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HIT 114 Ch 8

Indexes, registers,& Health Data Collection

Index serves as a reference to an alphabetized list of names
Register to record admissions, births, discharges, deaths, operations, and other events; organized in chronological order
Registry an organized system for the collection, storage, retrieval, analysis, and dissemination of information on individuals who have either a particular disease, a condition that predisposes them to the occurrence of a health related event
Master patient index/Master person index (MPI) links a patient's medical record number with common identification data elements; the key to locating patient records
Automated MPI resides on a computer and consists of a database of identification data about patients who have received care from a facility
Admission/Discharge/Transfer (ADT) system used to input patient registration information which results in the creation of an automated MPI database that allows for the storage and retrieval of the information
Manual master patient index requires the typing or hand posting of patient identification information on preprinted index cards, and limited information can be retrieved
Computer Interface the exchange of data among multiple software products
Magnetic Strip card similar to a credit card contains electromagnetic surface capable of holding small amounts of information
Disease index organized according to ICD-9-CM disease codes
Procedure index is organized according to ICD-9-Cm and/or CPT/HCPCS procedure/service codes
Physician index organized according to numbers assigned by the facility to physicians who treat inpatients and outpatients
Case report forms submitted by health care facilities and providers to report data to sponsoring agencies, facilities, and organizations
Register a collection of information; used to verify information
Registry used to collect and sort data and perform statistical analysis and study
Admission register organized by admission date, maintained by admission office, includes patient name/number, admitting physician, admission diagnosis, and room number
Discharge register maintained by health info. dept. organized by discharge date, includes patient name/number, attending physician, admission date, disposition, and service
Death register maintained by health info. dept. organized according to date of death, includes patient name/number, attending physician, admission date, and service
Vital statistics compiled for births, deaths, fetal deaths, marriages, and divorces
National Center for Health Statistics (NCHS) a federal agency responsible for maintaining official vital statistics
Case abstracting an automated or manual process performed by health info. dept. staff to collect patient information to determine prospective payment systems (PPS) status, generate indexes, and to report data to quality improvement organizations and state&federal agencies
Case mix analysis study of types of patients treated by the facility
Data set standard method for collecting and reporting individual data elements (so data can be easily compared)
Data dictionary collection of data element definitions
Medical Information Bureau(MIB) a clearinghouse of medical and avocation information about people who apply for insurance
National Practitioner Data Bank (NPDB) contains information about practitioners who engage in unprofessional behavior, and its purpose is to restrict the ability of incompetent health care practitioners to move to another state w/o disclosure of previous malpractice
Descriptive statistics summarize a set of data using charts, graphs, and tables
Aggregate data based on performance, utilization, and resource management
Comparative data used for health services outcomes measurement and research
Patient-centric data directly related to patients
Transformed-based data used for clinical and management decisions, support, and planning
Bar graph displays data along an X-axis and a Y-axis
Pie chart displays component parts of data as it relates to the whole thing
Line diagram (Run chart) displays data over a period of time
Data integrity is accurate, complete, consistent, up-to-date, and is the same no matter where the data is recorded
Data reliability is consistent thru out all systems in which it is stored, processed, and/or retrieved
Data validity is valid id it conforms to an expected range of values
Data application purpose for which the data are collected
Data collection processes by which data elements are accumulated
Data warehousing processes and systems used to archive data and data journals
Data analysis process of translating data into information utilized for an application
Continuous quality improvement (CQI) emphasizes the organization and systems; focuses on process rather than individual; promotes the need for objective data to analyze and improve processes
Data accessibility ease with which data can be obtained
Data accuracy error free and correct
Data comprehensiveness presence of all required data elements in the patient record
Data consistency reliability of data regardless of the way in which the data is stored, displayed, or processed
Data definition defined meanings and values of all elements so all present and future users understand the data
Data granularity definition of each attribute and value of data at the correct level of detail
Data precision accurate data collection by defining expected data values
Data relevancy compilation of data that is valuable for the performance of a process or activity
Data timelines (data currency) collection of up-to-date and availability to the user within a reasonable amount of time
Data mining uses software to search for patterns and trends and to produce data content relationships
Relational databases limited two-dimensional structure that does not allow for complete trend analysis
Online analytical processing (OLAP) servers store data in multiple dimensions and facilitate trend analysis and forecasting, allowing health care organizations to make informed, proactive decisions
Daily census count number of inpatients present at census taking time (usually midnight)
Daily inpatient census official count of inpatients present at midnight, which is calculated each day
Average daily census average number of inpatients treated during a given time period (average also known as an arithmetic mean)
Length of stay (LOS)data represents the number of calendar days that a patient was an inpatient
Total length of stay for all discharged patients is calculated for a given time period
Average length of stay divide the total LOS by the number of patients discharged
Discharge data statistics calculated to measure health status and outcomes, health care utilization, and access to health care
Created by: jc2388