Which of the following types of data is derived from documentation related to a specific patient's
medical treatment? correct answers Primary
A _________ identifies all patients who have been treated in a facility or enterprise. correct
answers Master patient index
The primary purpose of healthcare documentation is to: correct answers Chronicle customers'
health history over time.
________ are used to sort data in a variety of ways to assist study of certain data elements.
correct answers Indexes
The health of populations in geopolitical locations is the domain of the: correct answers Public
health agencies
As well as compiling statistical information to guide actions and policies to improve health, the
_________ monitors the national public health infrastructure and provides information to
identify and address critical health problems. correct answers National Center for Health
Statistics
WONDER is a database that is an integrated information and communication system with the
purpose of promoting information-driven decision making and providing the general public with
access to specific and detailed information from the: correct answers Centers for Disease Control
and Prevention
Which of the following is not considered a vital statistic? correct answers Adoption
Responsibility for the collection of vital statistics rests with the: correct answers State
The mission of the __________ is to advise the federal government on the information needs
underlying health policy. It designs and coordinates improvements in national and international
vital and health statistics. correct answers National Committee on Vital and Health Statistics
What kind of indexes make it possible to retrieve specific health records in a variety of ways
including by disease, physician, operation, or other data element? correct answers Facility-
specific indexes
Disease and operation indexes are arranged by __________ and facilitate the study of patients
with the same or similar conditions or treatment. correct answers Diagnostic or procedure codes
What kind of indexes guide the locating of health records to conduct quality improvement and
research studies, as well as for monitoring quality of care? correct answers Disease and operation
indexes
, Which index, often considered the most important resource in a healthcare facility, is a database
of patients within a facility or associated group of facilities? correct answers Master patient index
If a facility wants to compare the number and quality of treatments on patients who underwent
the same operation with different surgeons, it should use the ________ index. correct answers
Physician
The health record is considered a(n) __________ because it contains patient-specific data and
information about a patient that has been documented by the professionals who provided care or
services to that patient. correct answers Primary data source
Data taken from the health record and entered into registries and databases are considered a(n):
correct answers Secondary data source
Secondary data sources provide information that is _________ available by looking at individual
health records. correct answers Not easily
__________ data elements and definitions used in health records makes it possible to compare
the data collected at different facilities. correct answers Standardizing
Which of the following is a purpose of healthcare data sets? correct answers BOTH A B
Identify data elements that should be collected for each patient
Provide uniform definitions for common terms
Healthcare has _________ other fields in the application of information technology to operations
and communications. correct answers Lagged far behind
What is the term used for the record of care in any health-related setting, used by healthcare
professionals while providing patient-care services or for administrative, business, or payment
purposes? correct answers Legal health record
Defining the legal record becomes __________ as organizations transition to EHRs. correct
answers Complex
Where do healthcare facilities collect and store clinical data for individual patients? correct
answers In health records
Each organization must define the parameters of its legal health record, taking into account:
correct answers Accrediting Agencies
HIPAA requirements