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111 Cards in this Set

  • Front
  • Back

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


- MEDPAR file


- Healthcare Integrity and Protection Data Bank


- State Administrative Data Bank

National Practitioner Data Bank

When health care facilities close or medical practices dissolve, procedures for disposition of patient records should take into consideration all of the following except:


- state laws and licensing standards


- Medicare requirements


- needs and wishes of patients


- Communities of Practice requirements

Communities of Practice requirements

The health care provides in an acute care hospital require access to paper health records 24 hours a day, 7 hours a week. To secure the area and continue to maintain accessibility, the Director of the HIM Department should _____


- staff the department with personnel 24 hours a day


- train security guards to retrieve records after the department closes


- arrange for records to be retrieved at 7am every morning


- be on call every morning and weekends for emergency requests

staff the department with personnel 24 hours a day

Which of the following should not be included in the documentation of record destruction?


- signature of the individuals supervising and witnessing the destruction


- dates not covered in destruction


- method of destruction


- statement that records were destroyed in the normal course of business

dates not covered in destruction

The Director of Health Information Management 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 of the following reasons would not be included in the Director's response?


- elimination of the need for expensive desktop computers


- faster access to health data


- increased work efficiency


- decreased clinical documentation errors

elimination of the need for expensive desktop computers

Which filing system would provide the most convenient method for the record retrieval of 200 patients consecutively admitted to the hospital


- straight number


- terminal digit


- unit


- serial unit

straight numeric

Under the HIPAA Privacy Rule, when destruction services are outsourced to a business associate, the contract must provide that the business associate will establish the permitted and required uses and disclosures and include all but which of the following elements?


- time that will elapse between acquisition and destruction or disposal


- method of destruction of disposal


- the hospital's liability insurance in specified amounts


- safeguards against breaches

the hospital's liability insurance in specified amounts

Which of the following statements is FALSE when addressing characteristics of the legal health record in an electronic document management system?


- the backup and disaster recovery process is certified to ensure that all data can be recovered


- the storage format must be efficient, manageable, and in compliance with laws and regulations


- the storage media used and the format of the scanned documents must protect data from loss and damage


- direct electronic interfaces from ancillary department systems to the document imaging system will not eliminate the need to scan documents and integrate the data from these ancillary systems

direct electronic interfaces from ancillary department systems to the document imaging system will not eliminate the need to scan documents and integrate the data from these ancillary systems

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


- built-in alerts to notify users of possible errors


- a prompt for more information


- the use of abbreviations on data fields

left to right and bottom to top formatting

When engaging the services of a microfilm vendor, all but which one of the following factors should be included in the contract?


- who performs record preparation


- type of reader or printer needed to view the microfilm


- provision for destruction of original records


- confidentiality of information being filmed

type of reader or printer needed to view the microfilm

Which of the following is not a mandatory disclosure according to the HIPAA Privacy Rule?


- instances concerning victims of domestic violence


- reporting of traffic fatalities


- quality assurance reviews by authorized authorities


- emergencies concerning public health

reporting of traffic fatalities

A quality control measure that should be established for the filing, storage, and retrieval of health records includes criteria for the _____


- accuracy of analyzing records


- number of incomplete records


- tracking of release of information requests


- inclusion of late reports

inclusion of late reports

Palm Beach Healthcare Center has been in operation for 13 years. It has 6,000 admissions per year. The facility has expanded and will allow for 200 more admissions per year from now on. There are 2,500 linear feet of filing space available and half is being used. The facility expects a 30% readmission rate. If a unit numbering/filing system is used, how many file folders will be needed for next year?


- 6,200


- 4,340


- 1,860


- 1,800

4,340




(6,000 admission + 200 additional) = 6,200 total




6,200 total X 30% readmission rate = 1,860 readmissions




6,200 total - 1860 readmission = 4,340 new file folders needed for next year





The clinical laboratory department staff can use a database that allows them to see what laboratory tests were conducted and the results of those tests. By contract, the billing department staff can only see that portion of the database that lists the laboratory tests that generate a charge, but they cannot see the test results. What kind of control is this an example of?


- access


- cost


- concurrency


- integrity

access

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?


