D033 Chapter 2 with 100% correct answers

All information must be timely, accurate, and complete Raw Data data that is not organized 00:36 01:33 Information when data is organized and presented to produce meaning Primary data sources :come directly from the original source, :health record is also considered to be a primary source of data. :Highest quality of data Secondary Data Source Data derived from the primary data sources, such as the health record. Secondary data sources include indices, registries, and other databases. Data capture The process of recording healthcare-related data in a health record system or clinical database Data fields can contribute to data quality by limiting the number of choices, by limiting the appropriate entries, and further specifying the data required. Hot Spot Is a type of help message that is triggered when the cursor is placed on top of a data field. It provides an explanation for that data field and what data are needed. Unstructured data fields Data elements that allow for free text entry, which means that the user can type in any data that he or she chooses. Example: text box Structured data fields guide the user during the data entry process, limiting what a user can enter into the field. Example: drop down boxes, certain formats Drop-down menus Structured data that save time because the entire data field item does not have to be typed in the data field. They improve consistency because everyone enters data the same way. Check box type of data field that displays a comprehensive list of approved answers for the data element. Multiple choices. 00:02 01:33 Radio Buttons a type of data field that also identifies a comprehensive list of choices, much like the check box. The difference is that the user can choose only one of the options. Example: Male or Female Numeric Field allows for the entry of numbers. The number of characters and range can be controlled through the data dictionary. It could control the format, such as decimal points and currency. The values in the numeric fields must be able to be added and subtracted, as with age, weight, and so forth. Date Field allows for the entry of valid dates. "Valid" does not mean that the date is correct but rather means that an invalid date (for example, February 30) cannot be entered. Time Field allows for the entry of valid times. It would prevent 26 hours in a day or 70 minutes in an hour. This does not mean that the time is correct but rather means an invalid time cannot be entered. Autonumbering means that the Information System assigns a number in numeric order. This type of field is used for the health record number and the patient account number. For example, the health record numbers would be assigned in numeric order, such as 12-34-56, 12-34-57, and 12-34-58. Template-based data entry A cross between free text and structured data entry. The user is able to pick and choose data that are entered frequently, thus requiring the entry of data that change from patient to patient. It assists the healthcare provider by providing direction in what is to be documented Speech recognition Also known as voice recognition, a technology that translates speech to text. The text must be edited, as speech recognition software may misunderstand words and therefore translate speech into text incorrectly front-end speech recognition (FESR) A speech recognition technology in which the physician or the dictator is the editor of the document that is dictated back-end speech recognition (BESR) A speech recognition technology in which the physician dictates in the traditional manner and an editor listens to the audio and reviews the document created Natural language processing is the technology that converts human language (structured or unstructured) into data that can be translated then manipulated by computer systems. Example:computer-assisted coding Data integrity the extent to which healthcare data are complete, accurate, consistent, and timely. Data quality the reliability and effectiveness of data for its intended uses in operations, decision making, and planning. Required Field is a preset field in which data must be entered before the Information System will allow the user to proceed. Edit Check A standard feature in many applications' data entry and data collection software packages. Edit checks are preprogrammed definitions of each data field set up within the application 1. Which of the following is a data integrity tool? a. Cloning copy/paste b. Natural language processing c. Speech recognition d. Required field d. Data integrity tools include edit checks and required fields. 2. Within an IS, which tool can be accessed by the user to get more information about the data field? a. Help screen b. Edit check c. Hot spot d. Automatic save c. Hot spots provide additional information about the data element. 3. Identify the field type that is BEST for entering gender. a. Drop-down box b. Check box c. Radio buttons d. Text box c. Radio buttons are good for a small number of entry choices such as with gender. 4. Identify the primary data source. a. Data set b. Health record c. Registry d. Index b. Health records are a primary data source. 5. Identify the BEST field type for service. a. Drop-down box b. Check box c. Radio button d. Text box a. Drop down boxes are good to limit entries but allows a number of options from which to choose. Data quality management The business processes that ensure the integrity of an organization's data during collection, application (including aggregation), warehousing, and analysis