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stuff ni jas > his unit 4 > Flashcards

his unit 4 Flashcards

1
Q

what is health data?

A

raw health care facts

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2
Q

what is health information?

A

knowledge obtained after data has been processed and structured

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3
Q

data and information is composed of what?

A

data
knowledge
information

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4
Q

what is data, information, and knowledge?

A

data - facts concerning people, databases store data
information - data presented in a suitable form of interpretation
knowledge - insights to appropriate actions

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5
Q

data management is composed of what?

A

information flow
data management & collection
computer skills
patient privacy & confidentiality

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6
Q

what is healthcare data management?

A

storing, processing, analyzing data from different sources
managing health data allowed health systems to create holistic patient views, improve communication, enhance health outcomes

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7
Q

what are the 4 v’s in health data?

A

volume
veracity
veolicty
variety

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8
Q

terabytes to exabytes of existing data to process

A

data at rest - volume

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9
Q

streaming data, milliseconds to seconds to respond

A

data in motion - velocity

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10
Q

structured, unstructured, text, multimedia

A

data in many forms - variety

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11
Q

uncertainty due to data inconsistency & incompleteness, ambiguities, latency, deception, model approximations

A

data in doubt - veracity

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12
Q

benefits of healthcare data management

A

360 view of patients, consumers, households
enhance patient engagement
improve population health outcomes
understand physician activity
make informed, high-impact business decisions

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13
Q

data resource management has what?

A

entity - any object the organization chooses to collect data

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14
Q

what can be an entity?

A

types of people
events
inanimate objects

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15
Q

what is the hierarchy of data?

A

character: smallest piece of data
field: 1 piece of information about an entity
record: fields related to the same entity
file: collection of related records
database: collection of files

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16
Q

what are database management systems

A

programs used to build databases, populate them with data, and manipulate data

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17
Q

what are the factors under data resource management?

A

queries
reports
security
data warehouse
big data

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18
Q

large database that supports management decision making

A

data warehouse

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19
Q

big data involves high volumes of data compiled from?

A

traditional, ordinary business activity and new, non traditional sources like social media

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20
Q

what do data warehouses contain?

A

data or summaries of data from millions of transactions over many years

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21
Q

what is a solution to security and privacy issues?

A

login before accessing the database
limiting access to certain fields between users

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22
Q

messages sent to the database to access data

A

queries

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23
Q

what are the purposes of queries?

A

display results
manipulate data
sort order of records

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24
Q

DBMSs are usually bundles with what that can facilitate queries and produce predesigned reports?

A

report generation module

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25
Q

what are the outcomes of data warehousing?

A

data mining
online analytical processing

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26
Q

what is data mining?

A

selecting, exploring, and modeling large amounts of data to discover previously unknown relationships that can support decision making

searching through large amounts of data to find meaningful patterns in the information

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27
Q

what is online analytical processing?

A

applications that respond to commands to compose tables to analyze different dimensions of multidimensional data

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28
Q

what are the data sources for health care quality measures

A

administrative data
patient surveys
comments from individual patients
patient medical records
standardized clinical data

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29
Q

what falls under administrative data?

A

financial data
logistic data
quality assessment

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30
Q

public and primary insurance claims are under what kind of data in administrative data?

A

financial data

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31
Q

what falls under financial data insurance plans?

A

managed care plans
discharge datasets
revenue cycle management organizations
released by the department of health and human services

32
Q

what is logistical data?

A

pertains to several aspects of patient care
care-team composition and staffing metrics
resource utilization through service metrics, medication, diagnostic procedures & tests

33
Q

what is quality assessment?

A

performance analyses of service providers
patient satisfaction surveys
hospital quality measures

34
Q

what are advantages of administrative data?

A

electronically available
less expensive than obtaining medical records
available for the whole population
fairly uniform

35
Q

what are the challenges of administrative data?

A

limited clinical information
questionable accuracy for public reporting
completeness
timeliness

36
Q

what are patient medical records?

A

patient medical history and care
increased accessibility of patient files
improve and ease and cost

37
Q

what are the advantages of PMR?

A

rich in detail
credible by providers

38
Q

challenges of PMR?

A

cost, complexity, time required to compile
trainedstaff must manually encode abstract info

39
Q

what are patient surveys?

