C810 Foundations in Healthcare Data Management - Set 3 - Part 1

Correct Answer: Standardized definitions

Standardized definitions ensure all departments calculate readmission rates using identical criteria and timeframes for consistent organizational metrics.
Option a is incorrect because access controls determine who can view or modify data, not standardize calculation methods across departments.
Option b is incorrect because security protocols protect data from breaches, not establish consistent measurement criteria for readmission calculations.
Option d is incorrect because training programs teach existing processes, but standardized definitions must first establish consistent calculation methods.

Correct Answer: Mental health requirements

Mental health requirements include specialized documentation for psychiatric assessments, treatment plans, and behavioral observations beyond standard medical documentation.
Option a is incorrect because surgical requirements apply to operative procedures, not psychiatric evaluations and mental health treatment planning specifically.
Option c is incorrect because emergency requirements focus on acute stabilization documentation, not comprehensive psychiatric treatment planning and evaluations.
Option d is incorrect because rehabilitation requirements address functional improvement documentation, not specific mental health assessment and treatment requirements.

Correct Answer: Appointment reminders

Appointment reminders use automated systems to notify patients about scheduled visits, reducing no-shows and improving engagement effectively.
Option a is incorrect because clinical messaging involves health-related communications between visits, not automated appointment reminder notifications to patients.
Option c is incorrect because education delivery provides health information and learning materials, not appointment scheduling reminder notifications specifically.
Option d is incorrect because results notification shares test outcomes with patients, not reminds them about upcoming scheduled appointments.

Correct Answer: Advance directive

Advance directives document patient wishes for future care if they become unable to communicate, including living wills and healthcare proxies.
Option a is incorrect because surgical consent authorizes specific procedures, not documents wishes for future care during incapacity situations.
Option b is incorrect because research consent allows participation in studies, not documents treatment preferences for incapacity situations specifically.
Option d is incorrect because photo consent permits image use, not documents healthcare wishes if patients cannot communicate preferences.

Correct Answer: Protection

Protection principle requires implementing access controls to safeguard sensitive information like psychiatric records from unauthorized viewing or disclosure.
Option a is incorrect because transparency involves open communication about processes, not restricting access to sensitive psychiatric record information.
Option c is incorrect because retention determines how long records are kept, not who can access sensitive psychiatric documentation.
Option d is incorrect because disposition addresses record destruction after retention, not access controls for sensitive psychiatric information protection.

Correct Answer: Implied consent

Implied consent allows emergency treatment when patients cannot consent due to unconsciousness and delaying would endanger their life.
Option a is incorrect because express consent requires explicit verbal or written agreement, impossible when patients are unconscious requiring emergency treatment.
Option c is incorrect because informed consent requires detailed explanation and understanding, which unconscious patients cannot provide in emergencies.
Option d is incorrect because written consent requires signed documentation, which unconscious emergency patients cannot provide before life-saving treatment.

Correct Answer: Technical control

Technical controls include password requirements and other technology-based security measures that protect electronic information systems from unauthorized access.
Option a is incorrect because physical controls involve locks, badges, and facility access restrictions, not password change requirements for systems.
Option c is incorrect because administrative controls are policies and procedures, though password requirements are primarily technical implementations enforced electronically.
Option d is incorrect because environmental controls address temperature, humidity, and disaster protection, not password security requirements for systems.

Correct Answer: Accuracy

Accuracy decreases with delayed documentation as staff may forget details or confuse patient information when recording hours later.
Option b is incorrect because accessibility relates to information availability when needed, not the accuracy of delayed documentation entries.
Option c is incorrect because granularity refers to the level of detail in data, not accuracy problems from delayed documentation.
Option d is incorrect because precision involves numerical exactness, not general accuracy issues caused by delayed documentation practices overall.

Correct Answer: ASCQR program

The Ambulatory Surgical Center Quality Reporting (ASCQR) program requires quality data submission for Medicare payment rate determination.
Option b is incorrect because OASIS is for home health agencies, not ambulatory surgical center quality reporting requirements for Medicare.
Option c is incorrect because MDS is for nursing homes, not ambulatory surgical center quality measure reporting to Medicare.
Option d is incorrect because UHDDS is for hospital discharge data, not ambulatory surgical center quality reporting program requirements.

Correct Answer: Transparency

Transparency involves openly sharing performance information like incomplete record statistics to promote accountability and improvement across departments.
Option a is incorrect because protection focuses on security measures preventing unauthorized access, not sharing performance metrics with leadership.
Option c is incorrect because disposition addresses proper record destruction, not reporting documentation performance metrics to executive leadership regularly.
Option d is incorrect because retention determines record keeping timeframes, not transparent reporting of documentation compliance to organizational leaders.

