HIT 216 Final Exam Latest Updated
Verified 2025
A 40-year-old patient is admitted to the hospital on Friday evening for treatment of
severe diabetic ketoacidosis. The utilization manager first reviews the patient's chart
around 10 AM on Monday morning which reveals the patient's symptoms are relieved,
the diabetes is under control, and the patient is eating and resting comfortably. The
attending physician saw the patient earlier on Monday but did not document any plans
for discharge. What should be the utilization manager's next step? - ANSWER-Contact
the patient's attending physician
A decision matrix is useful tool for - ANSWER-Setting priorities.
A federally-recognized group that maintains a database of adverse patient events. -
ANSWER-Patient Safety Organization
A great place to identify a facility's automated data sources is which of the following? -
ANSWER-The information management plan
A highly reliable measure will yield a large number of random errors. - ANSWER-False
A hospital's c-section rate is an example of which of the following? - ANSWER-Clinical
performance measures
A major difference in MCO and facility credentialing of physicians is MCOs do not
conduct privilege delineation. - ANSWER-True
A performance improvement model used by health care organizations to eliminate
wasteful steps in a process. - ANSWER-Lean
A physician's timeliness of completion of medical record documentation is a factor in the
Physician Peer review process. - ANSWER-True
A random sample of patients seen on Friday will be asked if their copay was taken at
registration. - ANSWER-Cluster sampling.
A second y axis is useful on a Pareto chart to plot... - ANSWER-Cumulative
frequency???
A stable measure that shows consistent results over time is said to be - ANSWER-
Reliable.
A storyboard is used to: - ANSWER-Summarize performance improvement projects
,A structure measure is direct measure of quality. - ANSWER-False
A team in the hospital registration department is conducting a Lean project to reduce
wasteful steps in the process of pre-registering elective patient admissions. What
improvement tool could the team use to better understand the movement of pre-
admission paperwork throughout the registration department? - ANSWER-Workflow
diagram
According to the Medicare Conditions of Participation for hospitals, what can physician
advisors for utilization review activities NOT have? - ANSWER-Direct financial interest
in the facility
Accreditation refers to the credentialing process for an individual health professional. -
ANSWER-False
Adverse patient events that are preventable and should never happen. - ANSWER-
Never events
After proper training, an employee should be expected to perform flawlessly. -
ANSWER-False
After reviewing the data on patient returns, the ED Committee wants to know why
patients are not getting their prescriptions filled after leaving the ED. What would be the
BEST way to gather reliable information to answer this question? - ANSWER-Contact
patients directly
All patients have equal chance to be surveyed about if copay was taken at registration. -
ANSWER-Simple random Sampling
An adverse patient event is synonymous with a potentially compensable event. -
ANSWER-False
An organization that is recognized by CMS as meeting the Medicare Conditions of
Participation has attained which of the following? - ANSWER-Deemed status
As the leader of a team you want to determine what options the group chooses to work
on. Which of the following voting tools is best to determine how strong each team
member feels about the choices? - ANSWER-Weighted voting
Based on your reading in Ch. 8, which of the following does Joint Commission NOT
provide standards for? - ANSWER-Utilization Management
Because of their importance to patient care, incident reports are always filed in the
patient's health records. - ANSWER-False
, Benchmarking is a measure of what? - ANSWER-Current performance compared to an
exemplary organization
Benchmarking is a performance improvement technique based on - ANSWER-
Comparison with other high performers.
Best for showing changes in performance data over several time periods. - ANSWER-
Line graph
Clinical Practice guidelines are __________. - ANSWER-???
Common cause variations occur in all processes. - ANSWER-True
Correlation is a statistical measure of - ANSWER-Relationship uniqueness??
Data Sheets have standard formats to ensure data collectors understand the process
and don't make errors. - ANSWER-False
Disease Management does NOT include the following: - ANSWER-Annual physicals
Displays relative importance of differences among groups of data within a set. -
ANSWER-Pareto chart
DMAIC (Define Measure Analyze Improve Control) is used in which improvement
model? - ANSWER-Six Sigma
DNV GL is a voluntary accreditation organization that is relatively new to healthcare and
has not yet received deemed status from CMS. - ANSWER-False
Donabedian proposed three types of quality indicators: structure indicators, process
indicators, and ____. - ANSWER-Outcome indicators
During a project to reduce the cost of health care service, the team want to know if the
annual costs for people with obesity actually increase as they grow older. What
graphical data display would be used to answer this question? - ANSWER-Scatter
diagram
During this type of improvement project the team brainstorms what could go wrong in
each step of a process. - ANSWER-Failure mode and effect analysis
During what type of improvement project does a team brainstorm what could go wrong
in each step of a process. - ANSWER-Failure mode and effect analysis
Efforts to ensure that current research is applied in medical decision-making are
termed.... - ANSWER-Evidence-based medicine??
