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CHDA exam prep Questions With Complete Solutions 30-day morality rates are considered a Correct Answers outcome of care measure A computer software program that assigns appropriate MS- DRGs according to the information provided for each episode of care is referred to as a Correct Answers grouper A drug interaction alert would be a typical function of a _______. Correct Answers Decision support system A research instrument that is used to gather data and information from respondents in a uniform manner through the administration of a predefined and structured set of questions and possible responses is called a(n) ________. Correct Answers Survey A researcher would like to test the null hypothesis that the lengths of stay at two hospitals are equal. What statistical test should the researcher use in this situation? Correct Answers t- test for means A sampling technique that divides the population into subsets and then selects a random sample within each subset is called Correct Answers stratified random sampling A set of standards that provides universal names and codes for a laboratory and clinical results is ___________. Correct Answers LONIC
Activities of daily living (ADL) are components of Correct Answers MDS and OASIS Among the software programs listed below, the one best suited to detailed statistical analysis of data is which of the following? Correct Answers SPSS Statistical Package for the Social Sciences An analyst has been asked to work on the development of a home health strategic plan. Which of the following data sets would be most helpful in developing this analysis? Correct Answers UACDS An analyst wishes to test the hypothesis that the wait time in the emergency department is longer on weekends than weekdays. What is the alternative hypothesis? Correct Answers the average wait time is longer on the weekends An audit tracking database would contain information from the health care claim payment advice that is in what format? Correct Answers 835 An audit trail is a good tool for which of the following? Correct Answers reconstruction electronic events An EHR system can provide better security than a paper record for protected health information system due to: Correct Answers Access controls, audit trails, and authentication systems
ASTM Standard E2522-07 provides guidance to healthcare organizations in developing Correct Answers Average length of stay is an example of a Correct Answers descriptive statistic chart Correct Answers chart Correct Answers chart Correct Answers chart Correct Answers chart Correct Answers chart Correct Answers Comparing the ICD-9-CM and ICD-10-CM diabetes mellitus codes and documenting variations creates a______________. Correct Answers Data map Data showing a physician's professional fee charges would be found on which billing format? Correct Answers CMS- Data taken from the health record and entered into registries and databases are considered a(n): Correct Answers secondary data source
Dictated and transcribed reports and notes written by the physicians and other practitioners are examples of _________ Correct Answers Unstructured data Fifty percent of patients treated at our facilities have Medicare as their primary payer. This is an example of what type of information? Correct Answers aggregate graph Correct Answers graph Correct Answers graph Correct Answers graph Correct Answers graph Correct Answers Health information loses PHI status and is no longer protected by the HIPAA Privacy Rule when it Correct Answers is deidentified Health Level 7 (HL7) Correct Answers Better enables interoperability when standard terminologies are used High-quality information is contingent on Correct Answers reliable data HIM departments may be the hub of identifying, mitigating, and correcting MPI errors, but that information often is not shared with other departments within the healthcare organization. After
In analyzing the reason for charges in a hospital's Medicare case-mix index over time, the analyst extract data from the information warehouse at which level of detail? Correct Answers Discharge level In comparing mortality rates between hospitals, it is important to also consider the Correct Answers severity of illness In healthcare, one of the primary uses for data warehouses is _________. Correct Answers Outcomes management In order to ensure a successful implementation of electronic health records, the organization must identify and define strategic roles. These planning roles may be defined in three categories:leadership, internal stakeholders, and external stakeholders. The governing body (board) is an example of which of the following? Correct Answers Leadership only In order to increase the precision of a confidence interval and leave the confidence level the same, the same size must be Correct Answers larger In SNOWMED-CT, this term is used to describe how concepts are linked to one another: Correct Answers relationship In terms of grouping and reimbursement, how are the MS-LTC- DRGs and acute care MS-DRGs similar? Correct Answers Organizing into MDCs (Major Diagnostic Category)
