CHPS Exam Prep 164 Questions with Verified Answers
In order to ensure a successful implementation of electronic health records, the organization must
... [Show More] identify and define strategic roles. These planning roles may be defined in three categories:leadership, internal stakeholders, and external stakeholders. The governing body (board) is an example of which of the following? - CORRECT ANSWER Leadership only
Which of the following statements most accurately describes the optimal relationship between strategic planning and strategic IM planning in a healthcare entity? - CORRECT ANSWER The two process are clearly related. It is important for the CIO to be involved in both processes to ensure that IS priorities are congruent with the overall strategic plans of the entity.
Medical record number - CORRECT ANSWER One way to examine readmission's with a given time frame at your faculty is to retrieve patient data for that time frame and look for duplicates of which attribute common in clinical data sets?
A drug interaction alert would be a typical function of a _______. - CORRECT ANSWER Decision support system
Which code set would be utilized to create a report showing a hospital's case mix index? - CORRECT ANSWER DRG (Diagnosis Related Group)
A set of standards that provides universal names and codes for a laboratory and clinical results is ___________. - CORRECT ANSWER LONIC
Your chief financial officer has contacted you because your facility's case-mix index increased last year. He wish to hear your theory on why this is so. Among the options below, which would best explain an increase in the case-mix index? - CORRECT ANSWER The quality of clinical documentation improved
Activities of daily living (ADL) are components of - CORRECT ANSWER MDS and OASIS
Assume you are the manager of a 10-physician group primary care practice. The physicians are interested in contracting with an application service provider to develop and manage patient records electronically. Which of the following statements is an indication that an ASP may be a good idea for this practice? - CORRECT ANSWER The practice does not have an upfront capital or IT staff needed to purchase and implement a system from a health information systems vendor.
Maps from terminologies to classifications (and possibly from classifications to terminologies) are expected to _____. - CORRECT ANSWER Facilitate "enter once, use many" functionally
Which of the following basic services provided by an HIE entity ensures that information can be retrieved as needed? - CORRECT ANSWER Secure data transport
Which of the following statements most accurately describes the optimal relationship between strategic planning and strategic IM planning in a healthcare entity? - CORRECT ANSWER The two process are clearly related. It is important for the CIO to be involved in both processes to ensure that IS priorities are congruent with the overall strategic plans of the entity.
Which type of indicators measure the actual results of care for patients and populations, including patient and family satisfaction? - CORRECT ANSWER Outcome
Which of the following activities is likely to occur in the analysis phase of the systems development life cycle? - CORRECT ANSWER Examine the current system and identify opportunities for improvement
Which RVU component is best suited for measuring physician productivity? - CORRECT ANSWER wRVU
The physician fee schedule is based on what component(s)? - CORRECT ANSWER All of these
Comparing the ICD-9-CM and ICD-10-CM diabetes mellitus codes and documenting variations creates a______________. - CORRECT ANSWER Data map
Medical security diagnosis-related groups (MS-DRGs) represent a prospective payment system implemented by the CMS to reimburse hospitals a predetermined amount for services provided to - CORRECT ANSWER inpatients
A research instrument that is used to gather data and information from respondents in a uniform manner through the administration of a predefined and structured set of questions and possible responses is called a(n) ________. - CORRECT ANSWER Survey
An example of a database that depends on standardized data definitions is _____________. - CORRECT ANSWER A statewide cancer data system
Which of the following is an external user of data? - CORRECT ANSWER Public health department
Which of the following indexes and databases includes patient-identifiable information? - CORRECT ANSWER Master population/patient index
HIM departments may be the hub of identifying, mitigating, and correcting MPI errors, but that information often is not shared with other departments within the healthcare organization. After identifying procedural problems that contribute to the creation of the MPI errors, which department should the MPI manager work with to correct these procedural problems? - CORRECT ANSWER Registration of patient access
The inpatient data set incorporated into federal law and required for Medicare reporting is the ____________. - CORRECT ANSWER Uniform Hospital Discharge Data Set
Standardized sets of valid, reliable, and evidence-based measures implemented by the Joint Commissions are called _____________. - CORRECT ANSWER Core (performance) measures
The computer-based process of extracting, quantifying, and filtering discrete data that reside in a relational database is called ________. - CORRECT ANSWER Data mining
