CHDA Exam 3 Questions With 100% Correct Answers 2024, Exams of Advanced Education

Download CHDA Exam 3 Questions With 100% Correct Answers 2024 and more Exams Advanced Education in PDF only on Docsity! CHDA Exam 3 Questions With 100% Correct Answers 2024 When undertaking an LHR (Legal Health Record) project the stakeholder group must include individuals from various levels of the organization. Which of the following should be included among the stakeholders? - Correct Answer- information technology staff Which code set would be utilize to create a report showing a hospital's case mix index? - Correct Answer-DRG The case-mix index (CMI) for a hospital should be monitored over time. This is doe by establishing a valid baseline to track any deviations over a period of time. Which of the following are used to track and validate an organization's CMI? - Correct Answer-Average relative weight, percent of discharge specialty average length of stay (ALOS), and average charges Your chief financial officer has contacted you because your facility's case-mix index increased this year. He wishes to hear your theory on why this is so. Among the options below, which would best explain an increase in the case-mix index? - Correct Answer-The quality of clinical documentation improved Which type of indicators measure the actual results of care for patients and populations, including patient and family satisfaction? - Correct Answer-outcome in long-term care settings, the resident's care plan is based on data collected in the - Correct Answer-MDS The CFO of your hospital is concerned that the case mix index is increasing while the number of discharges is remaining the same. You suggest that this is due to which of the following? - Correct Answer-more higher weighted DRG's than before The federal law that directed the Secretary of Health and Human Services to develop healthcare standards governing electronic data interchange and data security is that - Correct Answer-health insurance portability accountability act Which term is used for a centralized database that captures, sorts, and processes patient data and then sends it back to the user? - Correct Answer-Clinical data repository Which of the following is an external user of data? - Correct Answer-public health department Facility-based cancer registries receive approval as part of the facility cancer program from which of the following agencies? - Correct Answer-American College of Surgeons If My Town Family Practice is looking for a way to justify higher compensation for the physicians that provide the highest level of resource intensity, which of the following metrics is the most appropriate? - Correct Answer-Number of RVUs At Medical Center Hospital, the master patient index system is not meeting facility needs. There are duplicate numbers and errors in patient identification information. The IS director replaces the system with a newer system from a different vendor. After several months, the new system is exhibiting many of the same problems as the old system, and the facility staff is frustrated and angry. What is the most likely cause of the problem? - Correct Answer-Underlying human and process problems were not identified and corrected prior to making a system change How do healthcare providers use the administrative data they collect? - Correct Answer-For regulatory, operational, and financial purposes The director of health information services department plans to do a research project on motivation that involves rewarding some employees for achieving specified goals. A control group will not be rewarded for achieving the same goals. Which entity will need to approve this study? - Correct Answer-Institutional Review Board Mary Smith, RHIA, has been charged with the responsibility of designing a data collection form to be used on admission of a patient to the acute care hospital in which she works. The first resource that she should use is ______. - Correct Answer- UHDDS (Uniform Hospital Discharge Data Set) chart - Correct Answer- In long-term care, the resident's care plan is based on data collected in the - Correct Answer-MDS (Minimum Data Set) Choose the data standardized utilized for exchanging and developing electronic health records (EHRs). - Correct Answer- HL7 The Health Level Seven (HL7) EHR System Functional Model (EHR-SFM) is based on which of the following? - Correct Answer-Two axes:functions and care settings This allows decision makers to perform simple reporting, complicated analysis, multidimensional analysis, population analysis and benchmarking, and reimbursement analysis. - Correct Answer-Data warehouse To capture data previously submitted on paper at the UB-04, one would now find the data submitted electronically is submitted in which format? - Correct Answer-837I chart - Correct Answer- Which type of database stores data in predefined tables that contain rows and columns similar to a spreadsheet? - Correct Answer-relational goes down, the entire network is affected. - Correct Answer- bus topology All documentation entered in the health record relating to the patient's diagnosis and