Final Exam Review Flashcards

1
Q

Large amounts of data collected from sources that are then processed and used for analytics are referred to as _____

A

Big data

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2
Q

The office of the national coordinator for health information technology was created as part of which Act

A

American recovery and reinvestment act

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3
Q

Which of the following is considered an allied health professional?

A

Licensed practical nurses

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4
Q

The HIM director asked the employee to ensure that all patients seen today have a health record. This process is known as _____

A

Reconciliation

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5
Q

______ is an institutional user of the health record

A

Government policy maker

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6
Q

The master patient index _____

A

Contains basic demographic information about the patient

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7
Q

Identify an example of information

A

The # of patients discharged has increased 175% over the past year

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8
Q

Determine the appropriate form design principle.

A

Forms should have a title that identifies the purpose

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9
Q

WHO defines ____as a reference classification

A

ICF

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10
Q

A list of recommended data elements with uniform definitions is a _____

A

Data set

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11
Q

Category II CPR is used for _____

A

Performance measurement

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12
Q

The HIM director has the responsibility of controlling when changes are made to data definition and business rules. This role is known as _____

A

Data ownership

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13
Q

____ are the information collected within a healthcare organization during the normal day to day operations that support patient care and business operations.

A

Information assets

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14
Q

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 _____

A

Form tracking system

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15
Q

Vital statistics include data on _____

A

Births, deaths, fetal deaths, marriages and divorces

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16
Q

Choose the correct statement regarding population registries.

A

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

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17
Q

A population based registry ____

A

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

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18
Q

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.

A

MEDPAR is made up of claims data, which does includes demographic data

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19
Q

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

A

Health care quality improvement act

20
Q

Cancer registries receive approval as part of the facility cancer program from the

A

American college of surgeons

21
Q

The average length of stay for acute care hospital is _____

A

25 days or less

22
Q

The HIM department plans to purchase an information system that will track information provided to a requester. They plan to purchase a ______ system.

A

Disclosure of health information

23
Q

Which of the following is a way that patient care managers and support staff use the data documented in the health record?

A

Evaluate the performance of employees

24
Q

Which of the following is a long term care setting?

A

Community mental health center

25
Q

Which of the following is a clinical terminology?

A

CPT

26
Q

The data in the EHR allows health professionals to examine the raw data and make conclusions. This is known as:

A

Data analytics

27
Q

Recommend a specialty professional organization for a coder.

A

AAPC

28
Q

Pts in hospice care are expected to live a maximum of ____ days.

A

180 days

29
Q

HITECH was a portion of which bill?

A

American recovery and reinvestment act of 2009

30
Q

Identify the primary user of the health record.

A

Clinical professionals who provide direct patient care

31
Q

Identify the element that is typically found in the paper health record

A

Patient identification

32
Q

The management of health information is a fundamental component of ______

A

The overall information governance model

33
Q

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

A

Chief complaint

34
Q

The social and personal history will be found in the _______

A

Medical history

35
Q

One of the required descriptions for a SNOMED CT concept is

A

Preferred term

36
Q

The OASIS-D data elements originate from a ______

A

Medicare certified home health agency

37
Q

If you were coding a patient with the diagnosis of congestive heart failure, which classification would you use

A

ICD-10-CM

38
Q

One of 2 major groups of LOINC content is ______

A

Clinical observations

39
Q

Which of the following procedure classifications includes definitions?

A

ICD-10-PCS

40
Q

The HIM director was asked to justify the use of IGAM. The appropriate response is

A

It helps evaluate an information an information governance initiative

41
Q

The capability for 2 or more electronic systems to communicate and exchange information electronically is known as ____

A

Interoperability

42
Q

______is/are data that are entered into a specific format that is capable of being read and analyzed without human intervention

A

Structured data

43
Q

Identify a principal of data stewardship as defined by the National Committee on Vital and health statistics

A

Individuals rights

44
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

45
Q

Which of the following is an example of aggregate data

A

Average length of stay

46
Q

A record is considered a primary data source when it ______

A

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

47
Q

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

A

National library of medicine