Exam (elaborations)
CHDA Domain 5 (Data Governance) Questions and Answers 2024
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CHDA Domain 5 (Data Governance)
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CHDA Domain 5 (Data Governance)An important part of the maintenance of the master patient index is to resolve situations
where a patient is assigned another patient's medical record number. This is an
example of which of the following? - answer overlay (occurs when one patient record is
overwritten with data from another patient's record, goal is to have a true longitudinal
record from birth to death and the MPI services as the link to information and certainty
of identification that are critical to the quality and safety of patient care)
What database would be most critical to validate and test for users preparing to enter a
RHIO (regional health information organization) or HIE (health information exchange)? -
answer Master patient index (MPI)
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 with Body-Mass Index or
BMI. What step should be taken to ensure the data fills to the BMI in the new system? -
answer Data mapping from current to new system (data mapping is defined by ISO as
the process of associating concepts or terms from one coding system to concepts or
terms in another coding system and defining their equivalence in accordance with a
documented rationale and a given purpose)
High-quality information is contingent on ____. - answer Reliable data
Assuring that data have been accessed or modified only by those authorized to do so is
a function of ____. - answerData integrity (when data are updated in a database, data
concurrency controls are used to ensure data integrity; a DG program will assign
accountabilities to individuals and groups of individuals for establishing, implementing,
and monitoring a variety of controls that mitigate data risk)
ASTM Standard E2522-07 provides guidance to healthcare organizations in developing
____. - answerContent and structure of health records
Health Level 7 (HL7) ____. - answerBetter enables interoperability when standard
terminologies are used
Health information loses PHI status and is no longer protected by the HIPAA Privacy
Rule when it ____. - answeris deidentified
To ensure quality of data, the Cancer Committee reviews the abstracting done by the
cancer registry personnel. This is a method of ___ reliability. - answerInterrater
, Which dimension of data quality is defined as "data that is free of errors"? -
answerAccuracy
An audit trail is a good tool for which one of the following? - answerReconstructing
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? - answerLOINC
Of the following resources, the best resource to use in defining the structure of the EHR
is the ____. - answerHL7 functional model
Which of the following is an example of what an audit trail checks for? -
answerUnauthorized access to a system (an audit trail is a chronological set of
computerized records that provides evidence of information system activity used to
determine security violations)
The HIPAA methods titled Expert Determination and Safe Harbor are ways that which of
the following can be achieved legally? - answerDeidentification
An EHR system can provide better security that a paper record system for protected
health information due to ____. - answerAccess 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? - answerTesting
The individual most likely to lead strategic planning for a healthcare organization's
information system is the ____. - answerCIO
The purpose of the data dictionary is to ____ definitions and ensure consistency of use.
- answerStandardize
Which of the following is a mechanism that retrospectively records and examines data
revisions in information systems? - answerAudit controls (mechanisms that record and
examine activity in information systems; HIPAA doesn't specify what form of audit
controls must be used, how or how often they must be examined, or how long they must
be retained)
Medical information loses PHI status and is no longer protected by the HIPAA Privacy
Rule when it ____. - answeris deidentified
Audit control standard recognizes that regardless of the controls put into place to
prevent unauthorized access, there must be a way to track and record user activities in
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