Chapter 6 Flashcards
A data element is a single or individual fact that represents the smallest unique subset of larger data? T or F.
True
What determines a intent of a data set?
A recommended list of data elements that support a specific healthcare industry.
The intent and purpose of a creation of a data dictionary is to?
Create support for structure data collection
The two most commonly used databases in healthcare are?
Relational and object-oriented database
T or F? An index creates a definition for data elements within a database.
False Data Dictionary creates the definition
T or F? There is usually only one source of data within a healthcare organization.
False There are multiple sources.
Which term is defined as principals and oversight to manage the information that is produced by the different systems within a healthcare organization?
Information Governance
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?
Information governance adoption model
Define the principle of integrity.
create assurances that the data generated and maintained by an organization maintains authenticity and reliability.
T or F? An information governance initiative is a project within a healthcare organization lead by middle level leadership.
False.
T or F? Information governance and data governance are the same concept and can be used interchangeably.
False. The are two different concepts
Components of AHIMAs principals
Accountability and Integrity
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.
True
T or F? Data sharing is needed regardless of the information system used.
True
What are information assets?
Information collected by a healthcare organization that has value.
T or F: Healthcare organizations do not need to evaluate the purpose of data collection for assuring data quality.
False, must evaluate data they collect to ensure quality and that it meets the organizations needs
Identify which of the following are the four data quality management domains.
Accessibility,Accuracy,Consistency, and Precision
Which of the following data quality characteristics means all data items are included in the information collected?
Comprehensiveness
T or F: Data granularity is where the data is collected at a level of detail that meets the needs of the healthcare organization.
True
Recommend a guideline for maintaining integrity in the health record.
Prohibiting the entry of false information into any of the healthcare organization’s health records.
Identify the two types of queries used in clinical documentation integrity.
Paper and electronic
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.
False, must establish policies on how to handle queries, possibly including them in the health record.
Distinguish which of the following is a goal of a CDI program.
Identify and clarify missing, conflicting, or nonspecific physician documentation related to diagnoses and procedures.
T or F: When creating bylaws for the medical staff, expectations of data quality should be established and documented within the bylaws
True
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.
True
When creating requirements of documentation for hospital bylaws, which of the following should be evaluate?
The documentation needs based on accrediting bodies
T or F: When creating provider contracts, healthcare organizations should not define disciplinary actions in the event that the contract requirements are not met.
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.
