ALL ABOUT DAT-A-BASE
This is a listing of all the data elements within a system that defines individual data elements, standard input of data elements, and specific data length.
What is Data Dictionary?
This process ensures that control and accountability for enterprise data management is established throughout an organization; goal is to ensure accuracy and remove unnecessary data.
What is Data Governance?
This type of documentation is important for good outcomes for patients and payment for services and is made by a physician or healthcare clinician related to the patient's medical condition.
What is Clinical Documentation?
This secondary data source is a listing in diagnosis code number order of patients discharged from a facility during a particular time.
What is the Disease Index?
This is made up of acute hospital and skilled nursing facility claims data for all Medicare claims.
What is Medicare Provider Analysis and Review (MEDPAR)?
This data set was developed my the National Center for Health Services Research and Development to collect uniform data elements from hospital records
What is Uniform Hospital Discharge Data Set (UHDDS)?
This is the creation of responsibility for data though the principles and practices to ensure that the appropriate knowledge and use of data from personal health information being used appropriately.
What is Data Stewardship?
This particular data quality characteristic ensures that the health record is free of errors.
What is Accuracy?
The Med-Watch reporting system alerts health professionals and the public of safety alerts and medical device recalls and is an element of this type of registry.
This provides a database of medical malpractice payments, adverse licensure actions, professional reviews, and is queried by facilities during the initial credentialing of a physician and every two years thereafter.
What is the National Practitioner Data Bank (NPDB)?
This database stores data tables that are predefined and contain both rows and columns of information; typically considered to be two-dimensional.
What is Relational Database?
These are private or government agencies that are involved in the creation and implementation of healthcare standards.
What are Standards Development Organizations (SDOs)?
This data quality characteristic is short and to the point but accurate in order to make reviewing the record easy and quick for patient care.
What is Relevancy?
This specific element of a registry defines the cases that are to be included in the registry.
What is Case Definition?
This program is used to help organizations enhance patient documentation, reduce errors within the health record, and improve quality of the patient data entered in the system while supporting patient care and reimbursment.
What is Clinical Documentation Improvement (CDI) Programs?
This database is designed to store images, audio files, documents, and videos; useful for storing fetal monitoring strips, electrocardiograms, and PACs.
What is Object-Oriented Database (OODS)?
These are the standards for the foundation of the EHR.
What is Health Level 7?
This data quality characteristic certifies all required data elements that should be collected throughout the record are documented.
What is Comprehensiveness?
The second element of a registry that is a method used to identify the patients who have been seen or treated in the facility for the particular disease or condition of interest to the registry; done after case definition.
What is Case Finding?
These describe the manner in which providers will practice medicine within an organization and define how records and documentation are assembled and authenticated.
What are Medical Staff Bylaws?
This particular index is permanent guide to locating specific demographic information about a patient such as name, health record number, date of birth, gender, and dates of service.
What is Master Patient Index?
This is the assurance that the data entered into an electronic system or on paper are only accessed and amended by individuals with authority to do so.
This data quality characteristic states that patient documentation should be entered promptly, ensuring up-to-date information is available within specified time frames.
What is Timeliness?
This is used within a trauma registry to indicate the severity of the injury and it threat to life by body system.
This organization is responsible for databases and provides statistical, accurate, relevant, and timely data that helps to guide actions and policies to improve the health of the American people.
What is the National Center for Health Statistics (NCHS)?