C810 Foundations in Healthcare Data Management - Set 4 - Part 1

Correct Answer: Regional consortium

Regional consortiums allow multiple facilities to share implementation costs and resources for expensive technology systems like electronic health records.
Option b is incorrect because vendor partnerships involve relationships with technology suppliers, not cost-sharing arrangements between multiple healthcare facilities collaboratively.
Option c is incorrect because government initiatives are publicly funded programs, not voluntary cost-sharing arrangements between neighboring hospitals working together.
Option d is incorrect because academic collaborations involve educational institutions, not community hospitals sharing technology implementation costs through partnerships.

Correct Answer: FDA system

The FDA's Adverse Event Reporting System collects medication-related adverse events to monitor drug safety and identify potential risks.
Option a is incorrect because NPDB tracks malpractice payments and physician credentials, not adverse drug reactions experienced by patients nationwide.
Option c is incorrect because CDC focuses on disease surveillance and public health outbreaks, not individual medication adverse event reporting.
Option d is incorrect because CMS manages Medicare and Medicaid programs, not the national adverse drug event reporting system specifically.

Correct Answer: Security awareness

Security awareness training addresses why protocols exist and consequences of violations, changing behaviors beyond just technical knowledge alone.
Option a is incorrect because technical training teaches how to use systems, not why security protocols must be followed consistently always.
Option c is incorrect because clinical education focuses on patient care skills, not information security compliance and protocol adherence behaviors.
Option d is incorrect because software training teaches application usage, not the importance of following security protocols during system access.

Correct Answer: Approved abbreviations list

An approved abbreviations list provides clear standards for acceptable documentation, eliminating confusion and improving consistency across provider documentation.
Option a is incorrect because financial penalties may discourage behavior but don't provide clear standards for appropriate abbreviation usage effectively.
Option b is incorrect because system redesign addresses technical issues, not clinical documentation standardization for abbreviation usage by physicians.
Option d is incorrect because peer review evaluates care quality, not specifically establishes standards for acceptable abbreviation usage in documentation.

Correct Answer: Written authorization

Written authorization from the patient is required before releasing protected health information to family members under HIPAA regulations.
Option a is incorrect because verbal permission alone is insufficient for releasing protected health information to third parties legally.
Option c is incorrect because implied consent doesn't cover releasing detailed medical information to family members without explicit patient permission.
Option d is incorrect because emergency exceptions apply to treatment needs, not routine family requests for diagnosis and treatment information.

Correct Answer: Data in transit

Data in transit refers to information moving between systems, like emails traveling across networks requiring encryption for protection.
Option a is incorrect because data at rest is stored information on drives or servers, not email messages being transmitted electronically.
Option c is incorrect because data in use is actively being processed or viewed, not transmitted via email between systems.
Option d is incorrect because data in storage is another term for data at rest, not information being transmitted through email.

Correct Answer: Structured documentation

Structured documentation uses predefined templates and forms to standardize information capture, improving consistency and efficiency in clinical documentation.
Option b is incorrect because voice recognition converts speech to text, not provides templates for standardized documentation of common conditions.
Option c is incorrect because natural language processing analyzes text meaning, not provides templates for structured clinical documentation capture.
Option d is incorrect because free text allows unrestricted narrative entry, opposite of structured templates for standardized documentation approaches.

Correct Answer: EMPI system

Enterprise Master Patient Index (EMPI) maintains consistent patient identification across multiple facilities within integrated health systems organizationally.
Option a is incorrect because local registries track specific conditions or populations, not provide enterprise-wide patient identification across facilities.
Option c is incorrect because department indexes organize information within single departments, not across multiple facilities in health systems.
Option d is incorrect because facility databases serve individual locations, not provide unified patient identification across entire health systems.

Correct Answer: Standard protocols

Standard protocols establish uniform documentation requirements for pain assessments, ensuring consistency across all nursing units hospital-wide systematically.
Option a is incorrect because individual training may vary in effectiveness, while standard protocols provide consistent requirements for everyone.
Option c is incorrect because unit competition might improve compliance rates but doesn't establish standardized documentation methods across units.
Option d is incorrect because financial incentives motivate behavior change but don't provide standardized methods for pain assessment documentation.

Correct Answer: Audit trails

Audit trails record system access and activities over time, enabling forensic review of historical events during security investigations.
Option b is incorrect because backup files preserve data for recovery, not specifically track user access and system activities historically.
Option c is incorrect because user profiles define permissions and settings, not record historical access activities for forensic review purposes.
Option d is incorrect because access lists determine who can enter systems, not maintain logs of actual access events over time.

