hit120 quiz
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School
DeVry University, Chicago *
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Course
120
Subject
Medicine
Date
Feb 20, 2024
Type
docx
Pages
15
Uploaded by AgentPolarBearMaster780
Chapter quizzes/ checkpoints
Week 1 Chapters 1&2 1. The hospital standardization movement was initiated by the:
b. American College of Surgeons
2.The healthcare organization wants to examine raw data to make conclusions about the future of the healthcare organization. This is known as:
b. Data analytics
3. The HIM profession is changing due to:
a. Changes in technology
4. The new model of HIM practice is:
a. Information focused
5. A formal agreement granting an individual permission to practice in a profession is known as:
b. Certification
6. The organization that accredits HIM education programs is:
b. CAHIIM
1. Our college has applied to become accredited by CAHIIM and we have completed the initial steps. Identify the name of the initial stage of accreditation that we are in.
b. Candidacy
2. I would like to consult with other HIM professionals on what to do in a situation. I should utilize:
a. Engage
3. I would like to propose a change to the HIM profession. I should go to:
b. House of Delegates
4. I would like to apply for AHIMA Fellowship. I have been a member of AHIMA for eight continuous years of HIM experience. I have a master’s degree and I have worked in a number of volunteer roles for AHIMA. Determine if I am eligible for the designation. If not, determine why.
b. I am not eligible for AHIMA Fellowship because I need a minimum of 10 years of HIM experience.
5. I need to decide which CCHIIM credential to apply for. I am graduating with an associate degree in health information management from a CAHIIM-accredited program. The best credential for me to take is:
b. Registered Health Information Technician
1. Which of the following is a physician specializing in the care of inpatient hospital patients?\
a. Hospitalist
2. Which healthcare professional is licensed to practice medicine with physician supervision?
d. Physician assistant
3. Which service diagnoses and treats patients who have acute or chronic lung disorders?
c. Respiratory therapy
4. Which healthcare provider utilizes ultrasound, computed tomography, or magnetic resonance imaging?
d. Radiologic technologist
5. Which of the following is a surgical specialty?
d. Orthopedics
6. Which of the following statements is true about registered nurses (RNs)?
b. RNs are required to have a license in the state in which they practice.
7. Which of the following perform a wide array of tests on body fluids, tissues, and cells to assist in the detection, diagnosis, and treatment of diseases and illnesses?
a. Clinical laboratory scientists
8. True : HIM professionals are responsible for ensuring the availability, accuracy, and protection of clinical information.
9. True Audiologists provide comprehensive diagnostic and treatment and rehabilitative services for auditory, vestibular, and related impairments.
10 false: Physical therapists and occupational therapists are the only members of the rehabilitation service team
1. The emphasis on treating individual patients at the level of care required by their treatment across all healthcare services refers to:
b. Continuum of care
2. Who has the primary responsibility to guide the direction of the hospital?
a. Board of directors
3. Which of the following is an example of a federally run hospital?
a. Veterans Administration
4. This type of hospital has the majority of its inpatient visits paid for through Medicaid.
a. Safety net hospital
5. Dr. Smith has been granted permission by community hospital to perform cardiac catheterizations. This permission is called:
a. Clinical privileges
6. True
or false: Acute-care hospitals provide short-term care to diagnose or treat an illness.
7.
True
or false: Case management is the ongoing, concurrent review to ensure the necessity and effectiveness of clinical services provided to patients.
8.
True
or false: Pharmaceutical services are considered part of the clinical support services.
9. True or false
: Critical access hospitals specialize in the treatment of patients with serious medical conditions that require care on an ongoing basis
1. The healthcare organization provides healthcare services to low-income patients in the local community at a:
d. Voluntary agency
2. My daughter fell and cut herself tonight. Though it is not an emergency, I believe she needs stitches and she should see healthcare practitioner tonight for treatment. Which type of setting would I most likely access?
d. Freestanding ambulatory care center
3. Most patients in long-term care facilities require inpatient nursing and related services for more than how many consecutive days?
b. 30
4. Which healthcare organization offers palliative care for end-of-life care so that the patient may live life as fully and as comfortably as possible?
a. Hospice
5. The ability of a computer to think and learn is:
a. Artificial intelligence
Match the descriptions with the terms.
