HIT Review Quiz 3
An average daily census day
An inpatient service day
The inpatient census
A unit of service day
5,000 grams or less
2,500 grams or less
3,500 grams or less
2,000 grams or less
Unber of weeks of gestation at which the getus was expelled or extracted
Weight of the dead fetus upon expulsion or extraction from the mother
Lack of breathing or other evidence of life at the time of expulsion or extraction
The fact that the fetus is preterm at expulsion or extraction from the mother
Inpatient deaths occurring less that 48 hours after admission
Infant deaths that occur within the acute care facility
Hospital patients whose bodies are unavailable for autopsy
Unautopsied medical examiners' cases
Each time the L.O.S. statistic is calculated
For inpatient oong-term care facility residents only
As determined by long-term care facility policy
If the resident was under a doctor's supervision
Included in the gross death rate
Not uncluded in any patient death rates
Counted as dead under 48 hours
Registered as an outpatient
Inpatient census
Percent of occupancy
Bed turnover rate
Average length of stay
Percent of occupancy
Average length of stay
Inpatient census
Gross autopsy rate
Number of inpatients present
Hospital's utilization
Inpatient beds occupied
Services received by inpatients
Is a statistic that is not calculated as it does not provide useful information
Should also include deaths occuring before and after 48 hours of admission
Is called "gross death rate," also known as "hospital death rate"
Is an incorrect formula and should exclude "(and deaths)"
Uniform Hospital Discharge Data Set
Glossary of Health Care Terms
Health Care Field Guide
L.T.C. Minimum Data Set
Immature neonate
Post-term neonate
Preterm neonate
Term neonote
Occupying beds in the facility at midnight
Dischraged within a 24-hour period
Admitted withing a 240hour period
Present in the facility at any one time
Admissions
Inpatients and outpatients
Discharges
Census
Dead on arrival
Inpatient death
Outpatient death
Institutional death
Accreditation Manual
Conditions of Participation
Guide to the Health Care Field
Indicator Monitoring System
Have a mutual understanding about the definition of terms used, data collected, and accuracy of information
Compare their health care facility statistics to those of another facility located in a different state
Utilize only the health record as the source of data for gathering statistical information at the facility
On a daily basis, question the necessity of data collection and report compliation as prepared by the facility
Inpatient service days calculations
Patient census calculations
Bed occupancy calculations
Length of stay calculation
96
97
98
99
Inpatient bed count
Percentage of occupancy
Daily census
Inpatient bed count day
Inpatients/residents present at the census taking time each day
Newborns delivered that day in the acute care facility
Patients in an intensive care unit located within the hospital
Patients seen in the emergency department of the facility
Deaths under 48 hours
Fetal deaths
Coroners' cases
Deaths over 48 hours
Range
Standard deviation
T-test
Variance
DHHS
Delphi Technique
MUMPS
UHDDS
Pediatric inpatient
Newborn patient
Newborn outpatient
Emergency patient
Too few classes are represented in the table
Too many classes are represented in the table
A data item may go into more than one class
A data item may not go into more than one class
Census
Case-mix
Blended rate
Severity of illness
6
8.8
29
97
9.0
11.1
10.3
9.8
Arithmetic mean
Mode
Median
Standard deviation
Included in gross and net death rates
Not included in either gross or net death rate
Included in the gross death rate, not in the net death rate
Included in both gross and net death rates when delivery occurs in the hospital
Inprovement in the quality of health record documentation
Calculating statistics via computer rather than manually
Increasing the number of statistical computations required by the facility
Computing statistics from secondary health records
Inpatient admission
Inpatient hopitalization
Hospital inpatient
Nursing facility inpatient
Uniform Hospital Discharge Data Set
Uniform Patient Discharge Data Set
Medicare/medicaid Patient Discharge Data Set
Medicare/medicaid Hospital Data Set
National Center for Disease Control
Workd Health Organization
Federal Office of Vital Statistics
National Center for Health Statistics
Accreditation Manual for Hospitals
Hospital Survey Profile
Guide to the Health Care Field
Directory of Residency Training Programs
Retrospective review
Concurrent review
Discharge analysis
Service analysis
There is actuallytoo much data collected to provide accurate reporting mechanisms
Computerized information processing requires quality control checks to be performed
There is never enough data collected to provide optimal reliability in computations
