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MHA 705 Module 4 Exam - Questions With Accurate Answ
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( ratio, rate, or proportion): Medicare admissions outnumber commercial insurance admissions 3 to 2. - ANS (Rate, ratio, proportion): at the annual state HIM meeting, 85 of the registrants were female and 35 were male. Therefore 0.71 percent of the registrants were female. - ANS (Rate, ratio, proportion): of the 250 patients admitted in the last 6 months, 36% had type II diabetes mellitus. - ANS other questions that are hard to put in quizlet. See book - ANS Abbreviated injury scale (AIS) - ANSA set of numbers used in a trauma registry to indicate the nature and severity of injuries by body system abstracting - ANS1. The process of extracting information from a document to create a brief summary of a patient's illness, treatment, and outcome 2. The process of extracting elements of data from a source document or database and entering them into an automated system Accession number - ANSA number assigned to each case as it is entered in a cancer registry Accession registry - ANSA list of cases in a cancer registry in the order in which they were entered Activities of daily living (ADLs) - ANSThe basic activities of self-care, including bathing, grooming, ambulating, toileting, and eating Acute care - ANSMedical care of a limited duration that is provided in an inpatient hospital setting to diagnose and/or treat an injury or a short-term illness Age - ANS Agency for healthcare research and quality (AHRQ) - ANSThe branch of the US Public Health Service that supports general health research and distributes research findings and treatment guidelines with the goal of improving the quality, appropriateness, and effectiveness of healthcare services Aggregate data - ANSData extracted from individual health records and combined to form de-identified information about groups of patients that can be compared and analyzed Ambulatory surgery center (ASC) - ANSUnder Medicare, an outpatient surgical facility that has its own national identifier; is a separate entity with respect to its licensure, accreditation, governance, professional supervision, administrative functions, clinical services, record keeping, and financial and accounting systems; has as its sole purpose the provision of services in connection with surgical procedures that do not require inpatient hospitalization; and meets the conditions and requirements set forth in the Medicare Conditions of Participation Auto dialing system - ANSA method used to automatically call and remind patients of upcoming appointments Average daily census - ANSThe mean number of hospital inpatients present in the hospital each day for a given period of time Average length of stay (ALOS) - ANSThe mean length of stay for hospital inpatients discharged during a given period of time
Bar chart - ANSA graphic technique used to display frequency distributions of nominal or ordinal data that fall into categories Bed count - ANSThe number of inpatient beds set up and staffed for use on a given day Bed count day - ANSA unit of measure that denotes the presence of one inpatient bed (either occupied or vacant) set up and staffed for use in one 24-hour period Bed turnover rate - ANSThe average number of times a bed changes occupants during a given period of time Blood pressure - ANS Bo plot - ANS Bubble chart - ANSA type of scatter plot with circular symbols used to compare three variables; the area of the circle indicates the value of a third variable Case definition - ANSA method of determining criteria for cases that should be included in a registry Case fatality rate - ANSThe total number of deaths due to a specific illness during a given time period divided by the total number of cases during the same period Case finding - ANSA method of identifying patients who have been seen or treated in a healthcare facility for the particular disease or condition of interest to the registry Case mix - ANSA description of a patient population based on any number of specific characteristics, including age, gender, type of insurance, diagnosis, risk factors, treatment received, and resources used Case-mix index (CMI) - ANSThe average relative weight of all cases treated at a given facility or by a given physician, which reflects the resource intensity or clinical severity of a specific group in relation to the other groups in the classification system; calculated by dividing the sum of the weights of diagnosis- related groups for patients discharged during a given period by the total number of patients discharged Cause-specific death rate - ANSThe total number of deaths due to a specific illness during a given time period divided by the estimated population for the same time period Census - ANSThe number of inpatients present in a healthcare facility at any given time Claim - ANSAn itemized statement of healthcare services and their costs provided by a hospital, physican office, or other healthcare provider; submitted for reimbursement to the healthcare insurance plan by either the insured party or the provider Clinic outpatient - ANSA patient who is admitted to a clinical service of a clinic or hospital for diagnosis or treatment on an ambulatory basis Clinical trial - ANSA controlled research study involving human subjects that is designed to evaluate prospectively the safety and effectiveness of new drugs, tests, devices, or interventions Collaborative stage data set - ANSA new standardized neoplasm-staging system developed by the American Joint Commission on Cancer Community hospital reported the following statistics for adults and children at 12:01 a.m. April 1: census 150; admissions 20; discharges 15; 1 patient admitted and died the same day; 1 patient admitted and