6. _____ Managed care- e. Manages cost, quality, and access to services
7. _____ Freestanding ambulatory care centers- b. Provides emergency services and urgent care for walk-in patients
8. _____ Human Genome Project- a. A 13-year-long international effort with three principal goals: (1) to determine the sequence of the three billion DNA subunits, (2) to identify all human genes, and (3) to enable genes to be used in further biological study
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9. _____ Subacute care- c. Care that offers patients access to constant nursing care while recovering at home
10. _____ Continuum of care- d. Care provided by different caregivers at several different levels of the healthcare system
1. According to the publication To Error Is Human, how many patients die each year from preventable medical mistakes?
d. 98,000
2. To “create social and physical environments that promote good health for all” is a goal of:
b. Healthy People 2020
3. Identify a nonprofit, nongovernmental organization from the following.
c. National Academy of Medicine
4. The federal agency that monitors healthy precautions for international travelers is the:
a. CDC
5. A report from the National Academy of Medicine addressing the duplication and contrasting approaches to performance measures by the six major governmental healthcare programs that serve nearly 100 million Americans is:
b. Leadership by Example
6
. True
or false: The National Academy of Medicine is the largest single research funder hospitals and care systems use to redesign how care is delivered, to eliminate inefficiencies within the system that will
lead to better, integrated care, and lower total cost of care.
7. True or false
: Healthcare policy is only formulated at the federal level.
8. True
or false: Hospitals and care systems need to redesign how patient care is delivered so inefficiencies can be eliminated within the system.
9
. True
or false: The organization that collects, analyzes, and creates national statistical databases and publishes papers on important health issues is the CDC.
10
. True
or false: Social determinants of health are environmental issues that impact a wide range of health, functioning, and quality-of-life outcomes and risks.
1. Identify the law that created the HITECH Act.
b. American Recovery and Reinvestment Act
2. Until World War II, most healthcare was provided:
c. At home
3. A HIM student has asked you why Medicare reimburses healthcare providers through prospective payment systems. Identify the piece of legislation that answers the student.
c. Tax Equity and Fiscal Responsibility Act of 1982
4. Identify the legislation that authorized the creation of the Office of National Coordinator for Health Information Technology.
c. ARRA
5. Medicaid is a:
b. Federally mandated healthcare program for low-income people
6. _____ Tax Equity and Fiscal Responsibility Act of 1982- e. Required the gradual implementation of a prospective payment system (PPS) for Medicare reimbursement
7. _____ Social Security Act of 1935 -d. Gave the states funds on a matching basis for maternal and infant care, rehabilitation of crippled children, general public health work, and aid for dependent children under age 16
8. _____ Public Law 92–603 of 1972- b. Required concurrent review of Medicare and Medicaid patients
9. _____ Patient Protection and Affordable Care Act of 2010- c. Provided an individual mandate to have minimum acceptable coverage or pay a tax penalty
10. _____ Utilization Review Act of 1977 - a. Required that hospitals conduct continued-stay reviews for
Medicare and Medicaid patients
HITECH was a portion of which bill? American Recovery and Reinvestment Act of 2009
Traditionally physicians alone determine the timely and effective interventions in response to a wide range of problems related to a patient's treatment, comfort, and safety. Who else are playing a wider role in this function? Nurses
Which of the following is the fastest-growing sector to offer services for Medicare recipients? Home health
Which of the following federal laws created Medicare and Medicaid? Public Law 89-97 of 1965
Who is appointed by the President of the United States to provide leadership and science-
based recommendations about the public's health? Surgeon General of the United States
The medical staff operates according to a pre-determined set of policies called Medical staff bylaws.
