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Exam (elaborations)

Health Information Management Final

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Health Information Management Final

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Health Information Management Final

1. Alphabetic filing systems
2. Straight numeric filing systems
3. Terminal- digit filing systems
4. Middle-digit filing system
5. Alphanumeric filing system Correct Answers There are
different types of filing systems with paper-based health record:

1. Deterministic
2. Probabilistic
3. Rules-based Correct Answers The three types of matching
algorithms to identify potential duplicate health record numbers
are:

1. Employers
2. Lawyers
3. Law enforcement officials Correct Answers Other
individual users may use the health record as a source of
information provided they can demonstrate appropriate
authorization granting access.
Examples of other individual users of the health record include:

1. Healthcare delivery organizations
2. Management and review of care
3. Research organizations
4. Government licensing agencies
5. Policy-making bodies Correct Answers Examples of
institutional users of health record information include:

1. Patient care delivery

,2. Patient care management
3. Patient care support processes
4. Financial and other administrative processes
5. Patient self-management Correct Answers Primary purposes
of the health record:

1. Patient care delivery personnel (doctors, nurses, therapists,
social workers)
2. Patient care delivery consumers (patient and family)
3. Patient care management and support (administrators, quality
managers, utilization review managers)
4. Patient care reimbursement (benefit managers, insurers)
5. Other (accreditors, lawyers, health care researchers) Correct
Answers Examples of individual users of the health record that
are directly involved with patient care:

1. Quality
2. Security
3. Availability Correct Answers HIM functions are
information-centered. This means that they typically involve
ensuring information:

1. State and federal regulations
2. Statues of limitation
3. Research and educational needs
4. Patient care needs Correct Answers Record retention in
hybrid and electronic record environments is similar to a paper-
based environment. Considerations for record retention include:

15

, 30 Correct Answers Generally, an incomplete record is
considered delinquent after it has been available to the physician
for completion for ___ to ____ days.

Access control Correct Answers __________ is the process
that determines who is authorized to access patient information
in the health record. It involves determining which individuals
or groups should be granted access, what portions of the health
record should be available, and what rights should be granted.

Accreditation Correct Answers __________ standards- the end
result of an intensive external review process that indicates a
facility has voluntarily met the standards of the independent
accrediting organization.

Accreditation Association for Ambulatory Care (AAAHC)
Correct Answers ____________ has established ambulatory
care core standards for all organizations and adjunct standards
that only pertain to specific types of services.

Accuracy, accessibility, comprehensiveness, consistency,
currency, definition, granularity, precision, relevancy, and
timeliness. Correct Answers The 10 quality characteristics in
AHIMA's data quality model include:

addendum Correct Answers An _________ is a supplement to
a signed report that provides additional health information
within the health record. It should be documented with the
current date and time; writing "addendum" and stating the
reason for the addendum, referring back to the original entry;
identifying any sources of information used to support the

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