Correct Answer: Autonomy

Autonomy respects patients' rights to make decisions about their healthcare information, including controlling disclosure to employers or others.
Option a is incorrect because beneficence involves doing good for patients, not specifically their right to control information disclosure decisions.
Option c is incorrect because justice addresses fair treatment and resource distribution, not individual control over personal health information disclosure.
Option d is incorrect because nonmaleficence means avoiding harm, not specifically supporting patient control over their information disclosure rights.

Correct Answer: Hot site

Hot sites maintain synchronized data and can automatically activate during disasters, providing immediate continuity of operations without delays.
Option a is incorrect because cold sites require setup and data restoration before use, not automatic immediate activation during disasters.
Option b is incorrect because warm sites have equipment but need data restoration, not instant automatic failover capabilities during emergencies.
Option d is incorrect because mobile sites are transportable facilities, not fixed locations with automatic failover capabilities for disaster recovery.

Correct Answer: Medical necessity

Medical necessity requires procedures to be appropriate for documented diagnoses, ensuring coding accurately reflects clinically justified services provided.
Option b is incorrect because coding specificity involves using detailed codes, not matching procedures to diagnoses for medical necessity verification.
Option c is incorrect because sequential coding orders multiple codes properly, not ensures procedures match diagnoses for medical necessity requirements.
Option d is incorrect because primary diagnosis identifies the main condition, not validates procedure appropriateness for documented medical conditions specifically.

Correct Answer: Registration efficiency

Self-service kiosks improve registration efficiency by reducing wait times and freeing staff for other tasks while patients check in.
Option a is incorrect because clinical improvement involves better medical outcomes, not operational efficiency from self-service check-in kiosks specifically.
Option c is incorrect because security enhancement protects information, not the primary benefit of patient self-service registration kiosk systems.
Option d is incorrect because documentation quality relates to medical record accuracy, not operational benefits of self-service patient check-in.

Correct Answer: IRB committee

Institutional Review Boards (IRB) evaluate research protocols to ensure appropriate protections for human subjects participating in studies.
Option b is incorrect because quality committees focus on care improvement initiatives, not research protocol ethics review for patient protection.
Option c is incorrect because safety committees address workplace and patient safety issues, not research ethics and participant protection specifically.
Option d is incorrect because compliance committees ensure regulatory adherence broadly, while IRBs specifically review research involving human subjects.

Correct Answer: Prior authorization

Prior authorization processes must be improved to obtain required approvals before services, preventing claim denials for authorization issues.
Option a is incorrect because charge capture involves recording services provided, not obtaining insurance approvals before delivering authorized services.
Option b is incorrect because claims submission sends bills to payers, but missing authorizations cause denials regardless of submission quality.
Option d is incorrect because payment posting records received payments, occurring after claims are approved, not preventing authorization-related denials.

Correct Answer: Standardized measurements

Standardized measurements using specific dimensions provide objective, comparable data for tracking wound healing progress accurately over time consistently.
Option a is incorrect because narrative descriptions are subjective and imprecise, not improving measurement accuracy for wound assessment documentation needs.
Option b is incorrect because photographs supplement but don't replace precise measurements needed for accurate wound assessment documentation requirements.
Option d is incorrect because increasing frequency doesn't improve measurement accuracy if methods remain subjective and non-standardized for documentation.

Correct Answer: Record organization

Record organization principles require consistent filing locations for documents like consent forms to ensure efficient retrieval and review.
Option b is incorrect because access control determines who can view records, not where documents are filed within the record itself.
Option c is incorrect because retention compliance addresses how long records are kept, not the organization of documents within records.
Option d is incorrect because security measures protect against unauthorized access, not the physical organization of documents in paper records.

Correct Answer: Jurisdictional issues

Jurisdictional issues arise when protected health information crosses international borders, potentially beyond US privacy law enforcement reach effectively.
Option a is incorrect because time delays affect workflow efficiency, not the primary security concern of international data transmission for transcription.
Option b is incorrect because cost factors are financial considerations, not security concerns related to offshore transcription of medical records.
Option d is incorrect because quality concerns involve accuracy issues, not the security implications of international transmission of protected information.

Correct Answer: Delegated access

Delegated access allows patients to authorize specific individuals as proxies to access their health information through controlled permissions.
Option a is incorrect because role-based access assigns permissions based on job functions, not patient-designated proxy authorizations for family members.
Option c is incorrect because emergency access provides temporary permissions during crises, not ongoing proxy access designated by patients voluntarily.
Option d is incorrect because default access refers to standard system permissions, not specifically designated proxy access authorized by patients.