C810 - Foundations of Data Management
Latest Update 2024 Actual Exam Questions
with Correct Detailed Answers/ Graded A+
What is express consent? - Correct Answer - - Consent communicated through words,
either written or spoken
What is implied consent? - Correct Answer - - Consent communicated through conduct
or a mechanism other than words
What is informed consent? - Correct Answer - - Ensures the patient has a basic
understanding of his or her diagnosis; the nature of the treatment or procedure along
with the risks, benefits, and alternatives; and individuals who will perform the treatment
or procedure
- The document must be signed and dated by the patient, the provider rendering the
treatment, and a witness
What is advance directive? - Correct Answer - A special type of written consent that
communicates an individual's wishes to be treated or not treated should the individual
become incapacitated and unable to communicate on his or her own behalf
What is a durable power of attorney for healthcare decisions? - Correct Answer - A
document in which a competent adult designates another person to make healthcare
decisions consistent with the individual's wishes on the individual's behalf if he or she is
unable to
What is a living will? - Correct Answer - - A document executed by a competent adult
that expresses the individuals wishes to limit treatment should the individual become
afflicted with certain conditions (such as a persistent vegetative state or a terminal
condition) and no longer able to communicate on his or her own behalf
pg. 1
,- Often address extraordinary lifesaving measures such as ventilator support and either
the continuation or removal of nutrition and hydration
What is a do-not-resuscitate (DNR) order? - Correct Answer - - A document that always
specifies an individual's wish to not receive treatment, specifically cardiopulmonary
resuscitation (CPR)
- It directs healthcare providers to refrain from performing the otherwise standing order
of CPR should the individual experience cardiac or respiratory arrest
- Most often used by the elderly or chronically ill
What is a risk analysis? - Correct Answer - A systemic process for reviewing all
systems, applications, and processes to identify potential threats and vulnerabilities,
document current controls, and understand the likelihood of the impact
What is the health information exchange (HIE)? - Correct Answer - The process of
electronic exchange of patient-specific information between two separate healthcare
organizations according to nationally recognized standards
For which healthcare setting is the patient's history and physical exam a required part of
the health record? - Correct Answer - Acute care and behavioral health
In which healthcare setting does CMS require specific documentation by the attending
physician and an update to the patient's plan of care? - Correct Answer - Home
healthcare
Which form of documentation is acceptable in an emergency when the formal report is
dictated but not yet transcribed? - Correct Answer - Preoperative note
What is data governance (DG)? - Correct Answer - - Focuses on governing the integrity
of input (data)
- Functions include data models, metadata management, content management, data
security and quality management
- Data such as blood pressure readings, text, video, and images
pg. 2
, What is information governance (IG)? - Correct Answer - - Concerned with governing
the way information (the output of relationships among data) is used, analyzed and
shared
- Functions include release of information, retention and disposal policies,
documentation requirements, ethical use of information
- Focuses on the control and use of the actual documents, reports, and records created
from the data
What is structured data? - Correct Answer - Refers to data that are organized and easily
retrievable and interpreted by traditional databases and data models
What is unstructured data? - Correct Answer - Data that do not have a predefined data
model or are not stored in a traditional database structure, typically found in documents,
emails and images
ex: cardiac catheterization examination
What are data stakeholders? - Correct Answer - Those who have an interest or stake in
organizational data, can include customers, frontline workers, business units,
managers, executives, accreditation bodies
What is a data governance steering committee? - Correct Answer - Serves as the
coordinating body for the DG program and is usually composed of representatives from
various business or functional organizational units
What is a data steward? - Correct Answer - An individual appointed with responsibility
and accountability for data, usually in a specific domain
What is the International Classification of Diseases, Tenth Revision (ICD-10)? - Correct
Answer - a classification system that organizes (categorizes) many diseases by body
system or etiology
pg. 3
Latest Update 2024 Actual Exam Questions
with Correct Detailed Answers/ Graded A+
What is express consent? - Correct Answer - - Consent communicated through words,
either written or spoken
What is implied consent? - Correct Answer - - Consent communicated through conduct
or a mechanism other than words
What is informed consent? - Correct Answer - - Ensures the patient has a basic
understanding of his or her diagnosis; the nature of the treatment or procedure along
with the risks, benefits, and alternatives; and individuals who will perform the treatment
or procedure
- The document must be signed and dated by the patient, the provider rendering the
treatment, and a witness
What is advance directive? - Correct Answer - A special type of written consent that
communicates an individual's wishes to be treated or not treated should the individual
become incapacitated and unable to communicate on his or her own behalf
What is a durable power of attorney for healthcare decisions? - Correct Answer - A
document in which a competent adult designates another person to make healthcare
decisions consistent with the individual's wishes on the individual's behalf if he or she is
unable to
What is a living will? - Correct Answer - - A document executed by a competent adult
that expresses the individuals wishes to limit treatment should the individual become
afflicted with certain conditions (such as a persistent vegetative state or a terminal
condition) and no longer able to communicate on his or her own behalf
pg. 1
,- Often address extraordinary lifesaving measures such as ventilator support and either
the continuation or removal of nutrition and hydration
What is a do-not-resuscitate (DNR) order? - Correct Answer - - A document that always
specifies an individual's wish to not receive treatment, specifically cardiopulmonary
resuscitation (CPR)
- It directs healthcare providers to refrain from performing the otherwise standing order
of CPR should the individual experience cardiac or respiratory arrest
- Most often used by the elderly or chronically ill
What is a risk analysis? - Correct Answer - A systemic process for reviewing all
systems, applications, and processes to identify potential threats and vulnerabilities,
document current controls, and understand the likelihood of the impact
What is the health information exchange (HIE)? - Correct Answer - The process of
electronic exchange of patient-specific information between two separate healthcare
organizations according to nationally recognized standards
For which healthcare setting is the patient's history and physical exam a required part of
the health record? - Correct Answer - Acute care and behavioral health
In which healthcare setting does CMS require specific documentation by the attending
physician and an update to the patient's plan of care? - Correct Answer - Home
healthcare
Which form of documentation is acceptable in an emergency when the formal report is
dictated but not yet transcribed? - Correct Answer - Preoperative note
What is data governance (DG)? - Correct Answer - - Focuses on governing the integrity
of input (data)
- Functions include data models, metadata management, content management, data
security and quality management
- Data such as blood pressure readings, text, video, and images
pg. 2
, What is information governance (IG)? - Correct Answer - - Concerned with governing
the way information (the output of relationships among data) is used, analyzed and
shared
- Functions include release of information, retention and disposal policies,
documentation requirements, ethical use of information
- Focuses on the control and use of the actual documents, reports, and records created
from the data
What is structured data? - Correct Answer - Refers to data that are organized and easily
retrievable and interpreted by traditional databases and data models
What is unstructured data? - Correct Answer - Data that do not have a predefined data
model or are not stored in a traditional database structure, typically found in documents,
emails and images
ex: cardiac catheterization examination
What are data stakeholders? - Correct Answer - Those who have an interest or stake in
organizational data, can include customers, frontline workers, business units,
managers, executives, accreditation bodies
What is a data governance steering committee? - Correct Answer - Serves as the
coordinating body for the DG program and is usually composed of representatives from
various business or functional organizational units
What is a data steward? - Correct Answer - An individual appointed with responsibility
and accountability for data, usually in a specific domain
What is the International Classification of Diseases, Tenth Revision (ICD-10)? - Correct
Answer - a classification system that organizes (categorizes) many diseases by body
system or etiology
pg. 3