Discrete variable - ANSA dichotomous or nominal variable whose values are placed into categories Disease index - ANSA list of diseases and conditions of patients sequenced according to the code numbers of the classification system in use Disease registry - ANSA centralized collection of data used to improve the quality of care and measure the effectiveness of a particular aspect of healthcare delivery Edit - ANSA condition that must be satisfied before a computer system can accept data Emergency outpatient - ANSA patient who is admitted to the emergency department or equivalent services of a hospital for diagnosis and treatment of a condition that requires immediate medical, dental, or allied health services in order to sustain life or to prevent critical consequences Encounter - ANSThe direct personal contact between a patient and a physician or other person who is authorized by state licensure law and, if applicable, by medical staff bylaws to order or furnish healthcare services for the diagnosis or treatment of the patient Encryption - ANSThe process of transforming text into an unintelligible string of characters that can be transmitted via communications media with a high degree of security and then decrypted when it reaches a secure destination Ethnicity - ANS Facility based registry - ANSA registry that includes only cases from a particular type of healthcare facility, such as a hospital or clinic Fetal autopsy rate - ANSThe number of autopsies performed on intermediate and late fetal deaths for a given time period divided by the total number of intermediate and late fetal deaths for the same time period Fetal death - ANSThe death of a product of human conception before its complete expulsion or extraction from the mother regardless of the duration of the pregnancy; also called stillborn Fetal death rate - ANSA proportion that compares the number of intermediate and/or late fetal deaths to the total number of live births and intermediate or late fetal deaths during the same period of time Food and drug administration (FDA) - ANSThe federal agency responsible for controlling the sale and use of pharmaceuticals, biological products, medical devices, food, cosmetics, and products that emit radiation, including the licensing of medications for human use Frequency distribution - ANSa table or graph that shows how often different numbers or scores appear in a particular set of scores Frequency polygon - ANSA type of line graph that represents a frequency distribution Gender - ANS Gross autopsy rate - ANSThe number of inpatient autopsies conducted during a given time period divided by the total number of inpatient deaths for the same time period Gross death rate - ANSThe number of inpatient deaths that occurred during a given time period divided by the total number of inpatient discharges, including deaths, for the same time period
Health services research - ANSResearch conducted on the subject of healthcare delivery that examines organizational structures and systems as well as the effectiveness and efficiency of healthcare services Healthcare cost and utilization project (HCUP) - ANSA group of healthcare databases and related software tools developed through collaboration by the federal government, state governments, and industry to create a national information resource for patient-level healthcare data Healthcare integrity and protection data bank (HIPDB) - ANSA national database that collects information on cases of healthcare fraud and abuse Heart failure classification I, II, III, IV - ANS Height - ANS Histocompatibility - ANSThe immunologic similarity between an organ donor and a transplant recipient Histogram - ANSA graph technique used to display the frequency distribution of continuous data (interval or ratio data) as either numbers or percentages in a series of bars Hospital ambulatory care - ANSHospital-directed preventive, therapeutic, and rehabilitative services provided by physicians and their surrogates to patients who are not hospital inpatients or home care patients Hospital autopsy - ANSA postmortem (after death) examination performed on the body of a person who has at some time been a hospital patient by a hospital pathologist or a physician of the medical staff who has been delegated the responsibility Hospital autopsy rate - ANSThe total number of autopsies performed by a hospital pathologist for a given time period divided by the number of deaths of hospital patients (inpatients and outpatients) whose bodies were available for autopsy for the same time period Hospital death rate - ANSThe number of inpatient deaths for a given period of time divided by the total number of live discharges and deaths for the same time period Hospital inpatient - ANSa patient who is provided with room, board, and continuious general nursing services in an area of an acute care facility where patients generally stay at least overnight Hospital inpatient autopsy - ANSA postmortem (after death) examination performed on the body of a patient who died during an inpatient hospitalization by a hospital pathologist or a physician of the medical staff