HMIS (LESSON 7 HIS) Flashcards
(202 cards)
1
Q
________ is collected at every point along the patient’s journey through these systems in Ireland
A
DATA
2
Q
the information of data can be used in?
A
Health providers and monitoring
3
Q
what categories are involved for monitoring in the data data collection?
A
Diseases, planning services, informing health policy and undertaking research
4
Q
data quality should be ________
A
highest possible quality
5
Q
where laboratory results are ________, the doctor will be able to decide how to best treat the patient
A
accurate
6
Q
what are the 5 Key Components of Data Information & Quality?
A
Timeliness & Punctuality
Accuracy & Reliability
Accessibility & Clarity
Relevance
Coherence & Comparability
7
Q
one of the 5 key concepts of data information and quality where timely data is collected within a reasonable agreed
time period after the activity that it measures?
A
Timeliness & Punctuality
8
Q
one of the 5 key concepts of data information and quality where it allows the doctor to swiftly make a decision about how
best to treat the patient
A
timeliness and punctuality
9
Q
one of the 5 key concepts of data information and quality where it allows the doctor to swiftly make a decision about how
best to treat the patient
A
Timeliness and punctuality
10
Q
one of the 5 key concepts of data information and quality where refers to how closely the data correctly & consistently
describes what it was designed to measure
A
Accuracy and reliability
11
Q
one of the 5 key concepts of data information and quality where when results are quality-checked in laboratories, the doctor can have confidence in making a diagnosis
based on accurate test results
A
Accuracy and reliability
12
Q
one of the 5 key concepts of data information and quality where accessible & clear data are easily obtainable &
presented in a way that can be understood
A
accessibility and clarity
13
Q
one of the 5 key concepts of data information and quality where accessible & clear data are easily obtainable &
presented in a way that can be understood
A
accessibility and clarity
14
Q
one of the 5 key concepts of data information and quality where relevant data meets the current & potential future needs of users
A
relevance
15
Q
one of the 5 key concepts of data information and quality where it is consistent and can be easily combined with other sources
A
Coherence and comparability
16
Q
coherent and comparable data should _______ over time and it can be ________ with other sources.
A
Consistent and easily combined
17
Q
important that this data is of the highest possible quality. What do you call this term?
A
Data quality
18
Q
data quality should be _______ and _________.
A
accurate and relevant
19
Q
this allows organizations to identify any URLs and put measures in place to prevent these from happening in the future
A
Assessing data quality
20
Q
high quality data leads to ________________.
poor quality data leads to ____________.
A
high quality decisions,
poor quality decisions
21
Q
what are the factors of data quality?
A
Accuracy
o Completeness
o Reliability
o Relevance
o How up to date it is
22
Q
it is A central to developing effective health information systems
A
Data quality
23
Q
data should always be reliable and _______.
A
accurate
24
Q
Data should always be __________ and accurate
A
reliable
25
who founded the organization that set guidelines for data quality standard?
United States of America (USA)
26
what are the organizations that set guidelines for data quality standard?
Medical Record Institute (MRI)
American Health Information Management (AHIMA)
27
what are the MRI Principles that healthcare care documentation must have ?
Unique patient identification must be assured within and
across healthcare documentation systems.
Healthcare documentation must be:
▪ Accurate
▪ Timely
▪ Complete
▪ Interoperable across types of documentation systems
▪ Accessible at any time and at any place where patient
care is needed
Auditable
▪ Confidential and secure authentication and accountability must be provided in the data gathering and throughout the entire process
28
Meaning of AHIMA?
American Health Information Management Assurance (AHIMA)
29
meaning of MRI?
Medical Records Institute
30
what are the characteristics of data quality based on the standards of American Health Information Management (AHIMA) and Medical Records Institute (MRI)?
Accessibility
Accuracy
Comprehensiveness
Consistency
Currency
Definition
Granularity
Precision
Relevancy
Timeliness
31
Characteristics of data quality?
Application,Collection, Warehousing, Analysis
32
one of the characteristics of data quality, where its purpose for which the data are collected.
Application
33
one of the characteristics of data quality, where this is where you state or gather the purpose of why you
are collecting data in the first place
application
34
one of the characteristics of data quality, where this is where it is the processes by which data elements are accumulated.
Collection
35
one of the characteristics of data quality, where the processes and systems used to archive data and data journals.
warehousing
36
one of the characteristics of data quality, where he process of translating data into information utilized for an application.
