Chapter 6

Question 1

A data element is a single or individual fact that represents the smallest unique subset of larger data? T or F.

Answer 1

True

Question 2

What determines a intent of a data set?

Answer 2

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

Question 3

The intent and purpose of a creation of a data dictionary is to?

Answer 3

Create support for structure data collection

Question 4

The two most commonly used databases in healthcare are?

Answer 4

Relational and object-oriented database

Question 5

T or F? An index creates a definition for data elements within a database.

Answer 5

False Data Dictionary creates the definition

Question 6

T or F? There is usually only one source of data within a healthcare organization.

Answer 6

False There are multiple sources.

Question 7

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

Answer 7

Information Governance

Question 8

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?

Answer 8

Information governance adoption model

Question 9

Define the principle of integrity.

Answer 9

create assurances that the data generated and maintained by an organization maintains authenticity and reliability.

Question 10

T or F? An information governance initiative is a project within a healthcare organization lead by middle level leadership.

Answer 10

False.

Question 11

T or F? Information governance and data governance are the same concept and can be used interchangeably.

Answer 11

False. The are two different concepts

Question 12

Components of AHIMAs principals

Answer 12

Accountability and Integrity

Question 13

T or F? Data stewardship is principles and practices established to ensure the knowledgeable and appropriate use of data derived from individuals personal health information.

Answer 13

True

Question 14

T or F? Data sharing is needed regardless of the information system used.

Answer 14

True

Question 15

What are information assets?

Answer 15

Information collected by a healthcare organization that has value.

Question 16

T or F: Healthcare organizations do not need to evaluate the purpose of data collection for assuring data quality.

Answer 16

False, must evaluate data they collect to ensure quality and that it meets the organizations needs

Question 17

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

Answer 17

Accessibility,Accuracy,Consistency, and Precision

Question 18

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

Answer 18

Comprehensiveness

Question 19

T or F: Data granularity is where the data is collected at a level of detail that meets the needs of the healthcare organization.

Answer 19

True

Question 20

Recommend a guideline for maintaining integrity in the health record.

Answer 20

Prohibiting the entry of false information into any of the healthcare organization’s health records.

Question 21

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

Answer 21

Paper and electronic

Question 22

T or F: The response from a query will never go into the health record as it is just communication between the CDI professor and the provider.

Answer 22

False, must establish policies on how to handle queries, possibly including them in the health record.

Question 23

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

Answer 23

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

Question 24

T or F: When creating bylaws for the medical staff, expectations of data quality should be established and documented within the bylaws

Answer 24

True

Question 25

T or F: Without proper definition and requirements of data quality and data collection, it is challenging for healthcare organizations to hold healthcare providers accountable for documentation.

Answer 25

True

Question 26

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

Answer 26

The documentation needs based on accrediting bodies

Question 27

T or F: When creating provider contracts, healthcare organizations should not define disciplinary actions in the event that the contract requirements are not met.

Answer 27

False, healthcare organizations should hold providers responsible for compliance with contractual requirements. The contract should include disciplinary actions that are taken if the requirements are not met.