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Chapter 3: Health Information Management Technology Test Questions and Answers Graded A+ Edition.

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Health Record - Answer Contains information relating to the physical or mental health or condition of an individual, as made by or on behalf of a health professional in connection with the care ascribed that individual. (Who, What, Where, why, and how of patient care) Data - Answer Raw facts and figures Information - Answer data that has been turned into something meaningful Primary Purposes of the health record - Answer are related to providing care to the patient Patient care:One of the most important uses of the health record is the documentation of the care provided by physicians, nurses and allied health professionals. Documentation is used as a communication tool between these professionals. Management of patient car: Health record is an important part of managing patient care services performed at the healthcare facility because it includes: Development of patient care standards, conduction research at the local, state, and national levels, and evaluating the quality of care provided. Administrative purposes: Health record is used for billing for services, making decisions about the future of the health care facility, monitoring the fiscal health of the organization and scheduling staffing.

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Chapter 3: Health Information
Management Technology Test
Questions and Answers Graded A+
2025-2026 Edition.
Health Record - Answer Contains information relating to the physical or mental health or
condition of an individual, as made by or on behalf of a health professional in connection with
the care ascribed that individual. (Who, What, Where, why, and how of patient care)



Data - Answer Raw facts and figures



Information - Answer data that has been turned into something meaningful



Primary Purposes of the health record - Answer are related to providing care to the patient



Patient care:One of the most important uses of the health record is the documentation of the
care provided by physicians, nurses and allied health professionals. Documentation is used as a
communication tool between these professionals.



Management of patient car: Health record is an important part of managing patient care
services performed at the healthcare facility because it includes: Development of patient care
standards, conduction research at the local, state, and national levels, and evaluating the quality
of care provided.



Administrative purposes: Health record is used for billing for services, making decisions about
the future of the health care facility, monitoring the fiscal health of the organization and
scheduling staffing.



Secondary purpose of the health record - Answer not related specifically to patient care.



Education of healthcare professionals: Health records are used by medical, nursing, and other
allied health professionals to teach present and future healthcare providers how to document
care provided and how to manage the healthcare information.

, Public Health: The information from the health record is used to determine treatment for these
new diseases and conditions to determine what traditional and nontraditional treatments are
effective. Local health departments use health information to identify outbreaks in diseases
early so the source of the disease can be managed and epidemic can be managed or prevented.



Three types of Health Records - Answer Paper Health record: is completely available in paper
media



Electronic Health Record (EHR): is a digital record of an individuals health related information
that conforms to nationally recognized interoperability standards and that can be created,
managed, and consulted by authorized clinicians and staff across more than on health care
organization.



Hybrid health record: Is a combo of the paper record and EHR.



Aggregate Data - Answer Is data that has been extracted from individual health records and
combined to form deidentified information about groups of patients that can be compared and
analyzed.



Ex: Data can be used to determine survival rates of various kinds of cancer or to determine if a
new drug is safe.



Individual Users - Answer Patient care providers, patient care managers and support staff,
coding and billing staff, patients, employers, layers, law enforcement officials, healthcare
researchers and clinical investigators, government policy makers.



Institutional users - Answer are organizations that need access to health records in order
accomplish their mission. Includes: Healthcare delivery organizations, third party payers,
medical review organizations, research organizations, educational organization, accreditation
organizations, government licensing agencies, policy making bodies.



HIM Functions - Answer Focus on ensuring the quality, security, and availability of the health
record.



-record processing

-Monitoring of record completion

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