Practice #5 (e-book practice questions)
This type of data display tool is used to illustrate frequency distributions of continuous variables, such as age or length of stay (LOS).
Histogram
What type of graph is the following, which is used to present the frequency distribution of a single numeric variable?
Histogram
What conclusions can you draw from the graph displayed below?
Hospital A has the greatest value and greatest variance.
Keith is the supervisor of the MPI and chart deficiency review staff in the HIM department, which also includes being the liaison for the billing department and the R-ADT staff. He frequently meets with Michael, the R-ADT supervisor, to discuss methods to combat healthcare fraud and to verify that the patients are who they say they are and that they have the appropriate documentation for verification. This process is called:
Identity matching
Which of the following statements is true of structured query language (SQL)?
It defines data elements and manipulates and controls data
Which of the following statements justifies the use of a dashboard?
It monitors key measures.
Laboratory data are successfully transmitted back and forth from Community Hospital to three local physician clinics. This successful transmission is dependent on which of the following standards?
LOINC
Algorithms are used to match duplicate patients in which the following information systems?
Master patient index system
When describing the typical length of stay for patients admitted for congestive heart failure, which is the most appropriate measure of central tendency when there are a number of long stay outliers?
Median
When performing an internal audit for coding compliance, which of the following would be suitable case selections for auditing?
Medical and surgical MS-DRGs by high dollar and high volume
Protocols that support communication between applications are often referred to as:
Messaging standards
Which of the following lists represents recommended core data elements for the master patient index?
Name, gender, address, and date of birth
The following question was typed into the system: How many patients were discharged on November 12, 2020? This is an example of what type of query?
Natural language query
Identify the true statement regarding training.
A variety of methods should be used to accommodate different learning styles.
Which of the following is a task performed during system customization?
Adjusting decision support rules
The fact that a patient entered data into an EHR via a portal is:
Administrative metadata
Fifty percent of patients treated at our facilities have Medicare as their primary payer. This is an example of what type of information?
Aggregate
All of the following are necessary to maintain an accurate MPI in an EHR environment except:
Assigning registry accession numbers
The decision has been made to perform data mining to determine where the skilled nursing facility is profitable and where there is a loss. Identify a data mining technique that could be used.
Association rule learning
A way to assess the quality of data in the EHR is to:
Audit structured data entries
The surgery department is evaluating its postoperative infection rate of 6 percent. The chief of surgery asks the quality improvement coordinator to find the postoperation infection rates of 10 similar hospitals in the same geographic region to see how the rates compare. This process is called:
Benchmarking
What component of an EHR provides communication between clinical and administrative staff members, offers access to various results reporting from lab and radiology, and even communicates with patients?
Clinical messaging
A healthcare facility has decided to adopt a tool that helps with multidisciplinary care planning. What tool meets these criteria?
Clinical pathways
Hospitals often use master patient indexes to do which of the following?
Determine whether a patient has been seen in the facility before
Dr. Jones comes into the HIM department and requests that the HIM director provide a list of all of his patients from the previous year in which the principal diagnosis of myocardial infarction was indicated. Which index would the HIM director query from to provide Dr. Jones with this information?
Disease index
Providing a process's policy and procedure guide to a user who has never used the information system and then asking the user to perform the process could be used in what type of testing?
Documentation
The benefits patients experience when using a patient portal include all of the following except being able to:
Edit their medical record information
A network made accessible to trusted individuals outside of the facility is called a(n):
Extranet
In which type of health information exchange architectural model does the entity operate much like an application service provider (ASP) or bank vault?
Federated—consistent databases
A quality coding review that is based on specific problems identified during an initial baseline review in a hospital is called a(n):
Focused coding review
An EHR system is programmed by the vendor not to release certain patient data because it is considered proprietary to the vendor and a healthcare organization. The vendor is protecting its own business interests above that of the patient. This is an example of:
Health information blocking
What initiative has the ONC been driving through the escalation of technology and implementation and optimization of EHRs?
Health information exchange
The term used to describe breaking data elements into the level of detail needed to retrieve the data is:
Normalization
The generic formula for calculating rate of occurrence is used to calculate hospital-acquired infections in an intensive care unit in a given month. If the number of hospital-acquired infections is the numerator, the denominator would be the:
Number of discharges (including deaths) of ICU patients
Which component of the EHR is designed to track and report outbreaks of infectious diseases and childhood immunization levels to public health officials?