A

self-reported information about healthcare experiences
reports of care, service, treatment received and perceptions of the outcomes

40
Q

advantages of patient surveys?

A

captures info from the best source – patients
well-established methods for survey design and administration
easy for consumers to relate and understand results

41
Q

challenges of patient survey?

A

cost
misleading results due to poor wording, unstandardized administration procedures, sampling and response bias

42
Q

what are comments from individual patients?

A

anecdotal information gathered informally
use of private websites to share personal experiences

43
Q

advantages of comments?

A

compelling to consumers to read
conveys information and influences people’s decisions and behavior

44
Q

challenges of comments?

A

not impartial assessment of health care quality
not representative of the whole population
undue influence of people’s healthcare decisions

45
Q

what is standardized clinical data?

A

detailed info about the patient at set time intervals
MDS for nursing homes
OASIS for home health agencies
both store data for quality measures for service providers

46
Q

advantages of standardized clinical data?

A

uses existing data sets
characterizes facility performance in multiple domains of care

47
Q

challenges of SCD?

A

may not address all points of interest

48
Q

study of information within an individual’s genome and biological derivates of this gene

A

omics data

49
Q

omics data can be utilized to identify the treatment efficacy of various medications and medication dosages for a particular individual

A

pharmacogenomics

50
Q

2 kinds of demographic data?

A

intrinsic (physiological)
extrinsic (environment and lifestyle)

51
Q

wellness data is measured using?

A

fitness tracker and mHealth, EMR

52
Q

clinical data is?

A

MIMIC
clinical records matched with physiologic data
collected 2002-2012

53
Q

2 forms of diagnosis info by MIMIC?

A

DRGs and ICD Diagnosis

54
Q

all codes are in what standard?

A

ICD-9 standard, ordered by priority

55
Q

classification based on clinical factors and utilization of resources

A

DRG

56
Q

2 types of DRG

A

all payers and health care financing administration (CMS DRGs)

57
Q

ICD-9 codes are?

A

International statistical classification of diseases and related health problems

58
Q

patient classification that relates the type of patients to the cost incurred by the hospital

A

DRG

59
Q

DRGs consist of classes of patients that are what?

A

similar clinically in terms of hospital resource consumption

60
Q

what is AP-DRG?

A

extension of the basic DRG
representative of non-medicare populations like pediatrics
2 subclasses: ROM, SOI

61
Q

what are CPT codes?

A

5 digit codes in 3 categories

62
Q

alphanumeric codes for execution measurement, optional

A

category 2

63
Q

5 digit codes used in indicating procedure or service, 00100-99499

A

category 1

64
Q

provisional codes for new, developing technology, procedures and services for data assessment and collection of new services and procedures

A

cate 3

65
Q

what are used to report special procedures and to clarify or modify procedure description

A

2 character modifiers

66
Q

what are provided with the medications of the patient?

A

dosage and unit
form and form unit
route

67
Q

what if there are same drugs w/ diff names?

A

use RxnNorm and the generic sequence number (GSN) and national drug code (NDC)

68
Q

MIMIC provides clinical notes on what categories?

A

ECG
respiratory
radiology
discharge summary
rehab system
nursing
nutrition
pharmacy
social work
case management
physician
consult

69
Q

what are microbiology and lab reports?

A

lab results w/ in and out hospital lab measurements from clinics the patient has visited

70
Q

what data are contained in the micribiology and lab results?

A

value (can be non-numeric)
unit (if appropriate)
flag (if value is abnormal)

71
Q

microbio results capture data from?

A

various cultures such as specimen tested for bacterial growth, the organism that grew, antibiotic testing

72
Q

largest table in MIMIC and contains wide array of info, anything put into the patient’s chart

A

chart events

73
Q

tracking a patient includes?

A

patients
admissions
ICU stays
services
transfers
callout

74
Q

characteristics of quality healthcare data?

A

data accuracy
data accessibility
data comprehensiveness
data consistency
data currency
data definition
data granularity
data precision
data relevancy
data timeliness

75
Q

data quality in healthcare by AHIMA must have?

A

timeliness
completeness
consistency
conformity
accuracy
integrity

stuff ni jas (20 decks)

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