Analysis
37
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Data should be accessible."
Accessibility
38
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Data items should be easily obtainable and legal to collect."
Accessibility
39
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Good data should be accessible and it should be only accessible to those who are authorized to access it."
accessibility
40
data should be __________. Data should be easily obtainable and ___________ to collect
easily obtainable and legal
41
Good data should be accessible and it should be only accessible to those who are ________ to access it.
authorized
42
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Data should reflect correct, valid values."
Accuracy
43
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Accuracy will talk more about the correct valid values."
Accuracy
44
__________ .will talk more about the correct valid values.
Accuracy
45
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "All required data items are included.."
Comprehensiveness
46
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "All required data items are included."
Comprehensiveness
47
When you say comprehensive, all of the data should be _________.
complete
48
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "The entire scope of the data should be collected and
documented with intentional limitations."
Comprehensiveness
49
Comprehensiveness is The entire scope of the data should be collected and
documented with ___________________.
intentional limitations
50
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "The value of the data should be reliable and the same
across applications."
Consistency
51
if there is a word or an abbreviation that can be used in different places for different meaning, you should put a __________ that will state the whole __________ of the abbreviation
parenthesis, meaning
52
What happens if you use different abbreviations to mean
different things?
people who are reading that data may not be oriented to what you intend the data
53
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "The data should be up-to-date if it is current for a specific
point in time."
Currency
54
what is the singular form of data?
Datum
55
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Many types of health care data become obsolete after a
period of time."
Currency
56
Good data quality ensures that data is ______________.
up to date
57
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Should be clearly provided for current and future data users."
Defintion
58
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Each data element should have clear meaning and
acceptable values."
definition
59
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "This also relates to consistency."
defintion
60
what is one way to supply clear data defintions?
Data Dictionaries
61
Several books have __________ at the end. One purpose of it is to provide the definition of terms.
glossaries
62
In making SOPs or your standard operating procedures in different laboratories or in different organizations, one of the first few pages we have the ______________. So that will allow the user or their readers to know the _____________ that will be mentioned in that SOP.
definition of terms, meaning of the words
63
Doesn’t mean it is automated, there is an excuse to exclude ____________.
definition
64
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Attributes and values of the data should be defined at the
correct level of detail."
Granularity
65
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Also called Atomicity"
Granularity
66
what is the root word of atomicity?
Atomic
67
Individual data elements that are ________ are the same, that they cannot be __________
atomic, further subdivided
68
_______________ enables for the arrangement of data so you can subdivide the name.
Granularity
69
what do you search if you are searching for certain patient charts from that patient's medical history?
Full name
70
if you are searching for how many dela cruzes have been admitted to the hospital then you are searching for the?
Atomic
71
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Data values should be just large enough to support the
application or process."
Precision
72
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "it often relates to numerical data, where it denotes how close the acutal size, weight, or other standard a particular measurement."
Precision
73
usually talks about numerical data
Precision
74
usually talks about the words and the letters.
Accuracy
75
it is where you think more about typographical error in the data or the misspelling of anmes or terms and deals with words
accuracy
76
deals with numbers so whichever number is needed it should be that one, it should not be rounded-off and should not be minus, it has to be precise.
Precision
77
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "The data are meaningful to the performance of the process
or application for which they are collected."
Relevancy
78
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "The data are meaningful to the performance of the process
or application for which they are collected."
relevancy
79
So you have to access if that data is relevant to because if it is not relevant then that would just cause ____________.
bloating
80
We have to save storage room for our data so irrelevant data leads to _________ in the storage room and aside from that, it can also mislead any future use of that data.
bloating
81
one of the characteristics of data quality based on the standards set by MRI and AHIMA, where it stated that "Determined by how the data are being used and their
context."
Timeliness
82
must be available to the health care provider in a timely manner, producing accurate results after the patient has been discharged may be of little or no value to the patient’s care
Critical Lab values
83
needed daily to provide sufficient day-to- day operation staffing such as nursing and food service.
PAtient census
84
what census would you need were you need it for strategic planning?
Annual or monthly patient census
85
what census would you are planning for food service, like what food to serve on that day, or how much will the dietary department cook, then you need the ___________ or if how many nurses will go on duty that day?
day-to-day patient census
86
what are the five major functions negatively affected by poor quality data?
1. Patient Safety
2. Public Safety
3. Continuity of Patient Care
4. Health Care Economics
5. Clinical Research and Outcomes
87
one of the five major functions negatively affected by poor-quality data where "First to be affected with poor-quality data because they are direct recipients of health care."
