Question 1

Identify which one of the following is NOT a core public health function.

Accepted Answer

Oversight of registries for specific diseases or medical procedures is not considered a core public health function. The other options, including assessment and monitoring of community health, formulation of public policies, and assurance of access to care and health promotion, are all core public health functions.

Question 2

What is the required follow-up rate for approved hospital cancer programs?

Accepted Answer

The required follow-up rate for approved hospital cancer programs is 90%, according to the American College of Surgeons Commission on Cancer. This means that hospitals must track and report on 90% of their eligible cancer patients in order to maintain their accreditation.

Question 3

CMS attempts to make the Medicare beneficiary a better informed public consumer of health care for inpatient services by providing which of the following?

Accepted Answer

CMS provides Hospital Compare, a tool that allows beneficiaries to compare hospitals on quality measures such as mortality rates, patient experience, and timeliness of care. A, C, and D are all organizations focused on healthcare quality and research, but they are not specific tools provided by CMS for Medicare beneficiaries.

Question 4

Which of the following cancer registry files is considered a working file?

Accepted Answer

The follow-up file is considered a working file as it contains updated information on the patient's status and treatment. The accession register, patient index, and primary site files are not updated regularly and are used for administrative and analytical purposes.

Question 5

Identify the function that is NOT common to all registries.

Accepted Answer

Staging of the disease process and periodic follow-up for ACS approval is not a function common to all registries. This function is specific to cancer registries seeking approval from the American College of Surgeons Commission on Cancer. The other functions listed (case definition and eligibility criteria, abstracting and entering specified data elements into a database, and data reporting for use by agencies, the scientific community, and the public) are common to all types of registries.

Question 6

In Best Health General Hospital, the cancer registrar associated with the cancer program undertakes a systematic sampling of 5% to 10% of cases in the registry. The main goal of the evaluation is to

Accepted Answer

The main goal of the evaluation is to evaluate the quality of the coded data in the cancer registry. Systematic sampling of cases helps to ensure that the quality of the data is maintained and identifies any discrepancies or errors in coding, which can then be addressed and corrected. This is important for accurate cancer reporting and research, as well as for optimizing patient care. Comparing the results of two studies, optimizing care for patients with cancer, and contributing to public health cancer-control goals are all valid goals but do not specifically relate to the evaluation of the quality of the coded data in the cancer registry.

Question 7

The selection of a data element should meet which of the following criteria?

Accepted Answer

The answer of The selection of a data element should...

Question 8

Which of the following registries would report information on the national health objectives set for the Healthy People 2020?

Accepted Answer

Immunization registries would report information on the national health objectives set for the Healthy People 2020 as one of its goals is to increase vaccine uptake and availability. The other registries listed may provide relevant health information but are not specifically targeted towards the objectives set forth by Healthy People 2020.

Question 9

Immunization registries store data electronically on all National Vaccine Advisory Committee-approved core data elements. Knowledge of vaccination rates helps to determine

Accepted Answer

Immunization registries store data on all National Vaccine Advisory Committee-approved core data elements which can help determine whether public health goals are being met, whether public health interventions are needed to increase immunization rates, and the potential need for rapid immunization in the event of a bioterrorist attack. Therefore, all options are correct.

Question 10

Certified Tumor Registrar is

Accepted Answer

A Certified Tumor Registrar (CTR) is a credential based on passing an examination administered by the National Cancer Registrars Association (NCRA). The NCRA also requires candidates to have completed specific education and work experience requirements before being eligible to take the exam. Therefore, the correct answer is B, a credential based on an examination.

Question 11

The AIS scores would be found in which of the following registries?

Accepted Answer

AIS scores, which stand for Abbreviated Injury Scale scores, are used to assess injuries sustained from trauma. Therefore, the AIS scores would be found in the trauma registry. The other registries listed (cancer, birth, and diabetes) would not typically include AIS scores as they are not directly related to trauma.