- 28%


- 4%


- 1%


- 96%

96%

If the HIM Department has purchased 100 units of 8-shelf files and plan to use the terminal digit filing system, how many shelves should be allocated to each primary number?


- 8


- 12


- 10


- 11

8




8 shelves per unit x 100 units = 800 total shelves




800 shelves divided by 100 primary digits (00-99) = 8 shelves per primary digit

Which of the following is NOT an alternative storage method for paper-based records?


- microfilm


- computer


- optical imaging


- outguide

outguide

Which one of the following is not an advantage of a computerized master patient index?


- it provides other departments with immediate access to information maintained in the master patient index


- duplication of patient registration can never occur


- it allows access to data alphabetically, phonetically, or by date of birth, social security number, medical record, or billing number


- it solves most space and retrieval problems

duplication of patient registration can never occur

Which of the following items is the Health Information Manager primarily concerned with when purchasing file guides?


- cost and color


- durability and visibility


- cost and visibility


- color and durability

durability and visibility

A new Health Information Department has purchased 200 units of 6-shelf files and plans to implement a terminal digit filing system. How many shelves should be allocated to each primary number?


- 12


- 8


- 6


- 10

12




200 units x 6 shelves per unit = 1,200 shelves total




1,200 shelves divided by 100 primary numbers (00-99) = 12 shelves per primary number

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


- data dictionary


- XML


- HTML

SQL

What follow-up rate does the American College of Surgeons mandate for all cancer cases to meet approval requirements as a cancer program?


- 80%


- 70%


- 90%


- 100%

90%

The Assistant Director of Record Processing is evaluating software packages for a charge tracking system in the HIM Department. What is the best method to verify that the software will work as marketed?


- visit corporate headquarters of the vendor


- perform a vendor reference check


- test the software prior to purchase


- read consumer reports before buying

test the software prior to purchase

Which of the following is not a factor to consider when developing a record retention program?


- cost of space to maintain paper records


- reimbursement guidelines


- legal requirements as determines by statute of limitations


- record usage in the facility determined by health care provider activity

reimbursement guidelines

Mary Schnering was admitted to Community Hospital on 10/3/15 and assigned a record number of 54-47-53. The patient was later admitted on 1/14/16 and was assigned the number 54-88-42. Both records were eventually filed under 54-88-42. What type of numbering/filing system is being used?


- terminal digit


- serial-unit


- unit


- serial

serial-unit

What type of plan is a Joint Commission-accredited facility required to maintain to protect health information from catastrophes such as fire, flooding, bomb threats, and theft?


- patient care


- budget


- case management


- disaster

disaster

University Hospital has the messaging technology to securely route an alert for a patient's possible drug interaction or abnormal lab result to the appropriate physician's pager number. Which one of the following is the medical staff using?


- extranet


- internet


- intranet


- clinical information system

clinical information system

The master patient index must, at a minimum, include sufficient information to _____


- list all physician who have ever treated the patient


- uniquely identify the patient


- justify the patient's hospital bill


- summarize the patient's medical history

uniquely identify the patient

What microfilm should the HIM practitioner select if the records must be unitized and color-coded for filing purposes?


- cassette


- roll microfilm


- jacket microfilm


- cartridge

jacket microfilm

When evaluating an outside contract microfilm company, all but which of the following are important factors to rate?


- storage after filming


- emergency returns


- cost


- cache memory

cache memory

When operating under the Health Insurance and Accountability Act 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


- patients are not educated about their right to confidentiality of health information


- the information system encourages mass copying, printing, and downloading of patient records


- when paper-based records are no longer needed, they are bundled and sent to a recycling center

security training is provided to all levels of staff

Which one of the following is not a technical security control employed by electronic health record systems?


- automatic logon


- user-based access controls


- data encryption protocols


- audit trails

automatic logon

Which of the following is not considered a challenge in the adoption of an electronic health record system?


- design of the work flow and processes


- contribution to the quality of patient care


- individual state legal and regulatory issues


- physician willingness to adopt

contribution to the quality of patient care

Which of the following issues would be of least concern when storing health records in off-site storage?


