Data Content, Structure, and Information Governance
Risk management needs a complete description of the event involving a medication administration error. This is the best source for that information.
What is incident Report?
Consent for this is required under HIPAA's Privacy Rule.
What is PHI?
Systematic comparison of the products, services, and outcomes of an organization with those of a similar organization.
What is benchmarking?
A hospital can monitor its performance under the MS-DRG system by monitoring this.
What is Case Mix Index (CMI)
A web-based repository of reports containing information on medical malpractice payments and certain adverse actions related to health care practitioners, providers, and suppliers.
What is the National Practitioner Data Base (NPDB)?
Term for managing the adoption and implementation of new processes.
What is change management?
Core data set used to collect standardized data on inpatient hospital discharges including information like demographics and primary diagnosis.
What is the Uniform Hospital Discharge Data Set (UHDDS)?
Any health plan, healthcare clearinghouse, or provider that transmits health information in an electronic format.
What is a covered entity (CE)?
Indicates the number of patients present in the healthcare facility at a particular point in time (usually at 12:01 am)
What is Inpatient Census?
Payment model in which providers bill patients per-service or per-procedure?
What is Fee-For-Service (FFS)?
A serious, unexpected patient safety incident that results in death, permanent harm, or severe temporary harm to a patient.
What is a Sentinel Event?
HIM role that works with patients to help them understand health data.
What is Data Translator?
Term that means the level of detail at which the attributes and values of healthcare data are defined.
What is data granularity?
A legal and ethical concept that establishes the healthcare provider's responsibility for protecting health records.
What is confidentiality?
Length of gestation required to be counted in fetal mortality rate.
What is 20 weeks?
Home Health Prospective Payment System (HH PPS) uses this data set for patients.
What is OASIS
JCAHO established this program to help accredited organizations address specific areas of concern in regards to patient safety
What is NPSG?
Written statement and description of an organization's parameters for decision making and action at an institutional and departmental level?
What is a policy?
Root operation defined a moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
What is transfer?
This federal law was enacted under the American Recovery and Reinvestment Act in 2009 encouraged the use of EHRs by offering incentives for meaningful use.
What is the Health Information Technology for Economic and Clinical Health Act (HITECH)?
This is the data set that could provide comparison information about health plan performance.
What is Healthcare Effectiveness Data and Information Set (HEDIS)?
What type of insurance covers healthcare costs and lost income associated with work related injuries?
What is worker's compensation?
In this survey process, Joint Commission tracks the care of a few patients through the entire stay to identify issues of compliance.
What is Tracer Methodology?
An tool used by project managers to show each phase and the associated tasks of a project, who is performing them, and the time required.
What is a Gantt Chart?
X-ray, CT, and MRI images are captured and stored in a database according to this standard.
What is DICOM?
A court order requiring the person subpoenaed to produce books, documents or other records under his or her control at a specified time/place in a court hearing or a deposition.
What is Subpoena duces tecum
The NET mortality rate subtracts this from the number of inpatient deaths in the numerator the denominator. Formula : # of inpatient Deaths - BLANK / (# of discharges + deaths) - BLANK
What is inpatient deaths within 48 hours of admission?
A predefined set of edits created by Medicare to prevent improper payment when incorrect code combinations are reported.
What is NCCI?
This federal law holds people and companies accountable for defrauding the government. It's the main tool the government uses to fight fraud against itself.
What is False Claims Act?
As a manager, you delegating tasks and projects falls under this managerial function.
What is organizing?