QUESTIONS AND CORRECT DETAILED
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BANK FNAL EXAM
State retention requirements.
Health record retention policies depend on a number of factors. They
must comply with state and federal statutes and regulations. Retention
regulations vary by state and possibly by organization type. Health
records should be
retained for at least the period specified by the state's statute of
limitations for malpractice, and other claims must be taken into
consideration when
determining the length of time to retain records as evidence
Which of the following should be considered first when establishing
health record retention policies?
Performance measurement in healthcare provides an indication of an
organization's performance in relation to a specified process or outcome.
Healthcare performance improvement philosophies most often focus on
measuring performance in the areas of systems, processes, and outcomes.
Outcomes should be scrutinized whether they are positive and appropriate or
negative and diminishing
The hospital's Performance Improvement Council has compiled the following
data on the volume of procedures performed. Given this data, which procedures
should the council scrutinize in evaluating performance?
,Policies and procedures to control which version(s) is displayed
The health record may have multiple versions of the same document; for
example, a signed and an unsigned copy of a document. To address the
issues that result from having multiple versions of the same document,
policies and procedures addressing version control must be
developed
Version control of documents in the EHR requires:
Master patient index (MPI)
The MPI is a list or database created or maintained by a healthcare facility
to
record the name and identification number of every patient and activity
that has ever been admitted or treated in the facility
The link that tracks patient, person, or member activity within healthcare
organizations and across patient care settings is known as:
Identifying the performance measures
Most quality improvement methodologies recognize that the
organization must identify and continuously monitor the important
organizational and patient-
focused functions that they perform. The first step in this process is to
identify performance measures
Which of the following should be the first step in any quality
improvement process?
,Compliance
Compliance is the process of establishing an organizational culture that
promotes the prevention, detection, and resolution of instances of
conduct that do not conform to federal, state, or private payer
healthcare program
requirements or the healthcare organization's ethical and business
policies. In other words, compliance actively prevents fraud and abuse
Which of the following is the process of establishing an organizational
culture
that promotes the prevention, detection, and resolution of instances of
conduct that do not conform to federal, state, or private payer
healthcare program
requirements or the healthcare organization's ethical and business
policies?
Behavior
One way hiring managers can improve effectiveness of job interviews
includes using job-related situational or behavioral questions based on
job description.
An example of a behavioral question would be to ask a candidate to relate
behavior from the past to a job situation (for example, describe a
situation where you had to deal with a subordinate's chronic tardiness,
and explain how you
handled it)
When interviewing candidates for a job, Angela likes to get a feel for
how their experiences will shape their future actions. She likes to ask
the question, "Tell me about a time when you had to prioritize three or
four courses of action, what they were, and how you decided to
prioritize each one. Did you choose correctly?
How did it work out?" This is what type of interview question?
, Request a new data chart be presented that accurately reflects the trend
of infection rate
Both x and y axes are in unequal measures, so data are not accurately
represented. Line graphs are used to display time trends as opposed to a
histogram or bar chart
The HIM data analytics professional is reviewing a chart (shown here) on
nosocomial infections presented by the hospital's infection control
committee. The committee is reporting that the decrease in infection
rate has accelerated during the past 10 years. What comments should
the data analytics professional make?
Procedure
A procedure is a document that describes the steps involved in
performing a specific function that define the processes by which the
policies are put into action
Community Hospital recently implemented a fully integrated electronic
health record (EHR) system. The process for record analysis will be
significantly
different with this new system. The process is changing from the hybrid
to a fully electronic analysis process. Which of the following should the
HIM manager modify to reflect this process change?