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RHIT Exam

Statistics

Question	Answer
Daily Inpatient Census	Total number of patients treated during a 24 hour period.
Inpatient Service Day	Services received by one inpatient in 24 hour period.
Total Inpatient Service Days	Sum of all inpatient service days for each of the days in the period.
FORMULA: Average Daily Census	Total inpatient service days (excluding newborns)/ Total number of days in the period.
Length of Stay	Number of calendar days from admission to discharge.
Total length of stay	Sum of the days stay of any group of inpatients discharged during specific period of time.
FORMULA: Average LOS	Total length of stay (discharge days) / Total number of discharges.
Inpatient bed count	Number of available hospital beds, both occupied and vacant, on any given day.
Inpatient Bed count day	Counts the presence of one ipatient bed (occupied or vacant)that is set up and staffed for use in one 24 hour period.
Total inpatient bed count day.	Sum of inpatient bed count days for each of the days in a period.
FORMULA: Percentage of occupancy	Total number of inpatient service days for a period (x 100) / total inpatient bed count days (x) number of days in the period.
FORMULA: Direct bed turnover rate	total number of discharges for a period / average bed count for the same period.
FORMULA: indirect formula bed turnover rate	Percentage of occupancy (x) days in the period (x 100) / average length of stay. Note: Used when the bed count changes during the period in question.
FORMULA: Anesthesia death rate	Total number of deaths caused by an anesthetic agent (x 100) / total number of anesthetics administered.
FORMULA: Fetal Death Rate (Still birth)	Total number of intermediate and lat fetal deaths (x 100) / total number of births (and) intermediate and late fetal deaths.
FORMULA: Gross hospital death rate	Total number of inpatient deaths (including newborns) (x 100) / total number of discharges (including deaths & newborns)
FORMULA: Net Hospital Death Rate	Number of inpatient deaths (including NB) minus deaths < 48 hours of admission (x 100) / total discharges (including deaths & newborns) minus deaths < 48 hours
FORMULA: Maternal Death Rate	Total number of maternal deaths for a period (x 100) total number of obstetrical discharges.
FORMULA: Neonatal Death Rate (infant mortality rate)	Total number of newborn deaths for a period (x 100) / total number of newborn discharges.
FORMULA: Post - operative death rate	number of deaths within 10 days of surgery (x 100) / total number of patients operated on.
FORMULA: Newborn Autopsy	Number of autopsies on NB deaths (x 100) / Total number of NB deaths.
FORMULA: Fetal autopsy rate	Number of autopsies on intermediate & late fetal deaths (x 100) / total number of intermediate and late fetal deaths.
FORMULA: Gross Autopsy Rate	Total inpatient autopsies for a period (x 100) / total inpatient deaths for the period.
FORMULA: Net autopsy rate	Total inpatient autopsies for a period (x 100) / total inpatient deaths (minus) unautopsied coroner's or medical examiner's cases for the period.
FORMULA: Hospital Autopsy rate (adjusted)	Total hospital autopsies (x 100) /Number of deaths of hospital patients whose bodies are available for hospital autopsy.
FORMULA: Total Hospital (morbidity) infection rate	Total number of hospital infection (x 100)/ total number of discharges.
FORMULA: Nosocomial infection rate	Number of hospital acquired infections ( x 100) / total number of discharges (including deaths)
FORMULA: Community acquired infection rate	Number of community-acquired infections (x 100) / total number of discharges.
FORMULA: Post-operative infection rate	Number of post-operative infections for a period (within 10 days postop) (x 100) / total number of operations performed.
FORMULA: Cesarean section rate	Total number of Cesarean sections performed in a period (x 100) / total number of deliveries in a period.
FORMULA: Consultation rate	total number of consultations for a period (x 100) / total number of discharges for the period.
FORMULA: Delinquent medical record rate	total number of delinquent records (x 100) / average number of discharges during a completion period.
FORMULA: Incomplete medical record rate	Total number of incomplete records (x 100) / total number of discharges during the completion period.