Patient safety
88
patient safety is affected by?
inadequate information, illegible entries, misinterpretations, and insufficient interoperability.
89
one of the five major functions negatively affected by poor-quality data where "Diminished by the inability to collect information in a coordinated, timely manner at the provider level in response to epidemics and the threat of terrorism."
Public safety
90
one of the five major functions negatively affected by poor-quality data where "Affected by lack of shareable information among patient care providers."
Continuity of patient care
91
difference between EMR and EHR?
EMR (Electronic medical record) exists for one organization only while EHR (electronic health records) are records that are shared by multiple organizations
92
one of the five major functions negatively affected by poor-quality data where "good quality of data in EHR ensures that the patient’s second doctor is aware of the health services given to the patient from the first hospital."
continuity of patient care
93
is shared from hospital to hospital so they can monitor the patient's case properly?
EHR (Electronic health record)
94
one of the five major functions negatively affected by poor-quality data where "Information capture and report generation costs estimated to be ~$50 billion annually."
Health Care Economics
95
______________ will suffer if there is a bad quality in data.
Healthcare Economics
96
Healthcare Economics is an important function that is negatively affected by ___________.
poor-quality data
97
one of the five major functions negatively affected by poor-quality data where "Affected by a lack of uniform information capture that is needed to facilitate the derivation of data from routine patient care documentation."
Clinical research and outcomes
98
is the Discreet measurement of data quality, usually using standard data quality performance indicators such as accuracy, timeliness and completeness of reporting.
data quality assessment
99
it is Still basing it on the qualities of good quality data but systematizing it to indicators and tools for us to easily measure.
DAta quality assessment
100
it is Often conducted on a sample of health facilities representative of the whole health program, given a large enough sample and an appropriate sampling methodology.
Data quality assessment
101
what are the data quality assessment tools focus on?
1. Verifying the quality of reported data.
2.Assessing the underlying data management and reporting systems for standard program-level output indicators.
102
what are the three types of data quality assessment tools?
A. Data Quality Audit Tool
B. Routine Data Quality Assessment Tool
C. Lot Quality Assurance Sampling
103
one of the types of data quality assessment tools where it "Provides guidelines to be used by an external audit team to assess a program/project’s ability to report quality data."
Data quality Audit tool
104
one of the types of data quality assessment tools where it is the"Simplified version of DQA tool."
Routine Data Quality Assessment Tool
105
one of the types of data quality assessment tools where it is the"Simplified because it is routinely/regularly done."
Routine data quality assessment tool
106
what are the use cases of RDQA?
-Routine data quality checks as part of on-going supervision.
-Initial and follow-up assessments of data
management and reporting systems.
-Strengthening of the program staff’s capacity in data management and reporting.
-Preparation for a formal DQA.
-External assessment by partners of the quality of data.
107
one of the types of data quality assessment tools where it is the"Not designed for healthcare, but in the business industry. But applicable for HMIS.."
Lot Quality Assurance Sampling
108
one of the types of data quality assessment tools where it is the"Originally developed and used in the business industry."
Lot quality assurance sampling
109
what statistical method is used in LQAS?
statistical method of quality control per lot
110
how do you do lot quality assurance sampling?
-Define the service to be assessed
Identify the unit of interest
-Define the higher and lower thresholds of performance
-Determine the level of acceptable error
-From a table, determine the sample size and decision rule for acceptable errors to declare an area
as performing “Below expectations”
-The number of errors observed (mismatched data
elements will determine if the facility is performing above or below expectations.)
111
it is Versatile capacity building and self- assessment tool for a program in a single health area as part of monitoring and supervision.
Routine.
Routine Data Quality Assessment
112
it is the Site-level assessment/supervi sion tool to assess completeness and consistency of records and investigate suspected data quality.
Can be random.
Lot quality Assurance Sampling
113
what are the dimensions of RDQA?
Accuracy Completeness Availability Timeliness
114
what are the dimensions of quality assessed by LQAS?
Accuracy Completeness Timeliness Reliability
Internal consistency
115
frequency of implementation of LQAS and RDQA?
LQAS - as needed
RDQA - routinely and regularly
116
sampling of LQAS and RDQA?
LQAS - clustered base sampling
RDQA- Systematized random sampling
117
A problem-solving method that identifies the root causes of problems or events instead of simply addressing the obvious symptoms
Root cause analysis
118
meaning of RDQA?