Verified 2025
A 40-year-old patient is admitted to the hospital on Friday evening for treatment of
severe diabetic ketoacidosis. The utilization manager first reviews the patient's chart
around 10 AM on Monday morning which reveals the patient's symptoms are relieved,
the diabetes is under control, and the patient is eating and resting comfortably. The
attending physician saw the patient earlier on Monday but did not document any plans
for discharge. What should be the utilization manager's next step? - ANSWER-Contact
the patient's attending physician
A decision matrix is useful tool for - ANSWER-Setting priorities.
A federally-recognized group that maintains a database of adverse patient events. -
ANSWER-Patient Safety Organization
A great place to identify a facility's automated data sources is which of the following? -
ANSWER-The information management plan
A highly reliable measure will yield a large number of random errors. - ANSWER-False
A hospital's c-section rate is an example of which of the following? - ANSWER-Clinical
performance measures
A major difference in MCO and facility credentialing of physicians is MCOs do not
conduct privilege delineation. - ANSWER-True
A performance improvement model used by health care organizations to eliminate
wasteful steps in a process. - ANSWER-Lean
A physician's timeliness of completion of medical record documentation is a factor in the
Physician Peer review process. - ANSWER-True
A random sample of patients seen on Friday will be asked if their copay was taken at
registration. - ANSWER-Cluster sampling.
A second y axis is useful on a Pareto chart to plot... - ANSWER-Cumulative
frequency???
A stable measure that shows consistent results over time is said to be - ANSWER-
Reliable.
A storyboard is used to: - ANSWER-Summarize performance improvement projects
,A structure measure is direct measure of quality. - ANSWER-False
A team in the hospital registration department is conducting a Lean project to reduce
wasteful steps in the process of pre-registering elective patient admissions. What
improvement tool could the team use to better understand the movement of pre-
admission paperwork throughout the registration department? - ANSWER-Workflow
diagram
According to the Medicare Conditions of Participation for hospitals, what can physician
advisors for utilization review activities NOT have? - ANSWER-Direct financial interest
in the facility
Accreditation refers to the credentialing process for an individual health professional. -
ANSWER-False
Adverse patient events that are preventable and should never happen. - ANSWER-
Never events
After proper training, an employee should be expected to perform flawlessly. -
ANSWER-False
After reviewing the data on patient returns, the ED Committee wants to know why
patients are not getting their prescriptions filled after leaving the ED. What would be the
BEST way to gather reliable information to answer this question? - ANSWER-Contact
patients directly
All patients have equal chance to be surveyed about if copay was taken at registration. -
ANSWER-Simple random Sampling
An adverse patient event is synonymous with a potentially compensable event. -
ANSWER-False
An organization that is recognized by CMS as meeting the Medicare Conditions of
Participation has attained which of the following? - ANSWER-Deemed status
As the leader of a team you want to determine what options the group chooses to work
on. Which of the following voting tools is best to determine how strong each team
member feels about the choices? - ANSWER-Weighted voting
Based on your reading in Ch. 8, which of the following does Joint Commission NOT
provide standards for? - ANSWER-Utilization Management
Because of their importance to patient care, incident reports are always filed in the
patient's health records. - ANSWER-False
, Benchmarking is a measure of what? - ANSWER-Current performance compared to an
exemplary organization
Benchmarking is a performance improvement technique based on - ANSWER-
Comparison with other high performers.
Best for showing changes in performance data over several time periods. - ANSWER-
Line graph
Clinical Practice guidelines are __________. - ANSWER-???
Common cause variations occur in all processes. - ANSWER-True
Correlation is a statistical measure of - ANSWER-Relationship uniqueness??
Data Sheets have standard formats to ensure data collectors understand the process
and don't make errors. - ANSWER-False
Disease Management does NOT include the following: - ANSWER-Annual physicals
Displays relative importance of differences among groups of data within a set. -
ANSWER-Pareto chart
DMAIC (Define Measure Analyze Improve Control) is used in which improvement
model? - ANSWER-Six Sigma
DNV GL is a voluntary accreditation organization that is relatively new to healthcare and
has not yet received deemed status from CMS. - ANSWER-False
Donabedian proposed three types of quality indicators: structure indicators, process
indicators, and ____. - ANSWER-Outcome indicators
During a project to reduce the cost of health care service, the team want to know if the
annual costs for people with obesity actually increase as they grow older. What
graphical data display would be used to answer this question? - ANSWER-Scatter
diagram
During this type of improvement project the team brainstorms what could go wrong in
each step of a process. - ANSWER-Failure mode and effect analysis
During what type of improvement project does a team brainstorm what could go wrong
in each step of a process. - ANSWER-Failure mode and effect analysis
Efforts to ensure that current research is applied in medical decision-making are
termed.... - ANSWER-Evidence-based medicine??