In terms of grouping and reimbursement, how are the MS-LTC-DRGs and acute care MS-DRGs similar? - CORRECT ANSWER Organizing into MDCs (Major Diagnostic Category)
Which of the following is not a valid use of a relative weight assigned to each MS-DRG? - CORRECT ANSWER Measure of cost of living
The leader of the coding performance improvement team wants all of her team members to clearly understand the coding process. Which of the following would be the best tool for accomplishing this objective? - CORRECT ANSWER Flowchart
Which of the following elements is found in a charge description master? - CORRECT ANSWER Procedure or service charge
An audit tracking database would contain information from the health care claim payment advice that is in what format? - CORRECT ANSWER 835
Data showing a physician's professional fee charges would be found on which billing format? - CORRECT ANSWER CMS-1500
The practice of "normalization" of a database prevents duplication of data elements and ensures the data conforms to a standard. There are three forms of normalization. The third normal form requires which of the following? - CORRECT ANSWER Elimination fields that do not depend on the key
Which of the following is the process of refining a data model to reduce redundant storage of information and best describe the data and its relationships? - CORRECT ANSWER Normalization
You need to interface data automatically from one clinical system to another. Which framework is most commonly used for this purpose in the healthcare system? - CORRECT ANSWER HL7
An executive has asked you to provide a single report that requires you to draw from data in multiple tables within a SQL-compliant database. Which of the following is the SQL operator that will you allow you to do this? - CORRECT ANSWER JOIN
In healthcare, one of the primary uses for data warehouses is _________. - CORRECT ANSWER Outcomes management
The most basic, or core, element in an information system is the _______. - CORRECT ANSWER data
The first level of HCPCS consists of _____. - CORRECT ANSWER CPT
ICD-10-CM is an example of a _______. - CORRECT ANSWER clinical classification
In SNOWMED-CT, this term is used to describe how concepts are linked to one another: - CORRECT ANSWER relationship
The process by which concepts and terms in one system are associated with concepts and terms in another system is called ________. - CORRECT ANSWER mapping
Which of the following acronyms represents the language used to extract data from a database? - CORRECT ANSWER SQL
If a database contains two tables: physicians, patients. If a physician may be linked to many patients and patients may only be related to one physician, what is the cardinality of the relationship between the two tables? - CORRECT ANSWER One-to-many
Which of the following is an example of unstructured data? - CORRECT ANSWER pathology report
Dictated and transcribed reports and notes written by the physicians and other practitioners are examples of _________ - CORRECT ANSWER Unstructured data
The term that describes the ability of one information system to exchange data with another information system is _______. - CORRECT ANSWER interoperability
Which is the data model that is most widely used to illustrate a relational database structure? - CORRECT ANSWER Entity-relationship diagram
The technology that converts human language into data that can be translated then manipulated by computer systems is - CORRECT ANSWER Natural language processing
The management of all aspects of health data and information through the application of computers and computer technologies is called - CORRECT ANSWER healthcare informatics
The emergency data standards that are meant to create a health history for an individual are _______. - CORRECT ANSWER DEEDS (Data elements for Emergency Department Systems)
The technology commonly utilized for automated claims processing (sending bills directly to third-party payers) is: - CORRECT ANSWER electronic data interchange
When an Entity Relationship Diagram (ERD) is implemented as a relational database, an attribute will become a - CORRECT ANSWER field
Which of the following individuals would most likely to be responsible for the technical aspects of the DBMS? - CORRECT ANSWER Database administrator
Which of the following coding systems is not used to characterize procedures performed on a patient? - CORRECT ANSWER ICD-10-CM
SNOMED CT is a _________-based terminology. - CORRECT ANSWER concept
What are LONIC codes used for? - CORRECT ANSWER identifying test results
In today's healthcare entity, physicians use the _______ to access multiple sources of patient information within the entity's network. - CORRECT ANSWER clinician portal
Which of the following code set(s) is utilized in the RBRVS prospective payment system? - CORRECT ANSWER HCPCS/CPT
Which of these is a weakness of Microsoft Access? - CORRECT ANSWER Limited user support and control
Which data system serves as the source system for LOINC coded services? - CORRECT ANSWER LIS (Laboratory Info System)
SQL may be used to - CORRECT ANSWER all of these
What database design practice prevents the duplication of data elements? - CORRECT ANSWER normalization
Which of the following keywords precedes the listing of variables to be returned from an SQL query? - CORRECT ANSWER SELECT
Among the software programs listed below, the one best suited to detailed statistical analysis of data is which of the following? - CORRECT ANSWER SPSS Statistical Package for the Social Sciences
