C810 - Foundations of Data Management
A data governance steering committee is formed and tasked with developing the goals of a data
governance program.
Which generally accepted record-keeping principle is described in this scenario? -
ANS-Accountability
A hospital is informing the Infection Control Committee about the number of postoperative
infections it had during a given time period.
Which principle for information governance is used in this scenario? - ANS-Transparency
A hurricane has occured and a hospital's health information clerk needs to relocate information
systems to an alternate site.
Which plan should the HIM clerk reference to ensure that correct procedures are followed? -
ANS-Disaster Recovery Plan
A local skilled nursing facility (SNF), hospital, and public health agency all participate in a health
information exchange (HIE). The data is pushed from their facilities into one repository where
they all have access to retrieve data when needed.
Which model is described in this scenario? - ANS-Centralized
A nurse enters a patient's zip code, and the state is automatically populated.
What type of data is described? - ANS-Structured
A paragraph in a physician's order specifies information about a patient's discharge.
What type of data is described in this scenario? - ANS-Unstructured
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? - ANS-Responsbility of
health data steward
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? - ANS-Red Flags Rule
, For which healthcare setting is the patient's history and physical exam a required part of the
health record? - ANS-Acute care and behavioral health
How long do medical records newborns must be retained? - ANS-for seven years after the
patient reaches the age of majority
How long does CMS require health records to be maintained? - ANS-At least 5 years
In a physician's practice, a doctor is attempting to submit a claim to Medicare, but the system is
experiencing an outage. Which form should this doctor use to submit a paper claim? -
ANS-CMS-1500
In which healthcare setting does CMS require specific documentation by the attending physician
and an update to the patient's plan of care? - ANS-Home healthcare
To which organization must a sentinel event be reported? - ANS-The Joint Commission
True or False?
The health record may reflect one episode of care or an accumulation of all episodes of care
(longitudinal record) - ANS-True
What are administrative safeguards? - ANS-Policies and procedures to manage administrative
actions, policies, and procedures to prevent, detect, contain, and correct security violations
What are consultation reports? - ANS-- Consultations are opinions of physicians with specialty
training beyond general board certification such as oncologists, cardiologists, or dermatologists
- After the specialist sees the patient, they have to write a report that shows evidence of the
consultant's review of the record, examination of the patient, and any pertinent findings,
opinions, and recommendations
- Must also show that the physician requesting the consultation reviewed the report
What are data stakeholders? - ANS-Those who have an interest or stake in organizational data,
can include customers, frontline workers, business units, managers, executives, accreditation
bodies
What are local coverage determinations (LCDs)? - ANS-Decisions made by a MAC whether to
cover a particular item or service in a MAC's jurisdiction and is based on whether the service or
item is considered reasonable and necessary
What are Medicaid Integrity Contractors (MICs)? - ANS-Private companies that review all
Medicaid providers to identify high-risk areas, overpayments, and areas for improvement.
A data governance steering committee is formed and tasked with developing the goals of a data
governance program.
Which generally accepted record-keeping principle is described in this scenario? -
ANS-Accountability
A hospital is informing the Infection Control Committee about the number of postoperative
infections it had during a given time period.
Which principle for information governance is used in this scenario? - ANS-Transparency
A hurricane has occured and a hospital's health information clerk needs to relocate information
systems to an alternate site.
Which plan should the HIM clerk reference to ensure that correct procedures are followed? -
ANS-Disaster Recovery Plan
A local skilled nursing facility (SNF), hospital, and public health agency all participate in a health
information exchange (HIE). The data is pushed from their facilities into one repository where
they all have access to retrieve data when needed.
Which model is described in this scenario? - ANS-Centralized
A nurse enters a patient's zip code, and the state is automatically populated.
What type of data is described? - ANS-Structured
A paragraph in a physician's order specifies information about a patient's discharge.
What type of data is described in this scenario? - ANS-Unstructured
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? - ANS-Responsbility of
health data steward
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? - ANS-Red Flags Rule
, For which healthcare setting is the patient's history and physical exam a required part of the
health record? - ANS-Acute care and behavioral health
How long do medical records newborns must be retained? - ANS-for seven years after the
patient reaches the age of majority
How long does CMS require health records to be maintained? - ANS-At least 5 years
In a physician's practice, a doctor is attempting to submit a claim to Medicare, but the system is
experiencing an outage. Which form should this doctor use to submit a paper claim? -
ANS-CMS-1500
In which healthcare setting does CMS require specific documentation by the attending physician
and an update to the patient's plan of care? - ANS-Home healthcare
To which organization must a sentinel event be reported? - ANS-The Joint Commission
True or False?
The health record may reflect one episode of care or an accumulation of all episodes of care
(longitudinal record) - ANS-True
What are administrative safeguards? - ANS-Policies and procedures to manage administrative
actions, policies, and procedures to prevent, detect, contain, and correct security violations
What are consultation reports? - ANS-- Consultations are opinions of physicians with specialty
training beyond general board certification such as oncologists, cardiologists, or dermatologists
- After the specialist sees the patient, they have to write a report that shows evidence of the
consultant's review of the record, examination of the patient, and any pertinent findings,
opinions, and recommendations
- Must also show that the physician requesting the consultation reviewed the report
What are data stakeholders? - ANS-Those who have an interest or stake in organizational data,
can include customers, frontline workers, business units, managers, executives, accreditation
bodies
What are local coverage determinations (LCDs)? - ANS-Decisions made by a MAC whether to
cover a particular item or service in a MAC's jurisdiction and is based on whether the service or
item is considered reasonable and necessary
What are Medicaid Integrity Contractors (MICs)? - ANS-Private companies that review all
Medicaid providers to identify high-risk areas, overpayments, and areas for improvement.
