Healthcare Data Management Exam Questions
Course Introduction
Healthcare Data Management focuses on the principles and practices involved in the collection, storage, retrieval, and analysis of healthcare data to support clinical and administrative decision-making. The course covers data governance, electronic health records (EHRs), data privacy and security regulations (such as HIPAA), data quality management, interoperability standards, and data analytics. Students will explore the technological and ethical challenges of managing sensitive patient information, learn about current tools and systems used in healthcare data environments, and develop skills to ensure data integrity and facilitate evidence-based healthcare practices.
Recommended Textbook Health Information Technology 3rd Edition by Nadinia A. Davis
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14 Chapters
874 Verified Questions
874 Flashcards
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Page 2
Chapter 1: Health Care Delivery Systems
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Sample Questions
Q1) Which of the following is an example of a procedure?
A) Diabetes
B) Pneumonia
C) Tonsillectomy
D) Appendicitis
Answer: C
Q2) Is there a difference between an MD and a DO? What kind of professionals are these?
Answer: Professionals with either an MD or a DO are considered medical doctors. Both professionals are licensed and accredited to prescribe medical treatment to patients and order patients to undergo therapeutic care. The difference between these two suffixes is a reflection of the medical school education they complete.
Q3) The actual number of beds that a hospital has available for inpatients is called the _________.
Answer: bed count
Q4) An ________ provides care to patients at all or most points along the continuum of care.
Answer: integrated delivery system
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Chapter 2: Collecting Health Care Data
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Sample Questions
Q1) Dr. Smith is a physician in general, or family, practice. He and his partner, Dr. Wong, are evaluating the way they organize their paper record documentation. They have a large number of patients, many of whom have multiple, chronic illnesses. The doctors would like to organize their records to make it easier to see what has been done with respect to each patient's illness. As their office manager, what do you recommend?
A) Source-oriented record
B) Integrated record
C) Problem-oriented record
D) Use the organization method that works best for each patient.
Answer: C
Q2) The smallest element or unit of knowledge is ________.
Answer: data
Q3) The quality that data reflect the known or acceptable range of values for the specific data is called data ________.
Answer: validity
Q4) Data that pertain to the patient's personal life and personal habits, such as marital status and religion, is called _______ data.
Answer: socioeconomic
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Page 4
Chapter 3: Electronic Health Records
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Sample Questions
Q1) The greatest obstacle to convert to an EHR system is:
A) Employee dissatisfaction
B) Start-up costs
C) Space for unit
D) Patient dissatisfaction
Answer: B
Q2) A term used to indicate electronic processing of the physician order process or workflow, which allows for prompts, reminders, or alerts when the order is entered, is called ___________. Orders are sent to ancillary departments to be processed.
Answer: CPOE
Q3) An open database that stores data from various independent sources that can be integrated to enable viewers to see documents from several sources is a ___________.
Answer: data repository
Q4) According to the Markle Foundation, the two barriers to EHR implementation are __________ and ____________.
Answer: lack of interoperability; privacy issues privacy issues; lack of interoperability
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Chapter 4: Acute Care Records
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Sample Questions
Q1) Which of the following data elements is NOT likely to appear on an acute care admission record?
A) Patient's religion
B) Patient's date of birth
C) Name of the patient's spouse
D) Tobacco use by the patient
Q2) The first page, also known as the face sheet, in a paper record is usually the ___________.
Q3) Describe the events that will occur when a patient is admitted to an acute care facility for a surgical procedure. What caregivers will be involved with the patient?
Q4) If a health care professional is working under the supervision of another, such as a resident being supervised by an attending physician, then the notes written by that professional must be _________________ by the supervisor.
Q5) Laboratory tests performed at the time of the patient's admission help identify preexisting infections conditions. An infection identified after 48 hours of hospitalization is called a ____________ infection, and is attributed to the facility.
Q6) What are essential elements in the operative report? List at least five.
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Page 6
Chapter 5: Health Information Management Processing
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Sample Questions
Q1) Data that have been obtained, recorded, and/or reported within a predetermined period satisfy the data quality characteristic of ___________.
Q2) Which of the following is a detective control?
A) A nurse alerts a physician that a patient is allergic to an ordered medication.
B) The nursing supervisor reviews a chart to ensure that medication administration notes were properly entered.
