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Standard - correct answer ✔✔Series of acknowledged and accepted steps. Describes what is
expected and required
Rule - correct answer ✔✔Defined as a description of the way things are or should be done. A
guide for conduct and action
Best Practice - correct answer ✔✔A method that is the efficient and effective way of competing
a task
10 Pillars of PMH - correct answer ✔✔Patient Centered, Every pt. has a MRP, Broad scope of
services, ensure timely access to appts, comprehensive scope of practice that meets the needs
of the pt. population, provide continuity of care, maintain EMR, serve as ideal training sites,
commit to continuous quality improvement, strongly supported internally and externally
AHCIP Billing Process (7 Steps) - correct answer ✔✔Verify pt eligibility, book appt date and time,
diagnostic code, service code, bill to AHCIP, AHCIP reviews, Reconcile AHCIP payments
6 PMH Outcomes - correct answer ✔✔lower # of ER visits, better access of care, cost savings,
better quality, higher overall satisfaction, better preventive care
Symptoms of Triage #2 - Direct pt to nearest ER - correct answer ✔✔Heavy Bleedings, Injury to
spine or head, Hear Palpitations, Labor, Neck Stiffness, Poison or Overdose, Eye injury, Chemical
Splash, Severe Burns, Loss of consciousness
, Symptoms of Triage #3 - Direct call to nurse or dr for further triage - correct answer
✔✔Painful/No Urination, Unwell infant, Injured limb (possible fx), severe pain pregnant - pain,
bleeding, reduced fetal movement, abuse, visual disturbance, extreme concern, mental health
concern
Symptoms of Triage # 4 - Book same day - correct answer ✔✔Child/Elderly unwell <24hr (fever,
vomit, diarrhea, pain), Severe rash, Cut, Flu - severe symptoms
Symptoms of Triage # 5 - Appt within 24 hr - correct answer ✔✔Child/Elderly unwell > 24hr
(fever, vomit, diarrhea, pain), Adult fever but otherwise well, Eye or ear pain or infection, Adult
vomit or diarrhea > 24hr
HIA Rules (4) - correct answer ✔✔Individuals can access their own health info, and ask for
corrections and know why it is being collected, Consent id required before disclosure is allowed,
there are penalties for breaking rules, collect and disclose the least amount of info
7 PRSP Standards - correct answer ✔✔1. All ppl must uniquely identify, only true and accurate
data in data base, a search must be completed before input, All ppl must show 2 pc of ID, client
demographic must be verified every time, a unique identifier is assigned, registration must
include: last/first name, DOB, Gender, unique identifier
PRSP Purpose - correct answer ✔✔Launched to harmonize the registration process, and helps
with: pt. safety, misidentified pt, duplicate charts, efficiency, fraudulent activity
HIA - correct answer ✔✔Health Information Act - established when, and how information can
be collected, used and disclosed
Under FOIP pt's have the right to - correct answer ✔✔Access records through a specified
process, have their personal information protected, ask what at agency has on them, request
corrections to their info