FORMULA: Percentage of medicare patients	Total number of Medicare discharges (x 100) / total number of adult and children discharges.
FORMULA: Percentage of Medicare discharge days	Total number of Medicare discharge days (x 100) / total number of discharge days for adults and children.
FORMULA: Admission rate	Number of re-admissions for a period (x 100) / number of total admissions (including re-admissions).
Mean	Add all the available values and divide the sum by the total number of values.
Median	The midpoint of a series of numbers.
Mode	The number that occurs the most in a series.
Client	A person who receives professional services; a patient in a behavioral health setting, adult care.
Resident	A patient who resides in a long-term care facility.
American College of Surgeons	developed a system of hospital standardization that would improve patient care and recognize hospitals that had the highest ideals.
Hill-Burton	Provided funding for the construction of hospitals and other healthcare facilities based on state need.
1965 - Title XVIII	Social Security Act of 1935
Americal Medical Association (AMA)	Founded for the pursose of improving the quality of medical education and the ethics of practicing medicine.
American Hospital Association (AHA)	Founded for the purpose of promoting public welfare by providing improved health care in hospitals.
Flexner Report	Revealed serious problems that existed in medical education. It served as an impetus to establishing the accreditation of medical schools by the AMA.
American College of Surgeons (ACS)	Founded for the purposes of establishing standards of care and recognizing hospitals that have high ideals. Adopted the m
FORMULA: Total Hospital (morbidity) infection rate	Total number of hospital infection (x 100)/ total number of discharges.
FORMULA: Nosocomial infection rate	Number of hospital acquired infections ( x 100) / total number of discharges (including deaths)
FORMULA: Community acquired infection rate	Number of community-acquired infections (x 100) / total number of discharges.
FORMULA: Post-operative infection rate	Number of post-operative infections for a period (within 10 days postop) (x 100) / total number of operations performed.
FORMULA: Cesarean section rate	Total number of Cesarean sections performed in a period (x 100) / total number of deliveries in a period.
FORMULA: Consultation rate	total number of consultations for a period (x 100) / total number of discharges for the period.
FORMULA: Delinquent medical record rate	total number of delinquent records (x 100) / average number of discharges during a completion period.
FORMULA: Incomplete medical record rate	Total number of incomplete records (x 100) / total number of discharges during the completion period.
FORMULA: Percentage of medicare patients	Total number of Medicare discharges (x 100) / total number of adult and children discharges.
FORMULA: Percentage of Medicare discharge days	Total number of Medicare discharge days (x 100) / total number of discharge days for adults and children.
FORMULA: Admission rate	Number of re-admissions for a period (x 100) / number of total admissions (including re-admissions).
Mean	Add all the available values and divide the sum by the total number of values.
Median	The midpoint of a series of numbers.
Mode	The number that occurs the most in a series.
Client	A person who receives professional services; a patient in a behavioral health setting, adult care.
Resident	A patient who resides in a long-term care facility.
American College of Surgeons	developed a system of hospital standardization that would improve patient care and recognize hospitals that had the highest ideals.
Hill-Burton	Provided funding for the construction of hospitals and other healthcare facilities based on state need.
1965 - Title XVIII	Social Security Act of 1935
Americal Medical Association (AMA)	Founded for the pursose of improving the quality of medical education and the ethics of practicing medicine.
American Hospital Association (AHA)	Founded for the purpose of promoting public welfare by providing improved health care in hospitals.
Flexner Report	Revealed serious problems that existed in medical education. It served as an impetus to establishing the accreditation of medical schools by the AMA.
American College of Surgeons (ACS)	Founded for the purposes of establishing standards of care and recognizing hospitals that have high ideals. Adopted the minimum standards which identified factors that are essential to proper care.
Hill - Burton	Provided funding for the Contstruction of healthcare facilities and equipment basedon state need.
Joint Commission (TJC)	Adopted the Hospital standardization program from the ACS.
