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RHIT Prep Domain 1 Data Analysis and Management Questions and Answers

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RHIT Prep Domain 1 Data Analysis and Management Questions and Answers

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RHIT Prep Domain 1 Data Analysis and
Management Questions and Answers

data dictionary - ANS-A critical early step in designing an EHR is to develop a(n)
_____ in which the characteristics of each data element are defined.

data sets - ANS-One hospital discharge abstract systems were developed and their
ability to provide comparative data to hospitals was established, it became
necessary to develop:

data sets - ANS-Two purposes are served by _____: to identify data elements to be
collected about each pt & provide uniform data definitions.

UHDDS: Uniform Hospital Discharge Data Set - ANS-The first resource that an HIT
should consult when designing a data collection form to collect data on pts in an
acute-care hospital is:

UHDDS: Uniform Hospital Discharge Data Set - ANS-The purpose of the _____ is to
list and define a set of common, uniform data elements. The data elements are
collected from the health records of every hospital inpt and later abstracted from
the health record and included in national databases.

Data set - ANS-A _____ is a list of recommended data elements with uniform
definitions that are relevant for a particular use. the contents of _____ vary by their
purpose & are not meant to limit the number of data elements that can be
collected.

quantitative - ANS-When deficiencies in the health record, such as reports that
need to be dictated or signed by a physician or other health professional, are
identified through ____ analysis, the record is filed in a specially designated area of
the HIM department, frequently called the incomplete file room.

Incomplete record - ANS-In a paper-based system, the completion of the chart is
monitored in a special area of the HIM department called the _____ file room.

MPI: Master Patient Index - ANS-a list or database created and maintained by a
healthcare facility to record the name and identification number of every pt who has
ever been admitted or treated in the facility. While not listed as one of the core
elements of an _____, AHIMA recommends the use of a Unique Patient Identifier to
be included in the core data elements of the _____.

Unit number - ANS-filing system in which the pt receives a unique health record
number at the time of the first encounter. For all subsequent encounters for a
particular pt, the health record number that was assigned for the first encounter is
used

, alphabetic filing system - ANS-The following are disadvantages of _____:
Does not ensure a unique identifier.
Does not expand evenly.
Time consuming to purge or clean out files for inactive storage.

alphabetic filing system - ANS-This system is usually satisfactory for a very small
volume of records like that of a small physician practice.

requisition - ANS-a _____ is a request from a clinical or other area in the
organization to charge out a specific health record. It may be in paper or electronic
form.

elements of a requisition - ANS-Usually includes the pt's name, health record
number, date of the request, date and time needed, name of the requester, and
location for delivery.

case mix index - ANS-The average relative weight of all cases treated at a given
facility or by a given physician which reflects the resource intensity or clinical
severity of a specific group in relation to the other groups in the classification
system: Sum of the # of cases in each DRG X weight for that DRG / Total Cases

MS-DRG triples, pairs, and singles - ANS-In analyzing the reason for changes in
hospital's Medicare case-mix index over time, the analyst should start with which
level of detail?

outguide - ANS-The _____ is the most common type of tracking system used to
track paper-based health records. It is usually made of strong colored vinyl with
two plastic pockets and is the size of a regular record folder and is place in the
record location when the record is removed from the file.

confidentiality, integrity, and availability - ANS-The goals of the HIPAA security rule
are to ensure the _____, _____, and _____ of the ePHI.

Integrity - ANS-_____ is ensuring that data are not altered either during
transmission across a network or during storage.

Terminal-digit filing - ANS-_____ system is considered to be the most efficient. The
last group of digits is the primary unit used for filing, followed by the middle unit
and lastly the first unit.

Minimum data set - ANS-The primary purpose of a ____ in healthcare is to
recommend common data elements to be collected in health records.

MDS: Minimum data set - ANS-In long-term care, the resident's care plan is based
on data collected in the _____. The data collected by the _____ are used to
develop a resident assessment protocol (RAP) summary for each resident. The
_____ provides a structured way to organize resident information and develop a

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