C810 - Data Management, WGU C810 Study Guide Questions and Correct Answers Graded A+

C810 - Data Management, WGU C810 Study Guide Questions and Correct Answers 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 diagnosisrelated 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 gate 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 cian 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. population-based registry A registry that gathers information from more than one facility within a geographic area such as a state or region. Aggregate clinical information _______________________ is needed to improve the diagnosis and treatment of cancer. Database management systems (DBMS) ______________ are software tools used to store, analyze, modify, and access data. Relational databases This model consists of a database with a set of formally described tables, related (linked) to each other by a shared reference. Users can create their own interactive queries. - conceptual - logical - physical There are three steps to database design, which are? data modeling The process of formalizing data requirements and the structure used to organize data is called? Conceptual Database Design Assess user requirements and Construct entity relationship diagram are examples of which data model?