treatment are considered this type of data: - Correct Answer-clinical Which of the following is an example of analog data? - Correct Answer-photographic, chest x-ray film An internal link that allows only the employees of a particular organization to navigate and communicate in a web-based environment is a(n): - Correct Answer-intranet All of the technologies below can be considered components of an electronic document/content management system except - Correct Answer-computer assisted coding This classification system is used to report procedures performed in the ambulatory care setting for the purpose of reimbursement - Correct Answer-CPT Which of the following is an example of a M:M relationship? - Correct Answer-patients to consulting physicians A(n) _____________ is developed outside the framework of a specific database and is used to define individual data elements used throughout a healthcare facility. - Correct Answer-DBMS data dictionary The data set that has been incorporated into federal law and is required for Medicare reporting is the _____. - Correct Answer-Uniform Hospital Discharge Data Set PACS may be found in a: - Correct Answer-RIS (Radiology information system) Cancer registries often use the _________ classification system. - Correct Answer-ICD-O Community Hospital just added a new system that changed the way data move throughout the facility. Which of the following would need to be updated to reflect this change? - Correct Answer-data flow diagram A revenue code represents a: - Correct Answer-Facility department Select the SQL query that will do the following. Pull payer name with plan code 'M01' from a table called 'payer' that contains the following data elements: plan_code, payer_name, contract_begin_date, contract_end_date. - Correct Answer-Select payer_name from payer where plan_code = 'M01' Which portion of this NDC code represents the product code: 00777-3105-02? - Correct Answer-3105 What is a binary value? - Correct Answer-a variable that can take on only two value Which of the following keywords precedes the listing of variables to be returned from a SQL query? - Correct Answer- SELECT For the most clinical and financial purposes, the best benchmark to compare a given patient's inpatient length of We want to determine if Critical Care Hospital's ALOS (µ1) for DRG XXX is significantly less than the national ALOS (µ2) for DRG XXX. The alternative hypothesis would be stated as: - Correct Answer-µ1 is more than or equal to µ2 Which statistic should the researchers in use to measure the linear relationship between age and length of stay? - Correct Answer-Pearson's r If the hypothesis that a correlation coefficient is equal to zero cannot be rejected with a sample size of 10, would the hypothesis be more or less likely to be rejected with a sample size of 100 and the same sample correlation value? - Correct Answer-more likely If the least squares regression line modeling wait time as a function of the number of surgeries scheduled is Y = 10 + 5 x X. Where Y is wait time and X is the number of surgeries. If the actual wait time for a patient scheduled on a day with 4 surgeries is 34 minutes, what is the residual for that patient? - Correct Answer-4 If we change sample size from 10 to 100 and all other statistics remain the same, then how is the confidence interval changed? - Correct Answer-the interval will be narrower If an analyst wishes to determine the root cause of claim denials during June 2013 via a random sample, what is the sampling unit? - Correct Answer-claim A sample of medical records is selected by randomly selecting all records from hospitals selected at random. What type of sampling is this? - Correct Answer-simple random sampling If a null hypothesis is rejected at an alpha level of 0.05, which of the following statements is true: - Correct Answer-it will be rejected at alpha level 0.1 Which of the following variables is nominal? - Correct Answer- patient gender If an analyst is studying the wait times at a clinic and the only list of patients available is hard copy, which sampling technique is the easiest to use? - Correct Answer-systematic sampling What is the purpose of Tukey's HSD test? - Correct Answer- tests to determine which pairs of means are different after a significant ANOVA Which test statistic should be used to test hypothesis that there is a different readmission rate for male and female patients? - Correct Answer-two-sample z-test for proportions Community Memorial Hospital had 25 inpatient deaths, including newborns, during the month of June. The hospital had a total of 500 discharges for the same period, including deaths of adults, children, and newborns. The hospital's gross death rate for the month of June was: - Correct Answer-5% CMS is using what data analytic technique to determine which claims should be sampled for further compliance review? - Correct Answer-predictive modeling If a health plan analyst wanted to determine if the readmissions rates for two hospitals were statistically different, what is the null hypothesis? - Correct Answer-the readmission rates are equal Data mining is a process