Technology and Health Information Systems Flashcards
7 cards from real CDIP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Technology and Health Information Systems flashcards as text
A hospital's EHR uses a master patient index (MPI). Which scenario MOST directly threatens MPI integrity?
Answer: A registration clerk creates a duplicate record for a returning patient
Duplicate patient records created during registration are the primary threat to MPI integrity, potentially causing care fragmentation and safety risks.
Under the ONC's Trusted Exchange Framework and Common Agreement (TEFCA), what is the role of a Qualified Health Information Network (QHIN)?
Answer: Serving as a nationwide network operator enabling interoperability between networks
QHINs are designated network operators under TEFCA that connect health information networks to enable nationwide health data exchange.
A CDI specialist reviews a CAC system's output and finds that a post-operative wound infection present on admission (POA) is being suggested without a POA indicator. What is the MOST likely consequence if this error reaches final billing?
Answer: The condition may be misclassified as a hospital-acquired condition, triggering a payment penalty
Without the correct POA indicator, a condition present before admission can be flagged as hospital-acquired, resulting in a HAC payment reduction under Medicare.
Which component of a data warehouse architecture is responsible for cleansing, transforming, and loading data from source EHR systems before it reaches the analytical repository?
Answer: Extract, Transform, Load (ETL) process
The ETL process extracts raw data from source systems, transforms it to a consistent format, and loads it into the data warehouse for analysis.
A hospital uses natural language processing (NLP) to scan clinical notes for unspecified anemia in patients with documented chronic kidney disease. The CDI team uses these results to send physician queries. This workflow BEST illustrates NLP's role in:
Answer: Prospective CDI opportunity identification
Using NLP to identify documentation gaps in active patient records for CDI query opportunities is a prospective CDI workflow that improves capture before discharge.
In the 21st Century Cures Act, what specific practice is prohibited to prevent health information technology vendors and providers from restricting the flow of electronic health information?
Answer: Information blocking
The 21st Century Cures Act explicitly prohibits information blocking—practices that unreasonably interfere with the access, exchange, or use of electronic health information.
A CDI department wants to benchmark its query rate and CC/MCC capture rates against national standards. Which organization publishes benchmarking data MOST relevant to inpatient CDI program performance?
Answer: Association of Clinical Documentation Integrity Specialists (ACDIS)
ACDIS publishes annual CDI benchmarking surveys and industry metrics, including query rates and CC/MCC capture rates, making it the primary benchmarking source for CDI programs.