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Exam (elaborations)

HIM 101 Final Questions and Correct Answers | Latest Update

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HIMs most important functions  storage and retrieval of patient information. Additional functions managed: Research and statistics, Cancer and/or trauma registries, and Birth certificate completion Critical support services managed by HIM  Record processing, Monitoring of record comple...

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  • October 4, 2024
  • 114
  • 2024/2025
  • Exam (elaborations)
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HIM 101 Final Questions and Correct
Answers | Latest Update
HIMs most important functions


 storage and retrieval of patient information. Additional functions

managed: Research and statistics, Cancer and/or trauma registries, and

Birth certificate completion




Critical support services managed by HIM


 Record processing, Monitoring of record completion, transcription, release

of patient information, clinical coding, abstracting, and clinical data

analysis




HIM functions are:


 information centered and involves ensuring information quality, security ,

and availability.




What dictates how the specific functions are carried out?


 The medium in which the information is stored.




What is the goal of the health record system?




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 To ensure that accurate information is available to authorized users to

support quality patient care.




What is record reconciliation?


 Hybrid System, upon patient discharge, receipt of the health record is

checked with a discharge list for completeness.




What are the most fundamental responsibilities of most HIM departments?


 storage and retrieval, record processing, record completion, transcription,

release of information (ROI), and clinical coding




What is the most important index used by the HIM department? What is it? What is its

function?


 Master Patient Index (MPI) and is the permanent record of every patient

ever seen in the healthcare entity. The MPI functions as the primary guide

to locating pertinent demographic data about the patient and his or her

health record number. It is the initial point of documentation o f the health

record




What is an Enterprise Master Patient index (EMPI)?




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 references all patients in two or more facilities (ie integrated healthcare

delivery system or health information exchange (HIE).




What can function as a MPI?


 Often the patient registration system aka registration, admission,

discharge, and transfer system (R -ADT) functions as the MPI




What are the benefits of an electronic system?


 ability to access data by more than one individual at a time, edit checks

can be applied against specific fields in the database to better ensure

data accuracy, can be easily cross -referenced (when a patient has used

more than one name during hospital or clinic visits), permits the use of

several search techniques for locating an existing patient's information.




When searching for a patient's record, what data elements can be used?


 medical record or billing number, date of birth, or social security number.




Maintenance - To ensure the integrity of the MPI, several quality control mechanisms are

essential and include:


 Quality - MPI prone to errors: misspellings, incorrect demographic data,

transposition of numbers, and typographical errors are a few. Can c ause




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treatment errors, billing problems and distorting data analysis of the

organization's patient population.

Duplicate, Overlay, and Overlap Medical Record Number Issues - Patient info not found upon

admission and new record created; Or patient matched with wrong health record




What is overlay?


 A patient is assigned another patient's medical record number comingling

the medical information of both patient's resulting in problems in

identifying what medical information belongs to which patient




What is overlap?


 When more than one medical record number exists for the same patient

within an enterprise at different facilities or in different databases. Often

occur in organization with multiple facilities or can occur in the health

information exchanges. Frequently problem arises when there are facility

or organization mergers and an enterprise master person/patient index

(EMPI) is created




Strategies for MPI Integrity


 Integrity must be maintained in order to avoid patient safety, customer

service, risk management, legal and other issues. MPI cleanup process -

uses matching algorithms to identify and fix these problems. 3 types: are




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