D514 Exam- Analytical Methods in Healthcare|
Questions with Complete Solutions
Master population/Patient Index (MPI)
Assigns specific medical record number to avoid duplicate patient records. Includes
patient's demographic information and dates of encounters.
Disease Registries
Secondary data gathered on patient diagnosis, condition, and procedure. Used for public
health purposes and documenting disease prevalence.
LOS/ALOS
Average number of days a patient spends in the hospital. Tracked to gauge the efficiency of
a healthcare facility.
CMS
Responsible for developing U.S. healthcare policy; administers the Medicare program and
federal portion of Medicaid program.
HRRP
Affordable Care Act (ACA) added a section to Social Security Act in 2012, requiring CMS to
reduce payments to hospitals with excessive readmissions. Data gathered is response to the
Hospital Readmissions Reduction Program (HRRP), which is a Medicare value-based
purchasing program.
Hospital Consumer Assessment of Healthcare Professionals
An effective indicator that measures quality provided, communication from providers, and
other aspects of care delivery. It affects clinical outcomes, patient retention, and medical
malpractice claims.
,Mortality after acute Mis
Reflects the health status of cardiac patients and effectiveness of services.
Central Line Bloodstream Infection (CLABSI)
Data tracked to ensure best practices in treating patients receiving repeated IV medication
or fluids. Catheter can become infected over time if guidelines preventing bacterial
contamination are not followed.
Pain Management
Tracking this data helps providers understand why certain patients improve faster than
others, and why some are more vulnerable to depression due to chronic pain or addiction.
Hosptal Quietness and Cleanliness
Measured in patient satisfaction surveys as a subjective indicator of hospital environment.
Post-op infections
This data useful as a quality measurement to improve care during and after surgery.
Pressure Ulcer rates
Data tracked on incidence, prevalence, and facility-acquired rates to improve quality of care
and develop best practices to address skin breakdown.
Catheter Assoc UTI (CAUTI)
This hospital-acquired infection is tracked and reported to Medicare. One of the first
hospital-acquired conditions selected for nonpayment by Medicare.
Staff Performance, turnover, Absenteeism
Organizations track this human resource data to optimize employee skill sets and build a
stronger organizational culture.
Accounts receivable and cost data
, Tracking this data ensures adequate resources for long- and short-term goals and financial
planning.
HRSA Data: Health Resources and Services Administration
It is the primary federal agency for improving healthcare to the geographically isolated, and
economically or medically vulnerable. EQUITY
Health Payment Systems Data
Data pulled from coding/billing departments.
MEPS data from CMS: The Medical Expenditure Panel Survey
Administered by Centers for Medicare & Medicaid Services (CMS). Surveys families,
individuals, providers, employers in the U.S. Gathers data on cost, use of healthcare
services, and health insurance coverage.
NIH data, National Insttutes of Health
U.S. Medical Research Agency is part of the Department of Health and Human Services.
Joint Commission
Through its accreditation process it requires the gathering and reporting of specific data to
demonstrate safety, quality care, and performance improvement in healthcare
organizations.
Surveillance Records
These records are kept and reviewed to maintain health history on employees who may be
exposed to hazardous materials, eliminate causes of exposure and prevent medical issues
from developing. Contribute to worksite health and safety programs.
Medicare Provider Analysis and Review (MEDPAR)
Acute care and skilled nursing facility claim data on Medicare patients.
Questions with Complete Solutions
Master population/Patient Index (MPI)
Assigns specific medical record number to avoid duplicate patient records. Includes
patient's demographic information and dates of encounters.
Disease Registries
Secondary data gathered on patient diagnosis, condition, and procedure. Used for public
health purposes and documenting disease prevalence.
LOS/ALOS
Average number of days a patient spends in the hospital. Tracked to gauge the efficiency of
a healthcare facility.
CMS
Responsible for developing U.S. healthcare policy; administers the Medicare program and
federal portion of Medicaid program.
HRRP
Affordable Care Act (ACA) added a section to Social Security Act in 2012, requiring CMS to
reduce payments to hospitals with excessive readmissions. Data gathered is response to the
Hospital Readmissions Reduction Program (HRRP), which is a Medicare value-based
purchasing program.
Hospital Consumer Assessment of Healthcare Professionals
An effective indicator that measures quality provided, communication from providers, and
other aspects of care delivery. It affects clinical outcomes, patient retention, and medical
malpractice claims.
,Mortality after acute Mis
Reflects the health status of cardiac patients and effectiveness of services.
Central Line Bloodstream Infection (CLABSI)
Data tracked to ensure best practices in treating patients receiving repeated IV medication
or fluids. Catheter can become infected over time if guidelines preventing bacterial
contamination are not followed.
Pain Management
Tracking this data helps providers understand why certain patients improve faster than
others, and why some are more vulnerable to depression due to chronic pain or addiction.
Hosptal Quietness and Cleanliness
Measured in patient satisfaction surveys as a subjective indicator of hospital environment.
Post-op infections
This data useful as a quality measurement to improve care during and after surgery.
Pressure Ulcer rates
Data tracked on incidence, prevalence, and facility-acquired rates to improve quality of care
and develop best practices to address skin breakdown.
Catheter Assoc UTI (CAUTI)
This hospital-acquired infection is tracked and reported to Medicare. One of the first
hospital-acquired conditions selected for nonpayment by Medicare.
Staff Performance, turnover, Absenteeism
Organizations track this human resource data to optimize employee skill sets and build a
stronger organizational culture.
Accounts receivable and cost data
, Tracking this data ensures adequate resources for long- and short-term goals and financial
planning.
HRSA Data: Health Resources and Services Administration
It is the primary federal agency for improving healthcare to the geographically isolated, and
economically or medically vulnerable. EQUITY
Health Payment Systems Data
Data pulled from coding/billing departments.
MEPS data from CMS: The Medical Expenditure Panel Survey
Administered by Centers for Medicare & Medicaid Services (CMS). Surveys families,
individuals, providers, employers in the U.S. Gathers data on cost, use of healthcare
services, and health insurance coverage.
NIH data, National Insttutes of Health
U.S. Medical Research Agency is part of the Department of Health and Human Services.
Joint Commission
Through its accreditation process it requires the gathering and reporting of specific data to
demonstrate safety, quality care, and performance improvement in healthcare
organizations.
Surveillance Records
These records are kept and reviewed to maintain health history on employees who may be
exposed to hazardous materials, eliminate causes of exposure and prevent medical issues
from developing. Contribute to worksite health and safety programs.
Medicare Provider Analysis and Review (MEDPAR)
Acute care and skilled nursing facility claim data on Medicare patients.
