Content Area II, RHIT Exam: Information Retention and Access Review Questions And Answers 100% Accurately Solved.

In the event of water damage to a large volume of records, what action should be taken immediately to assist in disaster recovery? - correct answer freeze the records to prevent mold or mildew from forming A research request has been received by the HIM Department from the Quality Improvement Committee. The committee plans to review the records of all patients who were admitted with CHF in the month of January 2013. Which of the following indices would be the best source in locating the needed records? - correct answer disease index The steps in developing a record retention program include all but which one of the following? - correct answer notifying the courts of the destruction Microfilmed records are considered - correct answer acceptable as courtroom evidence Which of the following would not be an advantage of a centralized filing system? - correct answer there is less transportation time and effort when a facility operates from several sites When operating under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), what is a basic tenet in information security for health care professionals to follow? - correct answer security training is provided to all levels of staff In negotiating a contract with a commercial storage company for storage of inactive records, what would be the most important issue to clarify in writing? - correct answer confidentiality policies and liability concerns The health care providers in a large teaching hospital require access to health records 24 hours a day, 7 days a week. To secure the area and continue to maintain accessibility, the Director of the HIM Department should - correct answer staff the department with personnel 24 hours a day What technical security controls do electronic health record systems employ that are different from paper-based health record systems? - correct answer All of the above: audit trails, data encryption protocols, and user-based access controls According to AHIMA's recommended retention standards, which one of the following types of health information does NOT need to be retained permanently? - correct answer physician index Lewis-Beck Medical Center has been collecting data on patient satisfaction for six months. It is ready to start retrieving data from the database so that it can be used to improve clinical services. Which tool should be used? - correct answer SQL Under the Patient Self-Determination Act of 1990, advance directives - correct answer are not required to be included in the health record Which of the following technologies works best with automated record-tracking systems to speed the data entry process? - correct answer bar codes If there is more than one patient with the identical last name, first name, and middle initial, the master patient index entries are then arranged according to the - correct answer date of birth Technologies that can make data capture easier include all but which one of the following? - correct answer direct data capture from a medical device attached to the HIM department employee The Assistant Director of Record Processing is evaluating software packages for a chart tracking system in the HIM Department. What is the BEST method to verify that the software will work as marketed? - correct answer test the software prior to purchase Which of the following is NOT a benefit of the electronic document management system in the HIM Department? - correct answer multiuser simultaneous access As Director of the HIM Department you have become aware of instances of unauthorized access to the record file area. After considering several options to limit or restrict access to the area, you decide to - correct answer install a computerized access panel A health information manager develops a formal plan or record retention schedule for the automatic transfer of records to inactive storage and potential destruction based on all but which one of the following factors? - correct answer file area staffing The same patient was admitted on three different occasions and assigned a new medical record number each time. In order to correct this situation in a unit numbering system, which medical record number should be used given the following information? - correct answer void the last two numbers and file all admissions under 23-33-56 An HIM Department, currently using 2,540 linear filing inches to store records, plans to purchase new open-shelf filing units. Each of the shelves in a new 6-shelf unit measures 36 linear filing inches. It is estimated that an additional 400 filing inches should be planned for to allow for 5-year expansion needs. How many new file shelving units should be purchased? - correct answer 14 2,540 + 400 = 2,940 inches needed 36 × 6 = 216 inches per unit 2,940 (inches needed) divided by 216 (inches per unit) = 13.61 shelves You must buy 14 units because you cannot purchase a 0.14 filing shelf. Brian Hills was discharged from the hospital after a 3-day hospitalization and instructed to return to the outpatient department for follow-up care. On his first visit as an outpatient, a new record was created and he was assigned a new record number. Following completion of the outpatient appointment, his outpatient record is filed permanently in the outpatient department. What is the filing system used in this situation? - correct answer decentralized A surgeon requests the name of a patient he admitted on January 11, 2013. Which of the following would be used to retrieve this information? - correct answer admission register If the HIM Department has purchased 100 units of 8-shelf files and plans to use the terminal digit filing system, how many shelves should be allocated to each primary number? - correct answer 8 8 shelves per unit × 100 units = 800 total shelves 800 shelves divided by 100 primary digits (00-99) = 8 shelves per primary digit The Director of the HIM Department is explaining incentives to physicians for entering their clinical documentation in the electronic health record. Which one of the following would be the key advantage in using this type of data entry? - correct answer enhanced databases will provide information for improved clinical care Out of the 2,543 records requested from the HIM Department, 2,375 were located. What is the filing accuracy rate? - correct answer 93.39% What would be the most cost-effective and prudent course of action for the storage or disposition of 250,000 records at a large teaching and research hospital? - correct answer microfilming all 250,000 records for the cost of $195,000 The function of a (an) _________is limited to data retrieval - correct answer clinical data repository The total number of records filed during the month is 2,500 and, upon completion of a filing accuracy study, 90 records were not found. What is the accuracy rate for filing? - correct answer 96% Health Informatics, Inc. is a vendor with a large collection of clinical information systems and hospital information systems that are designed to share data without human or technical intervention. This is a (an) - correct answer interfaced system Which filing system would provide the most convenient method for the retrieval of 200 patients consecutively admitted to the hospital? - correct answer straight numeric A health care facility has received a request to participate in a statewide study on cleft lip and cleft palate. This study would include data from the past year and subsequent years. Given that each of the data sources cited below contains the necessary information, the initial data would be most easily collected from the - correct answer birth defects registry Which type of patient information system does the Joint Commission suggest that hospitals use? - correct answer any one of these: unit record; computer-based patient record; protocol for requesting information whereby the request is provided to the practitioner in a timely manner Which of the following is NOT a safety hazard in the file area of the HIM Department? - correct answer stepladders that are fully open and locked in place On his 5/23/12 admission to Metropolitan Hospital, David Robinson was assigned the medical record number 07-23-38. The previous record number assigned to Mr. Robinson during a 4/1/12 admission was 07-10-47. In a serial number/filing system, how would these records be filed? - correct answer each admission is filed under its own number Of 750 records filed during the week, 75 were not located. What is the filing error rate? - correct answer 10% (75 x 100) / 750 = 10 Which of the following steps would NOT be taken when bringing all patient health information together in a complete record, regardless of the media output form? - correct answer look at the past composition of records in the facility Which of the following is NOT a factor to consider when developing a record retention program? - correct answer reimbursement guidelines Which of the following lists is in correct alphabetical order? - correct answer Ferlazzo, J.; Ferlazzo, Joshua; Ferlazzo, Joshua P.; Ferlazzo, Joshua Philip At Community Hospital the average admission will create a file that will take up 0.25 inch of file space. Each new ER record requires 0.125 inch of file space. Approximately 25,000 new patients are admitted per year and 15,000 ER patients are treated per year. The shelving cost is $1.05 per filing inch. How much money should be allocated for storage space in next year's budget? - correct answer $8,531.25 25.000 X.25=6250 15,000 X 0.125=1875. 6250 +1875=8125 8125 X 1.05=8531.25