HIMT - Chapters 1-3 UPDATED Exam
Questions and CORRECT Answers
Hospital Standardization Program - Correct Answer- inaugurated in 1918 by the ACS to raise
the standards of surgery by establishing minimum quality standards for hospitals. They
identified that medial records must be collected on every patient seen in the healthcare
facility. The medical record should contain test results, identification information, diagnoses,
treatment and more. The job of health record clerk was established.
How was the job of health record clerk established? - Correct Answer- Through the Hospital
standardization movement inaugurated by the American College of Surgeons (ACS) in 1918.
When and why was ARLNA formed? - Correct Answer- ARLNA - Association of Record
Librarians of North America. Later became AHIMA. Formed at the Hospital Standardization
Conference in Boston, 1928.
When did ARLNA adopt a formal curriculum for HIM education? - Correct Answer- 1932
What organization manages the current HIM accreditation programs? - Correct Answer-
CAHIIM - Commission on Accreditation for Health Informatics and Information
Management Education.
What is accreditation? - Correct Answer- 1) A voluntary process of institutional or
organizational review in which a quasi-independent body created for this purpose periodically
evaluates the quality of the entity's work against pre-established written criteria.
2) A determination by an accrediting body that an eligible organization, network, program
group, or individual complies with applicable standards.
3) The act of granting approval to a healthcare organization based on whether the
organization has met a set of voluntary standards developed by an accreditation agency.
What is AAMRL and when was it formed? - Correct Answer- American Association of
Medial Record Librarians. In 1944 when Canadian members formed their own organization
and together the two countries formed one organization.
,When was AMRA formed? - Correct Answer- American Medical Record Association was
formed in 1970 when the term Librarian was dropped from the title.
When was AHIMA formed? - Correct Answer- American Health Information Management
Association - 1991
Traditional practice of HIM - Correct Answer- The original practice of HIM was based on the
Hospital Standardization Program, 1918, which emphasized the need to ensure complete and
accurate health records were compiled and maintained for every patient.
Information Governance - Correct Answer- The accountability framework and decision rights
to achieve enterprise information management (EIM). IG is the responsibility of executive
leadership for developing and driving the IG strategy throughout the organization. IG
encompasses both data governance (DG) and information technology governance (ITG)
AHIMA Code of Ethics - Correct Answer- Members expected to act in ethical manner and
comply with all laws, regulations, and standards governing the practice of HIM
Integrated Delivery System (IDS) - Correct Answer- are healthcare systems that combine the
financial and clinical aspects of healthcare and use a group of healthcare providers, selected
on the basis of quality and cost management criteria to furnish comprehensive health services
across the continuum of care.
continuum of care - Correct Answer- Places IDN an emphasis on treating individual patients
at the level of care required by their course of treatment and extends from their primary care
providers to specialists and ancillary providers
IDNs - Correct Answer- While most hospitals are integrated into their communities through
ties with healthcare providers, almost half the nation's hospitals also are tied to larger,
integrated healthcare systems (IHCS), IDNS and alliances. An IDN comprises a group of
hospitals, physicians, other providers, insurers, or community agencies that work together to
deliver health services.
Allied Health Professionals - Correct Answer- Incorporates the healthcare related professions
that function to assist, facilitate, or complement the work of physicians and other clinical
specialts. The Health Professions Education Extension Amendment of 1992, which amended
the Public Health Service Act, defines allied health professional as health professionals who
, have received a certificate, an AA, BS, MS, PhD, or post doc training in a health care related
science. Ex: Audiology, CLincial laboratory science, HIM, Nutrition, OT, PT etc.
Public Law 89-97 of 1965 - Correct Answer- Amendment to Social Security Act
Medicare originally designed for people 65 years of age or older who are covered by Social
Security.
Medicaid originally designed for medically indigent.
Medicaid joint program with states. Since 1967 Medicaid required four types of coverage:
Inpatient and outpatient services, other laboratory and x-ray services, physician services and
nursing care facility for persons over 21 years.
Public Law 92-603 of 1972 - Correct Answer- In an effort to curtail Medicare and Medicaid
spending, additional amendments to the SSA were instituted in 1972. These amendments
required concurrent review for Medicare and Medicaid patients. Established the Professional
Standards review organization (PSRO) program to implement concurrent review. PSRO
performed professional review and evaluated patient care services for necessity, quality and
cost effectiveness.
Utilization review UR - Correct Answer- The process of determining whether the medical
care provided to a specific patient is necessary according to preestablished objective
screening criteria at time frames specified in the organization's utilization management plan
Utilization Review Act of 1977 - Correct Answer- Made it a requirement for hospitals to
conduct continued stay reviews for Medicare and Medicaid patients. Continued stay reviews
determine whether it is medically necessary for a patient to remain hospitalized. This
legislation also included fraud and abuse regulations.
Peer Review Improvement Act of 1982 - Correct Answer- In 1982 the PSRO was redesigned
and renamed Peer Review Organizations (PROs). In 1982 hospitals began to review the
medical necessity and appropriateness of certain admissions even before patients were
admitted. In 2002 PROs were again renamed to QIOs - Quality improvement organizations.
QIO (Quality Improvement Organization) - Correct Answer- Their mission is to ensure the
quality, efficiency ad cost effectiveness of the health care services provided to Medicare
beneficiaries in its locale. Each state and D.C. has its' own QIO.
