Ch 7 Flashcards

1
Q

Identify an instance of pt identifiable data.

A

The pt was born on March 10 and lives at 123 Main street

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2
Q

Identify when an internal user might utilize secondary data.

A

Bench marking with other healthcare organizations

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3
Q

Secondary data are used for multiple reasons including:

A

Assisting researchers in determining effectiveness of treatments

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4
Q

True/false: a pt health record is a secondary data source

A

False. The pt health record is a primary data source

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5
Q

True/ false: a pt health record contains aggregate data.

A

False, the pt health record contains pt specific data. Aggregate data are found in registries

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6
Q

True/false: HIM supervisors and managers are internal users of secondary data.

A

True, managers of HIM & other departments use secondary data to make decisions

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7
Q

True/false: secondary data may be used to improve the health of an entire human population

A

True, secondary data are used for quality performance & pt safety, research, population health & administrative purposes

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8
Q

Which of the following indexes would be used if a physician wanted to conduct a study who have had a c section?

A

Operation index

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9
Q

The healthcare org would like to get approval for their cancer program. They should contact the

A

The American college of surgeons commission on cancer

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10
Q

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?

A

Assign an accession number

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11
Q

Patient data such as name, age and address are known as?

A

Secondary data

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12
Q

Patient data such as name, age and address are known as?

A

Secondary data

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13
Q

What type of registry maintains a database on pts injured by external forces in events out of their control?

A

Trauma registry

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14
Q

Why is MEDPAR file limited in terms of being used for research purposes?

A

It only contains Medicare pts

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15
Q

Which of the following acts mandated the establishment of the National Practitioners Data Bank?

A

Health care quality improvement act of 1986

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16
Q

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:

A

Protocol

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17
Q

An advantage of HCUP is that it:

A

Contains only Medicare data

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18
Q

Secondary data

A

Data derived from the primary patient record

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19
Q

Primary data

A

Info about the pt that is documented by the clinicians who provide services to the patient

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20
Q

Demographic data

A

Info such as age and date of birth

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21
Q

Aggregate data

A

Data extracted from individual pt records and combined to form info about groups of pts

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22
Q

what type of registry maintains a database on pts injured by external forces in events out of their control?

A

Trauma registry

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23
Q

The healthcare org would like to get approval for their cancer program. They should contact the:

A

American College of surgeons commission on cancer

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24
Q

Which of the following acts mandated establishment of the National Practitioner Data bank?

A

Health care quality improvement act of 1986

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25
Q

Identify an instance of pt identifiable data

A

The patient was born March 10 and lives at 123 Main street

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26
Q

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

A

Assign an accession number

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27
Q

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:

A

Protocol

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28
Q

Identify when an internal user might utilize secondary data

A

Benchmarking with other healthcare organization

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29
Q

Why is MEDPAR file limited in terms of being used for research purposes?

A

It only contain Medicare patients

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30
Q

True/ False HIM supervisors and managers are internal users of secondary data.

A

True

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31
Q

Which of the following indexes would be used if a physician wanted to conduct a study on pts who have had a c- section?

A

Operation index

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32
Q

True/False Secondary data may be used to improve the health of an entire human population.

A

True

33
Q

An advantage of HCUP is that it:

A

Contains data on all payer types

34
Q

True/ false A pt health record contains aggregate data

A

False

35
Q

Patient data such as name, age, and address are known as:

A

Identification data

36
Q

True/False A pt health record is a secondary data source

A

False

37
Q

Secondary data are used for multiple reasons including:

A

Assisting researches in determining effectiveness of treatments

38
Q

Disease index

A

list of diseases & conditions of pts treated in a facility sequenced according to classification code numbers

39
Q

Facility based registry

A

registry that includes only cases for a specific facility

40
Q

Physician index

A

List of patients by physician, usually arranged by physician code numbers

41
Q

Accession registry

A

list of cases in a cancer registry arranged in the order in which the cases were entered

42
Q

Operation index

A

list of the operations and procedures performed in a facility sequenced according to classification code numbers

43
Q

population based registry

A

registry that includes info from more than one facility, sequenced according to classification code numbers

44
Q

disease registry

A

central collection of data used to improve quality of care and measure the effectiveness of an healthcare delivery

45
Q

Trauma registry

A

list of patient with severe injuries

46
Q

Critique this statement: Case definition for trauma registries is determined by individual healthcare org

A

This is true

47
Q

The medical staff has asked to include benign cancers in the cancer registry. This process is known as _____

A

case definition

48
Q

Identify the true statement about the health record.

A

the health record is a primary data source

49
Q

A level 1 trauma center provides care

A

For every aspect of the injury from prevention through rehab

50
Q

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?

A

Implant registry

51
Q

The Medicare Provider analysis and review file is made up of ____

A

Medicare claims from acute care hospitals and skilled nursing facilities

52
Q

Identify the organization that has a certification program for state population based registries

A

North American association of central cancer registration

53
Q

Which of the following is an external user of data

A

Public health department

54
Q

Identify the database made up of claims data from medicare claims submitted by acute care hospitals and skilled nursing facilities

A

MEDPAR

55
Q

The information identifying the patient (such as name, health record number, address, and telephone number) is called ____

A

Demographic data

56
Q

Vital statistics include data on ____

A

Births, deaths, fetal deaths, marriages and divorces

57
Q

Review of disease indices, pathology reports and radiation therapy reports is part of which function in the cancer registry

A

case finding

58
Q

which of the following is an example of aggregate data?

A

average length of stay

59
Q

Case finding is a method used to _____

A

identify pts who have been seen or treated in a facility for a particular disease or condition for in

60
Q

Secondary data is generally used _______

A

By external users

61
Q

Explain what the accession number 21 -214 means

A

the year the patient was entered in the registry is 2021 and this was the 214th patient entered in the registry during 2021

62
Q

A population based registry

A

Includes information from more than one facility in a particular geopolitical area such as a state or region

63
Q

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?

A

National Library of medicine

64
Q

In a cancer registry the accession number _____

A

is the number assigned to each case as it is entered into a cancer registry

65
Q

The incidence of cancer is identified through the _____

A

population registry

66
Q

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

A

Health information exchange

67
Q

Identify the law that requires the reporting of deaths and severe complications due to devices.

A

Safe medical devices act of 1990

68
Q

Identify the index that includes diagnosis code number order of patients discharged from a healthcare organization during a particular time period.

A

Disease index

69
Q

Choose the correct statement regarding population registries

A

population registries may or may not contain follow up information on patients

70
Q

A ___ is a collection of secondary data related to pts with a specific diagnosis, condition, or procedures.

A

disease registry

71
Q

The agency responsible for developing the clinical trials database is the ____

A

National Library of medicine

72
Q

The creation of the National Practitioner data bank was mandated by the _____

A

Health care quality improvement act

73
Q

Dr. Smith has applied for medical staff privileges. The healthcare facility must query the _____database

A

NPDB

74
Q

A physician is looking for the number of pts born with cerebral palsy. Identify the type of registry that should be queried.

A

Birth defect

75
Q

A record is considered a primary data source when it _____

A

Contains info about the pt that has been documented by the professionals who provided care to the pt

76
Q

Identify the database from the National Health care survey that uses the pt health record as a data source

A

National ambulatory medical care survey

77
Q

Identify an example of an external user utilizing secondary data

A

Agency for health care research and quality

78
Q

Integration of biomedical concepts from many sources is performed by ____

A

Unified medical language system

79
Q

Secondary data sources consists

A

Regisistgb