himst: data management system

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healthcare data

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159 Terms

1

healthcare data

are raw health care facts, generally stored as characters, words, symbols, measurements, or statistics

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2

not very useful for decision-making

disadvantage of healthcare data

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3

health information

  • Knowledge obtained after data is processed and structured into a meaningful form

  • processed health data

  • not only to understand new diseases and therapies but also to predict outcomes

  • processed through common statistical tools or by highly sophisticated methods

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4

data

Facts concerning people, objects, vents or other entities. Databases store data.

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5

information

Data presented in a form suitable for interpretation.

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knowledge

Insights into appropriate actions based on interpreted data

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knowledge

information applied to rules, experiences, and relationships with the result that it can be used for decision-making

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8

generation of new information and knowledge about the patient

the medical doctor shall process all the data gathered from the patient which will eventually lead to the ____

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9

healthcare data

beginning of healthcare information

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10

information

you cannot create ___ without data

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11

information system

which is not part of the data management activities: information flow information system data collection & management patient privacy & confidentiality computer skills

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12

presence of computers

These activities cannot be facilitated without the ____

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13

personnel, documents, & records.

Data management is closely linked to other components such as ____

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14

healthcare data management

process of storing, protecting, and analyzing data pulled from diverse sources.

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15

create holistic views, personalize, improve, enhance

Managing the wealth of available healthcare data allows health systems to ___ of patients, ___ treatments, ___ communication, and ___ health outcomes.

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16

structured data

● easy to manipulate, easy to store, easy to be analyzed, easy to encode in the data management system ● requires no effort or manpower

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17

office medical records

which of the following is not an example of structured data: clinical data office medical records laboratory results medical imaging

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18

unstructured/semi-structured data

● not easy to encode in data management system ● requires more time to process

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clinical data

which of the following is not an example of unstructured/semi-structured data: office medical records doctors notes clinical data paper prescriptions images and radiographic film

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20

48%

There is an increase of __ annually of healthcare data

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21

152

in 2013, there is ___ exabytes

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22

2314

in 2020, there is ___ exabytes

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23

big data in healthcare

combination of warehouse and data base and specific analytical tool

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24

1/8 of a letter

data sizes: bit

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1/2 of a letter

data sizes: nibble

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1 letter

data sizes: byte

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1 book

data sizes: megabyte (1024 kilobytes)

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28

1600 books

data sizes: gigabyte (1024 megabytes)

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1,600,000 books

data sizes: terabyte (1024 gigabytes)

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160,000,000 books

data sizes: petabyte (1024 terabytes)

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1,600,000,000,000 books

data sizes: exabyte (1024 petabyte)

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32

volume

Terabytes to Exabytes of existing data to process

<p>Terabytes to Exabytes of existing data to process</p>
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33

doctors notes

what information of volume is not in the choices: ○ personal information ○ radiology images ○ 3D imaging ○ doctors notes ○ genomics ○ biometrics sensor readings

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34

velocity

Streaming data, requiring milliseconds to seconds to respond

<p>Streaming data, requiring milliseconds to seconds to respond</p>
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35

accumulated and processed

velocity data is ___

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F: should be correct

T/F: information stored in velocity is often wrong but not always, even if it is updated on a regular basis

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real time processing

velocity: big data must be retrieve, analyzed, and compared to make time and accurate decisions based on ___

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38

variety

Structured, unstructured, text, multimedia refers to images, texts, or discrete figures

<p>Structured, unstructured, text, multimedia refers to images, texts, or discrete figures</p>
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39

veracity

  • Uncertainty due to data inconsistency & incompleteness, ambiguities, latency, deception, model approximation

  • high quality of data is necessary

<ul><li><p>Uncertainty due to data inconsistency &amp; incompleteness, ambiguities, latency, deception, model approximation</p></li><li><p>high quality of data is necessary</p></li></ul>
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40

at rest

volume data is ___

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41

in motion

velocity data is ____

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in many forms

variety data is ___

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43

in doubt

veracity data is ___

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44

volume

health data with the 4 v's | what v is presented? ● There are 150 exabytes of healthcare data across disparate care settings ● It is estimated that the average hospital will generate 665 Tb of data.

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45

velocity

health data with the 4 v's | what v is presented? ● Monitoring Equipment can generate 1000 readings per second

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variety

health data with the 4 v's | what v is presented? ● Medical image archives increasing by 20-40% annually. ● 4.9 Million remote monitoring devices

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veracity

health data with the 4 v's | what v is presented? ● There is 80% coding variability among diagnosis and lab tests

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48

Create 360-degree views of consumers, patients, and households

benefits of healthcare data management: Deploy personalized, guided interactions by integrating data from all available sources.

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49

Enhance patient engagement

benefits of healthcare data management: ___ with predictive modeling and analysis based on healthcare data

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50

Improve population health outcomes

benefits of healthcare data management: ___ in specific geographic areas by tracking current health trends and predicting upcoming ones

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51

Make informed

benefits of healthcare data management: ___, high-impact business decisions based on data insights.

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52

Understand physician activities

benefits of healthcare data management: ___ and align them with the organization’s goals.