- operating hours of the storage facility


- safety and confidentiality procedures


- filing order of the records


- procedure for request of a record in an emergency

filing order of the records

What data cannot be retrieved from the MEDPAR?


- charges broken down by specific types of services


- non-Medicare patient data


- data on the provider


- ICD-10-CM diagnosis codes

non-Medicare patient data

An example of a primary data source is the _____


- cancer registry


- hospital statistical report


- physician index


- health record

health record

Fetal monitoring strips are part of the _____ record and should be maintained _____


- newborns; 10 years past the age of majority


- mother's; according to the length of time required for a minor's record


- mother's; 10 years


- newborn's; according to the time period specified in the state's statute of limitations

mother's; according to the length of time required for a minor's records

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 is $1.05 per filing inch. How much money should be allocated for storage space in next year's budget?


- $8,531.25


- $1,875.00


- $8,125.00


- $853.25

$8,531.25




25,000 inpatients x 0.25 inch/record = 6,250 in.




15,000 ER patients x 0.125 in/record = 1,875 in




6,250 in + 1,875 in = 8,125 total in / year




8,125 total in x $1.05/filing inch = 8,531.25

The HIM practitioner's duty to retain health information via the archiving and storage of health data includes all except which of the following?


- a retention plan for financial data


- strategies ensuring that inactive records are as secure as active records


- strategies that consider accessibility, natural disasters, and innovations in storage technology


- a retention plan for multiple volumes of records

a retention plan for financial data

A major consideration in a hospital or facility closure is to _____


- notify all patients to pick up their original records by the date of closure


- arrange for donating the records to an HIA/HIT education program for student use


- seek approval for destruction of all records with a last date of treatment over 3 years


- ensure that authorized parties have access to the information as provided by the law

ensure that the authorized parties have access to the information as provided by law

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?


- social security number


- terminal digit


- middle digit


- straight numeric

straight numeric

The Director of the HIM Department is explaining incentives to physicians for entering their clinical documentation in the electronic health record. Which of the following would be the key advantage in using this type of data entry?


- multiple users will not have access to the same information simultaneously


- those physicians not in compliance will be denied admitting privileges


- enhanced databases will provide information for improved clinical care


- training will be offered by the hospital

enhanced databases will provide information for improved clinical care

Which of the followings is not a major management challenge in the storage and retention of electronic health record systems?


- following state and federal laws and accreditation requirements when developing retention and destruction policies


- ensuring that health information can be retrieved in a timely manner


- maintaining the paper-based storage system


- keeping technology updated in order to retrieve data

maintaining the paper-based storage system

Your state regulations require health records to be kept for a statute of limitations period of 7 years. Federal law requires records to be retained for 5 years. The minimum retention period for health records in your facility should be _____


- 7 hears


- either 5 or 7 years, as determined by the facility


- 10 years


- 5 years

7 years

In a terminal digit filing system, what would be the record number immediately in front of record number 01-06-26?


- 02-06-26


- 03-06-26


- 99-99-25


- 00-06-26

00-06-26

How many years does the CMS regulations require that health records be maintained? Medicare's Conditions of Participation for hospitals requires that patient health records be retained for at least _____ years unless a longer period is required by state or local laws.


- 10


- 7


- 5


- 3

5

How many years does the Food and Drug Administration require research records pertaining to cancer patients be maintained?


- permanently


- 30


- 7


- 5

30

A health care facility has received a request to participate in a statewide study on cleft lip and cleft palette. 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 _____


- birth defects registry


- state bureau of vital statistics


- newborn records


- maternal records

birth defects registry

Which of the following is NOT a consideration when implementing a disaster plan?


- provide staff with tools needed to implement the plan


- test the disaster plan only once


- establish a plan for conducting drills


- include disaster training in staff orientation

test the disaster plan only once

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?


- statute of limitations


- volume of research


- readmission rate


- department staffing

department staffing

Of 750 records filed during the week, 75 were not located. What is the filing error rate?


- 90%


- 0.1%


- 10%


- 0.9%

10%

Unless state or federal laws require longer time periods, AHIMA recommends that patient health information for minors be retained for at least how long?