that involves which of the following? - Correct Answer-using sophisticated computer technology to sort through an entity's data to identify unusual patterns chart - Correct Answer- This type of performance measure indicates the result of the performance or non-performance of a function or process - Correct Answer-key performance indicator Which of the following is an example of external healthcare data? - Correct Answer-statewide databases LONICs are likely to be found in a - Correct Answer-LIS The KIDS pediatric database is part of what family of databases? - Correct Answer-HCUP (Healthcare Cost and Utilization Project) A line chart is the best display of - Correct Answer-The average length of stay by month for the last year In analyzing the reason for changes in a hospital's Medicare case-mix index over time, the analyst should start with which of the following levels of detail? - Correct Answer-MS-DRG triples, pairs, and singles The computerized analysis of heart functioning, blood sugar levels, and brain wave activity are examples of - Correct Answer-physiological signal processing If an analyst wishes to predict future length of stay for hip replacement patients based on the age of the patient, which of the following is a correct statement? - Correct Answer-age is the independent variable; length of stay is the dependent variable A researcher mined the Medicare Provider Analysis Review (MEDPAR) file. The analysis revealed trends in lengths of stay for rural hospitals. What type of investigation was the researcher conducting? - Correct Answer-secondary analysis The relationship between patient gender and readmission to the hospital is best displayed using a - Correct Answer- contingency table Which of the following examples illustrates data that have been transformed into meaningful information? - Correct Answer-average length of stay at Holt Hospital is 5.6 days chart - Correct Answer- How are Hospital Compare measures used by CMS? - Correct Answer-Hospitals that report all measures receive the full payment update The type of data display tool is a plotted chart of data that shows the progress of a process over time: - Correct Answer- line graph Medicare inpatient claims may be found in - Correct Answer- MedPAR file The health record is considered a(n) __________ because it contains patient-specific data and information about a patient that has been documented by the professionals who provided care or services to that patient. - Correct Answer-primary data source The technology commonly utilized for automated claims processing (sending bills directly to third-party payers) is: - Correct Answer-electronic data interchange Which of the following positions is least likely to be held by a health information manager? - Correct Answer-database administrator Which of the following is critical to achieve interoperability and connectivity of health information across organizational lines? - Correct Answer-commonly accepted health informatics standards The process by which most healthcare informatics standards have been implemented is - Correct Answer-consensus When determining the suitability of a data element for secondary use, the analyst should consider which attribute first: - Correct Answer-reliability and validity If a nurse uses the abbreviation CPR to mean cardiopulmonary resuscitation one time and computer-based patient record another time, leading to confusion if the chart were audited would be a concern of this dimension of data quality? - Correct Answer-consistency Which type of standards describes the accepted methods for collections, sharing, and/or analyzing healthcare data among computer systems? - Correct Answer-health informatics standards A recognized system of terms that follows pre-established naming conventions is called: - Correct Answer-nomenclature The attributes of data should be documented in an organization's ____________. - Correct Answer-data dictionary Efforts are continuing to develop a unique healthcare identifier for every person. The number that has been proposed for use as a unique patient identification number but is controversial because of confidentiality and privacy concerns is the _____. - Correct Answer-social security number In order to efficiently transmit healthcare data between a provider and a payer, both parties must adhere to which electronic data interchange standards? - Correct Answer-X12N This health information exchange(HIE) consent model requires the patient to give their consent for the inclusion of their data in the HIE - Correct Answer-opt-in Healthcare organizations and practitioners throughout the country need a common terminology that is integrated into the electronic health record to - Correct Answer-exchange and use information reliably The security devices situated between the routers of a private network and a public network to protect the private network from unauthorized users are called - Correct Answer-firewalls A data dictionary is - Correct Answer-A roadmap to the contents of a database Messaging standards for electronic data interchange in healthcare were developed by - Correct Answer-HL7