CAHIMS Data Analytics and Reporting Flashcards

Which of the following is an example of predictive analytics in healthcare?

Answer: Using an algorithm to identify patients at high risk for sepsis

Predictive analytics applies statistical models and machine learning to historical data to forecast future events, such as identifying sepsis-risk patients before deterioration.

What does 'data integrity' mean in healthcare information management?

Answer: Ensuring data is accurate, complete, and consistent throughout its lifecycle

Data integrity means that healthcare data remains accurate, complete, and unaltered from creation through archival, supporting reliable clinical and administrative decisions.

Which standard coding system is used in the US to report diagnoses and procedures for inpatient hospital billing?

Answer: ICD-10-CM/PCS

ICD-10-CM is used for diagnosis coding and ICD-10-PCS for inpatient procedure coding, both required for US inpatient hospital billing and reporting.

What is a 'heat map' commonly used for in healthcare data visualization?

Answer: Showing density or intensity of values across two dimensions, such as infection rates by unit

In healthcare analytics, heat maps use color intensity to reveal patterns and concentrations of values across two categorical dimensions, such as infection rates by unit and day.

Which federal program requires eligible hospitals to report quality measures electronically as part of value-based purchasing?

Answer: Hospital Inpatient Quality Reporting (IQR) Program

CMS's Hospital Inpatient Quality Reporting (IQR) Program requires hospitals to electronically submit standardized quality measures to receive full Medicare payment updates.

What is the purpose of a 'data audit trail' in a healthcare EHR system?

Answer: To record who accessed or modified data, when, and what changes were made

An audit trail logs all data access and modification events, supporting accountability, compliance with HIPAA, and forensic investigation of potential breaches.