RHIA Domain Three
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| show | is a long term,covering a period of at least three to five years and focus on the direction needed to accomplish the organization mission
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| show | is a short term, focused on one component or project rather than a strategic plan, tactical plan often do not fully address the SDLC ( System develop life cycle)result may be one where the short term project focus on one component.
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| What is the difference a strategic and tactical plan? | show 🗑
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| What is system development life cycle? | show 🗑
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| What are the elements of a system development life cycle? | show 🗑
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| What is CPOE and BCMAR? | show 🗑
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| show | Breakdown in PT identification cause record errors,failing to locate PT in MPI causing dup record,reg PT under another PT causing overlay result merging two different PTs
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| show | involves services to identity management through an indexing scheme to all unique PT identification numbers /databases,test 2 c if PT is identified in all systems,reg to send data,capability to merg records using match algorithms, linking PT EOC.
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| What is a project manager? | show 🗑
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| What is requirement analysis? | show 🗑
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| show | is the process in which the system is configured to meet a specific organization needs.Implementation follows acquisition. Implementation includes number of steps,install of hardware/software,data conversion,chart conversion,workflow/process improvement
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| show | When all requirements are determined for functionality a vendor is next,RFP is a solicitation to vendors,includes basic info about organization,how many users,timeline for implementation,RFP is set to 4/6 vendors, include information about other vendors
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| show | Evaluating responses to an REP for a major health information system acquisition generally follows several steps.
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| What is step one of RFP? | show 🗑
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| show | Once the internal review is completed,the steering committee should narrow the field of vendors where any vendors whose bids are deficient are dropped from consideration.
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| show | Remaining vendors are invited to come back to conduct a system demonstration ,this will view any gaps the organization may have or other challenges that vendors identify that may narrow or broaden their scope of response.
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| What is the fourth step of RFP? | show 🗑
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| What is the fifth step of RFP? | show 🗑
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| What is the sixth step of RFP? | show 🗑
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| What is EHR systems? | show 🗑
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| How is electronic medical record defined?EMR | show 🗑
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| What is electronic health record ? EHR | show 🗑
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| show | EHR should assist clinicians/other healthcare professional provider safer ,more efficient ,cost effective care by providing info and decision support to end users,example,improve quality healthcare,enhance patient safety,revenue enhancement,confidentially
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| show | EHR applications are those used directly by clinicians at the point of care, There are five major categories of applications, these applications are results management,POC documentation,medication management,clinical decision support and reporting.
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| show | are applications that enable diagnostic studies to be processed according to the needs of the users. Clinicians can review lab result.LOINC-data standard for laboratory data used codes placed into clinical data.results management enables lab results
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| show | POC documentation applications guide user through the necessary data to collect in the context of specific patient,templates are reacted to the nature of the data being entered,Hospitals use POC charting such as nursing documentation,care plans,vitals
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| show | applications that support the closed loop medication management process,where patient safety is ensure through proper drug ordering,dispensing,administering/monitoring reactions through POC documentation.
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| show | special type of CPOE application used to write prescriptions/ transmit them to retail pharmacies, the national council for prescription drug programs (NCPDP) SCRIPT standard is sent through pharmacy information exchange, E-RX system includes med alerts.
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| What is electronic medication administration record, EMAR? | show 🗑
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| show | machines available for secure and make drugs specific to patient orders readily available to nursing staff., machines are filled by pharmacy based on physician orders.
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| What is systematic oval? | show 🗑
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| What is random oval? | show 🗑
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| How important is a experience user when displaying visual data? | show 🗑
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| What is information over load? and why is it important not to present information overload? | show 🗑
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| What is a histogram? | show 🗑
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| What is a normal and positive right distributions in a histogram? | show 🗑
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| show | Negatively distributions have the highest point to the right side of the graph and a left leading tail,it referred to as a left skewed or negatively skewed.
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| show | A bimodal distribution in a histogram occurs when there is more than one peak in the data.
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| show | Two main purposes,1) plotting the frequency for one or more groups where height of each bar represents count/frequency 2)plotting the mean for one or more groups where the height of each bar represents average,can be vertical/horizontally.
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| What is a dot plot? | show 🗑
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| show | use to present the count or proportion of subgroups to the whole,represent the subgroups of a single factor,each proportion
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| show | main purposes,1) present trends/patterns in the number of occurrences between groups 2)presents trends/patterns in the mean of a variable between groups,change of variable over time is compared,more than one group is compared a separate line is drawn.
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| show | Displays the descriptive statistic of a variable including the minimum,first quartile,medium,third quartile.maximum and potential outlier values
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| What is scatterplot? | show 🗑
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| show | data complexity as it visualization of healthcare data usually arises when there are multiple parameters need to be viewed simultaneously, when it is necessary to view multiple parameters on one graphic display.
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| What is dashboard? | show 🗑
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| What is graphic perception? | show 🗑
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| show | When data is presented as a position along a common scale,the info can be extracted faster with greater accuracy than other methods.by choosing graphical methods it enhance accuracy/efficiency of interpreting data.
