HCM 435 EXIT EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Types of Healthcare Information
Internal and External
Internal Healthcare Information
Created internally by healthcare organization. Can be financial, clinical or aggregate.
Financial Internal Healthcare Information
3rd party payer; Medicare/aid; Insurance companies; billing i.e.. Insurance claims;
copies of insurance cards
Clinical Internal Healthcare Information
Patient information directly related to care/a part of medical record i.e.. Physician's
orders; history and physical; lab reports
Aggregate Internal Healthcare Information
Reports that combine one or more types of information. Example: AD HOC Reports;
Medicare cost reports; health care statistics)
External Healthcare Information
Created outside the healthcare organization. Can be comparative, expert or knowledge
based, or competitive.
Comparative External Healthcare Information
combines internal and external information to aid organization in evaluation
performance (ex. Balanced scorecards; health care data sets (HEDIS by NCQA); CMS
Expert or Knowledge Based External Healthcare Information
,Clinical/scientific/management print literature i.e.. Professional Journals; Push
technology; Online databases
Competitive External Healthcare Information
Market Analysis
Administrative system
used to support management functions/general operations of healthcare organization;
contains primarily admin/financial data
Clinical system
Contains clinical/health-related information relevant to provider in diagnosing, treating,
monitoring patient's care
HIPAA
LOOK UP DEFINITION
Protected health information
any information created by provider for health care purposes related to an individual
The component of the HIPAA Privacy Rule that specifies that entities that
improperly handle PHI can be charged under criminal law and punished and are
subject to civil recourse is know as:
Accountability
What was the first comprehensive federal regulation that offers specific
protection to private health care information?
The HIPAA Privacy Rule
Electronic Medical Record
Electronic used within an organization
, Electronic Health Record
Electronic used across organizations
Personal health record
Electronic controlled by the individual
The electronic medical record shares information across different health
organizations: True or False
False
An electronic health record (EHR) is an electronic record of health-related
information on an individual that can be managed, shared and controlled by that
individual: True or False
False
Data
raw facts (example: words, symbols, statistics, measurements
Information
processed data
In order to be useful, ___________
Data must be processed and manipulated into meaningful use
What is healthcare data?
characters, words, symbols or stats
Raw unprotected healthcare facts generally stored as characters, words, or
symbols is know as?
Healthcare data
What are the problems with poor quality level at organizational level?
COMPLETE SOLUTIONS VERIFIED
Types of Healthcare Information
Internal and External
Internal Healthcare Information
Created internally by healthcare organization. Can be financial, clinical or aggregate.
Financial Internal Healthcare Information
3rd party payer; Medicare/aid; Insurance companies; billing i.e.. Insurance claims;
copies of insurance cards
Clinical Internal Healthcare Information
Patient information directly related to care/a part of medical record i.e.. Physician's
orders; history and physical; lab reports
Aggregate Internal Healthcare Information
Reports that combine one or more types of information. Example: AD HOC Reports;
Medicare cost reports; health care statistics)
External Healthcare Information
Created outside the healthcare organization. Can be comparative, expert or knowledge
based, or competitive.
Comparative External Healthcare Information
combines internal and external information to aid organization in evaluation
performance (ex. Balanced scorecards; health care data sets (HEDIS by NCQA); CMS
Expert or Knowledge Based External Healthcare Information
,Clinical/scientific/management print literature i.e.. Professional Journals; Push
technology; Online databases
Competitive External Healthcare Information
Market Analysis
Administrative system
used to support management functions/general operations of healthcare organization;
contains primarily admin/financial data
Clinical system
Contains clinical/health-related information relevant to provider in diagnosing, treating,
monitoring patient's care
HIPAA
LOOK UP DEFINITION
Protected health information
any information created by provider for health care purposes related to an individual
The component of the HIPAA Privacy Rule that specifies that entities that
improperly handle PHI can be charged under criminal law and punished and are
subject to civil recourse is know as:
Accountability
What was the first comprehensive federal regulation that offers specific
protection to private health care information?
The HIPAA Privacy Rule
Electronic Medical Record
Electronic used within an organization
, Electronic Health Record
Electronic used across organizations
Personal health record
Electronic controlled by the individual
The electronic medical record shares information across different health
organizations: True or False
False
An electronic health record (EHR) is an electronic record of health-related
information on an individual that can be managed, shared and controlled by that
individual: True or False
False
Data
raw facts (example: words, symbols, statistics, measurements
Information
processed data
In order to be useful, ___________
Data must be processed and manipulated into meaningful use
What is healthcare data?
characters, words, symbols or stats
Raw unprotected healthcare facts generally stored as characters, words, or
symbols is know as?
Healthcare data
What are the problems with poor quality level at organizational level?