Two types of practitioners can hold the degree of Doctor of Medicine. They are: Physician and Surgeon
What is the name of the type of beds in a hospital that are defined by those authorized by the state? Licensed
What is the name given to the privileges assigned to physicians to provide clinical services in a hospital? Clinical
Which of the following is the accreditation organization for HIM programs? CAHIIM
Health information management departments are considered which of the following? Ancillary Support Service
The average length of stay (LOS) for acute care hospitals is: 25 days or less
This type of facility is more homelike and less institutional than in the past: Residential Care Facilities
Which of the following carries out the operational tasks necessary to support the organization's mission and goals? Staff
Who has the primary responsibility for setting the overall direction of the hospital? Board of directors
Week 3 Chapter 3 quizzes/checkpoints
1. Identify an example of a primary purpose of the health record.
d. Patient care
2. Identify the institutional user that utilizes health record data to make decisions regarding healthcare programs.
b. Policy-making body
3. The entire health record at our healthcare organization is accessible online. We utilize a(n):
c. EHR
4. Identify a type of individual user.
c. Patient
5. Deidentified data are used for:
b. Public health and research
1. Identify the microfilm format that is inefficient when retrieving multiple admissions for a patient.
a. Roll
2. The decision was made to choose a filing system that distributes health records evenly throughout the filing system. This is known as:
d. Terminal digit
3. _____ is used to assign weights to potential duplicate health records.
a. Rules-based algorithm
4. Form design standards should include:
d. Assigning a unique identifier
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5. Differentiate between qualitative analysis and quantitative analysis.
a. Qualitative analysis looks at the quality of documentation and quantitative analysis looks for the presence of documents or signatures.
6. The forms design committee:
a. Provides oversight for the development, review, and control of forms and computer screens
7. In a paper-based system, individual health records are organized in a standardized order in which of the following processes?
b. Assembly
8. Extracting data from a health record and entering it into an information system is known as:
c. Abstracting
9. Two patients were given the same health record number. This is an example of a(n):
b. Overlay
10. The physician did not complete the health record in the time frame required by the medical staff rules and regulations. These records are known as:
b. Delinquent
1. Identify the type of health record that is controlled by patients.
c. Personal health record
2. Explain how amendments to the EHR are handled.
d. The amendment must have a separate signature, date, and time.
3. Version control of documents in the EHR requires:
b. Policies and procedures to control which version(s) is displayed
4. The decision was made to not allow copying and pasting. Justification for this decision includes:
c. Copying outdated information
5. When I key in 10101963, the computer displays it as 10/10/1963. What enables this?
b. Input mask
Which one of the following are included in a list of institutional users of the health record? Blue Cross and Blue Shield
Which of the following is a secondary purpose of the health record? Public health and research.
Electronic Health Record (EHR) is a digital record of an individual's health-related information that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians, and staff across more than one healthcare organization.
Aggregate data is data that has been extracted from individual health records and combined to form de-identified information about groups of patients that can be compared and analyzed.
If a patient is issued a health record number at the first encounter and that number is used for all subsequent encounters, that organization is using what type of numbering system? Unit Numbering System
The Release of Information (ROI) staff is responsible for documenting all of the following, except: Time of release
Much of the work of the HIM department can be performed remotely due to the implementation of the EHR.
This is referred to as: Virtual HIM
The encoder
assigns the diagnosis and procedure codes.
Meaningful Use is "using certified electronic health record (EHR) technology to achieve all of the
following, except: To protect health insurance coverage for workrs and their families when they change of lose jobs.
A patient is collecting, storing, and tracking
all of their health information in one information system.
This is referred to as: Personal Health Record (PHR)
Audit trail
is a chronological set of computerized records that provides evidence of information system activity.
