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Exam (elaborations)

WGU C810 OA FINAL Exam Questions and Correct Answers 100% Verified Graded A+

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WGU C810 OA FINAL Exam Questions and Correct Answers 100% Verified Graded A+

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WGU C810 OA FINAL Exam Questions and Correct Answers 100% Verified Graded A+

primary data source - The health record is considered a ________________________
because it contains information about a patient that has been documented by the professionals
who provided care or services to that patient.



secondary data source - Data taken from the primary health record and entered into
registries and databases are considered a _____________________.



patient-identifiable data - The health record consists entirely of _____________________.
In other words, every fact recorded in the record relates to a particular patient.



Registries - ______________ are an example of patient-identifiable data on groups of
patients.



Aggregate data - Include data on groups of people or patients without identifying any
particular patient individually. Secondary data are considered ________________.



statistics on the average length of stay (ALOS) - Examples of aggregate data are
_________________________ for patients discharged within a particular diagnosis-related
group (DRG).



-facility-specific indexes

-registries, either facility or population based

-other healthcare databases - Secondary data sources consist of ?

,disease-oriented databases - Data extracted from health records and entered into
_______________ can, for example, help researchers determine the effectiveness of alternate
treatment methods, as well as, demonstrate survival rates at different stages of disease.



Internal users of secondary data - ___________________ are individuals located within
the healthcare facility including medical staff and administrative and management staff.



identify patterns and trends - Secondary data enable these internal users to
__________________that are helpful in patient care, long-range planning, budgeting, and bench-
marking with other facilities.



External users - ________________ of patient data are individuals and institutions outside
the facility like state data banks and federal agencies.



aggregate data and not patient-identifiable - The secondary data provided to external users
is generally ______________ and not _________________ data.



indexes - The secondary data sources that have been in existence the longest are the
____________ that have been developed within facilities to meet their individual needs.



report from a database - An index is simply a ______________________ that enables
health records to be located by diagnosis, procedure, or physician.

,handwritten data - Prior to extensive computerization in healthcare, these indexes were
kept on cards with ________________.



master patient index (MPI) - The ______________________, which is sometimes called
the master person index, contains patient-identifiable data such as name, address, date of birth,
dates of hospitalizations or encounters, name of attending physician, and health record number.



quickly retrieve health information - The MPI is an important source of patient health
record numbers. These numbers enable the facility to __________________________ for
specific patients.



admission, pre-admission, or registration - Most of the information in the MPI is entered
into the facility data-base at the time of the _________, _______________, or ___________
process.



disease index - In an acute care setting, the _____________ is a listing in diagnosis code
number order for patients discharged from the facility during a particular time period. It is
considered patient-identifiable data.



patient's health record number | diagnosis codes - The index always includes the
________________ as well as the __________________ so that records can be retrieved by
diagnosis.



non-acute settings - In ________________, the disease index might be generated to reflect
patients currently receiving services in the facility.

, operation index - The ______________ is similar to the disease index except that it is
arranged in numerical order by the patient's procedure code(s), usually using ICD or Current
Procedural Terminology (CPT) codes, and the surgeon may be listed in addition to, or instead of,
the attending physician.



query the health information system - In many cases, facilities no longer have an actual
listing for the diagnosis and operation indexes. Instead, they ___________________ utilizing the
diagnosis or procedure code needed.



physician index - The __________________ enables users to retrieve information about a
particular physician, including the number of cases seen during a particular time period. As with
the disease and operation indexes, facilities generally query the health information system (HIS)
to obtain physician data.



case definition - Registries often require more extensive data from the patient record.
Each registry must define the cases that are to be included.

This process is called ____________________.



Case finding - __________________ includes the methods used to identify the patients
who have been seen and treated in the facility for the particular disease or condition of interest to
the registry.



facility-based registry - A registry located within a facility such as a hospital or clinic.

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