C) The HIM department sends a physician a list of the physician's incomplete charts.
D) A coder reviews a record in order to assign a clinical code.
Q3) What internal control roles are played in the HIM department? Your answer should include, but not be limited to, identification of the function and the specific internal control role that it plays.
Q4) There is a logical order to postdischarge processing. List the postdischarge processing steps, in order, beginning with obtaining control of the record.
Q5) A paper record must be ______ before it can be analyzed.
Q6) List and define the data quality characteristics that were discussed in the text.
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Page 7
Chapter 6: Code Sets
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Sample Questions
Q1) Describe the difference between nomenclature and classification.
Q2) SNOMED-CT is a(n) _____ system.
A) multi-axial
B) classification
C) nomenclature
D) alphanumeric
Q3) Some common uses for coded data include all of the following EXCEPT:
A) Case mix analysis
B) Comparative analysis
C) Reimbursement
D) All of the above are common uses.
Q4) A _____________ is a statistical distribution of patients according to their utilization of resources. It also refers to the grouping of patients by clinical department or other meaningful distribution, such as health insurance type.
Q5) In a multi-axial code structure, such as ICD-10-PCS, each position of a ___________ has specific meaning.
Q6) How does case mix analysis help health care providers plan for the future?
Q7) How can coding assist health care facilities in analyzing their patient needs? Please list and discuss at least three reasons.
Page 8
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Chapter 7: Reimbursement
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Sample Questions
Q1) The systematic reimbursement to a health care provider based on the number of patients contractually in the physician's care, regardless of diagnoses or services rendered, is called ___________.
Q2) A hospital's case mix index is derived by:
A) Organizing each DRG by rank, with the patients in the most frequently occurring DRG listed as #1, and so forth
B) Adding all DRG relative weights together and then dividing by the total number of cases discharged in a given time period
C) Neither a nor b; case mix index is assigned by the federal government using special software
D) Both a and b
Q3) To standardize and facilitate accurate billing, health care facilities maintain a database of all potential services to a patient called a _________.
Q4) The process of determining the most accurate DRG payment is ___________.
Q5) ICD-10-CM diagnosis and procedures codes are used to derive the DRG by following the flowchart in a ___________.
Q6) How would someone use an unbilled list (DNFB)?
Q7) Payments calculated based on the number of days are called ____________.
Page 9
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Chapter 8: Health Information Management Issues in Other Care Settings
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Sample Questions
Q1) Health care service that is intended to soothe, comfort, or reduce symptoms but is not intended to cure is called __________.
Q2) The accrediting agencies for home health care are __________ and __________.
Q3) List and give examples of hospice services covered by Medicare.
Q4) In an open access physician practice, patients do not need:
A) A co-pay
B) A referral
C) An appointment
D) Insurance
Q5) Data collection in emergency departments:
A) Often utilizes menu-based forms or menu-based computer software
B) Follows the UACDS
C) Includes the mode of transport to the ED
D) Both A and C
Q6) Describe the experiences of a patient in a physician's office. What professionals are the patient likely to encounter? What role do those professionals play in caring for the patient?
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Q7) What unique length of stay issues apply to hospice care?
Q8) The mandated minimum data set for ambulatory care patients is the ________.
Q9) Describe the unique data collection issues in radiology and laboratory services.
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Chapter 9: Managing Health Records
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Sample Questions
Q1) __________are networks that use RAIDs and other storage technologies.
Q2) To prepare for unexpected events such as a bomb threat, hurricane, or flood, a facility should routinely exercise:
A) Confidentiality
B) Release of information
C) Disaster planning
D) Code blue
Q3) The machine used to input a paper document into a computerized imaging system is called a(n):
A) Copier
B) Indexer
C) Mapper
D) Scanner
Q4) ______________ is a method for planning and preparing to handle catastrophes and other emergencies that can adversely affect the normal performance of the health care environment.
Q5) List and describe the filing furniture used to store paper-based health care records. What measurements are important in the design of a file area?
Q6) What can be done when health records are lost or destroyed inadvertently?
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Chapter 10: Statistics
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Sample Questions
Q1) Compute the length of stay for the following patient: Admitted 5/25/2012 Discharged 5/25/2012
A) 0 days
B) 1 day
C) Cannot be determined
D) None of the above
Q2) The result of a query is also known as a _____________.