Population health
A single point of personalized web access through which to find and deliver information, applications, and services is called a(n):
Portal
If the medical office manager wanted to compare the amount of time it takes for a patient to be seen by a physician versus a nurse practitioner, which information system would be helpful in this analysis?
Practice management system
Scheduling, patient accounting, patient collections, claims submission, appointment scheduling, human resources, and other functions all are built into?
Practice management system
Which application uses statistical techniques to determine the likelihood of certain events occurring together?
Predictive modeling
What elements would you change in the following graph to make the visualization more effective?
Present the data as a line plot
The computer abstracting system in a facility has an edit that does not allow coders to assign obstetrical codes to male patients. This edit is called a(n):
Preventive control
Which of the following would not be done with a master patient index (MPI) system?
Printing outpatient general consent forms
The statement "Coding of inpatient records must be completed at a 98 percent accuracy rate" is an example of a:
Qualitative standard
The performance standard "Complete five birth certificates per hour" is an example of a:
Quantity standard
The performance standard "Transcribe 1,500 lines per day" is an example of a:
Quantity standard
A hospital allows the use of the copy functionality in its EHR system for documentation purposes. The hospital has established explicit policies that define when the copy function may be used. Which of the following would be the best approach for conducting a retrospective analysis to determine if hospital copy policies are being followed?
Randomly audit EHR documentation for patients readmitted within 30 days.
Which of the following basic services provided by an HIE entity identifies participating users and systems?
Registry and directory
This process involves the use of standardized terminologies, such as?
SNOMED-CT, to provide clarity, consistency, and appropriate meaning in HIE
Which graph is the best choice when exploring the relationship between length of stay and charge for a set of patients?
Scatter diagram
Due to an influenza epidemic in Smithtown, the hospital is almost at full capacity. Which information system would be used to efficiently manage resources such as personnel, beds, and appointments of surgeries and CT scans, to coordinate equipment and staff as needed?
Scheduling
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?
Secondary analysis
What type of interoperability addresses the medical words, phrases, and terms used in healthcare and their definitions so that there is clear and consistent usage among all EHR systems?
Semantic
For an EHR to provide robust clinical decision support, what critical element must be present?
Structured data
All of the following are a kind of technology that focuses on data security except:
Telemedicine
If a health plan analyst wanted to determine if the readmission rates for two hospitals were statistically different, what is the null hypothesis?
The readmission rates are equal.
How are employee performance standards used?
To communicate performance expectations
Which of the following is the goal of an MPI ongoing maintenance program?
To maintain low creation rates for duplicates, overlaps, and overlays
The HIM director is on the design team for the CPOE system. During a user interface design session, a sample of the electronic system is demonstrated. Two of the physicians are concerned about the overuse of alerts. What problem could the alert feature pose in the new system?
Unnecessary alerts can lead to clinicians ignoring other important alerts.
Data mining is a process that involves which of the following?
Using sophisticated computer technology to sort through an entity's data to identify unusual patterns
Tina is the EMPI coordinator for Smithtown Healthcare, a large medical center with many satellite clinics. Because so many patients visit the clinics, sometimes new health record numbers are mistakenly assigned to them (even though they may already have a number) when they register for a particular service. As the EMPI coordinator, Tina performs all of the following tasks as part of her regular job duties except:
Verifying insurance status
In what condition is it more suitable to present data as a table instead of a graph?
When it is required to know the exact numeric value of a variable
Which work measurement tool uses random sample observations to obtain information about the performance of an entire department?
Work sampling
In order to effectively transmit healthcare data between a provider and a payer, both parties must adhere to which electronic data interchange standards?
X12N
Structured query language (SQL) includes both data dictionary language and data manipulation language components and is used to?
create and manipulate relational databases
Extranets are networks that connect a given organization to its?
customers and business partners or suppliers (business associates in healthcare)
Classification analysis is a method of identifying important information about the?
data in the database by grouping data much like grouping diagnoses and procedures
A data model is an important part of describing how?
data will be processed.
A disease index is a listing in?
diagnosis code number order for patients discharged from the facility during a particular time period.
Data models, such as entity-relationship diagrams (ERD) and dataflow diagrams (DFD) are?
diagrammatical or graphic tools used to help program the system and to identify areas of inefficiency
Algorithms are used by organizations to determine the probability of a?
duplicate in order to identify potential duplicate MPI entries
Performance standards are often developed for the key functions of the job and set the quantity and quality for?
each job function
Clinical messaging is the function of?
electronically delivering data and automating the workflow around the management of clinical data.