OSHA	which mandated that employers provide a safe and healthy work environment
TEFRA	Established a mechanism for controlling the cost of the Medicare program.
COBRA	Antidumping statute, established criteria for the transfer and discharge of Medicare and Medicaid patients.
Patient Self-Determination Act	Increased the public's awareness of state laws governing patient options and rights and advancement directives.
HIPAA	improving access, affordability and adequacy of health insurance, established fraud and abuse detection program for health plans.
Agency for Healthcare Reasearch and Quality (AHRQ)	Primary focus is to produce and disseminate scientific and policy-relevant information that improves the quality, reduces the cost, and enhances the effectiveness of healthcare.
Center for Disease Control and Prevention	concerned with communicable diseases, environmental health, and foreign quarantine.
National Institutes of Health	A major research center composed of numerous departments and divisions. It is a major source of funding for health-related research.
Health Care Financing Administration (HCFA)	Responsible for the Medicare program and the federal government's role in the Medicare programs.
Licensure	gives legal approval for a facility to operate or for a person to practice within his or her profession.
Accreditation	The process by which an organization or agency performs an external review and grants recognization to a program of study or institution that meets certain predetermined standards.
Joint Commission	Establishes guidelines and standards for the operation and management of health care facilties with emphasis on healthcare functions crucial to patient care.
CARF - Commission on Accreditation of Rehabilitation Facilities	Independent accrediting agency for rehabilitation facilities.
NCQA - National Committee for Quality Assurance	independent accrediting agency for Managed Care Organizations.
HEDIS	Standardized set of performance measures designed to allow purchasers and consumers to compare the performance of managed care plans.
AMA	Involved in the accrediation of medical schools, residency programs and certain allied health programs.
Ambulator care	is the comprehensive term for al ltypes of health care provided in an outpatient setting, the patient travels to and from the facility on the same day and is not hospitalized.
Short-term	less than 30 days.
Long-term	30 or more days.
Governing body	the board of trustees, board of governor or board of directors, is a group of individuals who have the ultimate legal authority and responsibility for the operation of the hospital including quality and cost of care.
CEO	Hospital administrator or President, selected by the governing board. Liaison between the governing board and the medical staff.
COO	Executive vice president who report directly to the CEO.
CIO	primary responsibility for information resources management in the organization.
CFO	Chief Financial Officer.
Medical Staff	Staff of licensed physicians. Governed by its own bylaws which must be approved by the governing board. The primary responsibility of the medical staff is the quality of the professional services provided by the members with clinical privileges.
Retrospective payment system	payment method in which the cost to provide the healthcare is figured after the healthcare was provided and based on the provider's statement of cost.
Fee-for-service	payment method in which the cost is based on the provider's estimate of the cost for services rendered.
TEFRA	set a limit on reimbursement for Medicare and required the development of a prospective payment system for Medicare reimbursement.
Prospective payment system	payment method in which the amount of payment is fixed in advance of services rendered; the rate is established annually by HCFA.
RBRVS	Reimbursement for physician services.
Title XIX	Medicaid
Title XVIII	Medicare
Medicare, part A	helps to pay for inpatient hospital care, inpatient care in nursing facility, home health care, hospice.
Medicare, part B	Voluntary insurance designed to supplement the cost of inpatient and outpatient care that is not covered under part A.
Fiscal intermediary	an organization that has contracted to manage the processing of claims and payments to the providers for Medicare Part A.
Managed Care	a health care system that is designed to minimize unnecessary utilization of services and contain costs while ensuring that a high quality of care is maintained.
Medicare reimbursement	Terms are set by each state.
Case management	an aspect of health care that refers to all activities including assessment, treatment planning, referral, and follow-up.
Prospective review	review of healthcare services PRIOR TO to the provision of those services.
Concurrent review	monitoring a patient's length of stay from the time of admission to discharge.
Retrospective review	Review of the utilization of health care services AFTER the services were provided.