who has been delegated the responsibility Hospital newborn inpatient - ANSA patient born in the hospital at the beginning of the current inpatient hospitalization Hospital outpatient - ANSA hospital patient who receives services in one or more of a hospital's facilities owned and operated by a hospital Hospital- acquired (nosocomial) infection rate - ANSCMS identified eight HACs (not present on admission) as "reasonably preventable," and hospitals will not receive additional payment for cases in which one of the eight selected conditions was not present on admission; the eight originally selected conditions include foreign object retained after surgery, air embolism, blood incompatibility, stage III and IV pressure ulcers, falls and trauma, catheter-associated urinary tract infection, vascular catheter- associated infection,
additional conditions were added in 2010 and remain in effect: surgical site infections following certain orthopedic procedures and bariatric surgery, manifestations of poor glycemic control, and deep vein thrombosis (DVT)/pulmonary embolism (PE) following certain orthopedic procedures How are patients notified that data about them may be included in registries and databases and released to outside entities? - ANS How can the Health information manager contribute to public health databases? - ANS How do healthcare organizations use the National Practitioner Data Bank? Who may use the HIPDB? - ANS How do HIM departments use facility-specific indexes? - ANS How is cases definition different from case finding? - ANS Identify the scale of measurement for each of the following variables and indicate which scale of measurement each variable listed below represents. - ANSScales of measurement: interval, nominal, ordinal, ratio Incidence - ANSThe number or rate of new cases of a specific disease Incidence rate - ANSA computation that compares the number of new cases of a specific disease for a given time period to the population at risk for the disease during the same time period Index - ANSAn organized (usually alphabetical) list of specific data that serves to guide, indicate, or otherwise facilitate reference to the data Infant mortality rate - ANSThe number of deaths of individuals under one year of age during a given time period divided by the number of live births reported for the same time period Inferential statistics - ANSA set of statistical techniques that allows researchers to make generalizations about a population's characteristics (parameters) on the basis of a sample's characteristics Injury severity score (ISS) - ANSAn overall severity measurement maintained in the trauma registry and calculated from the abbreviated injury scores for the three most severe injuries of each patient Inpatient admission - ANSAn acute care facility's formal acceptance of a patient who is to be provided with room, board, and continuous nursing service in an area of the facility where patients generally stay at least overnight Inpatient bed occupancy rate (percentage of occupancy) - ANSThe total number of inpatient service days for a given time period divided by the total number of inpatient bed count days for the same time period Inpatient discharge - ANSThe termination of hospitalization through the formal release of an inpatient from a hospital Inpatient hospitalization - ANSThe period during an individual's life when he or she is a patient in a single hospital without interruption except by possible intervening leaves of absence Inpatient service day (IPSD) - ANSA unit of measure equivalent to the services received by one inpatient during one 24-hour period
Interpreter reliability - ANSNot in glossary
National health care survey - ANSA national public health survey that contains data abstracted manually from a sample of acute care hospitals and discharged inpatient records, or obtained from state or other discharge databases National practitioner data bank (NPDB) - ANSA data bank established by the federal government through the 1986 Health Care Quality Improvement Act that contains information on professional review actions taken against physicians and other licensed healthcare practitioners, which healthcare organizations are required to check as part of the credentialing process National vaccine advisory committee (NVAC) - ANSA national advisory group that supports the director of the National Vaccine Program National vital statistics system (NVSS) - ANSA federal agency responsible for the collection of official vital statistics for the United States Neonatal mortality rate - ANSthe number of deaths to infants under 28 days of age in a given year per 1000 live births in that year Net autopsy rate - ANSThe ratio of inpatient autopsies compared to inpatient deaths calculated by dividing the total number of inpatient autopsies performed by the hospital pathologist for a given time period by the total number of inpatient deaths minus unautopsied coroners' or medical examiners' cases for the same time period Net death rate - ANSThe total number of inpatient deaths minus the number of deaths that occurred less than 48 hours after admission for a given time period divided by the total number of inpatient discharges minus the number of deaths that occurred less than 48 hours after admission for the same time period Newborn (NB) - ANSAn inpatient who was born in a hospital at the beginning of the current inpatient hospitalization Newborn autopsy rate - ANSThe number of autopsies performed