RHIT Exam: DOMAINs 1, 2, 3 complete review with correct answers

In healthcare, data sets serve two purposes. The first is to identify data elements to be collected about each patient. The second is to: a. Provide uniform data definitions b. Guide efforts toward computerization c. Determine statistical formulas d. Provide a research database correct answer: - a. Provide uniform data definitions Healthcare data sets have two purposes. The first is to identify the data elements that should be collected for each patient. The second is to provide uniform definitions for common terms. The use of uniform definitions ensures that data collected from a variety of healthcare settings will share a standard definition. Standardizing data elements and definitions makes it possible to compare the data collected at different facilities. A health information technician is responsible for designing a data collection form to collect data on patients in an acute-care hospital. The first resource that she should use is: a. ORYX b. UACDS c. MDS d. UHDDS correct answer: - d. UHDDS The purpose of the UHDDS is to list and define a set of common, uniform data elements. The data elements are collected from the health records of every hospital inpatient and later abstracted from the health record and included in national databases. A crucial early step in designing an electronic health record (EHR) is to develop a(n) ________ in which the characteristics of each data element are defined. a. Accreditation manual b. Core content c. Continuity of care record d. Data dictionary correct answer: - d. Data dictionary A data dictionary improves data validity and reliability within, across, and outside the enterprise because it ensures that each piece of data can only mean one thing. A critical early step in implementing the EHR is to develop a data dictionary. long-term care, the resident's care plan is based on data collected in the: a. UHDDS b. OASIS-C c. MDS d. HEDIS correct answer: - c. MDS The data collected by the Minimum Data Set (MDS) are used to develop care plans for residents and to document placement at the appropriate level of care. The MDS provides a structured way to organize resident information and develop a resident care plan Which of the following is not a characteristic of the common healthcare data sets such as UHDDS and UACDS? a. They define minimum data elements to be collected. b. They provide a complete and exhaustive list of data elements that must be collected. c. They provide a framework for data collection to which an individual facility can add data items. d. The federal government recommends, but does not mandate, implementation of most of the data sets. correct answer: - b. They provide a complete and exhaustive list of data elements that must be collected. A data set is a list of recommended data elements with uniform definitions that are relevant for a particular use. The contents of data sets vary by their purpose. However, data sets are not meant to limit the number of data elements that can be collected. Most healthcare organizations collect additional data elements that have meaning for their specific administrative and clinical operations. Standardizing data elements and definitions makes it possible to compare the data collected at different facilities. A number of data reporting requirements come from federal initiatives.