Standards that are measurable and relevant to an?
employee's overall performance are helpful in setting clear expectations.
Firewalls, encryption, and biometrics are technologies used to?
enable security in healthcare information systems.
In addition to bar codes on medical record documents, optical character recognition (OCR) may be available to?
enhance the accuracy of indexing features on forms
The Office of the National Coordinator (ONC) has been driving the?
escalation of technology through its National Strategic Framework requirement of mandating the implementation of EHRs and currently toward the acceleration of health information exchange (HIE)
Predictive modeling applies statistical techniques to?
etermine the likelihood of certain events occurring together
In data mining, the analyst performs?
exploratory data analysis to determine trends and identify patterns in the data set.
The federated architectural type has become more prevalent?
for health information organizations.
A histogram is used to display a?
frequency distribution.
Qualitative standards specify the level of service quality expected from a?
function, such as accuracy rate.
The decision support system (DSS) is an information system that?
gathers data from a variety of sources and assists in providing structure to the data by using various analytical models and visual tools in order to facilitate and improve the ultimate outcome in decision-making tasks associated with the nonroutine and nonrepetitive problems
Quantity standards (also called productivity standards) and quality standards (also known as service standards) are?
generally used by managers to monitor individual employee performance and the performance of a functional unit or the department as a whole.
Master patient indexes (MPI) contain?
important patient health information enabling facilities to retrieve patient health data quickly.
An encoder is used to?
increase the accuracy and efficiency of the coding process.
The Digital Imaging and Communications in Medicine (DICOM) standard supports retrieval of?
information from imaging devices and equipment to diagnostic and review workstations as well as short-term and long-term storage systems.
Preventive controls are front end processes that guide work in such a way that?
input and process variations are minimized.
Health information blocking occurs when?
persons or entities knowingly and unreasonably interfere with the exchange or use of electronic health information.
Practice management systems are used by?
physician practices.
A scatter diagram is a data analysis tool used to?
plot points of two variables suspected of being related to each other in some way.
Statistical techniques are used in?
predictive modeling to create a model to assess the likelihood or probability of fraudulent claims
Typically, provider-based portals uses include requesting?
prescription renewal, scheduling appointments, and asking questions of providers via secure messaging.
Identity matching (also known as patient matching) is the?
process in which the facility identifies the right person within the database to exchange information between healthcare organizations.
Benchmarking is the systematic comparison of the?
products, services, and outcomes of an organization with those of a similar organization.
Auditing structured data can reveal a number of potential data ?
quality issues, such as when all choices for a structured field are the same, when a structured field is often empty.
Part of a coding compliance plan is to identify areas of?
risk through audits and monitoring.
The encoder is specialty software used by coders to ?
select the appropriate code for the diagnosis(es) and procedure(s) supported by the health record.
The centralized HIE model stores patient records in a?
single database built to allow queries into the system.
A master patient index (MPI) is an index of known patients within a single organization whose visits are linked together by a?
single identifier, typically the medical records number.
LOINC is set of terminology standards that provide a?
standard set of universal names and codes for identifying individual laboratory and clinical results
X12N refers to?
standards adopted for electronic data interchange.
Simple linear regression (SLR) is another type of?
statistical inference that not only measures the strength of the relationship between two variables, but also estimates a functional relationship between them.
The null hypothesis is the?
status quo
Dashboards are reports of process measures to help leaders follow progress to assist with?
strategic planning
If an EHR is to provide clinical decision support it requires two things:
structured data and a clinical data repository
Observing how an EHR is used, such as whether comment fields are frequently used when?
structured data should have been used or first choice in a list is selected over a choice that is more specific, is the best way to determine root cause of poor quality of data.
Preventive controls are front-end processes that guide work in?
such a way that input and process variations are minimized.
The use of CPOE can lead to significant improvements in patient safety because of the reminders or alerts built into the?
system
To enhance retrieval of scanned documents, some form of indexing needs to?
take place in order to organize the documents.
Stewardship refers to?
taking care of something you own or have been entrusted with.
Slicing and dicing refers to the process of?
taking what is known at the highest level of understanding and working downward to identify the underlying causes for the high-level observation.
Natural language queries use common words to?
tell the database which data are needed
Personal health records electronically populate elements or subsets of protected health information (PHI) from provider organization databases into?
the electronic records of authorized patients, their families, other providers, and sometimes health payers and employers
Normalization is breaking the data elements into?
the level of detail desired by the facility.
