C810 Foundations in Healthcare Data Management - Set 5 - Part 1

Correct Answer: Content library

A centralized content library provides approved, standardized education materials that all facilities can access, ensuring consistent patient information delivery.
Option a is incorrect because staff training teaches usage but doesn't provide the standardized materials needed for consistent patient education content.
Option c is incorrect because vendor selection chooses suppliers but doesn't create standardized educational content for network-wide distribution and use.
Option d is incorrect because budget allocation provides funding but doesn't develop or standardize the actual patient education materials needed organizationally.

Correct Answer: Custody transfer

Custody transfer legally moves responsibility for medical records to another provider, ensuring continued access for patient care needs appropriately.
Option a is incorrect because abandonment prevention involves ensuring ongoing care availability, not specifically the legal transfer of record custody responsibilities.
Option b is incorrect because continuity obligation is a professional duty, not the specific legal mechanism for transferring record custody between providers.
Option c is incorrect because retention requirements determine how long records are kept, not the legal process for transferring custody between providers.

Correct Answer: Incidental disclosure

Incidental disclosure occurs when protected information is unavoidably overheard during legitimate healthcare operations despite reasonable safeguards being in place.
Option a is incorrect because minimum necessary limits intentional information sharing for work purposes, not addresses unavoidable overhearing during normal operations.
Option c is incorrect because workforce training educates about privacy but doesn't specifically address unavoidable exposure during legitimate work activities occurring.
Option d is incorrect because physical safeguards protect facilities and systems, not prevent all incidental exposure during normal healthcare delivery operations.

Correct Answer: FDA

The FDA oversees clinical trials and requires detailed documentation of adverse events to ensure drug and device safety evaluation.
Option a is incorrect because The Joint Commission accredits healthcare facilities, not oversees clinical research trial documentation and reporting requirements specifically.
Option c is incorrect because CMS manages Medicare and Medicaid programs, not regulates clinical trial documentation requirements for research studies conducted.
Option d is incorrect because CDC focuses on disease surveillance and public health, not clinical trial regulatory oversight and documentation requirements.

Correct Answer: Create addendum

Creating an addendum documents the error and correction while maintaining the audit trail, ensuring legal and clinical integrity of records.
Option a is incorrect because deleting entries destroys the audit trail and violates legal requirements for maintaining complete medical record documentation.
Option c is incorrect because overriding data obscures the original error, preventing proper audit trails and potentially hiding important information patterns.
Option d is incorrect because hiding mistakes violates documentation integrity principles and could lead to patient safety issues if errors aren't visible.

Correct Answer: Universal protocol

Universal protocol includes timeout procedures to prevent wrong patient, wrong site, and wrong procedure errors through systematic verification processes.
Option b is incorrect because clinical pathways guide treatment sequences for conditions, not specifically prevent surgical errors through identity verification timeouts.
Option c is incorrect because care bundles group evidence-based interventions, not specifically address surgical safety through timeout verification procedures before operations.
Option d is incorrect because quality measures track performance metrics, not represent the specific safety protocol of surgical timeout procedures themselves.

Correct Answer: Patient rights

Patient rights regulations require comprehensive restraint documentation to protect individuals from unnecessary restrictions and ensure appropriate usage monitoring continuously.
Option a is incorrect because quality improvement uses documentation for analysis, but patient rights protection drives the regulatory requirement for detailed documentation.
Option c is incorrect because staff protection involves employee safety measures, not the patient rights focus of restraint documentation requirements specifically mandated.
Option d is incorrect because billing compliance ensures proper reimbursement, not the patient rights protection that mandates detailed restraint documentation requirements comprehensively.

Correct Answer: Standardized training

Standardized training ensures all departments receive identical instruction and interpretation, eliminating variations in how documentation requirements are understood and applied.
Option a is incorrect because department autonomy allows different interpretations to continue, perpetuating inconsistent implementation of documentation requirements across the organization.
Option c is incorrect because flexible interpretation encourages variations rather than the consistency needed for proper documentation requirement implementation organization-wide effectively.
Option d is incorrect because gradual adoption affects timing but doesn't address the interpretation variations causing inconsistent implementation across different departments.

Correct Answer: Coverage denials

Coverage denials occur when services are provided without verifying insurance, resulting in rejected claims for non-covered or unauthorized services.
Option a is incorrect because coding errors involve incorrect code selection, not problems from failing to verify insurance coverage before service delivery.
Option c is incorrect because payment delays may result from denials, but coverage verification failures specifically cause denials, not just payment delays.
Option d is incorrect because documentation gaps involve missing clinical information, not the insurance verification timing issues causing coverage denial problems.

Correct Answer: Paper forms

Paper forms provide reliable documentation capability during power failures when electronic systems are completely unavailable for patient care documentation.
Option a is incorrect because cloud storage requires internet connectivity and powered devices, both potentially unavailable during facility power outages affecting operations.
Option c is incorrect because mobile devices require charging and may lack necessary applications or connectivity during facility-wide power failure emergencies.
Option d is incorrect because portable drives require powered computers to access, making them unusable during complete power outage situations affecting facilities.

