D514 Analytical Methods in Healthcare
1. Master population/Patient Index (MPI) <Ans> Assigns specific medical record
number to avoid duplicate patient records. Includes patient's demographic
information and dates of encounters.
2. Disease Registries <Ans> Secondary data gathered on patient diagnosis,
condition, and procedure. Used for public health purposes and documenting
disease preva- lence.
3. LOS/ALOS <Ans> Average number of days a patient spends in the hospital.
Tracked to gauge the efficiency of a healthcare facility.
4. CMS <Ans> Responsible for developing U.S. healthcare policy;
administers the Medicare program and federal portion of Medicaid
program.
5. HRRP <Ans> Affordable Care Act (ACA) added a section to Social Security Act in
2012, requiring CMS to reduce payments to hospitals with excessive readmissions.
Data gathered is response to the Hospital Readmissions Reduction Program
(HRRP), which is a Medicare value-based purchasing program.
6. Hospital Consumer Assessment of Healthcare Professionals <Ans> An effective
indicator that measures quality provided, communication from providers, and
other aspects of care delivery. It affects clinical outcomes, patient retention, and
medical malpractice claims.
7. Mortality after acute Mis <Ans> Reflects the health status of cardiac
,patients and effectiveness of services.
8. Central Line Bloodstream Infection (CLABSI) <Ans> Data tracked to ensure best
practices in treating patients receiving repeated IV medication or fluids. Catheter
can become infected over time if guidelines preventing bacterial contamination
are not followed.
9. Pain Management <Ans> Tracking this data helps providers understand why
certain patients improve faster than others, and why some are more vulnerable to
depres- sion due to chronic pain or addiction.
10. Hosptal Quietness and Cleanliness <Ans> Measured in patient satisfaction
surveys as a subjective indicator of hospital environment.
11. Post-op infections <Ans> This data useful as a quality measurement to
improve care during and after surgery.
12. Pressure Ulcer rates <Ans> Data tracked on incidence, prevalence, and
facility-ac- quired rates to improve quality of care and develop best practices to
address skin breakdown.
13. Catheter Assoc UTI (CAUTI) <Ans> This hospital-acquired infection is tracked
and reported to Medicare. One of the first hospital-acquired conditions selected
for nonpayment by Medicare.
, 14. Staff Performance, turnover, Absenteeism <Ans> Organizations track this
human resource data to optimize employee skill sets and build a stronger
organizational culture.
15. Accounts receivable and cost data <Ans> Tracking this data ensures
adequate resources for long- and short-term goals and financial planning.
16. HRSA Data <Ans> Health Resources and Services Administration <Ans> It is
the primary federal agency for improving healthcare to the geographically isolated,
and econom- ically or medically vulnerable. EQUITY
17. Health Payment Systems Data <Ans> Data pulled from coding/billin
departments.
18. MEPS data from CMS <Ans> The Medical Expenditure Panel Survey <Ans>
Administered by Centers for Medicare & Medicaid Services (CMS). Surveys families,
individuals, providers, employers in the U.S. Gathers data on cost, use of
healthcare services, and health insurance coverage.
19. NIH data, National Insttutes of Health <Ans> U.S. Medical Research Agency is
part of the Department of Health and Human Services.
20. Joint Commission <Ans> Through its accreditation process it requires the
gathering and reporting of specific data to demonstrate safety, quality care, and
performance improvement in healthcare organizations.
21. Surveillance Records <Ans> These records are kept and reviewed to maintain
health history on employees who may be exposed to hazardous materials,
eliminate causes of exposure and prevent medical issues from developing.
1. Master population/Patient Index (MPI) <Ans> Assigns specific medical record
number to avoid duplicate patient records. Includes patient's demographic
information and dates of encounters.
2. Disease Registries <Ans> Secondary data gathered on patient diagnosis,
condition, and procedure. Used for public health purposes and documenting
disease preva- lence.
3. LOS/ALOS <Ans> Average number of days a patient spends in the hospital.
Tracked to gauge the efficiency of a healthcare facility.
4. CMS <Ans> Responsible for developing U.S. healthcare policy;
administers the Medicare program and federal portion of Medicaid
program.
5. HRRP <Ans> Affordable Care Act (ACA) added a section to Social Security Act in
2012, requiring CMS to reduce payments to hospitals with excessive readmissions.
Data gathered is response to the Hospital Readmissions Reduction Program
(HRRP), which is a Medicare value-based purchasing program.
6. Hospital Consumer Assessment of Healthcare Professionals <Ans> An effective
indicator that measures quality provided, communication from providers, and
other aspects of care delivery. It affects clinical outcomes, patient retention, and
medical malpractice claims.
7. Mortality after acute Mis <Ans> Reflects the health status of cardiac
,patients and effectiveness of services.
8. Central Line Bloodstream Infection (CLABSI) <Ans> Data tracked to ensure best
practices in treating patients receiving repeated IV medication or fluids. Catheter
can become infected over time if guidelines preventing bacterial contamination
are not followed.
9. Pain Management <Ans> Tracking this data helps providers understand why
certain patients improve faster than others, and why some are more vulnerable to
depres- sion due to chronic pain or addiction.
10. Hosptal Quietness and Cleanliness <Ans> Measured in patient satisfaction
surveys as a subjective indicator of hospital environment.
11. Post-op infections <Ans> This data useful as a quality measurement to
improve care during and after surgery.
12. Pressure Ulcer rates <Ans> Data tracked on incidence, prevalence, and
facility-ac- quired rates to improve quality of care and develop best practices to
address skin breakdown.
13. Catheter Assoc UTI (CAUTI) <Ans> This hospital-acquired infection is tracked
and reported to Medicare. One of the first hospital-acquired conditions selected
for nonpayment by Medicare.
, 14. Staff Performance, turnover, Absenteeism <Ans> Organizations track this
human resource data to optimize employee skill sets and build a stronger
organizational culture.
15. Accounts receivable and cost data <Ans> Tracking this data ensures
adequate resources for long- and short-term goals and financial planning.
16. HRSA Data <Ans> Health Resources and Services Administration <Ans> It is
the primary federal agency for improving healthcare to the geographically isolated,
and econom- ically or medically vulnerable. EQUITY
17. Health Payment Systems Data <Ans> Data pulled from coding/billin
departments.
18. MEPS data from CMS <Ans> The Medical Expenditure Panel Survey <Ans>
Administered by Centers for Medicare & Medicaid Services (CMS). Surveys families,
individuals, providers, employers in the U.S. Gathers data on cost, use of
healthcare services, and health insurance coverage.
19. NIH data, National Insttutes of Health <Ans> U.S. Medical Research Agency is
part of the Department of Health and Human Services.
20. Joint Commission <Ans> Through its accreditation process it requires the
gathering and reporting of specific data to demonstrate safety, quality care, and
performance improvement in healthcare organizations.
21. Surveillance Records <Ans> These records are kept and reviewed to maintain
health history on employees who may be exposed to hazardous materials,
eliminate causes of exposure and prevent medical issues from developing.
