_ is characterized as a continuous process "setting standards, building quality into
the processes that create, transform, and store data, and measuring data against
standards Ans✓✓✓ Data quality management
_ is the process in which organizations implement protection measures and tools
for safeguarding data and information from unauthorized, accidental, or
intentional modification, destruction, or use Ans✓✓✓ Data security
. An example of discrete, unstructured data Ans✓✓✓ Laboratory orders,
medication orders, online charting and documentation
. Community Hospital specifies that medical record numbers are 13 characters in
length. What best describes this standard for medical record numbers? Ans✓✓✓
Metadata
. Define interoperability and describe how terminologies play a role in
interoperability Ans✓✓✓ Basic interoperability relates to the ability to
successfully transmit and receive data from one computer to another.
The ability to understand or interpret the information being transmitted is not
essential to basic interoperability.
. Describe four types of AHRQ quality indicators. Ans✓✓✓ Prevention indications
identify hospital admissions that could have been avoided through high quality
outpatient care.
· Inpatient indicators reflect the quality of care inside hospitals, including
inpatient mortality for medical conditions and surgical procedures.
,· Patient safety indicators reflect quality of care inside hospitals focusing on
potentially avoidable complications and iatrogenic events.
· Pediatric indicators use one or more of the previous three indicators and adapt
them for use with children and neonates.
. Describe the difference between, privacy, confidentiality, and security.
Ans✓✓✓ Privacy is the right of an individual to be left alone and refers to who
should have access, what constitutes the patient's rights to confidentiality, and
what constitutes inappropriate access to health records.
Confidentiality is when data or information is not made available or disclosed to
unauthorized persons or processes and establishes how the records (or the
systems that hold those records) should be protected from inappropriate access.
. Explain how you measure account receivable days. Ans✓✓✓ Account receivable
days are the average number of days between the provision of services discharge
date and the receipt of payment for those services rendered.
. Identify the appropriate terminology, vocabulary, or standard that would be a
good candidate to represent: (a) laboratory data, (b) nursing documentation, and
(c) problem list documentation. Ans✓✓✓ Laboratory data - Logical Observation
Identifiers Names and Codes (LOINC)
· Nursing documentation - International Classification of Diseases, 10th edition
(ICD 10)
· Problem list documentation - Systemized Nomenclature of Medicine Clinical
Terminology (SNOMED CT)
,. In which healthcare setting does CMS require specific documentation by the
attending physician when updating the patient's plan of care? Ans✓✓✓ home
healthcare
. What are AHIMA's recommended guidelines for development of data
dictionaries? Ans✓✓✓ Develop an enterprise data dictionary
· Ensure collaborative involvement
· Develop an approvals process
· Identify and retain details of data versions
· Design for flexibility and growth
· Design room for expansion of field values
· Follow established International Organization for Standards (ISO)/International
Electrotechnical Commission (IEC) 11179 guidelines for metadata registry
· Adopt nationally
recognized standards
· Beware of differing standards for the same concepts
· Use geographic codes and conform to the National Spatial Data Infrastructure
and the Federal Geographic Data Committee
· Test the information system
· Provide ongoing education and training
· Assess the extent to which the data elements maintain consistency and avoid
duplication
. What is reported to the National Practitioner Data Bank? Ans✓✓✓ Medical
malpractice incidents
Adverse effects
, It is required that providers report the following events to the NPDB:
· Medical malpractice payments
· Federal and state licensure and certification actions
· Adverse clinical privileges actions
· Adverse professional society membership actions
· Negative actions or findings by private accreditation organizations and peer-
review organizations
· Healthcare-related criminal convictions and civil judgments
· Exclusions from participation in a federal or state healthcare program
. What is the difference between a serial-unit numbering system and a unit
numbering system? Ans✓✓✓ The serial-unit numbering system assigns a
different number for each episode of care and all information is brought forward
to be filed under the last number issued. A unit numbering system assigns a
number to a patient on the first encounter and keeps this number for all
subsequent visits.
. What is the difference between an intranet and an extranet? Provide an example
of how each can be used in healthcare. Ans✓✓✓ Web-based information
systems and applications cannot continue to proliferate without creating web-
based intranets designed to enhance communication among an organization's
internal employees and facilities and web-based extranets designed to enhance
communication among an organization's external business partners.Extranets
connect intranets that exist outside an organization's firewallntra- inside extranet:
outside
. What role has the ONC played in the development of health information
exchanges across the country? Ans✓✓✓ The ONC has led the way in the