Management)
Health Information Management (HIM)
1. What is the first step in designing an electronic health record (EHR), which defines the characteristics
of each data element?
Answer: Developing a data dictionary.
2. After hospital discharge abstract systems were developed, what was the next step in providing
comparative data to hospitals?
Answer: Developing data sets.
3. What are the two purposes of data sets in healthcare?
Answer: To identify data elements to be collected about each patient and to provide uniform data
definitions.
4. Who is responsible for designing a data collection form to collect data on patients in an acute-care
hospital?
Answer: A health information technician.
5. Which of the following is NOT a characteristic of common healthcare data sets like UHDDS and
UACDS?
Answer: They provide a complete and exhaustive list of data elements that must be collected.
,6. Where is the completion of charts monitored in a paper-based system?
Answer: In the incomplete record file.
7. What type of filing system is being used if numbers represent health record numbers filed together
within the system?
Answer: Terminal digit.
8. Is an MPI necessary to locate health records within a paper-based storage system for all types of filing
systems except one?
Answer: Alphabetical.
9. How many filing hours will be required daily to retrieve and file records for each clinic day?
Answer: 25 hours per day.
10. In which system are all encounters or patient visits filed or linked together?
Answer: Unit numbering system.
(16) What is the term that is used to mean ensuring that data are not altered during transmission across
a network or during storage?
A) Media control
B) Integrity
C) Mitigation
D) Audit controls ✔️B) Integrity
, (17) Which of the following filing methods is considered the most efficient?
A) Alphabetical
B) Alphanumeric
C) Straight numeric
D) Terminal digit ✔️D) Terminal digit
(18) The primary purpose of a minimum data set in healthcare is to:
A) Recommend common data elements to be collected in health records
B) Mandate all data that must be contained in a health record
C) Define reportable data for federally funded programs
D) Standardize medical vocabulary ✔️A) Recommend common data elements to be collected in health
records
(19) In long-term care, the resident's care plan is based on data collected in the:
A) UHDDS
B) OASIS
C) MDS
D) HEDIS ✔️C) MDS
(20) Incorporating a workflow function in an electronic information system would help support:
A) Tasks that need to be performed in a specific sequence
B) Moving patients from point to point
C) Registration of patients
D) Making computer output available on a laser disk ✔️A) Tasks that need to be performed in a specific
sequence