Routine Data Quality Assessment
119
LQAS? meaning
lot quality assurance sampling
120
what does root cause analysis aim to?
Aims to improve quality products and services by using systematic ways to address problems
121
Aims to improve quality of products and services by using systematic was to address problems in order to be effective
root cause analysis
122
How start root cause analysis?
Start with a new mindset
Dig deeper and look at what is the core problem
Use passive voice avoid the blame game
123
why should you avoid the blame game?
you are dwelling on the surface problem. You will not get to the root cause because people will focus on the mentioned name. state facts only
124
what are the root cause analysis techniques?
Tree Diagram – 5 WHYs
Fishbone Diagram
Failure Mode and Effects Analysis
Fault Tree Analysis
Current Reality Tree
Kepner-Tregoe Technique
PAreto analysis
125
Tree Diagram 5 whys other name?
Cause mapping
126
cause mapping is another name for the ?
Tree diagram
127
it is one of the root cause analysis techniques where it "Starts with laying down the immediate or major causes of the
effect or problem. "
5 whys
128
in the 5 whys, Each major cause and succeeding layer of causes are then
further explored by asking “_____________”
Why did this happen?
129
is the one that is convincing and can explain the effect directly through a series of events initiated by it, is amendable to action and addressing it will solve or reduce the
problem.
root cause
130
effects in this diagram can be seen. what root cause analysis is it referring to?
5 whys
131
lower boxes in the 5 whys are considered to be?
amendable to action or can be fixed and is considered to be the root cause
132
describe the tree diagram of 5 why?
kind of like a little kid as they are fond of asking why
133
at what box in the tree diagram does it stated to be that statements is amendable to action and is already the root cause and can no longer be expand
last box of why
134
when do you use the tree diagram - 5 Whys?
where you want to find out the amendable action and addressing it will solve or reduce the problem
135
fish bone diagram is aka?
Ishikawa diagram, cause and effect diagram
136
Looks like a fishbone, showing the categorized causes and sub-causes of a problem.
fishbone diagram
137
when do you use the fishbone diagram?
use when you want to group causes into categories or show categorized causes and sub-causes to a problem
138
it is useful in grouping causes into categories?
Ishikawa diagram
139
Ishikawa diagram is aka?
Fish bone diagram or cause and effect diagram
140
cause and effect diagram is aka?
Ishikawa diagram, cause and effect diagram
141
to find out different causes we should use what type of diagram should we use?
Fishbone diagram
142
Used when there is a new product or process or when there are changes or updates in a product and when a problem is reported through customer feedback
failure mode and effects analysis
143
when do we use failure mode and effect analysis?
when there is a new product or process, changes or updates or when a problem is reported through a customer feedback
144
it aims to find various modes of failure within a system?
Failure mode and effects analysis
145
what questions does the failure mode and effect analysis address to?
a. What is the mode in which an observed failure occurs?
b. How many times does a cause of failure occur?
c. What actions are implemented to prevent this cause
from occurring again?
d. Are these actions effective and efficient?
146
Doesn’t really use a diagram, it's more on statements which are very direct to the point
failure mode and effect analysis
147
when is failure mode and effect analysis difficult to use?
difficult to use when the problem is very wide and broad
148
Can use this analysis simultaneously with another RCAT
Failure mode and effects analysis
149
when is fault tree analysis used?
in risk and safety analysis
150
in the fault tree analysis where is undesirable result and potential causes listed?
undesirable results are listed at the top while potential causes are listed down forming an upside down tree
151
when do we use fault tree analysis?
in risk and safety analysis
152
a diagram where it focuses more on the events or focuses more on dealing with events
fault tree analysis
153
main difference between the fault tree analysis and 5 whys?
5 whys is finding out the reasons behind each step or level while fault tree analysis focuses more in finding out the events behind each event
154
what is the advantage of fault tree analysis?
you can differentiate
events or causes which is why it is more useful in risk and safety analysis
155
a fault tree analysis should have a ______ at the side.
legend
156
in the legend of the fault tree analysis where does the description fit into? "Meaning all these events under this gate are the possible or discovered events under the main event."
OR gate
157
belongs to the legends of the fault tree analysis where we say "could have"?
OR gate
158
it is a gate thats under the OR gate
And gate
159
a legend of the fault tree analysis where all of the events that led to the effect are all in this part?
