HIT 114 TEST 4:: FINAL EXAM REVIEW

What acute care accrediting body integrates the Medicare cop with the iso 9001 quality management program?

DNV GL Healthcare

what is it called when accrediting bodies such as the Joint Commission or AOA can survey facilities for compliance with the Medicare conditions of participation for hospitals instead of the government?

Deemed status

which of the following is a joint commission accreditation decision category?

Denial of accreditation

one of the reasons that aggregate data analysis from varying payers is limited in accuracy is

Differing providers and coding systems from provider data

what is the time frame for an unannounced survey after a full Survey

18-36 months

A valuable tool for clinical research that relates to the EHR includes use of the secured_______ to reach potential research and study subjects as part of clinical trials

Patient portal

the process of developing a data dictionary involves which of the following

Performance indicators are constantly evolving, and it facilitates sharing of information

General written guidelines that dictate behavior and, or direct and constrained decision-making within the organization are known as what?

Policies

written instructions that describe how functions and processes must be carried out are

Procedures

what does PHI stand for?

Protected health information

which Joint Commission survey methodology involves an evaluation that follows the hospital experiences of Past or current patients?

Tracer methodology

at one point this was considered the gold-standard in clinical research

a randomized controlled trial that examined 2 to 3 variables

a physician is able to evaluate her use of antibiotics compared with the use of antibiotics by other Physicians and similar patients within the same organization. This is an example of

a warehouse formatting that is usable by quality improvement in healthcare professionals

a cancer registrar identifies applicable data elements and includes them in the registry data. This is an example of what kind of process required by the American College of Surgeons

abstracting

what is a systematic quality review process that is all you ate see Healthcare facilities performance against pre-established, written criteria, or standards

accreditation

immunization registry store data electronically on all national vaccine advisory committee approved core data elements. Knowledge of vaccination rates help to determine, the potential need for Rapid immunization in the event of a bioterrorist attack, whether public health goals are being met, whether Public Health interventions are needed to increase immunization rates, all of the above

all of the above

The outcomes data warehouse should be structured around

bee population of people served or to be served by the warehouse

the ongoing proliferation electronic health records used in the industry have essentially made every patient eligible to be a participant and ongoing, clinical trials, disease, electronic devices, both A and B

both A and B

insurers often have access to longitudinal performance data through

claims information such as coded and administrative data

The effective ongoing management of data assets is critical to maintaining the_______ of data in organizations

data governance

the functionality is most often manifest in EHR software by flagging patient records that meet certain criteria for research studies

disease registries

the oldest anti-fraud law, which is to be addressed in a healthcare corporate compliance program, is the

false Claims Act

examples of functions that an electronic health record can do includes registering and authenticating the identity of patience and scheduling only, true or false

false, the EHR can do the above functions and Edition various other functions, including verification of health insurance coverage, storing structured and unstructured data, medication order entry

By sending prescriptions electronically, the clinical care of patients is________ overall by______ see historical errors involved in translating handwritten paper prescriptions at the pharmacy

improved, reducing

What is a drug formulary

it is a key listing of pharmaceuticals that are approved for use in payment by both private and government based insurance entities

it is estimated that as few as 25% of clinical decisions may be made by providers are based on

medical evidence

a registry established by the state to capture all patients with reportable cases is a

population-based registry

the purpose of this program is to identify and reduce improper Medicare payments and prevent future improper payments for health care services

recovery audit contractors

what is a rule established by an administrative agency of government called

regulation

government agencies and third party payers require that appropriate codes be used to represent the reason for the encounter. The aggregate data from these health and counters maybe populate special databases for

research

the information contained in the databases developed from the patient record is considered to be

secondary data

what is a piece of legislation written and approved by a state or federal legislature and then signed into law by the States governor or the president

statute

when dealing with a healthcare organization, the data May be,

structured, semi structured, and unstructured

the process of electronic prescribing in the ambulatory environment and sure that a clinician placing an order for a prescription in a physician office does The Following

the EHR will conduct a drug a drug and Drug allergy interaction

data analytics is a process of applying statistical and, or logical Technologies to evaluate data, true or false

true

most often, data is transmitted from one electronic system to another new health information exchange, or a similar platform, true or false

true

structured data are examples of discrete data with specific values and meanings, true or false

true

the United Network for organ sharing has administered the contract for the nation's only organ procurement and transplantation Network since 1986, true or false

true

cancer screening and smoking cessation programs are a function of which type of population-based registries?

Cancer control

A hospital would like to evaluate readmission rates of total hip replacement. What data should be used to identify the cases in the organization?

Claims data

information regarding the treatment of community-acquired pneumonia is collected by The Joint Commission and subsequently provided through its website to the public. This is an example of what is commonly known as

Core measures

the National Institutes of Health, big data to knowledge,BD2K, initiative was to support

Funding new EHR applications

compared with claims data, the value of registry data is of

Higher quality

what are accountable care organizations?

Multi-dimensional stakeholder groups who rely on both clinical and administrative data from EHR systems to develop metrics that measure outcomes and cost

the reference date for a cancer registry is defined as the date

Registry is implemented

what does the Joint Commission call a patient safety event that reaches a patient, but is not primarily related to the natural course of the patient's illness or underline condition, and results in death, permanent harm, or severe temporary harm that requires intervention to sustain life?

Sentinel event

What type of organization Works under contract with the CMS to conduct Medicare, Medicaid certification surveys for hospitals

State agency