HIMT1250- Review chapter 7,8,9 || All Correct.
The processes retention and destruction of health information are subject to specific regulations
in many states as well as guidelines found in Federal regulations and _________ standards.
correct answers Accreditation
What types of information make it easy for hospitals to compare and combine the contents of
multiple patient health records? correct answers Uniform data sets
Under which circumstances may an interval note be added to a patient's health record in place of
a complete history and physical? correct answers When the patient is readmitted within 30 days
of the initial treatment for the same condition
Which data set would be used to document an elective surgical procedure that does not require
an overnight hospital stay? correct answers Uniform Ambulatory Care Data Set
According to the Joint Commission, how should the unanticipated death of a full-term infant be
reported? correct answers As a sentinel event
The goal of _____ is to improve the quality of patient care while simultaneously decreasing
healthcare costs? correct answers HITECH Act
Which is not a CMS quality measure that is reported by hospitals? correct answers Kidney
Failure
What is a piece of legislation written and approved by a state or federal legislature and then
signed into law by the state's governor or the president? correct answers Statute
This purpose of this program is to reduce improper Medicare payments and prevent future
improper payments made of claims of healthcare services? correct answers Recovery audit
contractors
What does the Joint Commission call its accreditation and survey process? correct answers Joint
Commission Hospital Accreditation Program
Written instructions that describe how functions and processes must be carried out are: correct
answers Procedures
What type of organization works under contract with the CMS to conduct Medicare/Medicaid
certification surveys for hospitals? correct answers State licensure agencies
Which of the following would be an acceptable medium for reporting an individual's positive
HIV test results to a state department of health? correct answers Certified courier
, What does the Joint Commission call unexpected occurrences that result in death or serious
physical or psychological injury or the risk of death or serious injury? correct answers Sentinel
events
What is a systematic quality review process that evaluates the healthcare facility's performance
against preestablished, written criteria, or standards? correct answers Accreditation
Which of the following accreditation categories would the Joint Commission assign to a hospital
that is not in substantial compliance with applicable standards and must remedy identified
problem areas through preparation and submission of ESC and subsequently undergo on on-site,
follow-up survey correct answers Conditional accreditation
When is the timeframe for an unannounced survey after a full survey? correct answers 18-36
months
Which Joint Commission accreditation activity focuses survey activities on the organization-
specific issues that are most relevant to safety and quality of care? correct answers Priority focus
process
What does PHI stand for? correct answers Protected health information
The Joint Commission has accreditation decision categories. What is not one of them? correct
answers Secondary Accreditation
Which Joint Commission survey methodology involves an evaluation that follows the hospital
experiences of past or current patients? correct answers Tracer methodology
General written guidelines that dictate behavior and/or direct and constrain decision making
within the organization are known as what? correct answers Policies
What is a mandatory process whereby state governments grant individual facilities permission to
operate within a specific geopolitical area and provide a specific range of healthcare services?
correct answers Licensure
What is a rule established by an administrative agency of government called? correct answers
Regulation
What is it called when accrediting bodies such as the Joint Commission or AOA can survey
facilities for compliance with the Medicare Conditions of Participation for Hospitals instead of
the government? correct answers Deemed status
True or false? Authentication is the process of providing proof of the authorship of
documentation in the health record in electronic format only. correct answers False
What term is used to refer to an organized collection of data that have been stored electronically
to facilitate easy access? correct answers Database
The processes retention and destruction of health information are subject to specific regulations
in many states as well as guidelines found in Federal regulations and _________ standards.
correct answers Accreditation
What types of information make it easy for hospitals to compare and combine the contents of
multiple patient health records? correct answers Uniform data sets
Under which circumstances may an interval note be added to a patient's health record in place of
a complete history and physical? correct answers When the patient is readmitted within 30 days
of the initial treatment for the same condition
Which data set would be used to document an elective surgical procedure that does not require
an overnight hospital stay? correct answers Uniform Ambulatory Care Data Set
According to the Joint Commission, how should the unanticipated death of a full-term infant be
reported? correct answers As a sentinel event
The goal of _____ is to improve the quality of patient care while simultaneously decreasing
healthcare costs? correct answers HITECH Act
Which is not a CMS quality measure that is reported by hospitals? correct answers Kidney
Failure
What is a piece of legislation written and approved by a state or federal legislature and then
signed into law by the state's governor or the president? correct answers Statute
This purpose of this program is to reduce improper Medicare payments and prevent future
improper payments made of claims of healthcare services? correct answers Recovery audit
contractors
What does the Joint Commission call its accreditation and survey process? correct answers Joint
Commission Hospital Accreditation Program
Written instructions that describe how functions and processes must be carried out are: correct
answers Procedures
What type of organization works under contract with the CMS to conduct Medicare/Medicaid
certification surveys for hospitals? correct answers State licensure agencies
Which of the following would be an acceptable medium for reporting an individual's positive
HIV test results to a state department of health? correct answers Certified courier
, What does the Joint Commission call unexpected occurrences that result in death or serious
physical or psychological injury or the risk of death or serious injury? correct answers Sentinel
events
What is a systematic quality review process that evaluates the healthcare facility's performance
against preestablished, written criteria, or standards? correct answers Accreditation
Which of the following accreditation categories would the Joint Commission assign to a hospital
that is not in substantial compliance with applicable standards and must remedy identified
problem areas through preparation and submission of ESC and subsequently undergo on on-site,
follow-up survey correct answers Conditional accreditation
When is the timeframe for an unannounced survey after a full survey? correct answers 18-36
months
Which Joint Commission accreditation activity focuses survey activities on the organization-
specific issues that are most relevant to safety and quality of care? correct answers Priority focus
process
What does PHI stand for? correct answers Protected health information
The Joint Commission has accreditation decision categories. What is not one of them? correct
answers Secondary Accreditation
Which Joint Commission survey methodology involves an evaluation that follows the hospital
experiences of past or current patients? correct answers Tracer methodology
General written guidelines that dictate behavior and/or direct and constrain decision making
within the organization are known as what? correct answers Policies
What is a mandatory process whereby state governments grant individual facilities permission to
operate within a specific geopolitical area and provide a specific range of healthcare services?
correct answers Licensure
What is a rule established by an administrative agency of government called? correct answers
Regulation
What is it called when accrediting bodies such as the Joint Commission or AOA can survey
facilities for compliance with the Medicare Conditions of Participation for Hospitals instead of
the government? correct answers Deemed status
True or false? Authentication is the process of providing proof of the authorship of
documentation in the health record in electronic format only. correct answers False
What term is used to refer to an organized collection of data that have been stored electronically
to facilitate easy access? correct answers Database