on newborns who died during a given time period divided by the total number of newborns who died during the same time period Newborn death rate - ANSThe number of newborns who died divided by the total number of newborns, both alive and dead Nominal-level data - ANSData that fall into groups or categories that are mutually exclusive and with no specific order (for example, patient demographics such as third-party payer, race, and sex) Normal distribution - ANSA theoretical family of continuous frequency distributions characterized by a symmetric bell shaped curve, with an equal mean, median, and moe, at any standard deviation, and with half of the observations above the mean and half below it Nosocomial infection - ANSAn infection acquired by a patient while receiving care or services in a healthcare organization Notifiable disease - ANSA disease that must be reported to a government agency so that regular, frequent, and timely information on individual cases can be used to prevent and control future cases of the disease Occasion of service - ANSA specified identifiable service involved in the care of a patient that is not an encounter (for example, a lab test ordered during an encounter)
Operation index - ANSA list of the operations and surgical procedures performed in a healthcare facility that is sequenced according to the code numbers of the classification system in use Ordinal-level data - ANSData in which the order of the numbers is meaningful, not the number itself Outpatient - ANSa patient who receives medical treatment without being admitted to a hospital. Outpatient visit - ANSA patient's visit to one or more units located in the ambulatory services area (clinic or physician's office) of an acute care hospital in which an overnight stay does not occur Patient- identifiable data - ANSData in the health record that relates to a particular patient identified by name Physician index - ANSA list of patients and their physicians that is usually arranged according to the physician code numbers assigned by the healthcare facility Pie chart - ANSA graphic technique in which the proportions of a category are displayed as portions of a circle (like pieces of a pie) Population-based registry - ANSA type of registry that includes information from more than one facility in a specific geopolitical area, such as a state or region Population-based statistics - ANSStatistics based on a defined population rather than on a sample drawn from the same population Post neonatal mortality rate - ANSThe number of deaths of persons aged 28 days up to, but not including, one year during a given time period divided by the number of live births for the same time period Postoperative infection rate - ANSThe number of infections that occur in clean surgical cases for a given time period divided by the total number of operations within the same time period Prevalence rate - ANSThe proportion of people in a population who have a particular disease at a specific point in time or over a specified period of time Primary data source - ANSA record developed by healthcare professionals in the process of providing patient care Proportion - ANSA type of ratio in which the elements included in the numerator also must be included in the denominator Proportionate mortality ratio (PMR) - ANSThe total number of deaths due to a specific cause during a given time period divided by the total number of deaths due to all causes Protocol - ANSIn healthcare, a detailed plan of care for a specific medical condition based on investigative studies; in medical research, a rule or procedure to be followed in a clinical trial; in a computer network, a protocol used to address and ensure delivery of data Public health - ANSAn area of healthcare that deals with the health of populations in geopolitical areas, such as states and counties Race - ANS Range - ANSA measure of variability between the smallest and largest observations in a
Rate - ANSA measure used to compare an event over time; a comparison of the number of times an event did happen (numerator) with the number of times an event could have happened (denominator) Ratio - ANS1. A calculation found by dividing one quantity by another
Traumatic injury - ANSA wound or injury included in a trauma registry Types of third party payers - ANS Unified medical language system (UMLS) - ANSA common data modeling notation used in conjunction with object-oriented database design Variability - ANSThe dispersion of a set of measures around the population mean Variance - ANSA measure of variability that gives the average of the squared deviations from the mean; in financial management, the difference between the budgeted amount and the actual amount of a line item; in project management, the difference between the original project plan and current estimates Vital statistics - ANSData related to births, deaths, marriages, and fetal deaths Vital statistics - ANSData related to births, deaths, marriages, and fetal deaths We will explore consumer information and edu - ANS Weight - ANS What are the differences between internal users and external users of secondary data sources? - ANS What factors must be considered when determining the quality of data? - ANS What information is included in the Medicare provider analysis and review file? - ANS What is a registry? What is the purpose of a registry? - ANS What is deidentification, and what are two ways under HIPAA that deidentification may be accomplished?