Specific risks to documentation integrity of using copy functionality include all of the following except: Ability to complete documentation more quickly
What is a technology that converts human language (structured or unstructured) into data that can be translated then manipulated by computer systems? Natural Language Processing (NLP)
What system scans the paper record and stores it digitally? Document Management System
All of the following are best practices for EHR navigation design, except: Provide a title for each screen
Week 4 Chapter 11 quizzes/ checkpoints
1. Identify a source system.
b. Laboratory information system
2. A _______________ is considered a core clinical EHR component.
a. Computerized provider order entry system
3. Dr. Smith always orders the same 10 things when a new patient is admitted to the hospital in addition to some patient-specific orders. What would assist in ensuring that the specific patient is not allergic to a drug being ordered?
a. Clinical decision support
4. What provides alerts and reminders to clinicians?
a. Clinical decision support system
5. E-prescribing systems are used to:
c. Send prescriptions to retail pharmacies
6. Which factor in a BC-MAR system supports medication five rights?
a. Bar code reading
7. Why is medication reconciliation the most difficult function of closed-loop medication management systems to implement?
b. Multiple systems, potentially across healthcare settings, must be connected
8. What stage describes when users are not yet using all the available EHR functionality?
b. Implementation
9. Templates are intended to:
b. Provide data entry support consistent with patient type
10. Which of the following characterizes the current state of EHRs?
c. EHRs provide data and support for data collection about one patient at a time.
1. Software that is written to help exchange data between two applications is:
b. Interface
2. Which of the following describes telehealth?
a. It is the diagnosis or treatment of a patient who is not physically present with the provider.
3. The Consolidated Clinical Document Architecture (C-CDA) is a:
b. Collection of healthcare document templates in XML format
4. An HIO provides identity management to:
b. Assure appropriate security services
5. True
or false: Cloud computing is a process where data (and software) are housed on remote
servers accessible through the internet
6. True
or false: The HL7 FHIR standard brings interoperability into the world of web-based connectivity.
7. True or false
: In order to locate where a patient has health information, the Direct Project is used in a health information exchange environment.
8. True
or false: A patient must access a PHR via a portal.
9. True or false
: The eHealth Exchange is a free service available to all healthcare providers.
1. Which of the following is a characteristic of the systems development life cycle?
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b. It describes the steps to ensure all components needed for a system to achieve its desired results are addressed.
2. The systems development life cycle is cyclical because:
b. Feedback from monitoring results initiates repetition of the steps in the cycle
3. In the systems development life cycle, desired outcomes may be best specified as:
c. SMART goals
4. A health information system steering committee that best guides an organization’s technology
plans includes:
a. Physician leadership
5. Steps taken to confirm various facts about a product are referred to as:
d. Due diligence
6. Which of the following is true in contract negotiation?
c. All issues with terms of the contract can and should be negotiated.
7. Moving data from an old system to a new system requires which of the following?
a. Data conversion
8. An approach to help new users acclimate to the new technology is:
b. Change management
9. A situation in which a healthcare organization has multiple vendors represented in its applications is referred to as:
a. Best of breed
10. During implementation of health IT, the step most often not performed or not performed well is:
d. Workflow and process analysis and design
Which of the following best describes the most important function of the health record? Storing patient care documentation
Which of the following is not a characteristic of high-quality healthcare data? Data accountability
A registry is which of the following? Specialized database for a predefined set of data and its processing
In order for a physiological monitor, such as a device a patient may wear during exercise, to be connected to an EHR, there must be which of the following? Medical device integration
In order to locate a patient via a health information exchange organization, there must be which of the following?