Questions and CORRECT Answers
Hospital Standardization Program - Correct Answer- inaugurated in 1918 by the ACS to raise
the standards of surgery by establishing minimum quality standards for hospitals. They
identified that medial records must be collected on every patient seen in the healthcare
facility. The medical record should contain test results, identification information, diagnoses,
treatment and more. The job of health record clerk was established.
How was the job of health record clerk established? - Correct Answer- Through the Hospital
standardization movement inaugurated by the American College of Surgeons (ACS) in 1918.
When and why was ARLNA formed? - Correct Answer- ARLNA - Association of Record
Librarians of North America. Later became AHIMA. Formed at the Hospital Standardization
Conference in Boston, 1928.
When did ARLNA adopt a formal curriculum for HIM education? - Correct Answer- 1932
What organization manages the current HIM accreditation programs? - Correct Answer-
CAHIIM - Commission on Accreditation for Health Informatics and Information
Management Education.
What is accreditation? - Correct Answer- 1) A voluntary process of institutional or
organizational review in which a quasi-independent body created for this purpose periodically
evaluates the quality of the entity's work against pre-established written criteria.
2) A determination by an accrediting body that an eligible organization, network, program
group, or individual complies with applicable standards.
3) The act of granting approval to a healthcare organization based on whether the
organization has met a set of voluntary standards developed by an accreditation agency.
What is AAMRL and when was it formed? - Correct Answer- American Association of
Medial Record Librarians. In 1944 when Canadian members formed their own organization
and together the two countries formed one organization.
,When was AMRA formed? - Correct Answer- American Medical Record Association was
formed in 1970 when the term Librarian was dropped from the title.
When was AHIMA formed? - Correct Answer- American Health Information Management
Association - 1991
Traditional practice of HIM - Correct Answer- The original practice of HIM was based on the
Hospital Standardization Program, 1918, which emphasized the need to ensure complete and
accurate health records were compiled and maintained for every patient.
Information Governance - Correct Answer- The accountability framework and decision rights
to achieve enterprise information management (EIM). IG is the responsibility of executive
leadership for developing and driving the IG strategy throughout the organization. IG
encompasses both data governance (DG) and information technology governance (ITG)
AHIMA Code of Ethics - Correct Answer- Members expected to act in ethical manner and
comply with all laws, regulations, and standards governing the practice of HIM
Integrated Delivery System (IDS) - Correct Answer- are healthcare systems that combine the
financial and clinical aspects of healthcare and use a group of healthcare providers, selected
on the basis of quality and cost management criteria to furnish comprehensive health services
across the continuum of care.
continuum of care - Correct Answer- Places IDN an emphasis on treating individual patients
at the level of care required by their course of treatment and extends from their primary care
providers to specialists and ancillary providers
IDNs - Correct Answer- While most hospitals are integrated into their communities through
ties with healthcare providers, almost half the nation's hospitals also are tied to larger,
integrated healthcare systems (IHCS), IDNS and alliances. An IDN comprises a group of
hospitals, physicians, other providers, insurers, or community agencies that work together to
deliver health services.
Allied Health Professionals - Correct Answer- Incorporates the healthcare related professions
that function to assist, facilitate, or complement the work of physicians and other clinical
specialts. The Health Professions Education Extension Amendment of 1992, which amended
the Public Health Service Act, defines allied health professional as health professionals who
, have received a certificate, an AA, BS, MS, PhD, or post doc training in a health care related
science. Ex: Audiology, CLincial laboratory science, HIM, Nutrition, OT, PT etc.
Public Law 89-97 of 1965 - Correct Answer- Amendment to Social Security Act
Medicare originally designed for people 65 years of age or older who are covered by Social
Security.
Medicaid originally designed for medically indigent.
Medicaid joint program with states. Since 1967 Medicaid required four types of coverage:
Inpatient and outpatient services, other laboratory and x-ray services, physician services and
nursing care facility for persons over 21 years.
Public Law 92-603 of 1972 - Correct Answer- In an effort to curtail Medicare and Medicaid
spending, additional amendments to the SSA were instituted in 1972. These amendments
required concurrent review for Medicare and Medicaid patients. Established the Professional
Standards review organization (PSRO) program to implement concurrent review. PSRO
performed professional review and evaluated patient care services for necessity, quality and
cost effectiveness.
Utilization review UR - Correct Answer- The process of determining whether the medical
care provided to a specific patient is necessary according to preestablished objective
screening criteria at time frames specified in the organization's utilization management plan
Utilization Review Act of 1977 - Correct Answer- Made it a requirement for hospitals to
conduct continued stay reviews for Medicare and Medicaid patients. Continued stay reviews
determine whether it is medically necessary for a patient to remain hospitalized. This
legislation also included fraud and abuse regulations.
Peer Review Improvement Act of 1982 - Correct Answer- In 1982 the PSRO was redesigned
and renamed Peer Review Organizations (PROs). In 1982 hospitals began to review the
medical necessity and appropriateness of certain admissions even before patients were
admitted. In 2002 PROs were again renamed to QIOs - Quality improvement organizations.
QIO (Quality Improvement Organization) - Correct Answer- Their mission is to ensure the
quality, efficiency ad cost effectiveness of the health care services provided to Medicare
beneficiaries in its locale. Each state and D.C. has its' own QIO.
