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Which of the following is an institutional user of the health record? a. A third-
party payer
b. Patient
c. Physician
d. Employer - CORRECT ANSWER>>>>a
Institutional users of the health record are organizations that need access to
health records in order to accomplish their mission. These institutional users
include healthcare delivery organizations, third-party payers, medical review
organizations, research organizations, educational organizations, accreditation
organizations, government licensing agencies, and policy-making bodies
(Sayles 2016b, 54-55).
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Registered Health I
A new HIM director has been asked by the hospital CIO to ensure data content
standards are identified, understood, implemented, and managed for the
hospital's planned EHR system. Which of the following should be the HIM
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,director's first step in carrying out this responsibility? a. Call the EHR vendor
and ask to review the system's data dictionary
b. Identify data content requirements for all areas of the organization
c. Schedule a meeting with all department directors to get their input
d. Contact CMS to determine what data sets are required to be collected -
CORRECT
ANSWER>>>>b
Data content standards allow organizations to collect data once and use it many
times in many ways. They also assist in data storage and mining as well as
sharing data with external organizations for use in benchmarking and other
purposes. The HIM director should identify data content requirements for all
areas of the organization to ensure the data content standards are met (Sayles
and Trawick 2014, 170).
Which of the following would be the best technique to ensure that registration
clerks consistently use the correct notation for assigning admission date in an
EHR? a. Make admission date a required field
b. Provide a template for entering data in the field
c. Make admission date a numeric field
d. Provide sufficient space for input of data - CORRECT ANSWER>>>>b
Templates are a cross between free text and structured data entry. The user is
able to pick and choose data that are entered frequently, thus requiring the entry
of data that change from patient to patient. Templates can be customized to
meet the needs of the organization as data needs change by physician specialty,
patient type (surgical/medical/newborn), disease, and other classification of
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,patients. In this situation a template would provide structured data entry for the
admission date (Brinda 2016, 159-160).
The following descriptors about the data element ADMISSION_DATE are
included in a data dictionary: definition: date patient admitted to the hospital;
data type: date; field length: 15; required field: yes; default value: none;
template: none. For this data element, data integrity would be better assured if:
a. The template was defined
b. The data type was numeric
c. The field was not required
d. The field length was longer - CORRECT ANSWER>>>>a
A pattern used in computer-based patient records to capture data in a structured
manner is called a template. One benefit of using a template is to ensure data
integrity upon data entry (Brinda 2 016, 141; Sayles and Gordon 2016, 675).
Which of the following individuals would serve as a bridge between
information technology and business and clinical areas while managing each
key area?
a. Data steward
b. Systems analyst
c. Data scientist
d. Systems administrator - CORRECT ANSWER>>>>a
Data stewards serve as the bridge between information technology, and business
and clinical areas. They are assigned to manage key data areas and are
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, responsible for tasks such as data definition and information quality activities
(Johns 2015, 83).
Which of the following data sets would be most helpful in developing a hospital
trauma data registry?
a. DEEDS
b. MDS
c. OASIS
d. UACDS - CORRECT ANSWER>>>>a
In 1997, the Centers for Disease Control and Prevention (CDC), through its
National Center for
Injury Prevention and Control (NCIPC), published a data set called Data
Elements for
Emergency Department Systems (DEEDS). The purpose of this data set is to
support the uniform collection of data in hospital-based emergency departments
and to reduce incompatibilities in emergency department records (Sharp 2016,
178; Giannangelo 2015, 255).
Which of the following is the best definition of a forward map in data mapping?
a. Linking of two systems in the opposite direction
b. Linking an older version of a code set to a newer version
c. Linking a newer version of a code set to an older version
d. Linking a source system to a target system - CORRECT
ANSWER>>>>b
In a forward map, an older version of a code set is mapped to a newer version
(Amatayakul 2 016, 285).
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