26 Questions
What is the primary purpose of a master patient index?
To locate patient information within a database
What is the main purpose of data mapping in healthcare?
To establish connections between two data systems
Which of the following best describes the purpose of a data warehouse in healthcare?
To consolidate data from multiple sources for decision making
Which of AHIMA's Information Governance Principles focuses on ensuring data is accessible when needed?
Availability
Which level of AHIMA's Information Governance Adoption Model (IGAM) describes an environment where information governance is not addressed or is done in an ad hoc manner?
Level 1 - At Risk
Which of the following is NOT one of the key components of AHIMA's Information Governance Principles?
Collaboration
What is the process of creating an inventory of all systems that contain data, including documenting where the data are stored and how they are managed?
System characterization
What is a listing of all the data elements within a specific system that defines each individual data element, standard input of the data element, and specific data length?
Data dictionary
Which of the following is an example of a clinical data source?
Test results
What is a recommended list of data elements that have defined and uniform definitions specific to a type of healthcare industry?
Data set
Which of the following is an example of a common data set in healthcare?
Uniform Hospital Discharge Data Set (UHDDS)
What is a collection of data that are organized in such a way that its contents can be easily accessed, managed, reported, and updated?
Database
Which of the following is an example of a data element?
Age
What is a report or list from a database that provides guidance, indication, or other references to the data contained in the database?
Index
Which of the following is a type of database?
Relational database
What is the process of determining the need for a database, designing its structure and data fields, implementing and testing it, operating it, and maintaining and evaluating it?
Database lifecycle
What is the primary goal of Clinical Documentation Integrity (CDI)?
To ensure accurate coding and reimbursement
Which of the following is NOT a characteristic of AHIMA's Data Quality Management Model?
Scalability
What is the primary purpose of CDI queries?
To communicate with providers for clinical clarification or documentation alerts
Which of the following is NOT a component of a well-designed data collection form?
Ambiguous field labels
Which of the following is a key aspect of Clinical Documentation Integrity?
Ensuring the legibility and completeness of provider documentation
What is the primary purpose of data collection tools in healthcare?
To ensure data quality and support patient care and reimbursement
Which of the following is NOT a recommended reporting area for Clinical Documentation Integrity (CDI) programs?
Patient satisfaction scores for healthcare services
What is the primary purpose of data visualization and presentation options in healthcare?
To present data and information in a meaningful way
Which of the following is a key component of a data strategy in healthcare organizations?
Defining data policies, procedures, and governance processes
What is the primary role of data stewardship in healthcare organizations?
Overseeing the implementation of data governance policies
Study Notes
- Data governance involves patient authentication, authorship validation, amendment and records correction, and audit validation.
- Data Information Exchange allows electronic exchange of information between providers' electronic systems to support interoperability.
- Standards Development Organizations such as Health Level 7, Digital Imaging and Communication in Medicine, IEEE, and National Council for Prescription Drug Programs play a role in moving patient data between providers.
- Data Strategy defines an organization's data policies, procedures, governance roles, business rules, data redundancy control, master data management, structured and unstructured data use, data storage, and data protection.
- Enterprise Information Management involves managing information assets collected during healthcare operations to ensure data quality, patient safety, and usability.
- Critical Thinking Skills in data management involve considering legal, ethical, policy, and best practice perspectives to recommend actions.
- Clinical Documentation Integrity aims to ensure the quality and integrity of patient data to support coding, reimbursement, patient care, and safety through accurate documentation.
- CDI Tools such as audits, queries, and reporting are used to support the goals of Clinical Documentation Integrity programs.
- Data Mapping establishes connections between systems by mapping source data (origin) to target data (destination).
- Information Governance encompasses managing information throughout its lifecycle to support the organization's strategy, operations, regulatory compliance, legal requirements, risk management, and environmental needs.
- AHIMA's Information Governance Principles include accountability, transparency, integrity, protection, compliance, availability, retention, and disposition.
- Data Management involves defining data elements, creating, storing, and transmitting data, understanding data production, storage, formats, integrity, and sources within organizations.
- Common Data Sources in healthcare include EHRs, practice management systems, lab information systems, PACs, registries, and various databases.
- Data Elements are individual facts representing unique subsets of databases like age, gender, blood pressure stored in a data dictionary with defined data sets specific to healthcare industries.
- Databases are organized collections of data that can be easily accessed, managed, reported, and updated with relational and object-oriented types in a lifecycle involving study, design, implementation, testing, and evaluation.
Test your knowledge on data management, including the definition and structure of data elements, creation, storage, transmission, integrity, and data sources in Health Information Management Technology. This quiz is based on the content from Chapter 6 of 'Health Information Management Technology: An Applied Approach, Sixth Edition'.
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