EXAMPLE: Gross Death Rate	Anywhere Health Care Facility shows 752 discharges (including deaths) for October 1995. 12 deaths were also shown: 12(x100)/ 752 = 1.60%
EXAMPLE: Net Death Rate	Inpatients deaths at Anywhere Hospital for 1995 totaled 50. Less than 48 hours totaled 15. Total discharges (including deaths) 15,546. (50-15)(x100) / 15,546-15) = 0.23
FORMULA: Gross death Rate	total # of deaths (x 100) / # of Discharges (incl. deaths)
FORMULA: Net death rate	Total Inpatient deaths - (deaths <48 hour) / total discharges (inc. deaths) - (deaths < 48 hours)
FORMULA: Anesthesia Death rate	Total # of anesthesia deaths in a period (x 100) / # of anesthestics administered
FORMULA: Post operative death rate	Total deaths (w/i 10 days of surgery) (x 100) / Total # of patients receiving surgery.
FORMULA: Maternal death rate	Total number of obstetric deaths (x 100) / total # of discharges of obstetric patients (incl deaths)
FORMULA: Sandy Beach Hospital reports 1652 discharges for September. The infection control reports 21 nosocomial infections and 27 community acquired infection. What is the community acquired infection rate?	Formula; 27 x 100/ 1652
Physicians are expected to see six patients per hour on average. The physicians with the highest productivity are exempt from on-call. Which physician will get the weekend off this week?	Saw 185 patients during 32 hour week: 185/32Saw 161 patients during 30 hour week: 161/30Saw 200 patients during 35 hour week: 200/35Saw 157 patients during 26 hour week: 157/26Answer: 157/26
If there are 150,000 medical records and the Health Information Dept. receives 3545 requests for records, what percentage are requested weekly.	Formula: 3545 x 100/ 150,000.
What type of data is this:	01, none, 02, little to none, 03, Moderate, 04, Heavy, 05 Severe. This is ordinal,
You have collected the following information. You want to stay within the reimbursement rate by your company. You must not spend more than $10.00.	Bon appetite ($8.00 with 0.75 standard deviation. Example: Standard deviation x 2 = $1.50) $8.00 - 1.50 = $6.50/ $8.00 + 1.50 = $9.50
Organizations collect statistics to increase their knowledge of a specified population. The knowledge doesn't come automatically. It is developed in the following sequence:	data -> information -> facts -> knowledge
Interrater reliability:	Bayside coders recode records from the previous week in an effort to improve and monitor coding consistency.
Which coder has the best overall accuracy?	Coder A: (28), 22 (x100)/(28),20(x100)/(28)Coder B: (18) 16 (x100)/28;16 (x100)/ 28Coder C: (45) 42 (x100)/45; 43 (x100/45 Coder D: (17) 15 (x100/ 17 ; 16 (x100)/ 17;Answer: C
Phyllis saw Dr. Holland at an office visit. Jean called Dr. Holland with a question. He returned the call. Howard was seen by Dr. Holland in ER. The prescription was authorized by Dr. Horton for Jackson. Which of these is an encounter?	Phyllis and Howard had patient encounters.
Male - 1Female - 2what type of data is this?	Nominal data
Measure of central tendency:	Mean, Median, Mode.
Mean	Most common measure because it can be used for variances and standard deviations. Add up all the values and divide by the total number of items.
Mean	6+4+2+5+20+25+18+4 = 84 84 / 8 = 10.5 days
Median	1, 8, 6, 4, 2, 5, 9 rearrange in order: 1,2,4,5,6,8,9
Median (with even numbers)	16,4,21,100,7,1 rearrange in order: 1,4,7,16,21,100 (7+16) / 2
Mode	The value that occurs most often in the sequence: 1,2,2,7,7,6,5,2,7,3,7
UHDDS	Uniform hospital discharge data set
MDS	Long term care.
WHO	Developed ICD systems.
DEEDS	for Emergency Departments (data elements/ uniform collection)
UACDS	Uniform Ambulatory Data Set

Created by: arlindsey

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