Activities of daily living (ADLs) - ANSThe basic activities of self-care, including bathing, grooming, ambulating, toileting, and eating Acute care - ANSMedical care of a limited duration that is provided in an inpatient hospital setting to diagnose and/or treat an injury or a short-term illness Age - ANS Agency for healthcare research and quality (AHRQ) - ANSThe branch of the US Public Health Service that supports general health research and distributes research findings and treatment guidelines with the goal of improving the quality, appropriateness, and effectiveness of healthcare services Aggregate data - ANSData extracted from individual health records and combined to form de-identified information about groups of patients that can be compared and analyzed Ambulatory surgery center (ASC) - ANSUnder Medicare, an outpatient surgical facility that has its own national identifier; is a separate entity with respect to its licensure, accreditation, governance, professional supervision, administrative functions, clinical services, record keeping, and financial and accounting systems; has as its sole purpose the provision of services in connection with surgical procedures that do not require inpatient hospitalization; and meets the conditions and requirements set forth in the Medicare Conditions of Participation Auto dialing system - ANSA method used to automatically call and remind patients of upcoming appointments Average daily census - ANSThe mean number of hospital inpatients present in the hospital each day for a given period of time Average length of stay (ALOS) - ANSThe mean length of stay for hospital inpatients discharged during a given period of time Bar chart - ANSA graphic technique used to display frequency distributions of nominal or ordinal data that fall into categories Bed count - ANSThe number of inpatient beds set up and staffed for use on a given day Bed count day - ANSA unit of measure that denotes the presence of one inpatient bed (either occupied or vacant) set up and staffed for use in one 24-hour period Bed turnover rate - ANSThe average number of times a bed changes occupants during a given period of time Blood pressure - ANS Bo plot - ANS Bubble chart - ANSA type of scatter plot with circular symbols used to compare three variables; the area of the circle indicates the value of a third variable Case definition - ANSA method of determining criteria for cases that should be included in a registry Case fatality rate - ANSThe total number of deaths due to a specific illness during a given time period divided by the total number of cases during the same period
Case finding - ANSA method of identifying patients who have been seen or treated in a healthcare facility for the particular disease or condition of interest to the registry Case mix - ANSA description of a patient population based on any number of specific characteristics, including age, gender, type of insurance, diagnosis, risk factors, treatment received, and resources used Case-mix index (CMI) - ANSThe average relative weight of all cases treated at a given facility or by a given physician, which reflects the resource intensity or clinical severity of a specific group in relation to the other groups in the classification system; calculated by dividing the sum of the weights of diagnosis- related groups for patients discharged during a given period by the total number of patients discharged Cause-specific death rate - ANSThe total number of deaths due to a specific illness during a given time period divided by the estimated population for the same time period Census - ANSThe number of inpatients present in a healthcare facility at any given time Claim - ANSAn itemized statement of healthcare services and their costs provided by a hospital, physican office, or other healthcare provider; submitted for reimbursement to the healthcare insurance plan by either the insured party or the provider Clinic outpatient - ANSA patient who is admitted to a clinical service of a clinic or hospital for diagnosis or treatment on an ambulatory basis Clinical trial - ANSA controlled research study involving human subjects that is designed to evaluate prospectively the safety and effectiveness of new drugs, tests, devices, or interventions Collaborative stage data set - ANSA new standardized neoplasm-staging system developed by the American Joint Commission on Cancer Community