In today's healthcare entity, physicians use the _______ to access multiple sources of patient information within the entity's network. Correct Answers clinician portal In which of the following examples does the gender of the patient constitute information rather than a data element? Correct Answers in a study comparing the incidence of myocardial infarctions in black males as compared to white females In which of the following phases of systems selection and implementation would the process of running a mock query to assess the functionality of a database be performed? Correct Answers testing Laboratory data is successfully transmitted back and forth from Community Hospital to three local physician clinics. This successful transmission is dependent on which of the following standards? Correct Answers LONIC Maps from terminologies to classifications (and possibly from classifications to terminologies) are expected to _____. Correct Answers Facilitate "enter once, use many" functionally Medical information loses PHI (Protected Health Info)status and is no longer protected by the HIPAA Privacy Rule when it Correct Answers is deidentified Medical record number Correct Answers One way to examine readmission's with a given time frame at your faculty is to
SNOMED CT is a _________-based terminology. Correct Answers concept SPSS is a Correct Answers statistical analysis software package SQL may be used to Correct Answers all of these Standardized sets of valid, reliable, and evidence-based measures implemented by the Joint Commissions are called _____________. Correct Answers Core (performance) measures The application of information science to the management of healthcare data and information through computer technology is referred to as Correct Answers healthcare informatics The capture of secondary diagnoses that increase the incidence of CCs and MCCs may be benchmarked against other facilities by using which dataset? Correct Answers MEDPAR The computer-based process of extracting, quantifying, and filtering discrete data that reside in a relational database is called ________. Correct Answers Data mining The emergency data standards that are meant to create a health history for an individual are _______. Correct Answers DEEDS (Data elements for Emergency Department Systems) The facility's Medicare case-mix index has dropped, although other statistical measures appear constant. The CFO suspects
coding errors. What type of coding quality review should be performed? Correct Answers focused audit The first level of HCPCS consists of _____. Correct Answers CPT The HIPAA methods titled Expert Determination and Safe Harbor are ways that which of the following can be achieved legally? Correct Answers deidentification The ICD coding system was originally designed to be a ________________ Correct Answers disease tracking system The individual most likely to lead strategic planning for a healthcare organization's information system is the Correct Answers CIO (Chief Information Officer) The inpatient data set incorporated into federal law and required for Medicare reporting is the ____________. Correct Answers Uniform Hospital Discharge Data Set The leader of the coding performance improvement team wants all of her team members to clearly understand the coding process. Which of the following would be the best tool for accomplishing this objective? Correct Answers Flowchart The management of all aspects of health data and information through the application of computers and computer technologies is called Correct Answers healthcare informatics
The purpose of the data dictionary is to _________________ definitions and ensure consistency of use. Correct Answers standardize The science of examining raw data with the purpose of drawing conclusions about that information is referred to as Correct Answers data analytics The surgery department is evaluation its postoperative infection rate of 6 percent. The chief of surgery asks the quality improvement coordinator to find the post-operation infection rates of 10 similar hospitals in the same geographic region to see how the rates compare. The process is called ______ Correct Answers benchmarking The technology commonly utilized for automated claims processing (sending bills directly to third-party payers) is: Correct Answers electronic data interchange The technology that converts human language into data that can be translated then manipulated by computer systems is Correct Answers Natural language processing The term that describes the ability of one information system to exchange data with another information system is _______. Correct Answers interoperability The type of statistical techniques used to make conclusions based on a sample are: Correct Answers inferential
The variable that may cause the change in a second variable is called the Correct Answers independent variable This type of data display tool is used to illustrate frequency distributions of continuous variables, such as age and length of stay (LOS): Correct Answers histogram To ensure quality of data, the Cancer Committee reviews the abstracting done by the cancer registry personnel. This is a method of ___________ reliability. Correct Answers interrater Under what circumstances is it acceptable to use a non- probability sample for an audit? Correct Answers When not generalizing to the population We have conducted a t-test to determine if the hospital mean for DRG XXX is significantly different from the population mean for DRG XXX. The calculated t is -3.39 and the critical t is - 1.96. In this case we: Correct Answers reject the null hypothesis We want to compare the average weight of patients before and after a specialty diet is administered. We expect the weight to decrease after administration of the diet. Which of the following tests should be conducted to determine if the average weight for each patient is less at the conclusion of the diet? Correct Answers paired t-test What are LONIC codes used for? Correct Answers identifying test results
