Final Exam Review Flashcards
Large amounts of data collected from sources that are then processed and used for analytics are referred to as _____
Big data
The office of the national coordinator for health information technology was created as part of which Act
American recovery and reinvestment act
Which of the following is considered an allied health professional?
Licensed practical nurses
The HIM director asked the employee to ensure that all patients seen today have a health record. This process is known as _____
Reconciliation
______ is an institutional user of the health record
Government policy maker
The master patient index _____
Contains basic demographic information about the patient
Identify an example of information
The # of patients discharged has increased 175% over the past year
Determine the appropriate form design principle.
Forms should have a title that identifies the purpose
WHO defines ____as a reference classification
ICF
A list of recommended data elements with uniform definitions is a _____
Data set
Category II CPR is used for _____
Performance measurement
The HIM director has the responsibility of controlling when changes are made to data definition and business rules. This role is known as _____
Data ownership
____ are the information collected within a healthcare organization during the normal day to day operations that support patient care and business operations.
Information assets
The healthcare organization needs to create a unique numbering system to identify all forms used within the health care organization. It needs to create a _____
Form tracking system
Vital statistics include data on _____
Births, deaths, fetal deaths, marriages and divorces
Choose the correct statement regarding population registries.
Population registries may or may not contain follow up information on patients
A population based registry ____
Includes information from more than one facility in a particular geopolitical area such as a state or region
Which of the following is accurate regarding the following statement. The Medicare Provider analysis and review file is made up of patient demographic data collected by acute care and skilled nursing facilities.
MEDPAR is made up of claims data, which does includes demographic data
The creation of the National Practitioner data bank was mandated by the ____
Health care quality improvement act
Cancer registries receive approval as part of the facility cancer program from the
American college of surgeons
The average length of stay for acute care hospital is _____
25 days or less
The HIM department plans to purchase an information system that will track information provided to a requester. They plan to purchase a ______ system.
Disclosure of health information
Which of the following is a way that patient care managers and support staff use the data documented in the health record?
Evaluate the performance of employees
Which of the following is a long term care setting?
Community mental health center
Which of the following is a clinical terminology?
CPT
The data in the EHR allows health professionals to examine the raw data and make conclusions. This is known as:
Data analytics
Recommend a specialty professional organization for a coder.
AAPC
Pts in hospice care are expected to live a maximum of ____ days.
180 days
HITECH was a portion of which bill?
American recovery and reinvestment act of 2009
Identify the primary user of the health record.
Clinical professionals who provide direct patient care
Identify the element that is typically found in the paper health record
Patient identification
The management of health information is a fundamental component of ______
The overall information governance model
Identify the part of a medical history that documents the nature and duration of the symptoms that caused a pt to seek medical attention as stated in that pts own words
Chief complaint
The social and personal history will be found in the _______
Medical history
One of the required descriptions for a SNOMED CT concept is
Preferred term
The OASIS-D data elements originate from a ______
Medicare certified home health agency
If you were coding a patient with the diagnosis of congestive heart failure, which classification would you use
ICD-10-CM
One of 2 major groups of LOINC content is ______
Clinical observations
Which of the following procedure classifications includes definitions?
ICD-10-PCS
The HIM director was asked to justify the use of IGAM. The appropriate response is
It helps evaluate an information an information governance initiative
The capability for 2 or more electronic systems to communicate and exchange information electronically is known as ____
Interoperability
______is/are data that are entered into a specific format that is capable of being read and analyzed without human intervention
Structured data
Identify a principal of data stewardship as defined by the National Committee on Vital and health statistics
Individuals rights
Identify the database from the National Health Care survey that uses the pt health record as a data source.
National ambulatory medical care survey
Which of the following is an example of aggregate data
Average length of stay
A record is considered a primary data source when it ______
Contains information about the pt that has been documented by the professionals who provided care to the pt
The agency responsible for developing the clinical trials database is the ______
National library of medicine