Correct Answer: MDS

The Minimum Data Set (MDS) assessment is required for Medicare patients admitted to skilled nursing facilities for reimbursement.
Option a is incorrect because OASIS is used by home health agencies, not skilled nursing facilities receiving patients from acute care.
Option b is incorrect because HEDIS measures managed care quality, not individual patient assessments in skilled nursing facilities specifically.
Option d is incorrect because CAHPS surveys measure patient experience, not clinical assessments required for skilled nursing facility admissions.

Correct Answer: Accuracy

Accuracy ensures diagnostic codes are correct, preventing reimbursement errors and compliance issues from incorrect coding entries in claims.
Option a is incorrect because timeliness relates to meeting deadlines, not the correctness of diagnostic codes affecting reimbursement accuracy.
Option c is incorrect because accessibility involves information availability, not the accuracy of diagnostic codes for billing purposes specifically.
Option d is incorrect because currency means having current information, not ensuring diagnostic codes are accurately entered for claims.

Correct Answer: SCRIPT standard

The NCPDP SCRIPT standard enables secure electronic prescription transmission between providers and pharmacies for medication ordering nationally.
Option a is incorrect because HL7 standards facilitate general health information exchange, not specifically electronic prescribing to pharmacies directly.
Option c is incorrect because DICOM standards are for medical imaging, not electronic prescription transmission to pharmacy systems specifically.
Option d is incorrect because LOINC identifies laboratory observations, not enables electronic prescribing communication with pharmacy systems for medications.

Correct Answer: Continuity operations plan

Continuity of operations plans ensure essential functions continue during emergencies requiring relocation or alternative operational arrangements immediately.
Option a is incorrect because disaster recovery focuses on restoring technology systems, not maintaining clinical operations during emergency facility relocations.
Option c is incorrect because incident response addresses specific security breaches, not maintaining healthcare operations during natural disaster evacuations.
Option d is incorrect because risk management identifies potential threats, not provides specific procedures for emergency operational continuity requirements.

Correct Answer: Restriction right

Restriction rights allow patients to request limits on uses and disclosures of their health information for specific purposes.
Option a is incorrect because access rights allow patients to view their records, not restrict sharing with specific entities.
Option b is incorrect because amendment rights permit corrections to records, not restrict disclosures to insurance companies or employers.
Option d is incorrect because accounting rights track disclosures made, not allow patients to restrict future disclosures to specific entities.

Correct Answer: Integrity problems

Integrity problems occur when records are misfiled or attributed to wrong patients due to inadequate identification verification processes.
Option a is incorrect because currency relates to information timeliness, not problems with patient identification during document scanning processes.
Option c is incorrect because granularity refers to detail level, not patient identification accuracy when scanning documents into systems.
Option d is incorrect because definition problems involve unclear terminology, not patient identification errors during document scanning procedures specifically.

Correct Answer: Steering committee

Data governance steering committees provide centralized oversight and decision-making authority for data management across entire healthcare systems.
Option b is incorrect because advisory committees provide recommendations without decision-making authority for governance across healthcare systems organizationally.
Option c is incorrect because technical committees focus on technology issues, not comprehensive data governance across all organizational aspects.
Option d is incorrect because clinical committees address medical care issues, not enterprise-wide data governance decision-making responsibilities comprehensively.

Correct Answer: OASIS

OASIS (Outcome and Assessment Information Set) captures required assessment data for home health patients at mandated intervals.
Option a is incorrect because UHDDS collects hospital discharge information, not home health patient assessment data at required intervals.
Option c is incorrect because MDS is for nursing home residents, not home health patients receiving care in their residences.
Option d is incorrect because DEEDS collects emergency department data, not home health assessment information for patients at home.

Correct Answer: Retrieval error

Retrieval errors occur when incorrect records are pulled and provided, potentially causing patient safety issues from wrong information.
Option a is incorrect because duplicate errors involve multiple medical record numbers for one patient, not providing wrong patient records.
Option b is incorrect because overlay errors overwrite one patient's data with another's in the system, not physical retrieval mistakes.
Option c is incorrect because overlap errors involve patients having numbers across different databases, not incorrect record retrieval incidents.

Correct Answer: Unstructured data

Voice recognition creates unstructured narrative text from spoken words, requiring additional processing for structured data extraction if needed.
Option a is incorrect because structured data uses predefined formats and fields, not free-text narratives from voice recognition systems.
Option b is incorrect because coded data uses classification systems, not narrative text generated from voice recognition documentation methods.
Option d is incorrect because discrete data consists of separate measurable elements, not continuous narrative from voice-to-text conversion systems.