HIM 1110 Chapter 6 Check Your Understanding

A data set is which of the following? A. A clearly defined data dictionary for the electronic health record B. A recommended list of data elements that support a specific healthcare industry C. One element within an electronic health record D. A database where data is compiled from many sources into once central location

A recommended list of data elements that support a specific healthcare industry

Which of the following are components of AHIMA's principles of information governance? A. Accountability and accessibility B. Integrity and safeguards C. Safeguards and accessibility D. Accountability and integrity

Accountability and integrity

The four data quality management domains are: A. Accessibility, accuracy, consistency, and analysis B. Application, collection, warehousing, and relevancy C. Accessibility, collection, warehousing, and analysis D. Application, collection, warehousing, and analysis

Application, collection, warehousing, and analysis

Which of the following is not a recommended guideline for maintaining integrity in the health records? A. Specifying consequences for the falsification of information B. Requiring periodic training covering the falsification of information and information security C. Assuring documentation that is being changed in permanently deleted from the record D. Prohibiting the entry of false information into any of the organization's records

Assuring documentation that is being changed in permanently deleted from the record

Which of the following data quality characteristics means all data items are included within the information collected? A. Accuracy B. Consistency C. Comprehensiveness D. Relevancy

Comprehensiveness

Which of the following is a purpose of the creation of the a data dictionary? A. Identify the data elements that you want to college B. Create support for structured data collection C. Create use case D. Control security

Create support for structured data collection

True or False: An index creates a definition for terms that are within a database

False

True or False: Healthcare organizations do not need to evaluate the purpose of data collections for assuring data quality

False

True or False: Information governance and data governance are the same concept and can be used interchangeably.

False

True or False: The response from a query will never go into the health record as it is just communication between the CDI professional and the provider

False

True or False: There is usually only one source of data within a healthcare organization

False

True or False: When creating provider contracts, healthcare organizations should not define disciplinary actions in the event that the contract requirements are not met

False

Which of the following is a goal of a CDI program? A. Identify the providers who are not performing properly B. Ensure documentation is meeting minimum requirements of the medical staff bylaws C. Identify and clarify missing, conflicting, or nonspecific physician documentation related to diagnoses and procedure D. Analyze the records after the patient is discharged to document missing pieces of information

Identify and clarify missing, conflicting, or nonspecific physician documentation related to diagnoses and procedure

Information assets are: A. Information considered to add value to an organization B. Data entered into a patient's health record by a provider C. Clearly defined elements required to be documented in the health record D. A list of all data elements added within a record

Information considered to add value to an organization

Which of the following are two types of queries? A. Manual electronic B. Paper and electronic C. Manual and computer-assisted coding D. Electronic and computer-assisted coding

Paper and electronic

Documentation within medical staff bylaws defines how which of the following practitioners should document withing the record? A. Nursing staff B. Therapy staff C. Providers D. Health unit coordinators

Providers

Which of the following are the two most common types of databases found in healthcare? A. Relational and object-relational databases B. Object-relational and object-linking databases C. Relational and object-oriented databases D. Object-linking and object-oriented databases

Relational and object-oriented databases

When creating requirements of documentation for the hospital bylaws, which of the following should be evaluated? A. The personal preferences of the healthcare practitioner B. The documentation needs based on accrediting bodies C. Information taught in the local nursing programs D. The wants oft he department chairs in a hospital

The documentation needs based on accrediting bodies

True or False: A data element is a single or individual fact that represents the smallest unique subset of larger data

True

True or False: Data granularity is the detail level of the data where the attributes and values of the healthcare data are defined and documented

True

True or False: Data sharing is defined in multiple requirements under the meaningful use program

True

True or False: Data stewardship of principles and practices established to ensure the knowledgeable and appropriate use of data derived from individuals' personal health informaiton

True

True or False: When creating bylaws for the medical staff, expectations of data quality should be established and documented within the bylaws

True

True or False: Without proper definition and requirements of data quality and data collection, healthcare organizations are challenged with the ability to hold providers and other patients care professionals accountable for documentation.

True