1. The hospital standardization movement was initiated by the:
a. American Health Information Management Association
b. American College of Surgeons
c. Record Librarians of North America
d. American College of Physicians: b
The American College of Surgeons recognized the need for improved heal...
Health Information Management Technology Sayles
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1. The hospital standardization movement was initiated by the:
a. American Health Information Management Association
b. American College of Surgeons
c. Record Librarians of North America
d. American College of Physicians: b
The American College of Surgeons recognized the need for improved health records
and started the hospital standardization movement.
2. The healthcare organization wants to examine raw data to make conclu-
sions about the future of the healthcare organization. This is known as:
a. Data use
b. Data analytics
c. Informatics
d. Information governance: b
Data analytics is the science of examining raw data with the purpose of drawing
conclusions about that information.
3. The HIM profession is changing due to:
a. Changes in technology
b. Demands of physicians
c. Changes in medical staff bylaws
d. Changes at AHIMA: a.
The HIM profession is changing due to factors such as new laws, the EHR, and new
technology
4. The new model of HIM practice is:
a. Information focused
b. Record focused
c. Department focused
d. Traditional focused: a.
5. A formal agreement granting an individual permission to practice in a
profession is known as:
a. Registration
b. Certification
c. Informatics
d. Information governance: b
A credential which is received via a certification process is a formal agreement
granting an individual permission to practice in a profession, usually conferred by
, Health Information Management Technology Sayles
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a national professional organization dedicated to a specific area of a healthcare
practice; or the accordance of permission by a health care organization to be
licensed, independent practitioner to practice in a specific area of specialty within
that organization.
6. The organization that accredits HIM education programs is:
a. Joint Commission
b. CAHIIM
c. AHIMA
d. CCHIIM: b
The Commission on Accreditation for Health Informatics and Information Manage-
ment Education (CAHIIM) is the accreditation organization for HIM educational
programs.
7. Identify the law the created the HITECH Act.
a. Health Insurance Portability and Accountability Act
b. American Recovery and Reinvestment Act
c. Consolidated Omnibus Budget Reconciliation Act
d. Healthcare Quality Improvement Act: b
The HITECH Act is part of ARRA.
8. Identify the legislation that authorized the creation of the Office of National
Coordinator for Health Information Technology.
a. PPACA
b. HIPAA
c. ARRA
d. TERFA: c
ARRA created the ONC for HIM.
9. Identify the institutional user that utilizes health record data to make deci-
sions regarding healthcare programs.
a. Educational organization
b. Policy-making body
c. Research organization
d. Third-party payer: b
Policy-making users utilize the health record to make changes to reimbursement as
well as healthcare programs.
10. The decision was made to choose a filing system that distributes health
records evenly throughout the filing system. This is known as:
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a. Alphanumeric
b. Alphabetic
c. Straight numeric
d. Terminal digit: d.
Terminal digit distributes the health records evenly throughout the filing units.
11. Differentiate between qualitative analysis and quantitative analysis.
a. Qualitative analysis looks at the quality of documentation and quantitative
analysis looks at the presence of documents or signatures.
b. Quantitative analysis looks at the quality of documentation and qualitative
analysis looks at the presence of documents or signatures.
c. Qualitative analysis looks at the documentation standards and quantitative
analysis looks at the presence of documents or signatures.
d. Quantitative analysis looks for duplicates, overlays, and overlaps; qualita-
tive looks for the presence of documents or signatures.: a.
Qualitative analysis is monitoring the quality of the documentation. Quantitative
analysis is a review of the health record to determine if there are any missing reports,
forms, or signatures.
12. Extracting data from a health record and entering it into an information
system is known as:
a. Assembly
b. Indexing
c. Abstracting
d. Coding: c.
Abstracting can be either the process of extracting information from a document to
create a brief summary of a patient's illness, treatment, and outcome, or the process
of extracting elements of data from a source document on a database and entering
them into an automated system.
13. Two patients were given the same health record number. This is an example
of:
a. Overlap
b. Overlay
c. Duplicate
d. Purge: b.
An overlay is when two patients are assigned the same health record number.
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14. Version control of documents in the EHR requires:
a. The deletion of old versions and the retention of the most recent
b. Policies and procedures to control which version(s) is displayed
c. Signed and unsigned documents not to be considered two versions
d. Previous versions to be accessible by administration only: b.
All versions of a document in the health record must be retained. There must be
policies that address which version is displayed.
15. The patient's medical history can be completed within __________ of
admission to the hospital.
a. 3 days
b. 30 days
c. 60 days
d. 10 days: b.
The H&P can be documented for every patient no more than 30 days before or 24
hours after admission to the hospital.
16. A new hospital in town wants to accept Medicare patients. To receive
Medicare funding, the hospital must meet:
a. The medical bylaws of the healthcare provider organization
b. The Medicare Conditions of Participation
c. The accreditation organization
d. The plan: b.
The Medicare Conditions of Participation are the standards that a hospital must meet
in order to receive funding from Medicare.
17. The fact that ABC hospital is accredited by an accreditation organization
that allows the hospital to also meet the Medicare Conditions of Participation
is known as:
a. Deemed status
b. Certification
c. Bylaws
d. State Statute: a.
Deemed status is an official designation indicating that a healthcare organization
complies with the Medicare Conditions of Participation
18. Dr. Smith admits patients to ABC hospital. There he is able to perform
general surgery, order tests, and perform other services. This is known as:
a. Certification
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