In data mining, the analyst performs exploratory data analysis to determine?
trends and identify patterns in the data set
Association rule learning is a type of data mining identifies interesting relationships between?
two concepts in the database.
The challenge for facilities is to maintain a correct and current MPI so that each patient has a?/
unique identifier number.
linical pathways are a tool designed to?
coordinate multidisciplinary care planning for specific diagnoses and treatments
The probability of making a Type I error based on a particular set of data is called the?
p-value
For whatever architecture an HIE organization may have, there needs to be a way to identify?
participants, which may include individual providers, representatives of payer organizations, and patients or consumers, as well as organizational entities and their information systems.
The master patient index (MPI) is a patient-identifying directory referencing all patients related to an organization and which also serves as a link to the?
patient record or information, facilitates patient identification, and assists in maintaining a longitudinal patient record from birth to death
The physical therapy department keeps a separate database on patient outcomes for physical therapy. The workflow for most of the other health professionals is impeded because they do not have access to this physical therapy database. This is an example of:
A data silo
An analyst wishes to use the CMI for a set of MS-DRGs to determine if a documentation improvement program is having an impact. Use the MS-DRG volumes and weights in the following table to calculate the CMI for the three MS-DRGs.
2.8594
The HIM director is performing a staffing analysis to determine the number of employees needed to prep, scan, index, and carry out quality control on scanned medical records. Given a turnaround time of 24 hours and an average number of 48,000 images to be captured and considering the benchmarks listed here, what is the least number of employees the department needs, with each employee working an eight-hour shift?
25 employees
The following table shows the LOS for a sample of 11 discharged patients. Using the data listed, calculate the range.
28
Last year, 73,249 people died from diabetes mellitus in the United States. The total number of deaths from all causes was 2,443,387, and the total population was 288,356,713. Calculate the proportionate mortality ratio for diabetes mellitus.
3.0
A coding service had 400 discharged accounts to code in March. The service coded 200 within 3 days, 100 within 5 days, 50 within 8 days, and 50 within 10 days. The average turnaround time for coding in March was:
5 days
In January, Community Hospital had 57 discharges from its medicine unit. Four patients developed urinary tract infections while in the hospital. What is the hospital-acquired infection rate for the medicine unit for January?
7%
Community Memorial Hospital discharged nine patients on April 1. The length of stay for each patient is shown in the following table. What is the median length of stay for this group of patients?
8 days
The MPI has had numerous errors in which the last name field is filled with a date of birth. What is a preventive control that may help this situation?
An edit allowing only alphabetic entries could be added to the name field.
Which of the following is an example of an activity that a patient may complete using a patient portal?
Appointment scheduling
Which model for health information exchange stores patient records in a single database built to allow queries into the system?
Centralized
What type of data mining technique would be used to group diagnoses?
Classification analysis
What term is used for a centralized database that captures, sorts, and processes patient data and then sends it back to the user?
Clinical data repository
This type of chart is used to focus attention on any variation in a process and helps the team to determine whether that variation is normal or a result of special circumstances.
Control chart
A radiology department is planning to develop a remote clinic and transmit images for diagnostic purposes. The most important set of standards to implement for image transmission is:
DICOM
A clinic that is expanding its service offerings and needs an individual to help design a new database will be searching for a:
Data administrator
An HIM professional takes data on denials that have been received by the healthcare facility over the past year. After manipulating the data, she learns that patients of Dr. Smith account for 30 percent of all denials. She schedules a meeting with Dr. Smith to discuss the matter. What process is the HIM professional conducting?
Data analytics
What process must Colin, the HIM operations manager, perform to ensure that all patient information is contained within the correct electronic file in the EHR?
Data audit
In which of the following processes does an analyst perform exploratory data analysis to determine trends and identify patterns in the data set?
Data mining
Which of the following is not a statistical technique used to create a model to assess the probability that current Medicare claims are fraudulent?
Database warehousing
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?
Dataflow diagram
Prior to the implementation of the new EHR, the HIM manager is working with the IT analyst in order to improve departmental workflows. They are using structural metadata. This type of data can be used to create which of the following?
Dataflow diagrams
Dr. Kotter treats highly unusual medical cases requiring many laboratory, radiology, and other diagnostic tests. Hospital administration wants to determine if additional facilities, personnel, and equipment are needed to meet current and future community demands. Which information system would be helpful in this scenario?