- permanently


- 10 years after the most recent encounter


- 10 years after the age of majority


- age of majority plus statue of limitation

age of majority plus statute of limitation

If the department staff are having trouble locating the terminal digit sections quickly, the supervisor could add more ______


- requisitions


- outguides


- staff


- file guides

file guides

General Hospital utilizes 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?


- command interpreter


- database management system


- desktop publishing


- word processing

database management system

Which of the following is not a benefit of the electronic document management system in the HIM department?


- online availability of information


- system security and confidentiality


- decreased use of computer technology


- multiuser simultaneous access

decreased use of computer technology

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?


- who will purge inactive files for transfer


- confidentiality policies and liability concerns


- what are the billing terms


- who completes the list of what records are to be stored

confidentiality policies and liability concerns

Which one of the following is not an electronic document management system component?


- laser printer


- reader-printer


- file server


- scanner

reader-printer

Electronic health record built-in tools that can make data capture easier include all but which one of the following?


- clinical decision support systems


- flow process charts


- data dictionaries


- automated quality measures

flow process charts

As a prerequisite in the implementation of an electronic health record, what process would facilitate automatic indexing?


- redesigning forms to include bar codes


- removing portions of the patient record that will not be scanned


- converting all microfilm to optical disk format


- scanning only emergency room records initially

redesigning forms to include bar codes

When implementing the electronic health record, what is the technical security standard that requires unique user identification, emergency access procedures, automatic log-ff, and encryption and decryption of data?


- audit control


- transmission security


- access control


- person or entity authentication

access control

Which of the following is a disadvantage of terminal digit filing as compared to straight numeric filing?


- inactive records are pulled from one common area


- the training period is slightly longer


- files expand at the end of the number series, requiring back shifting


- file personnel are crowded in the highest numbers

the training period is slightly longer

According to terminal digit filing, what would be the number of the record immediately after record number 99-99-30?


- 99-99-31


- 00-00-31


- 99-98-30


- 01-00-31

00-00-31

A health care facility has made a decision to destroy computerized data. AHIMA recommends which one of the following as the preferred method of destruction for computerized data?


- overwriting the backup tapes


- magnetic degaussing


- disk reformatting


- overwriting data with a series of characters

magnetic degaussing

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


- date of admission


- mother's maiden name


- social security number

date of birth

A 16-year-old female delivers a stillborn infant in Mercy Hospital. The clinical documentation on the stillborn infant would _____


- be retained in a separate file in the administrative offices


- not be retained in hospital records


- be filed in a health record created for the infant


- be filed in the mother's record

be filed in the mother's record

The Assistant Director of HIM is evaluating 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 the most useful for?


- release of information


- coding


- chart tracking


- transcription

chart tracking

For a health care facility to meet its document destruction needs, the certificate of destruction should include all but which of the following elements?


- patient notification


- unique and serialized transaction number


- location of destruction


- acceptance of fiduciary responsibility

patient notification

Case finding methods for patients with diabetes include a review of all but which one of the following?


- health plans


- medication lists


- CPT diagnostic codes


- billing data

CPT diagnostic codes

Which item is collected and maintained in the organ transplant registry?


- vaccine manufacturer


- cytogenetic results


- histocompatibility information


- stage at the time of diagnosis

histocompatability information

Information found in which of the following would not be considered secondary data?


- implant registry


- disease index


- National Practitioner Data


- health record

health record

A 200-bed acute care hospital currently has 15 years of paper health records and filing space is limited. What action should be taken?


- return inactive records to each individual patient


- maintain the records indefinitely in hard copy


- destroy inactive records that exceed the statute of limitations


- destroy records of all deceased patients

destroy inactive records that exceed the statute of limitations

As HIM director, 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?


- disaster recovery plan


- authentication


- encryption


- stonewall

stonewall

On his 12/23/16 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 9/1/15 admission was 07-10-47. In a serial numbering/filing system, how would these record be filed?


- each admission is filed under its own number


- both records are combined under 07-10-47


- both records are combined under 07-23-38


- previous records are brought forward and filed under the latest number issued

each admission is filed under its own number

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 _____


- install a computerized access control panel


- hire a security guard to monitor entrance to the file area


- utilize a sign-in and sign-out log for admittance to the file area


- convert from a terminal digit filing system to a serial unit filing

install a computerized access control panel

Out of 2,543 records requested from the HIM Department, 2,375 were located. What is the filing accuracy rate?


