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RHIA Chap 2
PRG 2017/ Information Retention and Access
| Question | Answer |
|---|---|
| Which one of the following actions would NOT be included in the professional obligations of the HIM practitioner that lead to responsible handling of PHI? | take a compromising position toward optimal interpretation of nonspecific regulations and laws |
| 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 | date of birth |
| Which of the following is NOT a step in developing a health record retention schedule? | assigning all records the same retention period. |
| What type of filing system is being used if records are filed in the following order: 12-23-75, 12-34-29, 12-35-71, 13-42-14, and 14-32-79? | straight numeric |
| If there are 150,000 record and the HIM Department receives 3,545 requests for records within a given period of time, what is the request rate? | 2.4% |
| Which of the following is NOT an advantage of a centralized filing system? | There is less transportation time and effort when a facility operates from several sites |
| In a terminal digit filing system, what would be the record number immediately in front of 01-06-26 | 00-06-26 |
| The HIM dept has been experiencing an average 30 min delay of retrieval of records requested by the ER. Which of the following corrective actions would be most effective in reducing the delay in retrieval of requested records? | review and possibly reengineer the retrieval process to decrease retrieval time |
| Which one of the following is NOT an advantage of a computerized master patient index? | duplication of patient registration can never occur |
| Color coding of record folders is used to assist in the control of... | misfiles |
| Information found in which of the following would not be considered secondary data? | health record |
| Under the patient self determination act of 1990m evidence if advance directives | are required to be documented in the health record |
| A new HIM dept has purchased 200 units of 6-sehlf files and plans to implement a terminal digit filing system. How many shelves should be allocated to each primary number? | 12 shelves per primary number (200 units x 6 shelves per unit=1,200 shelves total. then 1,200 shelves / 100 primary numbers) *note: primary number 00-99* |
| A 200 bed acute care hospital currently has 15 years of paper health records and filing space is limited. What action should be taken? | destroy inactive records that exceed the stature of limitations |
| Which filing system would provide the most convenient method for record retrieval of 200 patients consecutively admitted to the hospital? | straight numeric |
| What is the chief criterion for determining record inactivity? | amount of space available for storage of newer records |
| Out of 5,543 records requested from the HIM dept, 2,375 were located. What is the filing accuracy rate? | 93.39% |
| Which set of records filed consecutively on a shelf displays terminal digit filing order? | 57-78-00, 57-78-01, 56-78-99 |
| In the master patient index, which is filed by last name, Jill Thomas-Jones would be | T-H-O-M-A-S-J-O-N-E-S-J-I-L-L |
| According to terminal digit filing what would be the number of the record immediately after 99-99-30 | 00-00-31 |
| How many years does the CMS regulations required that health records be maintained? | at least five years unless a longer periods is required by state or local laws |
| Your state regulations require health records to be kept for a stature of limitations period of 7 years. Federal law requires records to be retained for 5 years. The minimum retention period in your facility is | 7 years |
| Which of the following technologies works best with automated record tracking systems to speed the data entry process? | bar codes |
| Microfilmed records are considered | acceptable as courtroom evidence |
| A research request has been received by the HIM dept from the QI committee. The committee plans to review the records of all patients admitted with CHF in the month of Jan. What would be the best source in locating the needed records | disease index |
| Which item is collected and maintained in the organ transplant registry? | stage at the time of diagnosis |
| Which of the following is NOT a mandatory disclosure according got the HIPAA Privacy Rule? | reporting traffic fatalities |
| Which of the following should NOT be included in the documentation of record destruction? | dates not covered in the destruction |
| If the HIM dept 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? | 8 shelves |
| Which of the following is NOT a consideration when implementing a disaster plan? | test the disaster plan only once |
| Mary Schnering was admitted to the hospital on 10/3/15 and assigned a MR number of 54-47-53. The patient was then admitted on 1/14/16 and assigned 54-88-42. Both records were eventually filed under 54-88-42. What type of filing system is being used? | serial-unit |
| Capital Health is moving to a new facility in 12/2016. The CEO is projecting a conversion to an EHR system by then. This new facility will not include space for filing paper records. Which of the following items would not be considered in planning? | relationship with the microfilm vendor |
| What microform should the HIM practitioner select if the records must be unitized and color coded for filing purposes? | jacket microfilm |
| Which of the following statements is FALSE when addressing characteristics of the legal health record in an electronic document management system? | Direct electronic interfaces from ancillary dept systems to the document imaging systems will not eliminate the need to scan documents and integrate the data from these ancillary systems |
| Which of the following is NOT a document input device in the electronic document management system? | printer |
| The master patient index must, at a minimum, include sufficient information to | uniquely identify the patient |
| Dr Gray has applied for medical staff privileges at your hospital. What database would you research to determine if he has been denied medical staff privileges at another hospital? | National Practitioner Data Bank |
| If is recommended that all but which of the following info should be permanently retained din some format, even when the remainder of the health record is destroyed? | dates of admission, discharge and encounters |
| A HIM 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? | department staffing |
| Which of the following is NOT a benefit of the electronic document management system in the HIM department? | decreased use of computer technology |
| Which one of the following is an advantage of straight numeric filing over terminal digit filing? | the training period is short |
| Which one of the following is not an electronic document management system component? | reader printer |
| Which of the following items is the HIM manager primarily concerned with when purchasing file guides? | durability and visibility |
| As Director of the HIM dept you have become aware of instances of unauthorized access to the file area. After considering several options to limit or restrict access to the area, you decide to... | install a computerized access control panel |
| Which of the following is NOT a technical security control employed by electronic health record systems? | automatic logon |
| The Chief of Medical Staff requests a repot on the # of CABG's performed by a particular MD in the month of April. Where would the HIM Manager look for this information? | Operation index |
| A major consideration in a hospital or facility closure is to... | ensure that authorized parties have access to the information as provided by law |
| What follow up rate does the American College of Surgeons mandate for all cancer cases to meet approval requirements as a cancer program? | 90% |
| 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? | confidentiality policies and liability concerns |
| Which index (program) is used by the HIM dept to link the patients name and number in relation to access and retention of the patient record? | master patient index |
| Unless state or federal laws require longer time periods, AHIMA recommends that patient health information for minors be retained for how long? | age of majority plus statue of limitation |
| A health care facility has made a decision to destroy computerized data. AHIMA recommends which one of the following gas the preferred method of destruction for computerized data? | magnetic degaussing |
| Which of the following statements would be found in the laboratory report section of the health record? | BUN reported as 20 mg |
| Which of the following is a disadvantage of terminal digit filing as compared to straight numeric? | the training period is slightly longer |
| What component of the H&P includes an inventory designed to uncover current or past subjective symptoms? | review of systems |
| Electronic health record built in tools that can make data capture easier include all but which one of the following? | flow process charts |
| If the department staff are having trouble locating the terminal digit sections quickly, the supervisor could add more | file guides |
| The HIM department receives a request for a certified copy of a birth certificate on a patient born in he hospital 30 years ago. The department should... | direct the request to the state's office of vital records |
| A surgeon requests the name of a patient he admitted on 1/11/17. Which of the following would be used to retrieve this information? | R-ADT system |
Created by:
kodom001