Nonparametric tests such as a Kruskal-Wallis are advantageous compared to their parametric counterparts for which of the following reasons? - CORRECT ANSWER they require fewer assumptions about the underlying data
Which of the following is an expression of the extent of a linear relationship between two variables? - CORRECT ANSWER correlation
Your chief medical officer has requested that you track patient satisfaction over time and in a way that attempts to separate routine variation from true underlying changes over time. The best tool to select from the options below is a(n) - CORRECT ANSWER statistical process control chart
When a data analyst develops a sample selection involving the choice of every fourth patient from each clinic schedule for each physician during the course of a three month period, this sampling technique being used by the analyst is called which of the following? - CORRECT ANSWER Systematic random sampling
chart - CORRECT ANSWER
chart - CORRECT ANSWER
The type of statistical techniques used to make conclusions based on a sample are: - CORRECT ANSWER inferential
The mean is an appropriate statistic to use to measure which type of data? - CORRECT ANSWER ratio
chart - CORRECT ANSWER
If a health plan analyst wanted to determine if the readmissions rates for two hospitals were statistically different, which hypothesis test should be used? - CORRECT ANSWER two-sample Z-test for proportions
A researcher would like to test the null hypothesis that the lengths of stay at two hospitals are equal. What statistical test should the researcher use in this situation? - CORRECT ANSWER t-test for means
We want to compare the average weight of patients before and after a specialty diet is administered. We expect the weight to decrease after administration of the diet. Which of the following tests should be conducted to determine if the average weight for each patient is less at the conclusion of the diet? - CORRECT ANSWER paired t-test
The variable that may cause the change in a second variable is called the - CORRECT ANSWER independent variable
If the correlation between years of experience and salary is positive, what can you conclude about the slope of a regression line that might be fit to describe the relationship? - CORRECT ANSWER the slope will be positive
Which of the following is an assumption made regarding the residuals in least squares regression? - CORRECT ANSWER the mean is zero
they are independent
they are approximately normally distributed
A sampling technique that divides the population into subsets and then selects a random sample within each subset is called - CORRECT ANSWER stratified random sampling
In order to increase the precision of a confidence interval and leave the confidence level the same, the same size must be - CORRECT ANSWER larger
If an analyst is studying the wait times at a clinic and the only list of patients available is hard copy, which sampling technique is the easiest to use? - CORRECT ANSWER systematic sampling
What is the biggest problem with using mean length of stay as a facility statistic? - CORRECT ANSWER it is influenced by outlier values
Average length of stay is an example of a - CORRECT ANSWER descriptive statistic
chart - CORRECT ANSWER
SPSS is a - CORRECT ANSWER statistical analysis software package
Where D= dead and A= alive, what is the proportion of patients that died in the sample of of 10?
D,D,A,A,A,A,A,A,D,A - CORRECT ANSWER 30%
Which of the following attributes is required for a sample to be statistically valid? - CORRECT ANSWER it must be reproducible
If an analyst divides the population into groups and randomly selects groups to make up the sample, then the sampling technique used is? - CORRECT ANSWER cluster sampling
The post-operative infection rate for a sample of cases for one unit in a hospital was 3 percent in a sample of 150 cases. What ranges represents a 95-percent confidence interval for a the population post-operative infection rate? - CORRECT ANSWER (0.3 percent, 5.7 percent)
chart - CORRECT ANSWER
We have conducted a t-test to determine if the hospital mean for DRG XXX is significantly different from the population mean for DRG XXX. The calculated t is -3.39 and the critical t is -1.96. In this case we: - CORRECT ANSWER reject the null hypothesis
An analyst wishes to test the hypothesis that the wait time in the emergency department is longer on weekends than weekdays. What is the alternative hypothesis? - CORRECT ANSWER the average wait time is longer on the weekends
You are preparing a budget presentation to the board. They have asked for a presentation on the percentage of salary budget spent on temp salary, hourly employees, and salary employees. What graph would be most appropriate to convey this data? - CORRECT ANSWER pie chart
In comparing mortality rates between hospitals, it is important to also consider the - CORRECT ANSWER severity of illness
graph - CORRECT ANSWER
An analyst has been asked to work on the development of a home health strategic plan. Which of the following data sets would be most helpful in developing this analysis? - CORRECT ANSWER UACDS
Your facility is engaged in a research project concerning patients newly diagnosed with type 2
diabetes. The researchers notice older patients have a longer length of stay than younger patients.
