,Health record tech is asked to review discharge pt abstracting module of proposed new
EHR, so what would tech consult to ensure system collects all fed req discharge data
elements for Medicare, Medicaid inpts in acute-care hosp? - CORRECT ANSWERS-
Uniform Hospital Discharge Data Set (UHDDS)
Outpt clinic reviews functionality of EHR it is considering purchasing, so what should the
clinic consult that ensure all fed recommended data elements for Medicare, Medicaid
outpts are collected by system? - CORRECT ANSWERS-Uniform Ambulatory Care
Data Set (UACDS)
Standard med term to avoid diff in naming various health conds and procedures is one
purpose of: - CORRECT ANSWERS-Vocabulary standards
Pt care mgrs use data and info doc'd in health record to: - CORRECT ANSWERS-
Evaluate patterns and trends of patient care
Active storage area for health records at a hosp is almost full, so to create more space,
what should they do: - CORRECT ANSWERS-Purge oldest records to another location
As part of initiative to imp data integrity, Data Quality Committee (DQC) conducted
inventory of all hosp's databases and found that 70%+ of ID'd databases did not have
dictionaries. What should be committee's first action? - CORRECT ANSWERS-
Establish a data dictionary policy with associated standards
Hosp has 100+ clinical databases and DQC is studying comparability among databases
(DB). Data elements and definitions are cataloged for each DB, so what should their
next step be to determine the degree of data comparability among DBs? - CORRECT
ANSWERS-Select rep set of data elements and track these across the databases to ID
consistencies and differences.
New HIM director has been asked by hosp to ensure data content standards are ID'd,
understood, implemented, and managed for hosp's planned EHR system, so what
should be the HIM director's first step in carrying out responsibility? - CORRECT
ANSWERS-Identify data content requirements for all areas of the organization
At adm, pt's DOB is 3/25/48, but audit of EHR shows the numbers in DOB are
transposed in reports. This situation reflects a problem in: - CORRECT ANSWERS-
Data consistency
Family pract req's opinion of phys specialist, who reviews pt's health record and
examines pt. Phys specialist would record findings, impressions, and recommendations
in what type of report: - CORRECT ANSWERS-Consultation report
What are key characteristics of the problem-oriented health record? - CORRECT
ANSWERS-Uses an itemized list of patient's past and present health problems?
, Data elements collected on large populations of individuals and stored in DBs are
referred to as: - CORRECT ANSWERS-Aggregate data
Health data analyst has been asked to compile a report of the percentage of pts who
had baseline PTT tests performed prior to rec'ing heparin, so what clinical reports in the
health record would the analyst consult to prepare this report? - CORRECT ANSWERS-
Medication record and clinical lab reports
ABC Hosp wants to compare it's HAC UTI rate for Medicare pts w/nat'l avg and is using
MEDPAR DB for comparison. MEDPAR DB contains 13M discharges, with 200K adm'd
w/PD of UTI, 300K adm'd w/PD of infectious dz, and 700K had dx of hypertension. What
would be the best comparison data for ABC Hosp? - CORRECT ANSWERS-All
individuals in MEDPAR DB except those admitted with principal diagnosis of UTI or
infection disease
Health data analyst is asked to compile listing of daily BP readings for pts w/dx of
hypertension who were tx on medicine unit within a 2wk period, so what clinical report
would be best to gather this info? - CORRECT ANSWERS-Vital signs record
What is the median of 47, 20,11, 33, 30, 35, and 50? - CORRECT ANSWERS-11, 20,
30, 33, 35, 47, 50 mean that the median would be 33, but the answer say to take the
avg of 30 and 33 and therefore = 31.5 WRONG!!!!
ABC Hosp had 250 pts in hosp at midnight on 5/, admitted 30 pts on 5/2, discharged 40
pts (incl deaths) on 5/2, 2 pts adm'd and discharged on 5/2, so what was the total
number of inpt service days for 5/2? - CORRECT ANSWERS-242
250+30-40+2 = 242
An example of data collected by TJC for the ORYX initiatives is: - CORRECT
ANSWERS-Patient demographic data
What is ORYX? - CORRECT ANSWERS-A Joint Commission on Accreditation of
Healthcare Organizations initiative that supports integration of outcomes data and other
performance measurement data into the accreditation process
What is the best numbering system for maintaining enc's of pt's health record together?
