A patient was contacted for research from a physician in hospital for follow-up
information. The patient didn't want to be contacted. Ans✓✓✓ The physician
was in-facility and was able to see primary source data of the patient. Only when
registries are OUTSIDE of the facility do they need to be de-identified and become
secondary sources.
A symbol that is required for a password is considered what? Ans✓✓✓
Accessability Ans✓✓✓ ability to obtain existing resource. Example: During the
power outage, the clinician could not obtain the EHR to check for orders for the
patient.
According to CMS, psychiatric evaluation records must be obtained for which
department? Ans✓✓✓ Behavioral Healthcare
Accuracy Ans✓✓✓ Error free. Example: The EHR had a drug dose incorrectly
noted.
centralized database system Ans✓✓✓ A database system in which all of the data
used by the system is located on a single computer. fast response times,
uniformity of data.
CMS requires documentation for attending physicians to update plan of care for
which type of healthcare? Ans✓✓✓ Home Health Care
CMS requires documentation from physician to update plan of care for which
type of care? Ans✓✓✓ Home Health Care
, CMS requires MDS for which type of care? Ans✓✓✓ Long Term Care
CMS requires minimum data set for which type of healthcare? Ans✓✓✓ Long-
Term Care
Comprehensiveness Ans✓✓✓ All data is included. Example: The Discharge
summary had all pertinent information included.
Consistency Ans✓✓✓ Data quality is consistent. Example: The nurse kept the
same level of care AS another nurse, and all staff when they documented for their
patient.
Contingency plan Ans✓✓✓ a plan that outlines alternative courses of action that
may be taken if an organization's other plans are disrupted or become ineffective
CPOE (Computerized Physician Order Entry) Ans✓✓✓ application for health care
providers to enter patient care orders
Currency Ans✓✓✓ Up-To-Date. Example: The primary care provider had an old
discharge summary for one of his patient who had just been discharged from the
ER.
Data Definition Ans✓✓✓ The specific meaning of a healthcare-related data
element