Which data collection program is the basis for the CMS (Centers for Medicare and Medicaid Services) value-based purchasing program? Correct Answers Hospital Compare Which data system serves as the source system for LOINC coded services? Correct Answers LIS (Laboratory Info System) Which dimension of data quality is defined as "data that is free of errors"? Correct Answers accuracy Which graph is the best choice to use when exploring the relationship between length of stay and charge for a set of patients? Correct Answers scatter diagram Which is the data model that is most widely used to illustrate a relational database structure? Correct Answers Entity- relationship diagram Which kind of data might be displayed on a pie chart? Correct Answers percentage of discharges by third-party payer Which national database was created to collect information on the legal actions (both civil and criminal) taken against licensed healthcare providers? Correct Answers Healthcare Integrity and Protection Data Bank Which of the following acronyms represents the language used to extract data from a database? Correct Answers SQL
Which of the following activities is likely to occur in the analysis phase of the systems development life cycle? Correct Answers Examine the current system and identify opportunities for improvement Which of the following attributes is required for a sample to be statistically valid? Correct Answers it must be reproducible Which of the following basic services provided by an HIE entity ensures that information can be retrieved as needed? Correct Answers Secure data transport Which of the following code set(s) is utilized in the RBRVS prospective payment system? Correct Answers HCPCS/CPT Which of the following coding systems is not used to characterize procedures performed on a patient? Correct Answers ICD-10-CM Which of the following elements is found in a charge description master? Correct Answers Procedure or service charge Which of the following indexes and databases includes patient- identifiable information? Correct Answers Master population/patient index Which of the following individuals would most likely to be responsible for the technical aspects of the DBMS? Correct Answers Database administrator
Which of the following keywords precedes the listing of variables to be returned from an SQL query? Correct Answers SELECT Which of the following situations might result in a compliance audit? Correct Answers High CC/MCC capture rate Which of the following statements most accurately describes the optimal relationship between strategic planning and strategic IM planning in a healthcare entity? Correct Answers The two process are clearly related. It is important for the CIO to be involved in both processes to ensure that IS priorities are congruent with the overall strategic plans of the entity. Which of the following statements most accurately describes the optimal relationship between strategic planning and strategic IM planning in a healthcare entity? Correct Answers The two process are clearly related. It is important for the CIO to be involved in both processes to ensure that IS priorities are congruent with the overall strategic plans of the entity. Which of these is a weakness of Microsoft Access? Correct Answers Limited user support and control Which RVU component is best suited for measuring physician productivity? Correct Answers wRVU Which type of indicators measure the actual results of care for patients and populations, including patient and family satisfaction? Correct Answers Outcome
You are preparing a budget presentation to the board. They have asked for a presentation on the percentage of salary budget spent on temp salary, hourly employees, and salary employees. What graph would be most appropriate to convey this data? Correct Answers pie chart You need to interface data automatically from one clinical system to another. Which framework is most commonly used for this purpose in the healthcare system? Correct Answers HL You want to graph the number of deaths due to prostate cancer from 2005 through 2012. Which graphic tool would you use? Correct Answers line graph Your chief financial officer has contacted you because your facility's case-mix index increased last year. He wish to hear your theory on why this is so. Among the options below, which would best explain an increase in the case-mix index? Correct Answers The quality of clinical documentation improved Your chief medical officer has requested that you track patient satisfaction over time and in a way that attempts to separate routine variation from true underlying changes over time. The best tool to select from the options below is a(n) Correct Answers statistical process control chart Your facility is engaged in a research project concerning patients newly diagnosed with type 2 diabetes. The researchers notice older patients have a longer length of stay than younger patients.