Decision support system
A data model is used to:
Describe how data are used in creating information
A computer software program that supports a coder in assigning correct codes is called a(n):
Encoder
Kelly, the CDI specialist, is evaluating the information used by the coding professionals when they need to code various surgeries. She is particularly interested in the time lag between the actual surgical procedure and the determination of the pathology diagnosis. In which information system would the data element "principal procedure" be found?
Encoder/grouper
An example of EHR data stewardship that would be required of the average healthcare professional is:
Ensuring that structured data is entered when such a choice is available in an EHR
The process of integrating healthcare facility systems requires the creation of:
Enterprise master patient indexes
An organization's productivity standards should reflect its:
Goals
HIE ________ is concerned with the establishment of a shared set of behaviors and standards that enable health information exchange among a HIE's participants.
Governance
Which of the following is an organization that develops standards related to the interoperability of health information technology?
Health Level 7
What must be in place to enhance the retrieval process for scanned documents?
Indexing system
Consumer informatics is focused on:
Information structures and processes
Allowing different health information systems to work together within and across organizational boundaries is referred to as:
Interoperability
To ensure quality of data, the cancer committee reviews the abstracting done by the cancer registry personnel. This type of reliability check is called:
Interrater
An HIM professional was conducting an audit to evaluate the timeframes for the administration of painkillers in surgical patients, and the medication administration record would be reviewed. The medication administration record would be found within which clinical software?
Nursing
In addition to bar codes on health record documents, what other forms of recognition characteristics enhance the accuracy of form indexing features?
OCR
The root cause of poor quality of data in the EHR can be determined by:
Observing how an EHR is used
The probability of making a Type I error based on a particular set of data is called the:
P-value
The information system controlled by the healthcare facility that allows patients to register using their own electronic device is known as:
Patient portal
What sets the acceptable level of quantity and quality for each function of a job?
Performance standards
How long should the master patient index be maintained?
Permanently
Which of the following basic services provided by a health information exchange (HIE) entity matches identifying information to an individual?
Person identification
What is the term for health records maintained by patients or their families?
Personal health records
What type of system would look for contraindications between two medications, such as Warfarin (Coumadin) and ibuprofen, that could increase bleeding?
Pharmacy
Which statistical inference measures both the strength of a relationship between two variables and the functional relationship between them?
Simple linear regression
The process of taking what is known at the highest level of understanding and working downward to identify the underlying causes for the high-level observation is called:
Slicing and dicing
What trend can be summarized from the line plot shown in the chart?
The length of stay has decreased for hospital A and increased for hospital B since the first quarter.
Structural metadata is the process of?
acquiring, storing, manipulating, and displaying data.
The provenance (or source) of data is considered a form of?
administrative metadata.
Data about patients can be extracted from individual health records and combined as?
aggregate data.
A grouper is a computer program that uses specific data elements to?
assign the diagnostic and procedural codes entered into the encoder into the appropriate Medicare severity diagnosis-related group
The population health component in an EHR is designed to?
capture and report healthcare data that are used for public health purposes.
A clinical data repository is a centralized database that?
captures, sorts, and processes patient data and then sends it back to the user
In secondary analysis, researchers reanalyze original data by?
combining data sets to answer new questions or by using more sophisticated statistical techniques.
Control charts can be used to measure?
key processes over time.
Data mining is sometimes referred to as?
knowledge discovery
MPI management must include continuous?
maintenance and correction of data integrity problems.
If the sample has extreme values on either the high or low end of the scale, then the?
median may be the better choice for describing the center of the distribution.
Within healthcare, standard protocols that support communication between nonintegrated applications are often referred to as?
messaging standards, also called interoperability standards or data exchange standards.
Productivity standards should be aligned with the organization's?
mission and goals of the organization
Health Level 7 (HL7) is a?
nonprofit organization that develops standards for interoperability of health information technology
When developing the data elements that go into a database, the fields should be?
normalized
The first step in statistical hypothesis testing is defining the?
null and alternative hypotheses
Histograms are used to present the distribution of?
numeric data
Reliability is frequently checked by having more than
one person abstract data for the same case.
Secondary analysis is the analysis of the?
original work of others
Enterprise master patient indexes (EMPIs) provide access to multiple repositories of information from?
overlapping patient populations that are maintained in separate systems and databases.
Work sampling is a technique of?
work measurement that involves using statistical probability (determined through random sample observations) to characterize the performance of the department and its work (functional) units
