Health Record And Data Flashcards

1
Q

What is the best application to use for retrieve medical record and patient information?

A

Robust data mining

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2
Q

What does immutability principle means?

A

Data archive will not change or deleted before retention

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3
Q

Immutability of data insure

Privacy
Authenticity
Retention

A

Authenticity

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4
Q

What’s is data mining means?

A

Gathering information and reporting from all system

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5
Q

What is IGPHC

A

Information governance principle Healthcare

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6
Q

Governance principle IGPHC are provided by?

CMS
AHIMA
HHS

A

Ahima

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7
Q

ADT stand for?

A

Admission discharge transaction

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8
Q

MAR stand for

A

Medication administration record

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9
Q

Process of identifying documentation deficiency called?

A

Quantitative analysis

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10
Q

Completion files must be resolved within time frame?

A

30 days

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11
Q

2 component of quantitative analysis

A

Authentication in each form

Pt identification

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12
Q

Missing discharge summary could be capture during

Qualitative
Quibtitaitive

A

Quantitative analysis

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13
Q

The effective Qualitative analysis will affect
Reimbuisrment

True
False

A

True

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14
Q

Presence consent form is one of Qualitative analysis component

True
False

A

True

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15
Q

Program has initiated to drive HIT and EMR

By ARRA in 2009

A

Incentive program

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16
Q

The process of extracting information from medical record for multiple reason is

A

Abstracting data

17
Q

Abstracting data can be accomplished by using

Computer assisted coding CAC
NLP
Roboust data mining

A

CAC

18
Q

What is called the electronic methods that allow accessing patient record fron different provider and the patient itself

A

HIE

Health information exchange

19
Q

What are the 3 types of HIE

A

Direct (between providers viewing documentation)
Query based( if provider request information)
Consumer mediated
(patient editing his file)

20
Q

،،،،،،،،،،،،،،،، responsible leading the movement of promoting health information exchange

A

ONC of HIT

Office of national coordination of health information technology

21
Q

What is the different between MPI and EMPI and UMPI

A

Master patient index version 1
Enterprise version 2
Universal version 3

22
Q

The recommended retention period of data file is

_________unless the state law soasify defferent time

A

10 years

23
Q

An excellent tool to summarize data into categories

A

Pivot table

24
Q

The best tools that creat data to presentation purpose

A

Pivot chart