- 75.33%


- 6.61%


- 89.01%


- 93.39%

93.39%

Color coding of record folders is used to assist in the control of _____


- record tracking


- loose reports


- misfiles


- record completion

misfiles

Health Informatics, Inc. is a vendor with a large collection of clinical information systems and hospital information systems that are designed to share data with human or technical intervention. This is a(n) _____


- standard


- integrated system


- interfaced system


- OLAP

interfaced system

Which one of the following is not a step in developing a health record retention schedule?


- assigning all records the same retention period


- determining the format and location of storage


- conducting an inventory of the facility's records


- destroying records that are no longer needed

assigning all records the same retention period

The HIM Department maintains 500,000 records and responds 5,000 requests for records in a given period of time. What is the record usage rate?


- 0.01%


- 10%


- 5%


- 1%

1%

What would be the most cost-effective and prudent course of action for the storage of disposition of 250,000 records at a large teaching and research hospital?


- destroying all records older than 3 years for a cost of $50,000


- storing the records off-site at a cost of $25,000 per year


- scanning all 250,000 records for a cost of $195,000


- purging and storing all death records off-site at a cost of $20,000 per year

scanning all 250,000 records for a cost of $195,000

What component of the history and physical examination includes an inventory designed to uncover current or past subjective symptoms?


- social and personal history


- past medical history


- chief complaint


- review of systems

review of systems

Which of the following technologies works best with automated record-tracking systems to speed the data entry process?


- compressible filing units


- computerized chart-out slips


- discharge lists


- bar codes

bar codes

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


- clinical workstation


- legacy system


- IBM Medical Information Systems Program

application service provider model

Which one of the following is an advantage of straight numeric filing over terminal digit filing?


- all sections of the file expand uniformly


- inactive records can be purged evenly


- work can be evenly distributed, causing accountability for accuracy in each of the 100 sections


- the training period is short

the training period is short

The hospital administrator is making a strategic decision by querying various institutional databases for information. What type of system is the hospital administrator using?


- financial information system


- results reporting system


- executive information system


- electronic health record system

executive information system

Which of the following is not a data retrieval tool?


- color, animation, sound, icons


- SQL


- light pen


- screen design

light pen

What is the chief criterion for determining record inactivity?


- preference of the medical staff


- Medicare's definition of inactivity


- efficiency of microfilming


- amount of space available for storage of newer records

amount of space available for storage of newer records

Which index is used by the HIM department to link the patient's name and number in relation to access and retention of the patient record?


- physician index


- operation index


- master patient index


- disease index

master patient index

Which of the following is not an advantage of a centralized filing system?


- there is decreased cost in space and equipment


- there is less transportation time and effort when a facility operates from several sites


- there is less duplication of effort to create, maintain, and store records


- record control and security are easier to maintain

there is less transportation time and effort when a facility operates from several sites

The HIM Department receives a request for a certified copy of a birth certificate on a patient born in the hospital 30 years ago. The department should _____


- issue a copy of the newborn's record


- direct the request to the attending physician


- issue a copy of the birth certificate from the patient's record


- direct the request to the state's office of vital records

direct the request to the state's office of vital records

If there are 150,000 records and the HIM Department receives 3,545 requests for records within a given period of time, what is the request rate?


- 3.5%


- 2.4%


- 5.1%


- 4.6%

2.4%

A 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?


- 13


- 12


- 11


- 14

14




2,540 + 400 = 2,940 inches needed




36 x 6 = 216 inches per unit




2,940 (inches needed) divided by 216 (inches per unit) = 13.61 shelves

According to AHIMA's recommended retention standards, which of the following types of health information does not need to be retained permanently?


- register of births


- physician index


- register of surgical procedures


- register of deaths

physician index

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?


- operation index


- number index


- R-ADT system


- physician index

R-ADT system

What is the business of buying and selling information as a commodity?


- e-health consumerism


- teleheatlh


- information brokering


- competitive data

information brokering

Which one of the following actions would not be included in the professional obligations of the health information practitioner that lead to responsible handling of patient health information?