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53

entity

any object about which an organization chooses to collect data

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54

character

smallest piece of data

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55

field

one piece of information about an entity

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56

record

fields related to the same entity

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57

file

collection of related records

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58

database

collection of files that are kept together

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59

Database Management System (DBMS)

program used to build databases, populate them with data, and manipulate the data

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queries

Messages sent to the database to access data

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results, Manipulate, Sort

purpose of queries: ■ Display __ ■ __ data (adding, deleting, and updating) ■ __ the order of the records

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report

DBMS are usually bundles with report generation module which can facilitate queries and produce predesigned reports

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63

security

Use of databases may raise security and privacy issues, for this reason additional security measures is need

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security

solution of security and privacy issues

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65

data warehouse

○ A large database that supports the management in decision making ○ Contains data, or summaries of data, from millions of transactions over many years and/or from national or global transactions

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internal or external

data warehouse: Starts from __ data sources

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67

metadata

data warehouse: Data are extracted into __ or data warehouse

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data marts

data warehouse: In the data warehouse, they can be categorized as __

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69

Sorted data

data warehouse: ___ can now serve either through the OLAP (Online Analytical Processing) or Data Mining

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processed data

data warehouse: __ can now serve as information for the agency

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71

big data

○ A magnification or expansion of the amount, types, and level of detail of data that is collected and stored ○ Involves high volumes of data compiled from traditional, ordinary business activities, as well as newer, nontraditional sources such as social media

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data mining

Outcome of Data Warehousing: The process of selecting, exploring, and modeling large amounts of data to discover previously unknown relationships that can support decision making

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for meaningful patterns of information

Data-mining software searches through large amounts of data ___

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statistical techniques

Type of intelligence gathering that uses ___ to explore large data sets, hunting for hidden patterns and relationships that are undetectable in routine reports

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Online Analytical Processing

Outcome of Data Warehousing: Applications that respond to commands by composing tables to analyze different dimensions of multidimensional data

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76

administrative data

● In the course of providing and paying for care, organizations generate ___ on the characteristics of the population they serve, as well as their use of services, and charges for those services - often at the level of the individual users ● Data is gathered from claims, encounter, enrollment, and providers system

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77

$9700

average us health spending per person in 2014

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78

financial data

types of administrative data: ○ Primarily public and private insurance claims (2 types) ■ Managed care plans, hospital discharge revenue cycle management organization ■ Released by Department of Health and Human Services (HHS)

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79

logistical data

types of administrative data: ___ pertaining to several aspects of patient care ■ Care-team composition and staffic metrics ■ Resource violation ● Services metrics (e.g., inpatient, outpatient, and emergency department vidiost ● Medication usage ● Performed diagnostic tests and procedures

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Quality Assessments

types of administrative data: Done to determine the quality and deficiency of care provided ○ Performance analyses of the service providers (i.e., reviews of clinician performance) ○ Patient satisfaction surveys ○ Hospital Quality Measures

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81

electronically, less expensive, fairly uniform

advantages of administrative data: ● available ___ ● ____ than obtaining medical record data ● available for an entire population of patients and across payers ● ____ (and improving) coding systems and practices

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82

limited, billing

challenges of administrative data: ● ___ clinical information ● questionable accuracy for public reporting because the primary purpose is ___ ● completeness ● timeliness

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83

patient medical records

a documentation of a patient’s medical history and care

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84

increased the accessibility of patients’ files

the advent of electronic medical records has ___

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85

improve the ease and cost

wider use of electronic medical record systems is expected to ___ of using this information for quality measurement and reporting

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86

rich, credible

advantages of patient medical records: ● ___ in clinical detail ● viewed by providers as ___

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87

cost, complexity, and time; paper

challenges of patient medical records: ● ___ required to compile data when patients receive services across different sites, particularly if a different record format is used ● ____ is currently used for most records, thus trained staff must manually abstract information

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88

patient surveys

survey instruments that capture self-reported information from patients about their health care experiences

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89

best source; well-established methods; easy

advantages of patient surveys: ● captures types of information for which patients are the ___ ● provides __ for survey design and administration ● __ for consumers to understand and relate to survey results

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90

Quality, Access, Coordination, Confidence, Ease

Common Topics Covered in Patient Surveys:

  1. ___ of Care

  2. ___ to Care

  3. Staff ___

  4. ___ in Doctor

  5. ___ of Appointment Scheduling

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91

cost, misleading results, sampling & response

challenges of patient surveys: ● ___ of survey administration ● possibility of ___ ○ ___ bias

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92

comments from individual patients

anecdotal information, include any type of information on healthcare quality that is gathered informally rather than by carefully designed research efforts

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compelling, efficient means

advantages of comments from individual patients: ● ___ to consumers to read about other people’s experiences ● __ for conveying information and influencing people’s decisions and behavior

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impartial assessment; undue influence

challenges of comments from individual patients: ● not an ___ of healthcare quality ● not representative of the patient population ● likely to have an ___ on people’s healthcare decision making

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95

standardized clinical data

detailed information about the status of each patient at set time intervals

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96

Minimum Data Set (MDS)

required information for nursing homes

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97

Outcome and Assessment Information Set (OASIS)

data required by Medicare for certified home health agencies

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existing data sets; facility performance

advantages of standardized clinical data: ● uses ___ ● characterizes ___ in multiple domains of care

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99

May not address all topics of interest

challenge of standardized clinical data

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100

omics data

  • represents the study of information contained within an individual’s genome and the biological derivatives of these genes

  • utilized to identify the treatment efficacy of various medications and medication dosages for a particular individual

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