Utilization Management / Management of
Risk in an E-Health Environment
Which of the following is concerned with ensuring that personal health information is
available to authorized users when it is needed
a. Confidentiality
b. Integrity
c.Availability
d. Security - ✔️✔️c.Availability
Which of the following is concerned with ensuring that personal health information is
protected form unauthorized access, use and disclosure?
a. Confidentiality
b. Integrity
c.Availability
d. Security - ✔️✔️a. Confidentiality
What QI tool is useful in prioritizing different alternatives that have been generated by a
group of people? This ranking would assist the group in identifying the option of highest
priory
a. Affinity Diagram
b. Customer Satisfaction Survey
c. Decision Matrix
d. PDCA method - ✔️✔️c. Decision Matrix
In the role of a HIM coding supervisor, you are asked to compare the current
retrospective coding process with the proposed concurrent coding process. Which
visual tool would best identify the pros and cons of each process
a. Affinity Diagram
b. Decision Matrix
c. Force Field Analysis
d. Pareto Chart - ✔️✔️c. Force Field Analysis
A clinical path is a tool used for quality and utilization purposed. The path describes the:
a. Criteria used in evaluating the quality and appropriateness of patient care
, b. Expected cost of care
c. Nursing components of patient care
d. Optimal Sequencing and timing of patient care interventions - ✔️✔️d. Optimal
Sequencing and timing of patient care interventions
The DO NOT USE list of abbreviations, symbols and dosages is one example of a
communication Required Organizations Practice (ROP)
True / False - ✔️✔️True
Indicators are an indirect measure of quality as they do not determine the root cause of
an issue
True / False - ✔️✔️True
Case Management is one example of a utilization management tool
True / False - ✔️✔️True
The three objectives associated with information security are:
a. privacy, security, confidentiality
b. confidentiality, integrity, availability
c. confidentiality, privacy, integrity
d. integrity, data quality, privacy - ✔️✔️b. confidentiality, integrity, availability
What type of risk is the unauthorized disclosure of personal health information
a. Security
b. Business Risk
c. Privacy Risk
d. Safety Risk - ✔️✔️c. Privacy Risk
What criterion is critical in selecting performance indicators for health record
department?
a. identify at least 25 indicators that are reflective of all department functions
b. Indicators must include the most important aspects of performance
c. Select indicators that reflect positively on the department
d. None of the above - ✔️✔️b. Indicators must include the most important aspects of
performance
The main features that differentiates the Affinity Diagram from brainstorming is that the
Affinity Diagram