They have seen a - CORRECT ANSWER positive correlation between age and length of stay
Under what circumstances is it acceptable to use a non-probability sample for an audit? - CORRECT ANSWER When not generalizing to the population
graph - CORRECT ANSWER
In analyzing the reason for charges in a hospital's Medicare case-mix index over time, the analyst extract data from the information warehouse at which level of detail? - CORRECT ANSWER Discharge level
chart - CORRECT ANSWER
The facility's Medicare case-mix index has dropped, although other statistical measures appear constant. The CFO suspects coding errors. What type of coding quality review should be performed? - CORRECT ANSWER focused audit
This type of data display tool is used to illustrate frequency distributions of continuous variables, such as age and length of stay (LOS): - CORRECT ANSWER histogram
The ICD coding system was originally designed to be a ________________ - CORRECT ANSWER disease tracking system
Patient payments and charges are likely to be found in a: - CORRECT ANSWER patient accounting database
Which graph is the best choice to use when exploring the relationship between length of stay and charge for a set of patients? - CORRECT ANSWER scatter diagram
Which of the following situations might result in a compliance audit? - CORRECT ANSWER High CC/MCC capture rate
30-day morality rates are considered a - CORRECT ANSWER outcome of care measure
A computer software program that assigns appropriate MS-DRGs according to the information provided for each episode of care is referred to as a - CORRECT ANSWER grouper
The surgery department is evaluation its postoperative infection rate of 6 percent. The chief of surgery asks the quality improvement coordinator to find the post-operation infection rates of 10 similar hospitals in the same geographic region to see how the rates compare. The process is called ______ - CORRECT ANSWER benchmarking
The capture of secondary diagnoses that increase the incidence of CCs and MCCs may be benchmarked against other facilities by using which dataset? - CORRECT ANSWER MEDPAR
The science of examining raw data with the purpose of drawing conclusions about that information is referred to as - CORRECT ANSWER data analytics
graph - CORRECT ANSWER
Analyzing patterns of care can help identify - CORRECT ANSWER all of these
Which kind of data might be displayed on a pie chart? - CORRECT ANSWER percentage of discharges by third-party payer
In which of the following examples does the gender of the patient constitute information rather than a data element? - CORRECT ANSWER in a study comparing the incidence of myocardial infarctions in black males as compared to white females
The application of information science to the management of healthcare data and information through computer technology is referred to as - CORRECT ANSWER healthcare informatics
Data taken from the health record and entered into registries and databases are considered a(n): - CORRECT ANSWER secondary data source
graph - CORRECT ANSWER
Name of element, definition, application in which the data element is found, locator key, ownership, entity relationships, date first entered system, date element terminated from system and system of origin are all examples of - CORRECT ANSWER metadata
Rates for population-based statistics are reported per 1,000, 10,000, or 100,000 individuals. Rates for healthcare facility statistics are reported per _______ cases. - CORRECT ANSWER 100
Which national database was created to collect information on the legal actions (both civil and criminal) taken against licensed healthcare providers? - CORRECT ANSWER Healthcare Integrity and Protection Data Bank
You want to graph the number of deaths due to prostate cancer from 2005 through 2012. Which graphic tool would you use? - CORRECT ANSWER line graph
Which data collection program is the basis for the CMS (Centers for Medicare and Medicaid Services) value-based purchasing program? - CORRECT ANSWER Hospital Compare
Fifty percent of patients treated at our facilities have Medicare as their primary payer. This is an example of what type of information? - CORRECT ANSWER aggregate
The percent of antibiotics administered immediately prior to open reduction and internal fixation (ORIF) surgeries or the percent of deliveries accomplished by cesarean section are examples of what type of performance measure? - CORRECT ANSWER process measure
graph - CORRECT ANSWER
An important part of the maintenance of the master patient index is to resolve situations where a patient is assigned to another patient's medical record number. This is an example of which of the following? - CORRECT ANSWER overlay
What database would be most critical to validate and test for users preparing to enter a RHIO or HIE? - CORRECT ANSWER MPI (Master Patient Index)
Your facility is preparing to implement a system wide clinical documentation system. Two years of data from existing systems will be backloaded into the new system for continuity of care. Current systems define the field for BMI as either Body-Mass index of BMI. What step should be taken to ensure the data fills to the EMI in the new system? - CORRECT ANSWER data mapping from current to new system
High-quality information is contingent on - CORRECT ANSWER reliable data
Assuring that data have been accessed or modified only by those authorized to do so is a function of - CORRECT ANSWER data integrity
ASTM Standard E2522-07 provides guidance to healthcare organizations in developing - CORRECT ANSWER
Health Level 7 (HL7) - CORRECT ANSWER Better enables interoperability when standard terminologies are used
Health information loses PHI status and is no longer protected by the HIPAA Privacy Rule when it - CORRECT ANSWER is deidentified
To ensure quality of data, the Cancer Committee reviews the abstracting done by the cancer registry personnel. This is a method of ___________ reliability. - CORRECT ANSWER interrater