Accuracy of data collected is consistent with the number of people collecting data
Bar graph
Pie graph
Histogram
Line graph
Pie chart
Line graph
Rate/ratio
Variance
Heart disease cases receiving treatment within the population
Newly diagnosed heart disease cases last year within the population
Known heart disease cases at the present time within the population
Current heart disease cases who need medical and social care to cope
Have less appeal than tables of numerical listings
Are extremely complex in presentation
Should contain as much information as possible
Help the raeder understand information more quickly
Valid
Sound
Reliable
Cogent
Classify them as pediatric patients only if cared for by an organized medical staff unit of pedatrics
Allow each medical staff service (e.g., general practice, internal medicine, etc.) to determine the age to be used
Used the broadest grouping of ages whenever possible when gathering information on this patient population
Comply with federal regulations dictating that pediactic patient data be gathered separately from adult data
Hospital discharge days
Daily inpatient census
Average length of stay
Percent of occupancy
Mean
T-test
Table
Variance
The categories of data displayed are not continuous
Numerical data are first converted to percentages before displaying it
The data presented must be adjacent to each other on the graph
Data are represented by dots placed over midpoints on the display
Patient
Attending physician
Health information management
Hospital
Always
Only if the original health record has been destroyed
Only if the court has the facilities to reproduce the microfilm in hard copy
Never
Extended
Continued
Voided
Promoted
Only upon receipt of a subpoena duces tecum
Only upon receipt of the patient's authorization
Only upon receipt of a written authorization from the hospital administrator
Without authorization or subpoena duces tecum
Authoriations to release "any and all" information
Authorizations signed retrospectively
Authorizations signed prospectively
Release of information by the recipient
Who was responsible for compiling each part of the record
The advisability of the treatment provided the patient
Whether the record was kept as part of the hospital's regular order of business
What the components of the record are
Writing over the entry
Erasing the entry
Adding marginal notes to the entry
Writing over a spelling error in the entry
No information except dates and admission and discharge
No information at all from their employees' records
Any and all information, provided they will be paying for hospital treatment
No information except identifying information and the prognosis
Honor the subpoena
Inform the hospital attorney before honoring the subpoena
Inform the subpoena server that the subpoena must be served on the chairman of the tussue committee
Inform the Chief of Staff
Internal Revenue Service, Veterans Administration, county welfare department, attourneys, the police
The hospital's Quality Management Committee,, commercial health insurance companies, the patient's employer, a life insurance company to which the patient has applied for life insurance
The Federal Bureau of Investigation, county sheriff's office, office of the district attorney
The local office of the Public Helath Department, the local medical society, the patient's spouse, a physician who last treated the patient 3 years ago
Subpoena
Subpoena duces tecum
Primary evidence
Attorney's subpoena
Always
Never
Only if a second attorney is representing the patient's physician in a malpractice case
If the second attorney has the patient's authorization
Attending physician
Attorney
Legal representative
Next of kin
A surgeon nicking a ureter during tubal ligation
A surgeon performing an appendectomy on a patient found after surgery to have a normal appendix
A surgeon leaving a surgical instrument in the body unintentionally
A nurse neglecting to give postoperative pain medication as ordered
When a hospital medical technologist is negligent, the atteding physician can be held liable
When the attending physician is negligent, the hospital can be held liable
When a hospital nurse is negligent, the director of nursing services (or equivalent) can be held liable
When a hospital pharmacist is negligent, the hospital can be liable
Supreme Court or Court of Appeals
District Appeals Court
Justice's Court
Circuit Court
Correspondence
Consent forms
Nurses' notes
Graphic reports
The right to restrict release of information from the health record
The right to remove health records from the hospital
No legal right to the health record
The right to restrict the use of his or her records in quality management activity
Destroyed within a week of the incident
Kept with the health records
Kept separate from the health records
