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Healthcare Statistic
HIT Statistics
| Question | Answer |
|---|---|
| Birth certificate-Hospital | enters info, gets dr. signature; files with local registrar within 5 days |
| Birth certificate-Physician | Supplies med info and signs within 72 hrs. |
| Birth Certificate-Local Registrar | Checks for accuracy, affixes identfication, gives it a local file number, retains a copy, sends original to state registrar |
| Birth Certificate-State Registrar and Center for Health Statistics | Checks for missing info, numbers the record, microfilms and codes, incorporate into state vital statistics records system |
| Death Certificate-Certifying Physician | Completes and signs within 48 hrs after death,gives certificate to funeral director |
| Death Certificate-Hospital Authorities | May initiate cert., enters full name, sex, date and place of death; makes sure drs. signature is present; gives partially completed certificate to funeral director |
| Death Certificate-Funeral Director | Completes death certificate; files with local registrar of district in which death occurred and obtains burial-transit permit |
| Death Certificate-Local Registrar | Checks for accuracy; affixes his/her identification to the record; records date; gives it a local file number; retains a copy; sends original to state registrar by the fourth of following month |
| Death Certificate-State Registrar and Center for Health Statistics | Checks for inaccuracy; numbers the record; microfilms and codes; incorporate into the vital records system |
| Fetal Death Report-Hospital and Physician | Prepares report; sends to state registrar within 5 days of delivery |
| Fetal Death Report-Office of the State Registrar and Center for Health Statistics | Reviews; numbers it; not incorporated into vital records sytem |
| Burial Transit Permit for Adult | Presents evidence to local registrar; issues permit to his/her self if office is closed during 72 hrs. following death; mailed to local registrar |
| Burial Transit Permit-Local Registrar | Issues permit upon evidence that death occured in their district |
| Burial Transit Permit for Disposition of a Dead Fetus-Hospital, Funeral Director, or facility accepting the fetus | complete permit prior to final disposition; parent signature required; retains permit for 7 years; permit is not filed with local or state registrar |
| What are pie charts used for? | Displaying percentage distributions |
| Where does the biggest section of the pie go? | Upper right hand quadrant |
| What is discrete data? | numbers are whole |
| What is continuous data? | numbers can be decimals |
| What kind of numbers are discrete? | nominal and ordinal |
| What numbers are continuous? | Interval and ratio |
| Nominal measurements | no relationship between values |
| Ordinal measurements | show order of a relationship but does not give the exact size difference |
| Interval measures | indicate size of difference between values |
| Ratio measures | same as interval but has an exact zero |
| What numbers are used for bar graphs? | Nominal and ordinal |
| What numbers are used for line graphs? | Interval and Ratio |
| Does the independent variable ever change? | No |
| Does the dependent variable ever change? | Yes |
| Where does the x-axis go? | On the horizontal |
| Where does the y-axis go? | On the vertical |
| What do you include on the graph? | Title,caption for x and y axis, time period of data, total number of observations, keys or legends |
| What do you use Histograms for? | Interval data that is discrete or continuous variables which have been grouped |
| Do pie charts have to equal an amount? | Yes, 100% |
| What do line graphs show? | Patterns over time |
| With line graphs, what do the variables on each axis have to be? | Continuous |
| AJCC | American Joint Committee On Cancer |
| Accession Number | # given to each patient entered into a cancer registry data base |
| Analytic | Cancer cases initially diagnosed and treated at a facility |
| Nonanalytic | Cancer cases diagnosed at another facility and are not included in registry of current facility |
| Cancer Committee | Group that directs cancer services in a facility |
| Cancer Conference | Tumor board; discuss dx and treatment of cancer patients |
| COC | Commission on Cancer |
| What is the COC? | division of the ASC, oversees cancer control |
| What is the target rate for follow-up cases? | at least 90% |
| Within what time period do registries have to perform follow-ups? | within 15 months |
| What is used to code cancer? | ICD -O-2, 3 |
| What is ICD -O - 2 based on? | ICD - 10 - CM |
| Morphology? | Describes type of tumor |
| Staging? | Conveys the extent of cancer |
| SEER | Surveillance, Epidemiology, and End Results Program |
| TNM | type of staging classification: tumor, lymph node involvement, and metastisis |
| What are cancer Registries used for? | To care for cancer patients, improve the dx and treatment of cancer |
| National Cancer Act of 1971 | mandated the collection, analysis, and treatment of cancer |
| Who do Hospital-Based Cancer Registries get approved from? | ACS |
| What did the ASC set the stanard for? | Medical Records |
| Who is the forerunner of JCAHO? | ACS |
| Patient Index of database development | name,sex, ACCESSION NUMBER |
| Cancer casefinding | develop procedures to id every reportable case of cancer |
| Multiple sources of casefinding? | HIM - disease index or flag, pathology reports |
| How does HIM know to flag certain cases? | Dx code |
| Accession register | Annual listing of all cancer cases entered into database; when entered is given number |
| What else does the accession register help with? | determines workload |
| When must abstracting be done? | within 6 months from date of initial discharge |
| Topograhy | anatomical site |
| How long are patients followed up when in a registry? | entire life |
| How often does a facility have to follow-up cancer patients? | annually |
| Methods of follow - up? | letters to physician, patient, families |
| What is grading? | looks at tumor; grades as to differentiation |
| Is it good to have a poorly differentiated tumor? | no |
| Show successful do follow-up have to be? | 90% |
| What is the Cancer Committee responsible for? | overviews the medical review of registry |
| ACS recommends random reviews of accessioned cases. What kind? | A smattering of all |
| When does the annual report of the cancer registry have to be done? | November 1 of following year |
| What needs to be included in the annual report? | in-depth report on at least one major site, with survival analysis |
| Can Cancer Committees hire/fire? | No |
| What credential can a HIM person get for cancer registries | CTR - Certified Tumor Registrar |
| Who sets the standards for cancer registries? | COC |
| Who oversees Trauma Registries? | ASC |
| AIS | Abbreviated Injury Scale |
| What does the AIS do? | gives a # assignment for nature of injury |
| Injury Severity Score | overall measurement score for the 3 most severe injuries of patient |
| Laterality | what side or both sides |
| Confirmation of cancer? | histology, cytology, radiology |
Created by:
mjb
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