Management
A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of each
data element are defined. - ANSWER:Data dictionary
Once hospital discharge abstract systems were developed and their ability to provide comparative data
to hospitals was established, it became necessary to develop: - ANSWER:Data sets
In healthcare, data sets serve two purposes. The first is to identify data elements to be collected about
each patient. The second is to: - ANSWER:Provide uniform data definitions
A health information technician is responsible for designing a data collection form to collect data on
patients in an acute-care hospital. The first resource that she should use is: - ANSWER:UHDDS
Which of the following is NOT a characteristic of the common healthcare data sets such as UHDDS and
UACDS? - ANSWER:They provide a complete and exhaustive list of data elements that must be collected
In a paper-based system, the completion of the chart is monitored in a special area of the HIM
department called the ______ file. - ANSWER:Incomplete record
Consider the following sequence of numbers. What filing system is being used if these numbers
represent the health record numbers of three records filed together within the filing system?
36-45-99
37-45-99
38-45-99 - ANSWER:Terminal digit
The MPI is necessary to physically locate health records within the paper-based storage system for all
types of filing systems, EXCEPT: - ANSWER:Alphabetical
The RHIT supervisor for the filing and retrieval section of Community Clinic is developing a staffing
schedule for the year. The clinic is open 260 days per year and has an average of 600 clinic visits per day.
The standard for filing records is 60 per hour. The standard for retrieval of records is 40 records per hour.
Given these standards, how many filing hours will be required daily to retrieve and file records for each
clinic day? - ANSWER:25 hours per day
In which of the following systems are all encounters or patient visits filed or linked together? -
ANSWER:Unit numbering system
Which of the following is a disadvantage of alphabetical filing? - ANSWER:Uneven expansion of file
shelves or cabinets
Which of the following is a request from a clinical area to check out a health record? -
ANSWER:Requisition
, Which of the following statements describes alphabetic filing? - ANSWER:File the record alphabetically
by the last name, then the first name and the middle initial
In analyzing the reason for changes in a hospital's Medicare case-mix index over time, the analyst should
start with which of the following levels of detail? - ANSWER:MS-DRG triples, pairs and singles
Which of the following tools is usually used to track health records that have been removed from their
permanent storage locations? - ANSWER:Outguides
What is the term that is used to mean ensuring that data are not altered during transmission across a
network or during storage? - ANSWER:Integrity
Which of the following filing methods is considered the most efficient? - ANSWER:Terminal digit
The primary purpose of a minimum data set in healthcare is to: - ANSWER:Recommend common data
elements to be collected in health records
In long-term care, the resident's care plan is based on data collected in the: - ANSWER:MDS
Incorporating a workflow function in an electronic information system would help support: -
ANSWER:Tasks that need to be performed in a specific sequence
(21) An audit of a hospital's electronic health system shows that diagnostic codes are not being reported
at the correct level of detail. This indicates a problem with data: - ANSWER:A) Granularity
(22) In which of the following examples does the gender of the patient constitute information rather
than a data element? - ANSWER:C) In a study comparing the incidence of myocardial infarctions in black
males as compared to white females
(23) A core data set developed by ASTM to communicate a patient's past and current health information
as the patient transitions from one health care setting to another is: - ANSWER:A) Continuity of Care
Record
(24) The home health prospective payment system uses the ________ data set for patient assessments. -
ANSWER:B) OASIS
(25) The data set designed to organize data for public release about the outcomes of care is: -
ANSWER:D) HEDIS
(26) Which of the following allows a user to insert, update, delete, and query data from a database? -
ANSWER:D) SQL
(27) Which of the following indexes and databases includes patient-identifiable information? -
ANSWER:C) Master patient/population index
(28) A notation for a diabetic patient in a physician progress note reads: 'Occasionally gets hungry. No
insulin reactions. She says she is following her diabetic diet.' In which part of a problem-oriented health
progress note would this be written? - ANSWER:A) Subjective