Identity matching
The systems development life cycle is cyclical because: Feedback from monitoring results initiates repetition of the steps in the cycle
Healthcare information systems need to exchange information. This linkage between systems is referred
to as connectivity
I need an information system that will assist physicians in diagnosing and decision making. Which of the following information systems will provide what I need? clinical information systems
Track the following patient movements within a hospital from the moment they
present in the emergency room (ER): 1. The registrar records and stores the patient's name, contact information, insurance information, and the room to which the patient is initially assigned; 2. Based on initial findings, the patient is evaluated for heart issues and is moved to a telemetry room; 3. After that, the patient is sent to an operating room for surgery; 4. Following surgery, the
patient is sent to PACU for postanesthesia care. It is discovered that the patient's birth date on the admitting form was different than that on the discharge form. Which quality element is missing this patient's health record, and where might the mistake have occurred? Data consistency; administrative information systems
During which phase of the systems development life cycle (SDLC) is it important to seek additional consultation? Specification of requirements
Who are the primary decision-makers in healthcare? Clinical professionals who provide direct patient care, as well as managers and supervisors An HIP provides identity management in order to: Assure appropriate secure services
Critique this statement: Version control is not an issue in the EHR. There are issues related to versions of documents, such as there must be a flag to indicate a previous version
Which decision makers are most concerned with day-to-day operations in a healthcare facility? Operational decision makers
Information requirements for strategic, tactical, and operational decision makers vary. Which decision makers supplement internal data with external information to help with their decisions?
Strategic decision makers
Week 5 Chapter 12 quizzes/ checkpoints 1. Scorecard- a. Reports outcome measures
2. Data mining d. Extraction and analysis of data
3. Dashboard b. Reports process measures
4. Data capture e. Process of recording data
5. Speech recognition c. Speech-to-text conversion
1. True
or false: One type of electronic PHR is the tethered PHR.
2. True or false
: Scheduling appointments is a required functionality for a patient portal.
3. True
or false: Home monitoring system results such as blood pressure levels are part of a PHR.
4. True
or false: Consumer health IT applications for information access and navigation include smartphones.
5. True or false
: PHRs can contain information from patients but not from healthcare providers.
6. True or false
: Telehealth is used to provide patients direct email access to physicians.
7.
True
or false: Health literacy is required to be able to complete pre-visit online medical questionnaires.
8. True or
false
: For PHRs there is a data standard.
9. True or false
: Telehealth is a way to provide patients more correct information on common diseases such as diabetes and hypertension.
10. True
or false: Data found in a PHR can be termed patient-generated health data.
1. Identify which of the following is a form of HIE.
c. Consumer-mediated exchange
2. Identify the true statement about patient identity issues.
a. Patients should provide proof of identity.
3. All definitions of HIE mention:
c. The exchange of information is done electronically
4. Identify the standard that should be used to share radiological images.
a. DICOM
5. Identify which of the following is a benefit of HIE.
6. Per the ONC, HIE capabilities include:
b. Sharing patient health information and e-prescribing
7. HIX provide:
c. Consumers the ability to choose a healthcare plan and reform the health insurance market
8. The data standard for representing lab tests is:
c. LOINC
9. True
or false: Data integrity is a vital element of HIE.
10. True or false
: Query-based exchange is the preferred model of HIE when sharing data with the health department.
The clinical data Repository
is a central database that focuses on clinical information. The ONC's goal of advancing secure and interoperable health information requires Sharing information among individuals, providers and the community
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Tracking a Key Indicator can help detect problems and identify opportunities for performance improvement.
"What happened?" is answered by _______ analytics. Descriptive
What is the second stage of transforming raw data into meaningful analytics? Data provisioning
A system that manages data for an entire healthcare business is referred to as a(n) enterprise-wide system
In a network environment, a database shared among several end-user workstations would be stored on a: Server computer
In which phase of the systems development life cycle is the primary focus on examining the current system and problems in order to identify opportunities for improvement or enhancement of the system? Planning and analysis
Per the ONC, HIE capabilities include:
Sharing patient health information and e-prescribing Which of the following elements is NOT considered a basic component of every information system? None of the above
CORRECT - Well done!