Correct Answer: Real-time eligibility

Real-time eligibility verification confirms current coverage status immediately, preventing billing problems from outdated or invalid insurance information before services.
Option b is incorrect because batch verification processes multiple patients later, not providing immediate confirmation needed at the point of service.
Option c is incorrect because manual review is time-consuming and may still miss coverage changes without real-time payer system verification access.
Option d is incorrect because retrospective audits identify problems after they occur, not prevent issues through real-time coverage verification upfront initially.

Correct Answer: User profiles

User profiles allow voice recognition systems to learn individual speech patterns and terminology preferences, improving accuracy for each specific user.
Option b is incorrect because standard dictation templates don't address individual accent variations or specialized terminology usage patterns affecting recognition accuracy significantly.
Option c is incorrect because manual typing defeats the efficiency purpose of voice recognition, not solves the technology's accuracy challenges with implementation.
Option d is incorrect because outsourced transcription adds costs and delays rather than improving the voice recognition technology accuracy issues directly addressed.

Correct Answer: Authorization scope

Authorization scope determines what information family members can access, requiring proper setup to include care plan visibility in portal permissions.
Option a is incorrect because system compatibility affects device functionality, not the authorization settings determining what information is accessible to families specifically.
Option c is incorrect because technical literacy affects usage ability, but authorization scope determines what information is actually available for viewing initially.
Option d is incorrect because password complexity affects login security, not the scope of information authorized for family member viewing through portals.

Correct Answer: Results dashboard

Results dashboards consolidate laboratory data in one easily accessible location, eliminating time-consuming searches through multiple system screens for information.
Option a is incorrect because training sessions teach existing processes but don't change the inefficient system design requiring extensive searching for results.
Option c is incorrect because search tutorials explain current methods without addressing the underlying system design causing inefficient result retrieval workflows.
Option d is incorrect because vendor support provides technical assistance but doesn't redesign the system interface for more efficient result access patterns.

Correct Answer: Code final diagnosis

The final diagnosis of anxiety should be coded as the principal diagnosis once established, not the symptom that brought the patient in.
Option a is incorrect because symptoms are not coded when a definitive diagnosis is established that explains the presenting symptoms completely and accurately.
Option c is incorrect because coding both would be redundant when the final diagnosis fully explains the admission symptoms experienced by the patient.
Option d is incorrect because the established diagnosis must be coded for accurate documentation and appropriate reimbursement for services provided during admission.

Correct Answer: Audit trail gaps

Audit trail gaps occur when shared logins prevent identifying which specific individual performed actions, compromising accountability and security monitoring capabilities.
Option b is incorrect because system overload involves performance issues from excessive usage, not security problems from sharing authentication credentials among staff.
Option c is incorrect because software conflicts involve program incompatibilities, not the security and accountability issues created by sharing login credentials.
Option d is incorrect because network congestion affects data transmission speeds, not the audit trail problems caused by multiple users sharing logins.

Correct Answer: Contact consent

Contact consent must be obtained before making automated calls to patients, ensuring compliance with communication regulations and patient preferences appropriately.
Option a is incorrect because language preference affects message content but doesn't address the legal requirement for consent to automated calling systems.
Option c is incorrect because time preference determines when to call but doesn't address the fundamental requirement for consent to automated contact.
Option d is incorrect because method preference is part of consent but the core requirement is obtaining permission for automated contact systems initially.

Correct Answer: Prohibited abbreviations

Prohibited abbreviation lists identify ambiguous abbreviations that cannot be used, eliminating interpretation errors and improving documentation clarity throughout the organization.
Option a is incorrect because longer notes don't necessarily eliminate ambiguous abbreviations, potentially just adding more unclear documentation to medical records overall.
Option c is incorrect because double documentation creates redundancy without addressing the root problem of ambiguous abbreviations in medical record documentation.
Option d is incorrect because verbal clarification isn't practical for permanent medical records that multiple providers access at different times subsequently.

Correct Answer: Workaround development

Workaround development occurs when staff bypass failing technology to complete tasks, potentially compromising the safety benefits intended by scanning systems.
Option a is incorrect because technology failures decrease efficiency, forcing staff to find alternative methods rather than improving workflow speed effectively.
Option b is incorrect because system failures lead to manual processes that may reduce accuracy compared to properly functioning barcode scanning verification.
Option d is incorrect because workarounds to bypass failing systems typically reduce compliance with intended safety protocols and documentation requirements established.

Correct Answer: Coverage coordination

Coverage coordination manages insurance changes and ensures claims are submitted to correct payers with appropriate coverage information for reimbursement processing.
Option a is incorrect because charge capture records services provided, not manages insurance coverage changes affecting where claims should be submitted subsequently.
Option c is incorrect because claim scrubbing checks for errors before submission but doesn't manage the insurance coverage change process itself specifically.
Option d is incorrect because payment posting records received payments after claims are processed, not manages coverage changes before claim submission occurs.