RHIT Domain 5 Guaranteed Solutions
1. What is the term for the misuse or overutilization of healthcare resources, not necessarily intentional
or criminal?
Answer: Waste.
2. Which database is used to compare hospital-acquired urinary tract infection rates for Medicare
patients with the national average?
Answer: MEDPAR database.
3. What type of data should be used to compare Community Hospital's UTI rate?
Answer: Aggregate data.
4. What is the median of the numbers 47, 20, 11, 33, 30, 30, 35, and 50?
Answer: 31.5.
5. How many inpatient service days were there at Community Hospital on May 2?
Answer: 242.
6. What percentage represents the H&P timeliness rate at Community Hospital?
Answer: 95.5%.
7. What should be done to use a data element for aggregation and reporting?
,Answer: Abstract and index it.
8. What is a primary key in a database table?
Answer: A unique identifier that uniquely identifies each row in a table.
9. What should be done if a hospital's quality goal is not met, as shown by audit data?
Answer: Determine whether there was a medical or other reason why patients were not given aspirin.
10. Which type of organization does David work for, using health record data to prove or disprove
treatment efficacy?
Answer: Research organization.
11. How does an internal user utilize secondary data?
Answer: By benchmarking with other facilities.
12. What is the next step in data acquisition after determining the types of cases to be included in a
registry?
Answer: Case abstracting.
13. Why is HCUP advantageous for research purposes?
Answer: It contains data on all payer types.
,14. What activity would you monitor when reviewing audit trails of access to patient information?
Answer: Every access to every data element or document type, including who viewed, created, updated,
or deleted the information, and physical location on the network where the access occurred.
15. What is the first step in analyzing data?
Answer: Know your objectives or purpose of the data analysis.
16. When a distribution is skewed, what happens to the mean?
Answer: It gravitates towards the extreme values, making a long tail when a distribution is skewed to the
right side (positively skewed).
The responsibilities of the quality improvement organizations include reviewing health records to
confirm the validity of hospital diagnosis and procedure coding data completeness (Foltz et al. 2016,
454).
The National Patient Safety Goals (NPSGs) have effectively mandated all healthcare organizations to
examine care processes that have a potential for error that can cause injury to patients. Which of the
following processes are included in the NPSGs?
a. Identify patients correctly, prevent infection, and file claims for reimbursement
b. Check patient medicines, prevent infection, and identify patients correctly
c. File claims for reimbursement, check patient medicines, and improve staff communication
d. Improve staff communication, process claims timely, and prevent infection ✔️b
The National Patient Safety Goals (NPSGs) have effectively mandated all healthcare organizations
examine care processes that have a potential for error and can cause injury to patients. The NPSGs
include identifying patients correctly, improving staff communication, using medicines safely, preventing
infection, checking patient medicines, preventing patients from falling, preventing bed sores, and
identifying patient safety risks (Shaw and Carter 2015, 174).
, A local nonprofit community hospital is looking to do a fundraiser to add to their surgical center. HIPAA
rules restrict activities related to fundraising for healthcare organizations. Which of the following must
the hospital do to comply with the HIPAA requirements for fundraising?
a. Fundraising materials do not have to include opt-out instructions
b. Prior authorization is only required if individuals are not targeted based on diagnosis
c. Individuals must be informed in the notice of privacy practices that their information may be used for
fundraising purposes
d. Authorization is never required for fundraising solicitations ✔️c
For fundraising activities that benefit the covered entity, the covered entity may use or disclose to a BA
or an institutionally related foundation, without authorization, demographic information and dates of
healthcare provided to an individual. However, the covered entity must inform individuals in its notice
of privacy practices that PHI may be used for this purpose. It must also include in its fundraising
materials instructions on how to opt out of receiving materials in the future (Rinehart-Thompson 2016b,
241).
Organizations use of audits in data analysis in order to ensure compliance with policies and procedures
is a component of:
a. Internal monitoring
b. Benchmarking
c. Corrective action
d. Educating staff ✔️a
As part of an effective compliance plan organizations must perform internal monitoring. These
organizations must be diligent to ensure compliance with policies and procedures, such as through the
use of audits and data analysis (Foltz et al. 2016, 458).
During a review of documentation practices, the HIM director finds that nurses are routinely using the
copy and paste functionality of the hospital's EHR system for documenting nursing notes. Which of the
following should the HIM director do to ensure that the nurses are following acceptable documentation
practices?
a. Inform the nurses that copy and paste is not acceptable and to stop this practice immediately
b. Determine how many nurses are involved in this practice
c. Institute an in-service training session on documentation practices
