RHIT Quality and PI Exam Questions with Correct Answers
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Course
RHIT Quality and PI
Institution
RHIT Quality And PI
RHIT Quality and PI Exam Questions with Correct Answers
The desk is has a huge influx of calls on Mon, Tues, and Wed. This creates a problem in getting pt information out within a time frame. The staff has agreed to record the reason for phone calls. They want to solve the response-time proble...
RHIT Quality and PI Exam Questions
with Correct Answers
The desk is has a huge influx of calls on Mon, Tues, and Wed. This creates a problem
in getting pt information out within a time frame. The staff has agreed to record the
reason for phone calls. They want to solve the response-time problem by reducing the
turnaround time for the largest category of phone calls. Which QI tool is best?
scatter diagram
run chart
Pareto chart
control chart - Answer-Pareto chart
What quality indicator would prove useful in tracking customer satisfaction in the
correspondence/release of information function?
the number of medical record personnel required to perform the function
the amount of overtime necessary to stay current
the turnaround time from the date a request is received to the date the information is
provided to the requester - Answer-the turnaround time from the date a request is
received to the date the information is provided to the requester
What criterion is critical in selecting performance indicators for a health information
management department?
Select only indicators that reflect positively on the department.
Indicators must correlate with Deming's 14 points.
The indicators must include the most important aspects of performance. - Answer-The
indicators must include the most important aspects of performance.
Integration of decision support systems and best practices in medicine is known as the
practice of __________.
outcome measures
subjective determination
evidence-based medicine
case management - Answer-evidence-based medicine
The Joint Commission recently surveyed an acute care hospital. The hospital just
received the survey report and the accreditation decision. Which of the following
categories should the hospital leaders address first?
Grid Elements
Triennial Exception Rules
Requirements for Improvement
,Written Progress Reports - Answer-Requirements for Improvement
Which department will most likely be responsible for taking corrective action regarding
the following quality indicator?
QUALITY INDICATOR:
Ninety-five percent (95%) of physician appointments/reappointments will be completed
within 90 days of receipt of all required materials.
Admissions
Medical Staff Office
Health Information Department - Answer-Medical Staff Office
The Joint Commission has a standard stating that a hospital must plan and design
information management processes to meet _____________ information needs.
patient record
external
both internal and external
internal - Answer-both internal and external
When the policy and procedures manual no longer reflect current practices, it creates a
situation that becomes a risk management issue because
policy and procedures should represent the normal course of business.
training of new personnel will not be standardized.
supervisory time and effort will be wasted to correct the manual. - Answer-policy and
procedures should represent the normal course of business.
Patient mortality, infection and complication rates, adherence to living will requirements,
adequate pain control, and other documentation that describe end results of care or a
measurable change in the patient's health are examples of
outcome measures.
incident reports.
threshold level.
sentinel events. - Answer-outcome measures.
The Utilization Review Coordinator reviews inpatient records at regular intervals to
justify necessity and appropriateness of care to warrant further hospitalization. Which of
the following utilization review activities is being performed?
Historic accomplishments impacting quality in medical care include all EXCEPT
implementation of OTRA.
, ensuring competent practitioners.
Darling v. Charleston Community Hospital.
medical education reform (Flexner report findings). - Answer-implementation of OTRA.
The Blood Usage Review Committee has a quality monitor established to review all
blood transfusion reaction cases. The HIM Director will be working with the committee
to identify and abstract patient outcome information for committee evaluation. What data
should be collected?
type and cross-match accuracy
all relevant data.
justification for the transfusion - Answer-all relevant data.
An accreditation agency counterpart to the Joint Commission for managed care
organizations is the
AHCPR.
NCQA.
IOM.
AHRQ. - Answer-NCQA.
Surgical case review includes all the following EXCEPT
determination of surgical justification based on clinical indication(s) in cases where no
tissue has been removed.
cases with serious surgical complications or surgical mortalities.
cases with elements missing in the preoperative anesthesia consultation.
cases with elements missing in the preoperative anesthesia consultation. - Answer-
cases with elements missing in the preoperative anesthesia consultation.
In quality review activities, departments are directed to focus on clinical processes that
are
expensive.
most commonplace.
low volume.
high risk. - Answer-high risk.
What process assists a health care facility in continuously looking at the ways that
problems develop and seeking ways to prevent problems from happening in the future?
A retrospective review as part of quality improvement activities are conducted after the
patient has been ____.
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