hospital reported the following statistics for adults and children at 12:01 a.m. April 1: census 150; admissions 20; discharges 15; 1 patient admitted and died the same day; 1 patient admitted and discharged alive the same day. Calculate inpatient census, daily inpatient census, inpatient service days for April 2. - ANS Community hospital reported the following statistics for its intensive care unit at 12:01 a.m. april 1: census 10; 1 patient admitted directly from the ESD; 1 patient transferred from surgery unit: 1 patient transferred from the medicines unit; 1 patient transferred to the medicine unit; 1 patient admitted and died the same day. Calculate the following for april 2: inpatient census, daily inpatient census - ANS Community hospital reported the following statistics for their newborn unit at 12:01 a.m. April 1: census 14; births 5; discharges 3; 1 newborn born and transferred to University hospital. Calculate the following for april 2: inpatient census, daily inpatient census - ANS Computer virus - ANSa software program that attacks computer systems and sometimes damages or destroys files Consultation rate - ANSThe total number of hospital inpatients receiving consultations for a given period divided by the total number of discharges and deaths for the same period Continuous variable - ANSDiscrete variables measured with sufficient precision Credentialing - ANSThe process of reviewing and validating the qualifications (degrees, licenses, and other credentials) of physicians and other licensed independent practitioners, for granting medical staff membership to provide patient care services
Ethnicity - ANS Facility based registry - ANSA registry that includes only cases from a particular type of healthcare facility, such as a hospital or clinic Fetal autopsy rate - ANSThe number of autopsies performed on intermediate and late fetal deaths for a given time period divided by the total number of intermediate and late fetal deaths for the same time period Fetal death - ANSThe death of a product of human conception before its complete expulsion or extraction from the mother regardless of the duration of the pregnancy; also called stillborn Fetal death rate - ANSA proportion that compares the number of intermediate and/or late fetal deaths to the total number of live births and intermediate or late fetal deaths during the same period of time Food and drug administration (FDA) - ANSThe federal agency responsible for controlling the sale and use of pharmaceuticals, biological products, medical devices, food, cosmetics, and products that emit radiation, including the licensing of medications for human use Frequency distribution - ANSa table or graph that shows how often different numbers or scores appear in a particular set of scores Frequency polygon - ANSA type of line graph that represents a frequency distribution Gender - ANS Gross autopsy rate - ANSThe number of inpatient autopsies conducted during a given time period divided by the total number of inpatient deaths for the same time period Gross death rate - ANSThe number of inpatient deaths that occurred during a given time period divided by the total number of inpatient discharges, including deaths, for the same time period Health services research - ANSResearch conducted on the subject of healthcare delivery that examines organizational structures and systems as well as the effectiveness and efficiency of healthcare services Healthcare cost and utilization project (HCUP) - ANSA group of healthcare databases and related software tools developed through collaboration by the federal government, state governments, and industry to create a national information resource for patient-level healthcare data Healthcare integrity and protection data bank (HIPDB) - ANSA national database that collects information on cases of healthcare fraud and abuse Heart failure classification I, II, III, IV - ANS Height - ANS Histocompatibility - ANSThe immunologic similarity between an organ donor and a transplant recipient Histogram - ANSA graph technique used to display the frequency distribution of continuous data (interval or ratio data) as either numbers or percentages in a series of bars Hospital ambulatory care - ANSHospital-directed preventive, therapeutic, and rehabilitative services provided by physicians and their surrogates to patients who are
not hospital inpatients or home care patients