HIMT 1250 Final Study Guide | latest edition

HIMT 1250 Final Study Guide | latest edition What is the document used to collect and store data for individual patients? - Health Record Health Records serve what other purpose? - Providing health-services data for public reporting. Protecting the legal interests of the healthcare organization. Providing clinical data for biomedical research Who owns the health record? - the provider who created them. Who owns the health information within the record? - the patient Data - raw facts represents facts and doesn't convey meaning - data data that has been organized to be useful - Information What type of information is collected by the patient registration staff? - Demographic data The name of a patient's insurance company and policy number is what type of data? - Financial data Personal information about patients such as their names, ages, and addresses is considered what type of information? - Administrative Data What type of data relates to the patient's condition and course of treatment? - Clinical Data Which legal doctrine was established by the Darling v. Charleston Community Hospital case of 1965? - Corporate negligence The process of releasing health record documentation originally created by a different provider is called - Redisclosure What type of health record policy dictates how long individual health records must remain available for authorized use? - retention policies What should a hospital do when a state law requires more stringent privacy protection than the federal HIPAA privacy standard? - Comply with both the state law and the HIPAA standard Which of the following is a voluntary, systematic quality review process that evaluates the healthcare facility's performance against preestablished, written criteria? - Accreditation is the process of granting an organization the right to provide healthcare services. - Licensure is a database of all patients treated in a facility - Master Patient Index (MPI) is a chronological listing of patients with a common characteristic. - Registry A tool used to sort data in a variety of ways to assist study of certain data elements. - Index Categorizes patients by primary physician - Physician Index arranged by diagnostic codes - Disease index What kind of indexes guide the locating of health records to conduct quality improvement and research studies, as well as for monitoring quality of care? - Disease and operation indexes If a facility wants to compare the number and quality of treatments on patients who underwent the same operation with different surgeons, it should use the - physician index What kind of indexes make it possible to retrieve specific health records in a variety of ways including by disease, physician, operation, or other data element? - Facility-specific indexes established when a patient voluntarily submits to medical treatment - Implied Consent A written document describing the patient's healthcare preferences in the event that, at some point in the future, he or she is unable to communicate directly - Advance directive When a patient collapses upon arrival at the entrance to an emergency department, what type of treatment authorization is in effect? - implied consent health record documentation includes aftercare instructions for the patient or his or her caregiver - Discharge summary A concise account of the patient's illness, course of treatment, response to treatment, and condition at discharge - discharge summary which docum