Which dimension of data quality is defined as "data that is free of errors"? - CORRECT ANSWER accuracy
An audit trail is a good tool for which of the following? - CORRECT ANSWER reconstruction electronic events
Laboratory data is successfully transmitted back and forth from Community Hospital to three local physician clinics. This successful transmission is dependent on which of the following standards? - CORRECT ANSWER LONIC
Of the following resources, the best resource to use in defining the structure of the EHR is the - CORRECT ANSWER HL7 Functional Model
Which of the following is an example of what an audit trail checks for? - CORRECT ANSWER Unauthorized access to a system
The HIPAA methods titled Expert Determination and Safe Harbor are ways that which of the following can be achieved legally? - CORRECT ANSWER deidentification
An EHR system can provide better security than a paper record for protected health information system due to: - CORRECT ANSWER Access controls, audit trails, and authentication systems
In which of the following phases of systems selection and implementation would the process of running a mock query to assess the functionality of a database be performed? - CORRECT ANSWER testing
The individual most likely to lead strategic planning for a healthcare organization's information system is the - CORRECT ANSWER CIO (Chief Information Officer)
The purpose of the data dictionary is to _________________ definitions and ensure consistency of use. - CORRECT ANSWER standardize
Which of the following is a mechanism that retrospectively records and examines data revisions in information systems? - CORRECT ANSWER audit controls
Medical information loses PHI (Protected Health Info)status and is no longer protected by the HIPAA Privacy Rule when it - CORRECT ANSWER is deidentified
Organized Healthcare Arrangement (OHCA) - CORRECT ANSWER Is described by the Privacy Rule as an arrangement between two or more legally separated CEs to participate in join activities to share PHI about shared patients with the purpose of managing and benefiting the joint operations. To qualify for an OHCA, the entities must be legally separate CEs that are either clinically or operationally integrated and share PHI for the purposes joint management and operations based on the arrangement. It would be appropriate for an independent physician would enter into an OHCA to share PHI to support clinical operations without having to receive an authorization to share information.
Type of PHI Share for Fundraising - CORRECT ANSWER Information that can be share for fundraising: 1) demographic information (name, address, other contact information, age, gender, and DOB, 2) dates of healthcare provided to the individual, 3) department of services, 4) treating physician, 5) outcome information, and 6) health insurance status. 45 CFR 164.514(f)(1)
Research Waiver - CORRECT ANSWER In order for research to be conducted, it must meet a minimum set of waiver criteria elements. Elements that must be met to meet wavier criteria are: 1) the use or disclosure for the research involved minimum risk to the patient; 2) the research could not be conducted without proper access to the waiver being approved; and 3) the research could not be conducted without proper access to the use of the PHI. 45 CFR 164.512 (i)(2)
Limited Data Set - CORRECT ANSWER A limited data set is PHI that removes 16 specific identifiers. Limited data sets are used for the purpose of research, public health, or healthcare operations. In addition to the 16 specific identifiers, to use a limited data set, a CE also needs to get a data usage agreement signed by the receiving induvial(s) that establishes an agreement between the CE and the recipient defining the permitted uses and disclosures and by whom. 45 CFR 164.514(e)
Risk Avoidance - CORRECT ANSWER the process of terminating a process or activity due to the increased risk to the organization and inappropriate controls in place to reduce the risk.
Two-factor Authentication - CORRECT ANSWER Uses two different methods of authentication to get access to a system. Methods of authentication are something you know, something you have, and something you are.
Quantitative Risk Analysis - CORRECT ANSWER Attempts to assign a monetary value to each of the identified risks that an organization has determined through the risk analysis process.
Security Incident - CORRECT ANSWER Is defined as "the attempted or successful unauthorized access, use, disclosure, modification, or destruction of information or interference with system operations in an information system.
Malicious software - CORRECT ANSWER Also known as malware, is software that is used to control or take over applications, workstations, or servers.
Cryptography - CORRECT ANSWER The process of masking information to provide integrity, confidentiality, and authenticity of information as it is transmitted (data in motion) or stored (data at rest).
- CORRECT ANSWER
Designated Record Set Definition and Role - CORRECT ANSWER A group of records maintained by or for a covered entity that is:
(i) The medical records and billing records about individuals maintained by or for a covered health care provider;
(ii) The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or
(iii) Used, in whole or in part, by or for the covered entity to make decisions about individuals.
(2) For purposes of this paragraph, the term record means any item, collection, or grouping of information that includes protected health information and is maintained, collected, used, or disseminated by or for a covered entity.
User-based access control (UBAC) - CORRECT ANSWER Assigns permissions within an EHR containing PHI based on the specific needs of an individual.
Role-Based Access Control (RBAC) - CORRECT ANSWER Assigns permissions within an EHR containing PHI based on the type of role the individual has within the organization. [Show Less]