Nutrition Informatics NCP Exam
Questions and Answers
Nutrition Informatics - Answer-The study and practice of how best to collect data so that
meaningful information and knowledge can results.
What did The Health Information Technology for Economic and Clinical Act (HITECH)
was passed in 2009? - Answer-Set the pace/goal that all health care institutions would
develop an electronic medical record by a certain date.
Academy of Nutrition and Dietetics Health Informatics Infrastructure (ANDHII) - Answer-
Designed to collect only de-identified nutrition diagnoses and follow-up data
Why does data need to be de-identified? - Answer-Due to HIPPA, work to promote
patient confidentiality
Disadvantages of electronic reports - Answer-- Computers must be taught both terms,
and taught that they have the same meaning
- Data may be lost
- Interoperability also known as using standardized terminology, is difficult
Charting: Documentation of the Nutrition Care Process - Answer-- Systemic recording of
patients care
- Ongoing conversation among different members of the medical team
- Clear and comprehensive record
- Monitoring of: Continuous Quality Improvement (CQI)
- Current procedural terminology (CPT) codes: Billing
- Use of terminology consistent with prospective payment system
- Legal documentation
Documents the following: - Answer-- Date and time
- Specific treatment goals and expected outcomes
- Recommended interventions
- Adjustments to the plan and justification
- Client/community receptivity
- Referrals made and resources used
- Other information relevant to providing care and monitoring - progress over time
- Plans for follow-up and frequency of care
- Rationale for discharge, if applicable
Purposes of medical record charting: list 6 reasons - Answer-1. Legal documentation
2. Funding and resource management
3. Continuous quality improvement
4. Third-party reimbursement
Questions and Answers
Nutrition Informatics - Answer-The study and practice of how best to collect data so that
meaningful information and knowledge can results.
What did The Health Information Technology for Economic and Clinical Act (HITECH)
was passed in 2009? - Answer-Set the pace/goal that all health care institutions would
develop an electronic medical record by a certain date.
Academy of Nutrition and Dietetics Health Informatics Infrastructure (ANDHII) - Answer-
Designed to collect only de-identified nutrition diagnoses and follow-up data
Why does data need to be de-identified? - Answer-Due to HIPPA, work to promote
patient confidentiality
Disadvantages of electronic reports - Answer-- Computers must be taught both terms,
and taught that they have the same meaning
- Data may be lost
- Interoperability also known as using standardized terminology, is difficult
Charting: Documentation of the Nutrition Care Process - Answer-- Systemic recording of
patients care
- Ongoing conversation among different members of the medical team
- Clear and comprehensive record
- Monitoring of: Continuous Quality Improvement (CQI)
- Current procedural terminology (CPT) codes: Billing
- Use of terminology consistent with prospective payment system
- Legal documentation
Documents the following: - Answer-- Date and time
- Specific treatment goals and expected outcomes
- Recommended interventions
- Adjustments to the plan and justification
- Client/community receptivity
- Referrals made and resources used
- Other information relevant to providing care and monitoring - progress over time
- Plans for follow-up and frequency of care
- Rationale for discharge, if applicable
Purposes of medical record charting: list 6 reasons - Answer-1. Legal documentation
2. Funding and resource management
3. Continuous quality improvement
4. Third-party reimbursement