- honor the patient-centric direction of the national agenda


- educate consumers about their right and responsibilities regarding the use of their personal health information


- extend privacy and security principles into all aspects of the data use, access, and control program adopted in the organization


- take a compromising position toward optimal interpretation of nonspecific regulations and laws

take a compromising position toward optimal interpretation of nonspecific regulations and laws

The function of a(n) _____ is limited to data retrieval


- clinical data repository


- executive information system


- database management system


- electronic health record

clinical data respository

Which one of the following would not be a strategy when purchasing an electronic health record system?


- broaden the vendor field and select several vendors of choice


- recognize stakeholders from different organizational levels and engage them appropriately


- identify system requirements


- determine return on investment or cost-benefit analysis

broaden the vendor field and select several vendors of choice

Capital Health Center is moving to a new facility in December 2016. The CEO is projecting a conversion to an electronic health record system by then. This new facility will not include space for filing of paper-based health records. Which of the following items would not be considered when planning this conversion?


- whether to scan older paper records


- challenges of maintaining records that are partially paper and partially electronic


- relationship with the microfilm vendor


- changing role of department functions and work flow

relationship with the microfilm vendor

Microfilmed records are considered _____


- not admissible as secondary evidence


- inadmissible evidence


- never admissible as hearsay evidence


- acceptable as courtroom evidence

acceptable as courtroom evidence

The Chief of the Medical Staff requests a report on the number of coronary artery bypass grafts performed by a particular physician in April of the previous year. Where would the health information manager look for this information?


- operation index


- patient register


- disease index\


- birth defects register

operation index

The steps in developing a record retention program include all but which of the following?


- assigning each record a retention period


- determining the storage format and location


- destroying records that are no longer needed


- notifying the courts of the destruction

notifying the courts of the destruction

It is recommended that all but which of the following information should be permanently retained in some format, even when the remainder of the health record is destroyed?


- dates of admission, discharge, and encounters


- nursing notes


- physician names


- discharge summaries

dates of admission, discharge, and encounters

Which of the following statements would be found in the laboratory report section of the health record?


- TPR recorded q.h. for 12 hours


- BUN reported as 20 mg


- IV sodium Pentothal 1% started at 9:05 AM


- Morphine sulfate gr. 1/4 q.4h. for pain

BUN reported as 20 mg

A HIM Department wants to buy new open-shelf filing units for its file expansion. Each of the shelves in a new 6-shelf unit measures 33 linear filing inches. There will be an estimated 1,000 records to file. The average record is 1-inch thick. How many filing units should be purchased?


- 2


- 4


- 6


- 8

6




33 inches per shelf x 6 shelves per unit = 198 in/unit




1,000 records x 1 inch per record = 1,000 in of records




1,000 (in of records) divided by 198 inches per unit = 5.05 filling units

Which one of the following is not a data retrieval tool?


- sound


- icons


- point-and-click fields


- color

point-and-click fields

The HIM Department at General Hospital has been experiencing an average 30-minute delay in the retrieval of records requested by the Emergency Department. Which of the following corrective actions would be most effective in reducing the delay in retrieval of requested records?


- allow the requesters to retrieve the record themselves


- offer a prize to the employee who locates the requested records first


- review and possibly reengineer the retrieval process to decrease retrieval time


- increase file area staff to include one additional file clerk devoted to pulling records for the emergency room

review and possibly reengineer the retrieval process to decrease retrieval time

Concern for health data loss and misuse within the HIM department requires that the health information practitioner evaluate all but which of the following?


- use of a back-up system


- salary for the database administrator


- security controls and access privileges of staff


- policies and procedures developed to safeguard privacy and security

salary for the database administrator

Under the Patient Self-Determination Act of 1990, evidence of advance directives _____


- require a doctor's approval


- are not required to be documented in the health record


- are required to be documented in the health record


- must be prepared by an attorney

are required to be documented in the health record

Which of the following is not a documented input device in the electronic document management system?


- bar codes


- touch screen


- printer


- scanner

printer

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 2016. Which of the following indices would be the best source in locating the needed records?


- physician index


- disease index


- operation index


- master patient index

disease index