Q3) The length of stay for Patient H is _______________.
Q4) A database of specific cancer or trauma information is an example of a
Q5) What rate is used to indicate the percentage of the hospital's beds occupied by inpatients for a given time period?
A) Percent occupancy
B) Total length of stay
C) Inpatient bed occupancy rate
D) Both a and c
Q6) The length of stay for Patient C is _______________.
Q7) The length of stay for Patient A is _______________.
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Q8) Compute the average length of stay (ALOS) (A&C).
Q9) The length of stay for Patient D is _______________.
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Page 14
Chapter 11: Quality and Uses of Health Information
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Sample Questions
Q1) Each month the tumor registry personnel are required to report the ____________ of breast cancer for the facility. They report this statistic by determining the number of new cases of breast cancer for the month.
Q2) Why is quality measurement important in health care? Who are some customers of health care quality? How are accreditation and quality linked?
Q3) Monitoring functions for compliance within set standards is called __________, which also requires action to correct noncompliance, and followup on the correction.
Q4) How is the Healthcare Effectiveness Data and Information Set (HEDIS) used?
A) The CDC uses it to collect morbidity data and inform public health decisions
B) Patients can access the data on a website and use it to choose a doctor
C) Employers and health insurance companies use it to negotiate employee group insurance plans
D) CMS uses it to determine the effectiveness of EHR technology
Q5) To improve quality according to a standard, a health care facility may use ___________, the comparison of itself to a similar or superior performer.
Q6) Discuss the difference between quality assurance and quality improvement.
Q7) What is the NCQA and its mission?
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Chapter 12: Confidentiality and Compliance
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Sample Questions
Q1) An ____________ is defined as a written document such as a living will or durable power of attorney for health care.
Q2) Which of the following types of files should be separate from the medical records library in a secure file?
A) Facility employee file
B) Behavior health patient file
C) Celebrity patient file
D) Law enforcement patient file
Q3) The process of engaging in the legal proceedings of a lawsuit is ___________.
Q4) List and describe the steps in processing a request for a copy of a health record.
Q5) What is jurisdiction? List examples of issues over which municipal, state, and federal courts may have jurisdiction.
Q6) A valid consent for release of information contains all of the following EXCEPT:
A) Patient's name
B) Patient's marital status
C) Patient's date of birth
D) Date of the request
Q7) What is the routine process to prepare for a Joint Commission survey?
Page 16
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Chapter 13: Him Department Management
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Sample Questions
Q1) The following is a ________________ of Diamonte Hospital, an equal opportunity employer: All new hires will be drug tested.
Q2) The ________________ is the group of processes that identify, record, and report the financial transactions that result from the facility's clinical relationship with a patient.
Q3) To reach a desired goal the department must establish ______________, directions for achieving a goal.
Q4) A formal list of the employee's responsibilities associated with his or her job is called a ________________.
Q5) Managers perform __________ to look for ways to streamline tasks and functions in the HIM department.
A) workflow analysis
B) systems development life cycle
C) performance improvement plans
D) employee evaluation
Q6) What entity makes the governing and strategic decisions for any acute care facility? Who is the governing body? What are the two distinct relationships?
Q7) Explain how delegating can improve a manager's effectiveness.
Page 17
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Chapter 14: Training and Development
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Sample Questions
Q1) Although it is important for the HIM Department Director to hold in-service and training meetings, what methods are used to determine which topics need to be presented to ensure adequate staff development?
Q2) _______ is the education of employees in new techniques and processes within the organization, whereas _________ is training that more specifically indicates an investment by the organization into the employee with the expectation that there will be a payoff in the employee's future high performance.
Q3) HIM department employees are in constant need of continuing education. Identify specific continuing education needs for the following HIM employees: credentialed employees, coding employees, release of information.
Q4) In which of the following ways is the Health Information Management Department orientation different from the organization-wide orientation?
A) The organization-wide orientation focuses on specific job responsibilities
B) The department orientation focuses on specific job responsibilities
C) The department orientation focuses on employee benefits
D) None of the above
Q5) What qualities do successful teams have? Name at least three qualities.
Q6) Why is it important for HIM employees to be aware of infection control?
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