Matching (20) Match items in column A to column B

Column a Column b
1.
A.
Which of the following is a challenge in the implementation of computer-based records?
a. lack of standardization
2.
B.
Which of the following types of facility is not governed by Medicare long-term care documentation standards?
3.
C.
Which part of a medical history documents the nature and duration of the symptoms that caused a patient to seek medical attention as stated in that patient’s own words?
4.
D.
Which of the following would not be considered clinical data?
a. progress notes
5.
E.
Which of the following is not a traditional health record format?
6.
F.
Which of the following specialized patient assessment tools must be used by Medicare-certified home care providers?
7.
G.
Progress notes of physicians, nurses, therapists and other authorized individuals would be found together in chronological sequence in a(n) ____________ paper record
8.
H.
Which of the following determines who can receive and transcribe verbal orders?
9.
I.
Which of the following types of healthcare facilities may seek accreditation from the Joint Commission?
10.
J.
Chapter 3
11.
K.
Which of the following materials is not documented in an emergency care record?
12.
L.
What is the end result of a review process that shows voluntary compliance with guidelines of an external, nonprofit organization?
13.
M.
Which of the following federal laws resulted in the new privacy regulations for healthcare organizations?
14.
N.
Which health record format is most commonly used by healthcare settings as they transition to electronic records?
15.
O.
The federal Conditions of Participation apply to which type of healthcare organization?
a. any organization that is accredited
16.
P.
Which of the following is a function of the health record?
17.
Q.
Which of the following includes names of the surgeon and assistants, date, duration and description of the procedure and any specimens removed?
18.
R.
Which of the following is not a function of the discharge summary?
19.
S.
Which of the following is not an example of a data capture technology?
20.
T.
Which of the following clinical data elements is not usually documented in the acute care health record?