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| What are the various types of charts that can be used to present data across the graphical techniques? | show 🗑
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| show | 1)Position along a common scale 2)Position along nonaligned scales 3)Length,direction,angle 4)Area 5)Volume,curvature 6)shading,color saturation.
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| What's the difference between charts and tables? | show 🗑
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| What's the difference between charts and tables? continue | show 🗑
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| What is spatial representations? | show 🗑
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| show | require analytical processes where infor is extracted from specific data values.Precise numeric values are more easily discerned when reading a table,holistic interpretation discrete data points may be determined.accurate values/tublar presentation
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| show | Both table and chart
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| show | Context of the situation, experience of the user, type of chart, complexity of the data.
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| What is latency, accuracy, compactness and user preference? | show 🗑
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| show | certain situations where it may be necessary to present data using numerical values and other situations where a graphical display is ideal. whether numbers,charts,both are best presenting quantitative data.highly dependent on the type /complexity task
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| show | the process of extracting and analyzing large volumes of data from a data base for the purpose of identifying hidden patterns. Used for secondary analysis to find trends,data use for purpose not primary reason collections.
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| show | form of mining applies statistic techniques to determine history likelihood of certain events occurring together. Statistical methods are applied to historical data to learn the pattern of data these patterns create models of most likely to occur.
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| What is logistical regression? | show 🗑
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| What is cluster analysis? and how is it used? | show 🗑
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| show | Series of screens or yes or no questions to determine the probability that a claim is valid.
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| show | Source that contains information about a patient documented by staff who provide care / services to PT. Patient records tends to be most commonly use source statistical info, Its the first place data was recorded.
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| show | Created using the information from primary data source. Examples of secondary data sources are indices, registries and reports created within the healthcare organization to manage data and decision making.
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| What is descriptive statistics? | show 🗑
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| show | is used to test hypothesis and draw conclusion to the population, the conclusions are used to infer the conclusions about the sample are reflective of the whole population from which the sample was taken.
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| What is length of stay? and how is it calculated? LOS/ALOS | show 🗑
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| What is case-mix index (CMI) and why is it important and how is it calculated? | show 🗑
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| show | CMI gives a picture of the severity of illness typical at each hospital.This information is important because the complexity of the hospital's PT reflects on cost of treating those PTs. If CMI is greater than 1.00 adj cost per PT will be lower,
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| What is case-mix index (CMI) and why is it important and how is it calculated? continue example 2 | show 🗑
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| What is DRG and why is it used for hospital reimbursement? | show 🗑
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| How is DRG used for hospital reimbursement? and how is it calculated with CMI? | show 🗑
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| What's the appropriate way to use descriptive statistic? | show 🗑
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| What is the appropriate way to used inferential statistics? | show 🗑
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| What is sample? | show 🗑
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| What are the two types of sampling and what do they do? | show 🗑
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| show | 4,Simple sample is units from a population so that every unit has the exactly same change of being included in the sample.Stratified sampling is population that divide them sucha s male/female therefore sample should be 50%.
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| How many types of random sampling? continue 1 | show 🗑
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| show | Nonrandom sampling does not use statistical methods of probability to select samples and all members of the population do not have to be equal and independent chance of being selected for the research study.
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| How many types of nonrandom sampling and what do they do? | show 🗑
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| show | Snow ball sampling intial contacts units suggest additional contacts who also could be informative.
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| show | data that is comprise of values that can be stored as either numbers or finite number of categories healthcare data such as height,weight,age,gender and MSDRG.
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| What is unstructured data and examples? | show 🗑
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| show | broken down in levels of measurement, discrete and nominal data,discrete data take on values that cannot be added together/divided.Nominal categories represent names of items but do not have a natural order such as gender,color,ICD/CPT codes.
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| show | Nominal-categories mutually exclusive but do not have natural order example gender,dept. Ordinal-categories mutually exclusive but do have natural order example PT satisfaction scores,surveys,likert scale.
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| show | Interval-numeric data where distance between two values has meaning sucha s temperature,PH levels,dates.Rato numeric data values may be doubles or multipied such as charges,LOS or age.
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| What is rates and proportions? | show 🗑
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| What are tools are sampling and design? | show 🗑
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| show | The office of the inspector general OIG offers a statistical package called RAT-STATs can be used for both sample size determination and the generation of random numbers required for sampling.
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| Why did OIG develop the RAT-STATS program? | show 🗑
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| What is descriptive statistic for rates and proportions? | show 🗑
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| What is inferential statistic for rates and proportions? | show 🗑
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| show | The center of distribution of continuous variable is typically describe by the mean.mean is found by adding up all values and dividing by number of samples. Median is the middle value in sample,found by sorting smallest to largest value,center is median.
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| show | The mode is the value with the highest frequency of occurrence. There may not be a mode for some variables such as charges since each value may be different in the sample
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| show | Medicare administrative contractors (MACs) who are charged with performing prepayment reviews to ensure services provided to Medicare beneficiaries are covered and medically necessary. Source: LaTour
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| show | process in which system is configured to meet a specific organizations needs.
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Created by:
Lclarey