- CORRECT ANSWERS-Unit
HIM mgr conducts study of comparing ICD-9 and ICD-10 DM codes and the variations
in order to assess impact on the organization, so this process creates what? -
CORRECT ANSWERS-Data map/data mapping is an essential component of standards
building to facilitate health information exchange and requires significant linkage
between old and new code sets to preserve continuity of service and prevent data loss
EHR, so what would tech consult to ensure system collects all fed req discharge data
elements for Medicare, Medicaid inpts in acute-care hosp? - CORRECT ANSWERS-
Uniform Hospital Discharge Data Set (UHDDS)
Outpt clinic reviews functionality of EHR it is considering purchasing, so what should the
clinic consult that ensure all fed recommended data elements for Medicare, Medicaid
outpts are collected by system? - CORRECT ANSWERS-Uniform Ambulatory Care
Data Set (UACDS)
Standard med term to avoid diff in naming various health conds and procedures is one
purpose of: - CORRECT ANSWERS-Vocabulary standards
Pt care mgrs use data and info doc'd in health record to: - CORRECT ANSWERS-
Evaluate patterns and trends of patient care
Active storage area for health records at a hosp is almost full, so to create more space,
what should they do: - CORRECT ANSWERS-Purge oldest records to another location
As part of initiative to imp data integrity, Data Quality Committee (DQC) conducted
inventory of all hosp's databases and found that 70%+ of ID'd databases did not have
dictionaries. What should be committee's first action? - CORRECT ANSWERS-
Establish a data dictionary policy with associated standards
Hosp has 100+ clinical databases and DQC is studying comparability among databases
(DB). Data elements and definitions are cataloged for each DB, so what should their
next step be to determine the degree of data comparability among DBs? - CORRECT
ANSWERS-Select rep set of data elements and track these across the databases to ID
consistencies and differences.
New HIM director has been asked by hosp to ensure data content standards are ID'd,
understood, implemented, and managed for hosp's planned EHR system, so what
should be the HIM director's first step in carrying out responsibility? - CORRECT
ANSWERS-Identify data content requirements for all areas of the organization
At adm, pt's DOB is 3/25/48, but audit of EHR shows the numbers in DOB are
transposed in reports. This situation reflects a problem in: - CORRECT ANSWERS-
Data consistency
Family pract req's opinion of phys specialist, who reviews pt's health record and
examines pt. Phys specialist would record findings, impressions, and recommendations
in what type of report: - CORRECT ANSWERS-Consultation report
What are key characteristics of the problem-oriented health record? - CORRECT
ANSWERS-Uses an itemized list of patient's past and present health problems?
, Data elements collected on large populations of individuals and stored in DBs are
referred to as: - CORRECT ANSWERS-Aggregate data
Health data analyst has been asked to compile a report of the percentage of pts who
had baseline PTT tests performed prior to rec'ing heparin, so what clinical reports in the
health record would the analyst consult to prepare this report? - CORRECT ANSWERS-
Medication record and clinical lab reports
ABC Hosp wants to compare it's HAC UTI rate for Medicare pts w/nat'l avg and is using
MEDPAR DB for comparison. MEDPAR DB contains 13M discharges, with 200K adm'd
w/PD of UTI, 300K adm'd w/PD of infectious dz, and 700K had dx of hypertension. What
would be the best comparison data for ABC Hosp? - CORRECT ANSWERS-All
individuals in MEDPAR DB except those admitted with principal diagnosis of UTI or
infection disease
Health data analyst is asked to compile listing of daily BP readings for pts w/dx of
hypertension who were tx on medicine unit within a 2wk period, so what clinical report
would be best to gather this info? - CORRECT ANSWERS-Vital signs record
What is the median of 47, 20,11, 33, 30, 35, and 50? - CORRECT ANSWERS-11, 20,
30, 33, 35, 47, 50 mean that the median would be 33, but the answer say to take the
avg of 30 and 33 and therefore = 31.5 WRONG!!!!
ABC Hosp had 250 pts in hosp at midnight on 5/, admitted 30 pts on 5/2, discharged 40
pts (incl deaths) on 5/2, 2 pts adm'd and discharged on 5/2, so what was the total
number of inpt service days for 5/2? - CORRECT ANSWERS-242
250+30-40+2 = 242
An example of data collected by TJC for the ORYX initiatives is: - CORRECT
ANSWERS-Patient demographic data
What is ORYX? - CORRECT ANSWERS-A Joint Commission on Accreditation of
Healthcare Organizations initiative that supports integration of outcomes data and other
performance measurement data into the accreditation process
What is the best numbering system for maintaining enc's of pt's health record together?
- CORRECT ANSWERS-Unit
HIM mgr conducts study of comparing ICD-9 and ICD-10 DM codes and the variations
in order to assess impact on the organization, so this process creates what? -
CORRECT ANSWERS-Data map/data mapping is an essential component of standards
building to facilitate health information exchange and requires significant linkage
between old and new code sets to preserve continuity of service and prevent data loss