Kept in the health record but removed if the record is subpoenaed
Himself
Either of his parents
His wife
Either himself or his wife
Appellee
Plaintiff
Bailiff
Defendant
Maintaining a timely record
Providing a physical record that can be used in court
The number of persons having access to confidential information
Placing the record on microfilm
Duty of the provider
Standard of care
Patient-physician privilege
Common law
Being considered in comtempt of court
Judicial fines being imposed
Arrest
Another subpoena being issued
15
10
7
25
Informed
Express
Direct
Implied
Admitting office
Surgeon
Operating room supervisory nurse
Unit nurse
Assault
Willful bodily harm
Battery
Malpractice
Hearsay evidence
Primary evidence
Circumstantial evidence
Business records
Motion
Examination before trial
Bill of particulars
Summons
Cases are brought before being referred to the state level
Cases and special proceedings are tried
Cases brought from appellate courts are heard
Only federal cases are heard
Patient
Attending physician
Health information management
Hospital
Rerelease
Redisclosure
Retrospective release
Secondary release
Can be ignored at the discretion of the hospital attorney
Must be obeyed
Must be countersigned by a judge
Must be contersigned by the clerk of the court or a judge
Defendant
Appellant
Contestee
Plaintiff
Defamation
Breach of confidentiality
Invasion of privacy
Invalidation of consent
Admission and discharge dates only
Name only
Name, address, age, sex, and attending physician only
No information, including the fact that he or she was treated at the facility
Each page should be numbered
Each page should be checked to make sure that it contains the patient's name and health record number
The record should be read to see if there is a possibility of a malpractice suit
The attending physician should be notified
The signature of the person requesting the information
The signature of the patient or authorized representative allowing release of information
The purpose of or need for the information
The name of the person or institution that is to receive the information
Patient
Physician
Parent
Parent or legal guardian
The patient
The physician
Both the patient and the physician
Either the patient or the physician, depending on the circumstances
When the signature of the patient is not present on the subpoena
When the date, time, and place of appearance are not stated on the subpoena
When the signature of the official empowered to issue the subpoena is not present on the subpoena
When the seal of the court is not present on the subpoena
The patient's physician
The hospital's attorney
The hospital administrator
The Chief of Staff
Reasonably foreseeable risks of performing the procedure
Cost of the procedure
Complications or side effects
Anticipated results if the procedure is not performed
Remove the history and physical report from the record
Hand-correct the report
Add a history and physical of his or her own
Refuse to countersign the report until the resident corrects it
Complied with
Refursed
Referred to the Chief of Staff
Referred to the hospital attorney
Summons
Litigation
Common law
Statute of limitations
The callers' identity is verified
Contacting the patient
Contacting the attending physician
Contacting the hospital administrator
Battery
Negligence
Invasion of privacy
Intent
Assault and battery
Libel and slander
Negligence and unauthorized disclosure
Uninformed consent
Federal Register
Common Law Review
Federal Regulation Register
Register of Federal Regulation
Never
Always
Only if the deceased were a minor
Only if death was not a bona fide coroner's case
A pedestrian ignores a stranger who is the victim of a hit-and-run driver
A hospital patient suffers a broken hip when falling on a wet floor near his room
A patient refuses to remain in the hospital, signs forms indicating his consent to release against medical advice, and sufferes a heart attack in the hospital's ambulance on the way home
A hospital refuses to release a patient until she has arranged for medical insurance to coer her hospital expenses
Civil act that is not based on a contract violation
Criminal act involving a health professional and a patient
Criminal act involving negligence on the part of a physician
Civil act based on the breaking of an oral contract
Pretrial discovery
Discovery court order
Examination before trial
Summons
The best evidence rule
Res ipsa loquitur
The judicial notice rule
Original evidence
Wife
Grandmother
Patient
Either parent
Best evidence
Testimony
Demonstrative evidence
Admissibility
Hospital pathologist
Attending physician
Hospital pathologist and the hospital
Attending physician and the hospital pathologist
Chain-of-Trust Partner Agreement
Business Continuity Plan
Certification of Compliance
Information Access Control Plan