All
of the above - software, communications technology, and users - are considered basic components of every information system A(n) _____ stores data in predefined tables consisting of rows and columns. Relational database
A _____ uniquely identifies each row in a table and ensures that it is unique. Primary key
What is the purpose of databases? To store and retrieve data
___________ is a tool used for extracting data from a database. Data mining
Which of the following data visualization tool is used to organize quantitative data? Tables
Week 6 Chapter 21 Quizzes/ checkpoints
1. Duty or responsibility guiding the decision based on action and not the end result- e. Deontology
2. The socioeconomic or religious differences in people- i. Cultural diversity
3. The individual’s right to determine what does or does not happen to him or her in terms of healthcare- g. Autonomy
4. Only considering oneself instead of taking others into consideration- a. Egoism
5. System of principles that guide an someone’s life, usually with regards to right and wrong- b. Moral value
6. Field of study dealing with moral principles, theories, and values- h. Ethics
7. To not cause harm- c. Nonmaleficence
8. Promoting good for others or providing services that benefit others- f. Beneficence
9. Strong feeling about a person without reviewing facts- d. Prejudice
10. Assuming everyone within a certain group is the same-j. Stereotyping
1.Mary signed an authorization allowing her son’s schools to receive his annual physicals from now until he graduates from high school. What kind of authorization did Mary sign?
b. Blanket authorization
2. Releasing health information to help a patient receive further healthcare falls under what ethical principle?
a. Beneficence
3. What is the practice of assigning diagnostic or procedural codes that represent higher payment rates?
a. Upcoding
4. Which of the following types of information include areas like genetics, adoption, and drug use that require special attention?
c. Sensitive information
5. The participant in a research group has been given full disclosure on what the study entails and the choice to opt out of the study. This falls under what ethical principle?
b. Autonomy
6. What is the practice of using multiple codes to bill for various individual steps in a single procedure, rather than using a single code that includes all the steps of the comprehensive procedure?
d. Unbundling
7. Which of the following has created ethical issues based on security, interoperability, and record integrity?
d. Electronic health record
8. The minimization of variation in a clinical practice is used in what setting?
d. Quality assurance
In making job-related decisions, HITs must consider a number of ethical factors, including: The rights and interests of healthcare patients and providers, Their employer's policies, rules, and regulations as well as cost and technological feasibility, Federal and state laws, medical staff bylaws, and accreditation and licensing standards
Privacy can be defined as:
The right of an individual to be left alone
Which of the following activities is considered an unethical practice?
Backdating progress notes
Which of the following is a core ethical obligation of HITs?
Protecting patients' privacy and confidential communications
Which of the following ethical principles is being followed when an HIT professional ensures that
patient information is only released to those who have a legal right to access it?
Beneficence
I am concerned about the possibility that the PHI that I am releasing as an ROI coordinator will be re-released to another inappropriately. Why would I be concerned with a secondary release of information? PHI could be released without patient authorization.
If a patient notices an unknown item in the explanation of benefits they receive from an insurance company and they do not recognize the service being paid for, the patient should_____. Contact the insurer and the provider who billed for the services to correct the information
Medical identity theft is the fraudulent use of an individual's identifying information in a healthcare setting. What is the practice of assigning diagnostic or procedural codes that represent higher payment rates?
Upcoding
Which of the following statements represents a situation that is related to problems in the release of information? All of the following represent situations related to problems in the release of information: Misuse of blanket authorizations; Privacy violations that result from secondary release procedures; and Violations of the principle of need to know.
Report all healthcare _________ required for external reporting purposes completely and accurately, in accordance with regulatory and documentation standards, and requirement and applicable official coding conventions, rules, and guidelines. Data elements
What is the committee of the organization tasked with reviewing ethics violations and determining the course of action required to remedy the violations. Ethics Committee
What organization was established to help provide equality for minority groups, women, people with disabilities, and veterans? Equal Employment Opportunity Commission (EEOC)
Which of the following has created ethical issues based on security, interoperability, and record
integrity?
Electronic health world
Which organization issues and maintains ethical standards for the health information management profession? American Health Information Management Association
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