Business Needs Assessment
Which type of indicators measure the actual results of care for patients and populations including the patient and family satisfaction?
a. Outcome b. Method c. Process d. Structure
a. Outcome
Outcome measures reflect the impact of the health care service or intervention on the health status of patients (AHRQ 2011).
Which type of architecture has one powerful central computer that performs all processing and storage functions while sending and receiving data to or from various terminals and printers?
a. Client or server b. Mainframe c. Super computer d. Web-based
b. Mainframe
If a survey asks an open-ended question, what type of data is collected?
a. Quantitative b. Ratio c. Interval d. Qualitative
d. Qualitative
Analyzing patterns of care can help identify ______.
a. Missed charges b. Over coding
c. Under coding d. All of these
d. All of these
Which of the following is not an identifier under the Privacy Rule?
a. Visa account 2773 985 0468
b. Vehicle license plate BZ LITYR
c. Age 75
d. Street address 265 Cherry Valley Road
c. Age 75
The leader of the coding performance improvement team wants all team members to clearly undrestand the coding process. What tool could help accomplish this objective?
a. Flowchart b. Force-field analysis c. Pareto Chart d. Scatter diagram
a. Flowchart
Whenever a team examines a process with the intention of making improvements, it must first thoroughly understand the process. Each team member comes to the team with a unique perspective and significant insight about how a portion of the process works. To help all members understand the process, a team will undertake development of a flowchart (Oachs 2016, 814).
Which IT activity best fits the domain of the health information management profession?
a. Promoting interoperability
b. Installing hardware and software
c. Building system interfaces
d. Designing the physical environment for the IS
a. Promoting interoperability
Which of the following is true of the median?
a. It is a measure of variability.
b. It is difficult to calculate.
c. It is based on the whole distribution.
d. It is sensitive to extreme values.
c. It is based on the whole distribution.
You want to graph the number of deaths due to prostate cancer from 2005 through 2012. Which graphic tool would you use?
a. Frequency polygon b. Histogram
c. Line graph d. Pie chart
c. Line graph
The emerging wireless technology that could potentially replace bar codes for tracking patients, clinicians, medications, and equipment is ________.
a. HTML b. OCR c. RFID d. ICR
c. RFID
The computer-based process of extracting, quantifying, and filtering discrete data that reside in a relational database is called _____.
a. Intelligent character recognition b. Data Mining
c. Autocoding d. Bar coding
b. Data Mining
Exploratory data analysis (EDA) and data mining are both used to uncover patterns in data. With the introduction of larger datasets in healthcare, the term data mining is gaining more popularity for this activity. Data mining uses both graphical techniques and descriptive statistics to identify trends and patters in data (White 2016a, 6).
Dictated and transcribed reports and notes written by the physicians and other practitioners are examples of _________.
a. Structured data b. Codified data
c. Aggregate data d. Unstructured data
d. Unstructured data.
Unstructured data is free-form text data that is captured in a narrative form. Unstructured data is stored in a database, but the fields do not allow for querying based on the field values. Examples of unstructured data include progress notes, laboratory or radiology test reports, and audio recordings (White 2016a, 2-3).
A researcher would like to test the null hypothesis that the lengths of stay at two hospitals are equal. What statistical test should the researcher use in this situation?
a. Tukey's HSD b. t-test for means
c. ANOVA d. Z-test for proportions
b. t-test for means
a. Healthcare Integrity and Protection Data Bank
b. Medicare Protection Database
c. National Practitioner Data Bank
d. Healthcare Safety Database
a. Healthcare Integrity and Protection Data Bank
Part of HIPAA mandated the collection of information on healthcare fraud and abuse because there was no central place to obtain this information. As a result, the national Healthcare Integrity and Protection Data Bank (HIPDB) was developed.
Which of the following is not a characteristic of data quality?
a. Granular b. Valid c. Precise d. Current
c. Precise
Under Resource-Based Relative Value Scale (RBRVS), which elements are used to calculate a Medicare payment?
a. Work value and the extent of the physical exam
b. Malpractice expenses and detail of the patient history
c. Work value and practice expenses
d. Practice expenses and review of systems
c. Work value and practice expenses
Each RBRVS comprises three elements: physician work, physician practice expense, and malpractice, each of which is a national average available in the Federal Register (Casto and Forrestal 2015, 149).
The technology that converts human language into data that can be translated then manipulated by computer systems is ___________.
a. Boolean word search
b. Speech recognition technology
c. Continuous speech input
d. Natural language processing
d. Natural language processing
What is the biggest problem with using mean length of stay as a facility statistic?
a. It is not accurate.
b. It is influenced by outlier values.
c. It is mathematically incorrect.
d. It is a dependent variable.
b. It is influenced by outlier values.
Under what circumstances is it acceptable to use a non-probability sample for an audit?
a. When the variable of interest is rare
b. When a large probe sample was previously selected
c. When the variable of interest is ready observable
d. When not generalizing to the population
d. When not generalizing to the population
The ______ mandated the development of transaction and code set standards for electronic health records.
a. Medicare and Medicaid legislation of 1965
b. Prospective Payment Act of 1983
c. Health Insurance Portability and Accountability Act of 1996
d. Balanced Budget Act of 1997
c. Health Insurance Portability and Accountability Act of 1996
Which data element would be used to verify if the present on admission coding was correct on a patient with an admitting diagnosis of decubitus ulcer?
a. Wound care b. Pathology c. Skin exam d. Lab data
c. Skin exam
Since the skin exam os the only choice that is documented by a provider, it may be used to verify POA coding. Medican record documentation from any provider involved in the care and treatment of the patient may be used to support the determination of whether a condition was present on admission or not. In the context of the official coding guidelines, the term "provider" means a physician or any qualified healthcare practitioner who is legally accountable for establishing the patient's diagnosis. (CMS 2017).
The term that describes the ability of one information system to exchange data with another information system is ____________.
a. Certified b. Deterministic
c. Integrated d. Interoperability
d. Interoperability
In order to increase the precision of a confidence interval and leave the confidence level the same, the sample size must be ________.
a. Larger b. Smaller c. The same d. Sample size does not impact precision
a. Larger
In comparing mortality rates between hospitals, it is important to also consider the ________.
a. Admit sources b. Average length of stay
c. Geometric length of stay d. Severity of illness
d. Severity of illness
The increased focus on value in healthcare and quality measurement provides excellent internal and external benchmarking opportunities. When comparing performance with other facilities, the patient mix treated by each facility may result in a comparison that is biased based on the mix of patients treated by each facility.
Which organization has created a standard for EHR system functions?
a. AHIMA b. Federal government
c. HL7 d. IOM
c. HL7