C810 Chapter 6 questions and answers graded A+ 2023/2024

C810 Chapter 6 6.1 (1) What is the difference between a primary data source and a secondary data source? - correct answer such as a registry. 6.1 (2) What is the difference between an internal and external user of secondary data sources? - correct answer Internal users - individuals located within the healthcare facility including medical stafThe medical record is considered a primary data source. A secondary data source is made up of data taken from a primary data source and put in a different format, f and administrative and management staff. External users - individuals and institutions outside the facility like state data banks and federal agencies. 6.1 (3) Why are secondary data sources developed? - correct answer Secondary data sources are created to put the information from the primary record into a format that is easier to query and manipulate. A database, which is a secondary record, can be queried to provide this information in a report from the secondary data that have been entered, thus accelerating the process. 6.1 (4) What is the difference between patient-identifiable data and aggregate data? - correct answer Patient identifiable data - every fact in the record relates to the patient. Aggregate date - secondary data is considered aggregate data. Aggregate data include data on groups of people or patients without identifying any particular patient individually, such as a DRG. 6.1 (5) Who are the internal users within a healthcare facility - correct answer Internal users include medical, administrative, and management staff. 6.2 (1) How do HIM departments use facility-specific indexes? - correct answer HIM departments use facility-specific indexes to locate data as requested by internal and external users. 6.2 (2) What is the purpose of the master patient index (MPI)? What types of information does it include? - correct answer Purpose - important source of patient health record numbers. These numbers enable the facility to quickly retrieve health information for specific patients. Includes - patient-identifiable data such as name, address, date of birth, dates of hospitalizations or encounters, name of attending physician, and health record number. 6.2 (3) What is an index? - correct answer An index is a report from a database that enables locating records by diagnosis, procedure, or physician. 6.2 (4) What is the purpose of disease and operation indexes? What types of information do they include? - correct answer Disease Indexes - listing in dx code number order for patients discharged from the facility during a particular time period. It includes - patient's health record number, diagnosis codes so that records can be retrieved by diagnosis. May have attending MD name and D/C date. Operation Indexes - arranged in numerical order by the patient's procedure code(s), usually using ICD or CPT codes. May have surgeon instead of attending MD. 6.2 (5) What is the purpose of the physician index? What types of information does it include? - correct answer The purpose of the physician index is to locate medical records of patients who have been treated by a particular physician. It includes the physician's name or a code number assigned and the patient's name or health record number. NCRA - correct answer National Cancer Registrars Association 6.3 (1) What is a registry? What is the purpose of a registry - correct answer Registries are collections of secondary data related to a patient's specific diagnosis, condition, or procedure. They are created and maintained to provide specific information from the medical record in an easily retrievable form. 6.3 (2) What is the difference between a facility-based registry and a population-based registry? - correct answer 6.3 (3) How is case definition different from case finding? - correct answer Case definition - the process used by each registry to define the cases to be included in it.