AND gate
160
what do you call the gate the very top at the fault tree analysis?
Transfer gate
161
what gate is the main event of the fault-tree analysis?
Transfer gate
162
Used when the root causes of multiple problems need to be analyzed all at once.
current reality tree
163
Used when the root causes of multiple problems need to be analyzed all at once.
current reality tree
164
when do you used current reality tree?
Used when the root causes of multiple problems need to be analyzed all at once.
165
The problems are listed down followed by the potential cause for a problem
current reality tree analysis
166
when is the current reality tree analysis used and useful?
used when multiple problems needs to analyzed all at once
167
a diagram where it allows you to see the relationships and connections between the problems?
current reality tree
168
a diagram where it allows you to see the relationships and connections between the problems?
current reality tree
169
what does the current reality tree allows you to see?
lets you see the relationships and connections between the problems
170
in the current reality tree once you find the common problem what do you?
plot using 5 whys or fishbone or fault tree analysis
171
a diagram where it is the combined failure mode and 5 WHYs or Fishbone.
Kepner-Tregoe Technique
172
a diagram where it Breaks a problem down to its root cause by assessing a situation using priorities and orders of concern for specific
issues.
Kepner-Tregoe Technique
173
how does the Kepner-Tregoe Technique break a problem down?
by using priorities and orders of concern
174
a diagram for A business tool used in management that the healthcare system has also adapted for HMIS
Kepner-Tregoe Technique
175
in what diagram is where Various decisions that should be made to address the problem are outlined. Items are being outlined and the people in-charge of RCA answers the items beneath each branch.
Kepner-Tregoe Technique
175
is made to ensure that the actions recommended are sustainable.
potential problem analysis
175
what is the pareto principle?
80% of the effects are the result of a small number of cases ~20%
176
when is pareto analysis used?
Used when there are multiple potential causes of a problem.
177
The chart shows the causes of a problem sorted by their degree of seriousness, expressed as the frequency of
occurrence, costs, and performance level.
pareto analysis
178
how do you do pareto analysis?
-List down all the problems your
organization/department is encountering from the most
frequent to the least frequent.
-Get the percentage by dividing the number of
occasions by the total number of all occasions
-get cummulative percentage
-plot it into a bar and or line graph
-and choose the 20%
179
in the pareto analysis what should you target ?
target the 20% because according to the Pareto Analysis or the Pareto Principle, you just target the 20% and that would be a huge help in fixing the entire problem.
180
what do you do after you find the root cause using the root cause analysis?
CAPA (Corrective And Preventive Action).
181
In corrective action, you need to:
-Identify potential corrective actions
-Select and implement the action most likely to eliminate
the problem and prevent recurrent.
-Corrective actions are appropriate to the magnitude and
risk of the problem
182
what do you do when your CAPA is effective?
close the corrective action
183
what do you do when your CAPA is ineffective?
select another corrective action or revisit the root cause
184
is the Proactive process of continual development.
preventive action
185
whats the goal of preventive action?
o Improvement of the quality management system
o Improvement of technical operations
o Elimination of potential nonconformities
186
It is when the requirement is not fulfilled.
nonconformity
187
what are the things that can help you come up with preventive actions.
o Observations
o Nonconformities
o Analysis of data
o Proficiency tests
o Suggestions for continuous improvement
188
The first thing in preventive action.
develop an action plan
189
what do you need to do develop an action plan?
o Specify what situation needs preventive action
o Define what changes/actions need to occur
o Assign responsibility
o Implement the preventive action
190
They decide on this matter as a team and not just as one person.
Corrective and Preventive Action (CAPA).
191
what do you do after implementation?
monitor the action
192
it is where you gather observations or data to determine whether the preventive action was effective. what step is this?
monitor the action
193
If effective - _______ the Preventive action.
close
194
If not effective - _____ another Preventive action.
select
195
illustrates how a project is expected to progress at a high level.
project management tool
196
This helps to ensure that a development team is working to deliver and complete tasks on time.
DEVELOPMENT IMPLEMENTATION PLAN
197
validates estimation and schedule of the project plan.
DEVELOPMENT IMPLEMENTATION PLAN
198
what are the steps in doing a DIP?
1. Define goals or objectives.
2. Schedulemilestones.
3. Allocateresources.
4. Designate team member responsibilities.
5. Definemetricsforsuccess.
199
is one of the very foundations of an effective and good health information system.
Data quality
200
are rarely the cause of the problem because people implement processes.
people
