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RHIA MOCK EXAM FAMU 2 QUESTIONS AND ANSWERS (100% PASS)
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RHIA MOCK EXAM FAMU 2 QUESTIONS AND ANSWERS (100% PASS)
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©PREP4EXAMS@2024 [REAL EXAM DUMPS] Tuesday, July 23, 2024 10:52 AMRHIA MOCK EXAM FAMU 2 QUESTIONS AND
ANSWERS (100% PASS)
Source-Oriented Health Record - ✔️✔️Documents organized into sections according to the
provider's and departments that provide treatment (lab together, rad. together, clinical notes
together)
Problem-Oriented Health Record - ✔️✔️Divided into four parts: database, problem list, initial
plan, progress notes (SOAP)
SOAP what does S stand for? - ✔️✔️Subjective (patient's point of view)
SOAP what does O stand for? - ✔️✔️Objective (what the practitioner finds)
SOAP what does A stand for? - ✔️✔️Assessment (combine subjective and objective to make a
conclusion)
SOAP what does P stand for? - ✔️✔️Plan (approach to be taken to resolve patient's problem
Integrated Health Records - ✔️✔️Documentation from various sources organized in strict
chronological or reverse chronological order
Advantage of Integrated Health Record? - ✔️✔️Easy to follow course of diagnosis and treatment
Disadvantage of Integrated Health Record? - ✔️✔️Difficult to compare similar information (ex.
lab results or oncology information)
When should H&P be documented in record? - ✔️✔️Within 24 hours of admission
When should Operative Report be documented in record? - ✔️✔️Immediately following surgery
When should Verbal Orders be cosigned? - ✔️✔️Within 24 hours
When should Discharge Summary be documented? - ✔️✔️Immediately after discharge of patient
Qualitative Analysis - ✔️✔️Review of record to ensure that standards are met and determine the
adequacy of entries documenting the quality of care
Quantitative Analysis - ✔️✔️A review of health record to determine its completeness and accuracy
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Data Accuracy - ✔️✔️Data are the correct values and are valid
Data Accessibility - ✔️✔️Data items are easily obtainable and legal to collect
Data Comprehensiveness - ✔️✔️All required data items included AND entire scope of data is
collected and intentional limitations documented
Data Consistency - ✔️✔️Value of data is reliable and consistent across applications
Data Currency - ✔️✔️Data is up to date, if it is outdated it must have been up to date at the time it
was presented
Data Definition - ✔️✔️Clear definitions provided so users know what data means, each data
element should have clear meaning and accepted values
Data Granularity - ✔️✔️The attributes and values of data should be defined at the correct level of
detail
Data Precision - ✔️✔️Data values should be just large enough to support the application or process
and acceptable values or ranges must be defined
Data Relevance - ✔️✔️The data are meaningful to the performance of the process or application
for which they are collected
Data Timeliness - ✔️✔️Determined by how the data are being used and their context
Minimum Data Set (MDS) purpose? - ✔️✔️Promote comparability and compatibility of data by
using standard data items with uniform definitions
Uniform Hospital Discharge Data Set (UHDDS) - ✔️✔️Uniform collection of data on inpatients
Uniform Ambulatory Core Data Set (UACDS) - ✔️✔️Improve ability to compare data in
ambulatory care settings
Minimum Data Set (MDS) for Long-Term Care (LTC) and Resident Assessment Instrument
(RAI) - ✔️✔️Comprehensive functional assessment of long-term care patients
Outcome and Assessment Information Set (OASIS) - ✔️✔️Comprehensive assessment for adult
home care patient and forms the basis for measuring patient outcomes
Uniform Clinical Data Set (UCDS) - ✔️✔️Data collection utilized by peer review organization to
determine the quality of patient care
Data (3 definition points) - ✔️✔️1. Collection of elements on a given subject
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2. Raw facts and figures expressed in text, numbers, symbols, and images
3. Facts, ideas, or concepts that can be captured, communicated, and processed, either manually
or electronically
Information (2 definition points) - ✔️✔️1. Data that have been processed into meaningful form,
manually or by computer in order to be valuable to user
2. Adds to a representation and tells recipient something that was not known before
Data Model - ✔️✔️Plan or pattern for an information system, including the database structure,
known as a conceptual model, and the translation of the concept to the computer, known as the
physical model
Database Entities - ✔️✔️Persons, locations, things, or concepts about which data can be collected
and stored
Database Attribute - ✔️✔️Describes an entity or distinct characteristics about it
Database Relationship - ✔️✔️Associations between entities
Database Character - ✔️✔️Collection of bits make up a byte
Byte - ✔️✔️A character such as a number, letter, or symbol
Database Field - ✔️✔️Made up of several characters such as name, age, or gender
Database Record - ✔️✔️Made up of a series of fields about one person or thing
Database File - ✔️✔️Made up of fields and records about an entity such as a patient
What is another word for file or entity - ✔️✔️Table
What are fields in a database table? - ✔️✔️Columns
What are records in a database table? - ✔️✔️Rows
Relational Model Database - ✔️✔️Database management system in which data are organized and
managed as a collection of tables
Object Oriented Database Model - ✔️✔️Uses commands that act as small, self-contained
instructional units (objects) that may be combined in various ways
Hierarchical Database Model - ✔️✔️Data is organized in tree's according to relationships (one to
many)
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Network Database Model - ✔️✔️Data is organized in tree's according to relationships (many to
many)
Open System Architecture - ✔️✔️Hardware, software, transmission, media, and database industry
standards allow different computer vendor systems to communicate to each other
Closed System Architecture - ✔️✔️Communication is possible only on one vendor's system
Hardware - ✔️✔️Physical equipment that makes up computers and computer systems
What are the 3 types of computers? - ✔️✔️Mainframes, minicomputers, microcomputers
Software - ✔️✔️Operating systems software and application software
Local Area Network (LAN) - ✔️✔️Multiple devices connected via communications media and
located in a small geographical area
Wide Area Network (WAN) - ✔️✔️A computer network that connects separate institutions across
a large geographical area
Intranet - ✔️✔️Private network that has its servers located inside a firewall
Alphabetic Health Record Identification - ✔️✔️A patient's name identifies the patient record
Numeric Identification - ✔️✔️A number identifies the patient record
Serial Numbering - ✔️✔️A new number is assigned to the patient for each new encounter at the
facility
Unit Numbering - ✔️✔️The patient retains the same number for every encounter at the facility
Serial-Unit Numbering - ✔️✔️A new number is assigned to the patient for each new encounter at
the facility, but the former records are brought forward and filed under the new number
Centralized Filing - ✔️✔️Records filed in one location
Decentralized Filing - ✔️✔️Records filed in multiple locations
Alphabetic Filing - ✔️✔️Starts with last names and then includes first name and middle initial
Straight Numeric Filing - ✔️✔️Filing charts in sequential order; the records start with the chart
with the lowest number value and end with the chart with the highest number value
Terminal Digit Filing - ✔️✔️Numeric filing is divided into three parts and is read from right to left
instead of left to right
What does AHA recommend for record retention? - ✔️✔️Minimum of 10 years
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