based registry ______
Includes info form more than one facilities in a geographic area such as a state or region
The Healthcare Cost and Utilization Project is a major initiative of which org within the federal government
The Agency for Healthcare Research and Quality
To identify cases to be entered into the trauma registry, the _____ should be queried
Disease index
Identify the patients who had a craniotomy in the past year, I should query the _____
Operative index
Which of the following is an example of aggregate data?
Average length of stay
Vital statistics include data ______
Births, deaths, fetal deaths, marriages and divorces
The national databases that include data on all discharged pts regardless of payer is known as ______
Healthcare Costs and Utilization Project
Protocols are used in ______
Clinical trials
Which of the following is accurate regarding the following statement: The Medicare Provider Analysis and review file is made up of pt demographic data collected by acute & skilled nursing facilities.
MEDPAR is made up of claims data, which does not include nursing facilities.
Cancer registries approval as part of the facility cancer program from the
American College of surgeons
