____________ synchronizes and coordinates all of the data management domains. - ansData governance
A communication plan is being developed to reduce mistrust and miscommunication in a healthcare setting. In
addition to open communication, which other principle for information governance must be considered when
developing this plan? - ansTransparency
A data governance steering committee is formed and tasked with developing the goals of the data governance
program. Which generally accepted record-keeping principle is described in the scenario? - ansAccountability
A family practice clinic in a rural community partnered with a cardiology clinic in a large city to provide real-
time, web-based cardiology services. The clinic installed the necessary equipment to provide these services.
Which technology specifically supports patient-centered care for this situation? - ansTelehealth
A health information manager is responsible for properly destroying records after the retention period has
passed. Which principle for information governance is described in this scenario? - ansDisposition
A HIM director has been informed of potential data security violations. The HIM director asks one of the health
informatics analysts to work with the CIO to monitor the audit trails of the EHR to identify any violations. Which
generally accepted record-keeping principle is described in this scenario? - ansProtection
A hospital is informing the Infection Control Committee about the number of postoperative infections it had
during a given time period. Which principle for governance is used in this scenario? - ansTransparency
A hospital uses a filing system for permanent storage of paper-based records. The records are filed according to
a three-part number made up of two-digit parts. What type of system is this? - ansTerminal-digit filing system
A hospital wants to connect to a network that allows it to have access to the records of patients who are
treated at other area hospitals within the region. Which technology allows the hospital this access? - ansHIE
A hospital's CEO notices a spike in complaints about a certain unit and wants to know the average number of
,patients admitted to that unit in order to monitor staff need. Where should the CEO look for this data? -
ansDaily census report
A hurricane has occurred and a hospital's HIM clerk needs to relocate information systems to an alternate site.
Which plan should the HIM clerk reference to ensure that correct procedures are followed? - ansDisaster
Recovery Plan
A local hospital wants to connect to other hospitals to facilitate access and retrieval of clinical data to provide
safer, timelier, patient-centered care. Which patient-centered technology is described? - ansHIE
A local SNF, hospital, and public health agency all participate in an HIE. The data is pushed from their facilities
into one repository where they all have access to retrieve data when needed. Which HIE model is used in this
scenario? - ansCentralized
A nurse at a long-term care facility is documenting a comprehensive assessment into the patient's medical
record. What must the record include to meet CMS requirements? - ansMinimum Data Set (MDS)
A paragraph in a physician's order specifies information about a patient's discharge. Which type of data is
described in this scenario? - ansUnstructured
A patient has been experiencing an abnormal heartbeat. The physician would like to monitor the patient's
heart rate remotely. Which patient-centered technology is needed in this situation? - ansPatient-wearable
device
A patient is being seen by a physician. The patient describes the reason for the visit and the HPI in detail. The
physician records notes electronically at the point of care. Which technology supports point-of-service
documentation for this visit? - ansEHR
A patient is ready to leave the emergency room but will need discharge orders before leaving. How should the
discharge orders be communicated to this patient? - ansA physician should issue the order in writing
A patient went to the emergency room complaining of chest pain and was released home 4 hours later. Which
,type of documentation is required in this scenario? - ansDischarge orders
A physician documents information provided by a patient in the patient's chart. Which type of data would this
be considered? - ansPrimary
A report is needed from a disease registry, but patients' names must be de-identified. Which category of key
principles and practices applies to this scenario? - ansResponsibility of health data steward
A state hospital system is collecting information on patient discharges from hospitals in the central part of the
state. Which databases should the hospital system use to collect this data? - ansUniform Hospital Discharge
Data Set (UHDDS)
Abstracting - anscompilation of pertinent information extracted from the patient record. the purpose is to
make information from record readily available for internal and external reporting.
Accounting of disclosures - anspatient has right to receive for the past 6 years. describes use of PHI if other
than TPO (treatment, payment, healthcare operations). must include all disclosures made by the covered entity
or business associate. must respond within 60 days
Advantages of centralized HIE - ans1. uniformity of data
2. quick response times to queries
3. consistency in data accessibility
Advantages of decentralized/federated HIE - ans1. data remaining under control of the HIE participant until its
needed
2. redundancy in the event of a disaster b/c multiple systems mitigate the risks caused by a single point of
failure
3. data is potentially more current
An acute care facility is concerned with identity theft and wants to update policies to detect identity theft in
day-to-day operations, take steps to prevent the crime, and mitigate its damage. Which prevention program
, element should the facility update? - ansRed Flags Rule
An HIM analyst is charged with reviewing abstracted information on opiod-related admissions from the
hospital's disease index database. The analyst wants to make sure that the correct ICD-10 codes have been
abstracted and pulled from the database. Which data quality characteristic does this situation involve? -
ansAccuracy
An HIM director is auditing physician documentation and finds that 3% of the discharge summaries from the
last 6 months were completed more than 30 days past patient discharge. Which data quality standard is an
area of concern in this scenario? - ansTimeliness
An HIM director is writing a data dictionary for a new disease registry. For which areas is this HIM Director
being a data steward? - ansData definition
An HIM professional is completing the death clearance as part of the central cancer registry procedure for data
collection. This information is required to be shared with the CDC to develop survivor statistics. Which principle
of data stewardship is being applied? - ansCompliance
An internal medicine physician practicing at one of three hospitals in town wants to determine whether to
expand the scope of the office practice to patients under 16 years old through recruiting a pediatrician. Which
data source, in addition to the current number of active pediatricians in the community, is needed to decide to
go forward? - ansCensus and vital statistics data
Business Intelligence - ans1. Identifying enterprise intelligence needs
2. Assessing current intelligence resources and use
3. Determining scope and defining requirements and architecture for enterprise intelligence
4. Developing and implementing policies and procedures for enterprise information intelligence
5. Identifying, assessing and resolving data quality issues
6. Implementing data warehouses and data marts that store massive amounts of data
7. Identifying and implementing appropriate business intelligence tools and interfaces