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RHIA Chap 2 Cont
PRG 2017/ Information Retention and Access
| Question | Answer |
|---|---|
| Of 750 records filed during the week , 75 were not located. What is the filing error rate? | 10% |
| Where in the health record would the following statement be located " Microscopic diagnosis: Liver (needle biopsy), metastatic adenocarcinoma" ? | pathology report |
| Which of the following is not a factor to consider when developing a record retention program? | reimbursement guidelines |
| When implementing the electronic health record, what is the technical security standard that requires unique user identification, emergency access procedures, automatic log off, and decryption an decryption of data? | access control |
| When evaluation an outside contract microfilm company, all but which of the following are important factors to rate? | cache memory |
| Under the HIPAA Privacy Rule, when destruction services are outsourced, the contract must provide that the contractor will establish the permitted and required use and disclosures and include all but which of the following elements? | the hospital's liability insurance in specified amounts |
| The clinical lab dept staff can use a database that allows them to see what lab tests were conducted and the results. By contrast, the billing dept can only see the list of tests conducted to generate a charge. What kind of control is this an example of? | access |
| When operating under the HIPAA of 1996, what is a basic tenet in information security for health care professionals to follow? | Security training is provided to all levels of staff |
| Which of the following features should NOT be considered when designing screens to capture quality health data? | left to right and bottom to top formatting |
| When health care facilities close or medical practices dissolve, procedures for disposition of patient records should take into consideration all of the following except... | Communities of Practice requirements |
| Case finding methods for patients with diabetes include a review of all but which one of the following... | billing data |
| What type of plan is a JC accredited facility required to maintain to protect information from catastrophes such as fire, flooding, bomb threats and theft? | disaster plan |
| Which of the following is NOT an alternative storage method for paper based records? | outguide |
| Which of the following issues would be of LEAST concern when storing health records in off site storage? | filing order of records |
| The HIM Dept maintains 500,000 records and responds to 5,000 requests for records in a given period of time. What is the usage rate? | 1% |
| Which one of the following is NOT a data retrieval tool? | point and click fields |
| When engaging the services of a microfilm vendor, all but which of the following factors should be included in the contract? | type of reader or printer needed to view the microfilm |
| 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? | scanning all 250,000 records for a cost of $195,000 |
| 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? | 96% |
| A quality control measure that should be established for the filing, storage, and retrieval of health records includes criteria for the | inclusion of late reports |
| According to AHIMA's recommended retention standards, which of the following types of health information does NOT need to e retained permanently. | physician index |
| For a healthcare facility to meet its document destruction needs, the certificate of destruction should include all but which of the following elements? | patient notification |
| The steps in developing a record retention program include all but which of the following? | notifying the courts of the destruction |
| A healthcare facility has received a request to participate in a statewide study on cleft lip and palate. This study would include data from the past year and subsequent years. The data would be most easily collected from | birth defects registry |
| An example of a primary data source is.. | health record |
| Which of the following is NOT considered a challenge in the adoption of an electronic health record system? | contribution to the quality of patient care |
| Fetal monitoring strips are part of the _______ record and should be maintained ____ | mother's; according to the length of time required for a minor's record |
| Which one of the following would NOT be a strategy when purchasing an electronic health record system? | Broaden the vendor filed and select several vendors of choice |
| How many years does the Food and Drug Administration require research records pertaining to cancer patients be maintained. | 30 years |
| What data cannot be retrieved from MEDPAR | Non-Medicare patient data |
| Which of the following is NOT a major management challenge in the storage and retention of electronic health record systems? | maintaining the paper based storage system |
| General Hospital utilized various related files that include clinical and financial data to generate reports such as MS-DRG case mix reports. What application would be MOST effective for this activity? | database management system |
| The Director of HIM has been asked by the Board of Trustees to justify support for the use of handheld devices by the medical staff for point of service input. Which one of the following reasons would NOT be included in the Directors response? | elimination of the need for expensive desktop computers |
| The Assistant Director of record processing is evaluating software packages for a chart tracking system in the HIM dept. What is the BEST method to verify that the software will work? | test the software prior to purchase |
| Concern for health data loss and misuse within the HIM dept requires that the health information practitioner evaluate all but which of the following? | salary for the database administrator |
| Lewis Beck Medical Center has been collecting data on patient satisfaction for six months. It is ready to start retrieving data from the database to improve clinical services. Which tool should be used? | SQL |
| The Assistant Director of HIM is evaluation software that would use electronic logging of the location of incomplete and delinquent records as they move through the completion process. What departmental function is this most useful for? | chart tracking |
| The hospital administrator is making a strategic decision by querying various institutional databases for information What type of system is the hospital administrator using? | executive information system |
| University Hospital has the messaging technology to securely route an alert for a patients possible drug interaction or abnormal lab result to the MD's pager number. Which one of the following is the medical staff using? | clinical information system |
| The HIM practitioner's duty to retain health information via the archiving and storage of health data includes all but which of the following? | a retention plan for financial data |
| You must ensure a means to regulate access and ensure preservation of data in the health care facility's computer system. Which of the following is NOT a security measure that can be implemented to prevent privacy violations in this computer system? | stonewall |
| 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 an | interfaced system |
| The function of a ____ is limited to data retrieval | clinical data repository |
| The Director of the HIM dept is explaining incentives to physicians for entering clinical documentation in the electronic health record. Which of the following would be the key advantage in using this type of data entry? | Enhanced databases will provide information for improved clinical care |
| University Hospital, a 900 bed tertiary health care organization, is undergoing an information systems development. What system would best meet its needs? | application service provider model |
| A 16 year old female delivers a stillborn infant in Mercy Hospital. The clinical documentation on the stillborn infant would... | be filed in the mothers record |
Created by:
kodom001