Question 12

A study is conducted that evaluates the impact on the use of coronary artery bypass grafts in patients with myocardial infarctions in the populations of two states. Which of the following is the most likely way to adjust for risk in the two populations?

Accepted Answer

The Elixhauser Comorbidity Measurement is a commonly used risk adjustment method in healthcare research. It is an algorithm that assigns weights to comorbidities, which are then used to adjust for differences in the severity of illness between populations. This adjustment method would be appropriate for a study on the use of coronary artery bypass grafts in patients with myocardial infarctions as it would help to control for differences in comorbidities between the populations of the two states. The other three options (A, C, and D) are not commonly used risk adjustment methods in healthcare research.

Question 13

Which of the following cancer data may be released without patient authorization?

Accepted Answer

Aggregate cancer data, which refers to data that has been combined and analyzed in a way that removes all identifiable information, can be released without patient authorization for research, epidemiological studies, and public health purposes. Patient, physician, and facility data all contain identifiable information and require patient authorization to be released.

Question 14

Which organ-specific registry is associated with the National Organ Procurement Transplantation Network?

Accepted Answer

The National Organ Procurement Transplantation Network (OPTN) is responsible for managing the national transplant waiting list and allocating organs to patients. It includes organ-specific registries for kidney, heart/lung, and pancreas transplants, as well as other organs like liver and intestines. Therefore, the correct answer is D, all of the above.

Question 15

Which of the following lead agencies has the primary responsibility to improve quality, safety, efficiency, and effectiveness by collecting data on published Patient Quality and Patient Safety Indicators?

Accepted Answer

The Agency for Health Care Research and Quality (AHRQ) is a lead agency responsible for improving the quality, safety, efficiency, and effectiveness of healthcare services. The AHRQ collects data on published Patient Quality and Patient Safety Indicators to monitor and improve healthcare outcomes. The other options listed, such as The Leapfrog Group, Texas Medical Foundation Health Quality Institute, and Health Grades, are not lead agencies responsible for collecting data on these quality indicators.

Question 16

Health care organizations and providers are required to report data on specific core measures. This is an example of which use of health care data reporting?

Accepted Answer

The reporting of data on specific core measures by health care organizations and providers is an example of performance management, which involves the collection, analysis, and reporting of data to improve processes, outcomes, and quality of care within a health care organization. The data collected can be used to identify areas of improvement and compare performance against established benchmarks and national standards.

Question 17

All the following are included in the International Classification of Diseases for Oncology, 3rd edition (ICD-O-3) coding scheme except

Accepted Answer

The ICD-O-3 coding scheme includes differentiation, grading, and morphology as part of its classification system. However, etiology (the cause of the cancer) is not included in this coding system.

Question 18

Cancer registries have been established to

Accepted Answer

Cancer registries collect and analyze data on cancer cases, including incidence rates, types of cancer, and treatment outcomes. This information is used to evaluate cancer trends, develop cancer control programs, and improve cancer prevention and treatment strategies. Registries do not focus on investigating the causes of cancer as a disease or eradicating it, nor are they used to monitor physician performance.

Question 19

Which one of the following is NOT a step in building a data dictionary?

Accepted Answer

Mandating the adoption of your preferred definitions of data elements is not a step in building a data dictionary. Developing a consensus between all users of the system is essential in ensuring that the data dictionary is accurate, complete, and widely accepted. Other critical steps include performing an inventory of the current system and identifying new data content needs of the current system.

Question 20

A physician at Best Health General Hospital questions the quality of the data in the computerized cancer registry. The quality control process would be specified in the Cancer Registry Manual under

Accepted Answer

Quality control policies and procedures are designed to ensure the accuracy and completeness of data in the cancer registry. These policies and procedures would outline steps for reviewing and auditing data, addressing errors or discrepancies, and monitoring data integrity. The other options are important components of the Cancer Registry Manual but do not specifically address quality control.

Quiz 13: Data Analytics: Reporting, Interpretation, and Use