RHIT Study Guide Assessment Questions And Answers Verified Solutions.

CARF - correct answer Commission on Accreditation for Rehab Facilities A private, not-for-profit organization that develops customer-focused standards for behavioral healthcare and medical rehab programs and accredits such programs on the basis of its standards DEEDS - correct answer Data Elements For Emergency Department Systems A data set designed to support the uniform collection of information in hospital-based emergency departments UACDS - correct answer Uniform Ambulatory Care Data Set a data set developed by the national committee on Vital and Health Statistics consisting of a minimum data set of patient/client specific data elements to be collected in ambulatory care settings UHDDS - correct answer Uniform Hospital Discharge Data Set A core set of data elements adopted by the US dept of health, education, and welfare in 1974 that are collected by hospitals on all discharges and all discharge abstract systems EMEDS - correct answer Expeditionary Medical Support System (EMEDS) is a modular field hospital system developed by the U.S. military for mobile deployment of medical treatment facilities in any location. Content and structure standards - correct answer establish and provide clear and uniform definitions of the data elements to be included in the EHR systems. They specify the type of data to be collected in each data field and the attributes and values of each data field, all of which are captured in data dictionaries Security Standards - correct answer ensure that patient-identifiable health information remains confidential and protected from unauthorized disclosure, alteration, or destruction Transaction Standards - correct answer standards that support the uniform format and sequence of data during transmission from one healthcare entity to another Vocabulary Standards - correct answer list or collection of clinical words or phrases with their meanings; also the set of words used by an individual or group within a particular subject field, such as to provide consistent descriptions of medical terms for an individual condition in the health record Standard - correct answer fixed rules that must be followed Guidelines - correct answer a general rule, principle, or piece of advice Policy - correct answer 1. Governing principals that describe how a department or an organization is supposed to handle a specific situation 2.Binding contracts issued by a healthcare insurance company to an individual or group in which the company promises to pay for healthcare to treat illness or injury Procedure - correct answer The steps taken to implement a policy Aggregate data - correct answer Data extracted from individual health records and combined to form deidentified information about groups of patients that can be compared and analyzed Information - correct answer Factual data that have been collected, combined, analyzed, interpreted, and or converted into a form that can be used for a specific purpose Statistics - correct answer A branch of mathematics concerned with collecting, organizing, summarizing, and analyzing data Data - correct answer The dates, numbers, images, symbols, letters, and words that represent basic facts and observations about people, processes, measurements, and conditions Run chart - correct answer A type of graph that shows data points collected over time and identifies emerging trends or patterns Statistical process control chart - correct answer A type of run chart that includes both upper and lower control limits and indicates whether a process is stable or unstable Benchmark - correct answer The systematic comparison of the products, services, and outcomes of one organization with those of a similar organization; or the systematic comparison of one organization's outcome with regional or national standards. Benchmarking - correct answer An analysis process that is based on comparison Lean - correct answer A quality improvement technique involving a systematic method to streamline processes to eliminate waste. Successful implementation of Lean techniques in a healthcare organization must include attention to the customer (patient-centered care) and their perspective while attempting to reduce unnecessary waste. Performance Measure - correct answer The indication of a healthcare organization's performance in relation to a specified process or outcome. Systems Thinking - correct answer An objective way of looking at work-related ideas and processes with the goal of allowing people to think to uncover ineffective patterns of behavior and thinking and then finding ways to make lasting improvements. Six Sigma - correct answer Uses statistics for measuring variation in a process with the intent of producing error-free results. Efficacy - correct answer The ability to produce a desired or intended result. Synonyms: effectiveness, success, productiveness, potency, power; Controlling - correct answer The monitoring and correcting of organizational, departmental, and individual performance so goals and objects are met; controlling is dependent on goals, objectives, and key indicators being set during the planning phase Planning - correct answer An examination of the future and preparation of action plans to attain goals; of the four traditional management functions, planning must be done first because it is the foundation on which the other functions operate. Leading - correct answer Influencing others to meet the goals and objectives of the organization by motivating subordinates, communicating effectively, and effectively using power; it is sometimes referred to as actuating, directing or influencing Foreign Key - correct answer a key attribute used to link one entity/table to another Who was the ICD-10-CM and ICD-10-PCS guidelines established by - correct answer The WHO established them & the NCHS maintains it Each healthcare organization must identify and prioritize which processes and outcomes (in other words, which types of data) are important to monitor. This data collection should be based on the scope of care and services they provide and ______ - correct answer their mission Reasonable cause - correct answer To have knowledge of facts which, although not amounting to direct knowledge, would cause a reasonable person, knowing the same facts, to reasonably conclude the same thing. reasonable diligence - correct answer Reasonable diligence is an alternate term for due diligence. It means the care and attention that is expected from and is ordinarily exercised by a reasonable and prudent person under the circumstances willful neglect - correct answer "conscious, intentional failure or reckless indifference to the obligation to comply with the administrative simplification provision violated." abuse - correct answer Means incidents or practices by physicians, not usually considered fraudulent, that are inconsistent with accepted sound medical business or fiscal practices the responsibilities of the quality improvement organizations include reviewing health records to confirm ______ - correct answer the validity of hospital diagnosis and procedure coding data completeness what is the purpose of the risk management program - correct answer to link risk management functions to related processes of quality assessment and PI. The basic functions of healthcare risk management programs are similar for most organizations and include: risk identification and analysis, loss prevention and reduction, and claims management which of the following is the approved method for implementing an organizations formal position? a. Hierarchy chart b. Organizational chart c. Policy and procedure d. Mission statement - correct answer c. Policy and procedure policies and procedures also can be considered organization tools. Policies are written descriptions of the organizations formal positions. Procedures are the approved methods for implementing those positions. Together, they spell out what the organization expects employees to do and how they are expected to do it. performance measurement - correct answer The indicator of a healthcare organization's performance in relation to a specified process or outcome. workforce planning - correct answer Workforce planning is a continual process used to align the needs and priorities of the organization with those of its workforce to ensure it can meet its legislative, regulatory, service and production requirements and organizational objectives. variance analysis - correct answer Variance analysis is the quantitative investigation of the difference between actual and planned behavior. This analysis is used to maintain control over a business. For example, if you budget for sales to be $10,000 and actual sales are $8,000, variance analysis yields a difference of $2,000. Nominal group technique - correct answer A quality improvement technique that allows groups to narrow the focus of discussion or to make decisions without becoming involved in extended circular discussions In designing input by clinicians for an EHR system, which of the following would be effective for a clinician when the data are repetitive and the vocabulary used is fairly limited. a. drop down menues b. point and click fields c. speech recognition d. structured templates - correct answer c. speech recognition speech recognition can be very effective in certain situations when data entry is fairly repetitive and the vocabulary used is fairly limited. As speech recognition improves, it is becoming a replacement for other forms of dictation. In some cases, the user reviews the speech as it is being converted to type and makes any needed corrections; in other cases, the speech is sent to a special device where it generates type for another individual to review and edit. flowchart - correct answer Analytical tools used to illustrate the sequence of activities in a complex process fishbone diagram / Cause and effect diagram - correct answer An investigational technique that facilitates the identification of the various factors (that is, manpower, material, methods, and machinery) that contribute to a problem pareto chart - correct answer a bar graph used to determine priories in problem solving scatter diagram - correct answer a graph in which the values of two variables are plotted along two axes, the pattern of the resulting points revealing any correlation present. data precision - correct answer The extent to which healthcare-related data are useful for the purpose for which they were c