Domain 5 RHIA Study Questions
According to the records kept on filing unit performance over the past year, the filing unit
has filed an average of 1,000 records per day. You have three full-time equivalent (FTE)
record filers in the department who are productive 88 percent of each workday (that is,
12 percent unproductive or 12 percent PFD). Based on this information, what is the
average number of records filed per productive hour in the file unit as a whole?
a. 42 records per hour
b. 48 records per hour
c. 110 records per hour
d. 143 records per hour - ✔️✔️d. 143 records per hour
First calculate the number of productive hours in a day: 88% × 8 hours = 7.04
hours/day. Then divide the 1,000 records/7 hours = 142.9 or 143 charts/hour for the
three filers
A technique for measuring healthcare entity performance across the four perspectives
of customer, financial, internal processes, and learning and growth is called:
a. Strategy map
b. Process innovations
c. Balanced scorecard methodology
d. SWOT analysis - ✔️✔️c. Balanced scorecard methodology
Balanced scorecard methodology is a technique for measuring organization
performance across the four perspectives of customer, financial, internal processes,
and learning and growth
A director of health information services in a hospital wants to implement a computer-
based patient record system over the next 2 years. She gets support from the CIO, who
advocates for the project with the administrative team. The CIO has become the
project's ________.
a. Stakeholder
b. Champion
c. Manager
d. Owner - ✔️✔️b. Champion
The project champion is an executive in the organization who believes in the benefits of
the project and advocates for the project. Depending on the overall impact the project
has on the healthcare organization, this individual may be the manager of the HIM
department or the director over the business unit where the HIM department resides, or
it could be the chief operations officer
,External change agents have the advantage over internal agents regarding:
a. Benchmarking the healthcare entity against other entities
b. Being less objective
c. Understanding the history of the entity
d. Being less expensive to employ - ✔️✔️a. Benchmarking the healthcare entity
against other entities
The external change agent has the advantage of providing a fresh, outside view as well
as having the knowledge base to compare performance across organizations. Not
having direct connections to the organization, he or she usually feels more comfortable
challenging norms and culture, questioning unusual or unfair practices, and generally
noting events that others may be reluctant to comment on. Being from the outside, he or
she may be seen as having new skills and being more objective, or at least less biased,
than an internal agent
The slightly higher wage paid to an employee who works a less desirable shift is called
a:
a. Shift rotation
b. Performance incentive
c. Shift differential
d. Work distribution ladder - ✔️✔️c. Shift differential
Many employers pay a slightly higher hourly wage to employees who work less
desirable shifts (evening, night, weekend). This is referred to as shift differential
Reviewing the following PERT chart, what is the critical path for this project?
a. a → c → d → f → i
b. a → b → f → i
c. a → d → g → h → i
d. a → c → e → f → i - ✔️✔️c. a → d → g → h → i
The path with the greatest total duration time is called the critical path and represents
the longest amount of time required to compete the total project. The critical path in this
project is the sequence a → d → g → h → i, which will require 23 days
Employees covered by the provisions of the Fair Labor Standards Act (FLSA) are called
________ employees.
a. Waged
b. Salaried
c. Exempt
d. Nonexempt - ✔️✔️d. Nonexempt
Provisions of the FLSA, for example, cover minimum wage, overtime pay, child labor
restrictions, and equal pay for equal work regardless of sex. Covered groups are
referred to as nonexempt employees
,The financial statement that presents a record of operations by showing revenue and
expenses over a period of time is called the:
a. Balance sheet
b. Statement of cash flows
c. Income statement
d. Statement of retained earnings - ✔️✔️c. Income statement
An income statement summarizes the organization's revenue and expense transactions
during the fiscal year. The income statement can be prepared at any point in time and
reflects results up to that point
The HIM department records copy fees as revenue. For the year the budgeted fees
were $25,000 and the actual fees received are $23,000. The director may be asked to
explain a(n):
a. Favorable variance of $2,000
b. Unfavorable variance of $2,000
c. Favorable variance of $23,000
d. Unfavorable variance of $23,000 - ✔️✔️b. Unfavorable variance of $2,000
The difference between the budgeted fees and actual fees is an unfavorable variance of
$2,000. Unfavorable variances occur when the actual results are worse than what was
budgeted
Joe Smith, RHIA, works for an outsourcing company as interim health information
department director in a large hospital. By the terms of the contract, the hospital pays
the company for Joe's services based on a 40-hour workweek with overtime for any
hours exceeding 40. Joe typically works 9 hours per day, Monday through Thursday,
and 4 hours on Friday. He then flies home for the weekend. After several months, he
discovers the hospital is billed for 44 to 48 hours per week almost every week. Joe
confronts the company billing department because this practice conflicts with the tenet
of the AHIMA Code of Ethics that states that health information management
professionals:
a. Respect the rights and dignity of all individuals
b. Adhere to the vision, mission, and values of the association
c. Promote and protect the confidentiality and security of health records and health
information
d. Refuse to participate in or conceal - ✔️✔️d. Refuse to participate in or conceal
unethical practices or procedures
American Health Information Management Association (AHIMA) professionals must
abide to the AHIMA Code of Ethics principle to refuse to participate in or conceal
unethical practices or procedures
Which of the following statements is most accurate regarding effective communication?
, a. Use passive listening
b. Monitor others' nonverbal behaviors for cues that they are following or confused
c. Make sure all parties are distracted to better communicate your message
d. Message content is more important than how it is delivered - ✔️✔️b. Monitor others'
nonverbal behaviors for cues that they are following or confused
To communicate effectively, managers must pay just as much attention to how their
message is received and interpreted as they do to its content. In order to enhance the
accuracy and acceptance of communication, the communicator needs to monitor others'
nonverbal behaviors for cues that they are following or confused. Passive listening and
distracted parties would not enhance effective communication
Which of the following would be an indicator of process problems in a health information
department?
a. 5% decline in the number of patients who indicate satisfaction with hospital care
b. 10% increase in the average length of stay
c. 15% reduction in bed turnover rate
d. 18% error rate on abstracting data - ✔️✔️d. 18% error rate on abstracting data
Performance measurement is the process of comparing the outcomes of an
organization, work unit, or employee to pre-established performance standards. The
results of performance measurement are usually expressed as percentages, rates,
ratios, averages, or other quantitative assessment. It is used to assess quality and
productivity in clinical and administrative services. An 18 percent error rate on
abstracting data is an indicator of a process problem in the health information
management (HIM) department because it is an HIM function. The other items are not
under the control of the HIM department and would not indicate a process problem in
HIM
Which of the following is a true statement about business process reengineering?
a. It is intended to make small incremental changes to improve a process.
b. It seeks to reevaluate and redesign organizational processes to make dramatic
performance improvements.
c. It implies making few changes to achieve significant improvements in cost, quality,
service, and speed.
d. Its main focus is to reduce services. - ✔️✔️b. It seeks to reevaluate and redesign
organizational processes to make dramatic performance improvements.
In reengineering, the entire manner and purpose of a work process is questioned. The
goal is to achieve the desired process outcome in the most effective and efficient
manner possible. The results expected from reengineering efforts include increased
productivity, decreased costs, improved quality, maximized revenue, and more satisfied
customers. However, it should be clearly understood that the main focus is on reducing
costs
Strategic thinkers exhibit which of the following skills?
