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HIT CH.7
CH.7
Question | Answer |
---|---|
admission/ discharge/ transfer (ADT) system | used to input patient registration information, which results in creation of an automated master patient index database that allows for the storage and retrieval of the information |
admission register | usually maintained by the admissions office and it is organized by admission date; contents include patients name, patient number, admitting physician, admission date, admission diagnosis and room number |
arithmetic mean | mathematical average |
aggregate data | category of health care data based on performance and utilization and resource management |
automated case abstracting systems | allow health care facilities to calculate PPS reimbursement, create and maintain patient abstracts within the software system, generate case abstract statistics, generate reports |
automated MPI | resides on a computer and consists of a database of identification data about patients who have received health care services from a facility |
average daily census | average number of inpatients treated during a given period |
average length of stay | total LOS divided by the number of patients discharged |
bar graph | displays data along an x-axis and y-axis |
batched | predetermined groups; in health care, batched abstracting forms are submitted for data entry and report generation |
case abstracting | an automated or manual process performed and reports cancer statistics to government and health care agencies |
case mix analysis | study of types of patients treated by the facility |
case report forms | submitted by health care facilities and providers to report data to sponsoring agencies, facilities, and organizations |
comparative data | category of health care data used for health service outcomes measurement and research |
computer interface | exchange of data among multiple software products |
continuous quality improvement (CQI) | emphasizes the organization and systems; focus on process rather than individuals; promotes the need for objective data to analyze and improve processes |
daily census count | number of inpatients present at census taking time |
daily inpatient census | official count of inpatients present at midnight and is calculated each day |
data accessibilty | involves the ease with which data can be obtained |
data accuracy | data that is error free an correct |
data application | purpose for which data is collected |
data collection | process by which data elements are accumulated |
data comprehensiveness | all required data elements are present in the patient record |
data consistency | ensures reliability of data regardless of the way in which data are stored, displayed, or processed |
data currency | data must be collected and available to the user within a reasonable amount of time; data must be up to date |
data definition | data elements should have defined meanings and values so all present and future users understand that data |
data dictionary | a collection of data element definitions |
data granularity | each attribute and value of data is defined at the correct level of detail |
data integrity | data has integrity if it is accurate, complete, consistent, up to date and is the same no matter where that data is recorded |
data mining | technique that uses software to search for patterns and trends and to produce data content relationships |
data precision | yields accurate data collection by defining expected data values |
data relevancy | data that is valuable for the performance of a process or activity |
data set | establishing of a standard method for collecting and reporting individual data elements so data can be easily compared |
data reliability | data is reliable if it is consistent throughout all systems in which it is stored, processed, and retrieved |
data timeliness | data must be collected and available to the user within a reasonable amount of time; data must be up to date |
data validity | data is valid if it conforms to an expected range of values |
data warehousing | processes and systems used to archive data and data journals |
death register | usually maintained by the health information department; organized according to date of death; include patient name, patient number, attending physician, admission date, date of death, service |
descriptive statistics | summarize a set of data using charts, graphs, and tables |
discharge data statistics | measure health status and outcomes, health care, utilization and access to health care |
discharge register | usually maintained by the health information department, and is organized according to discharge date |
disease index | organized according to ICD-9-CM disease codes |
index | serves as a reference to an alphabetized association (IPA) |
length of stay (LOS) data | represents the number of calender days that a patient was a inpatient |
line diagram | displays data over a period of time |
magnetic stripe card | contains an electromagnetic surface capable of holding a small amount of information |
manual case abstracting systems | require health information department staff to enter patient data on a case abstract from and submit batched forms to a vendor for data entry and report generation |
manual mater patient index | requires typing or hand posting of patient identification information on pre-printed index cards |
master patient index (MPI) | links a patients medical record number with common identification data elements |
master person index (MPI) | links a patients medical record number with common identification data elements |
national center for health statistics (NCHS) | federal agency responsible for maintaining official vital statistics |
online analytical processing (OLAP) servers | store data in multiple dimensions and facilitate trend analysis and forecasting allowing health care organizations to make informed poractive decisions |
patient-centric data | category of health care data directly related to patients |
physician index | organized according to numbers assigned by the facility to physicians who treat inpatients and outpatients |
pie chart | displays component parts of data as it relates to the whole |
procedure index | organized according to ICD-9-CM and CPT/HCPCS procedure / service codes |
register | a record of admissions, discharges, births, deaths, operations and other events |
registry | organized system for the collection, storage, retrieval, analysis and dissemination of information on individuals who have either a particular disease |
relational database | contains a limited two dimensional structure that does not allow for complete trend analysis |
run chart | displays data over a period of time |
total length of stay | calculated for all discharged patients for a given time period |
transformed-based data | category of health care data used for clinical and management decision support and planning |
vital statistics | compiled for events, including births, deaths, marriages, divorces |