RHIT Study Test Questions
with Correct Answers
Clinical Data - Answer-is any data that describes the methods utilized to diagnose the
patient and provide relevant treatment. Clinical information describes direct patient care.
Administrative Data - Answer-This data includes supportive information incidental to
patient care and relates to the "business" side of the provision of care.
National Health Care Surveys - Answer-Major national public health surveys to assist
public health agencies in surveying the health status of the population
Agency for Healthcare Research and Quality (AHRQ) - Answer-Databases reviewing
issues related to the efficiency and effectiveness of healthcare delivery systems,
disease protocols and guidelines for improved disease outcomes
Source-Oriented Medical Records - Answer-arranged according to the "source" such as
administrative data, physician documentation, and nursing and clinical data.
Advantages of such a system is that since all reports of a similar nature would be
together it would be easy to track progress for that particular application over time such
as repeat chest X-rays, and other documentation where a serial comparison would be
relevant.
Problem-Oriented Medical Record - Answer-Information is linked to a specific problem
list that begins with the first patient admission and is updated with each piece of
subsequent information. Progress notes, physician orders, diagnostic and therapeutic
interventions, etc. are linked to a particular patient problem. Taking the time to link
documentation to a particular problem provides a clear picture of the progress of
treatment relative to specific patient conditions. This method serves as an excellent
educational and follow-up tool as it is readily apparent why a particular drug was
prescribed, a particular test ordered, etc. POMR linking documentation to a specific
problem via the "problem number," a key component of the POMR is the "SOAP" format
(Subjective, Objective, Assessment, Plan), which is used for writing progress notes.
Core Functionalities of EHR - Answer-health information and data, result management,
order management, decision support, electronic communication and connectivity,
patient support, administrative processes and reporting, reporting and population health
Accuracy - Answer-The extent to which the data are free of identifiable errors.
Accessibility - Answer-Data items that are easily obtainable and legal to access with
strong protections and controls built into the process.
, Comprehensiveness - Answer-All required data items are included. Ensures that the
entire scope of the data is collected with intentional limitations documented.
Consistency - Answer-The extent to which the healthcare data are reliable and the
same across applications
Currency - Answer-The extent to which data are up-to-date; a datum value is up-to-date
if it is current for a specific point in time. It is outdated if it was current at a preceding
time yet incorrect at a later time.
Definition - Answer-The specific meaning of a healthcare related data element.
Granularity - Answer-The level of detail at which the attributes and values of healthcare
data are defined.
Precision - Answer-Data values should be strictly stated to support the purpose.
Relevancy - Answer-The extent to which healthcare-related data are useful for the
purposes for which they were collected.
Timeliness - Answer-Concept of data quality that involves whether the data is up-to-date
and available within a useful time frame. Timeliness is determined by how the data are
being used and their context.
"relative weight" of the DRG - Answer-weight reflects the intensity of resources and
clinical severity
MS-DRG - Answer-Medicare Severity Diagnosis Related Groups
Case Mix Index (CMI) - Answer-Determined by multiplying the relative weight of each
DRG by the number of discharges which in turn provides a weight for the DRG.
inpatient census - Answer-how many patients are present in your facility at one
particular point in time
Daily inpatient census - Answer-how many patients were admitted and discharged
during a 24-hour period beginning and ending at the census taking hour.
Length of stay - Answer-Subtract the date of admission from the date of discharge
Total length of stay - Answer-sum of the lengths of stay for all patients discharged
during a given a time period.
Nominal Data or Scale - Answer-lowest level of measurement, organized into categories
but with no recognition of order. ie Male/Female or True/False
with Correct Answers
Clinical Data - Answer-is any data that describes the methods utilized to diagnose the
patient and provide relevant treatment. Clinical information describes direct patient care.
Administrative Data - Answer-This data includes supportive information incidental to
patient care and relates to the "business" side of the provision of care.
National Health Care Surveys - Answer-Major national public health surveys to assist
public health agencies in surveying the health status of the population
Agency for Healthcare Research and Quality (AHRQ) - Answer-Databases reviewing
issues related to the efficiency and effectiveness of healthcare delivery systems,
disease protocols and guidelines for improved disease outcomes
Source-Oriented Medical Records - Answer-arranged according to the "source" such as
administrative data, physician documentation, and nursing and clinical data.
Advantages of such a system is that since all reports of a similar nature would be
together it would be easy to track progress for that particular application over time such
as repeat chest X-rays, and other documentation where a serial comparison would be
relevant.
Problem-Oriented Medical Record - Answer-Information is linked to a specific problem
list that begins with the first patient admission and is updated with each piece of
subsequent information. Progress notes, physician orders, diagnostic and therapeutic
interventions, etc. are linked to a particular patient problem. Taking the time to link
documentation to a particular problem provides a clear picture of the progress of
treatment relative to specific patient conditions. This method serves as an excellent
educational and follow-up tool as it is readily apparent why a particular drug was
prescribed, a particular test ordered, etc. POMR linking documentation to a specific
problem via the "problem number," a key component of the POMR is the "SOAP" format
(Subjective, Objective, Assessment, Plan), which is used for writing progress notes.
Core Functionalities of EHR - Answer-health information and data, result management,
order management, decision support, electronic communication and connectivity,
patient support, administrative processes and reporting, reporting and population health
Accuracy - Answer-The extent to which the data are free of identifiable errors.
Accessibility - Answer-Data items that are easily obtainable and legal to access with
strong protections and controls built into the process.
, Comprehensiveness - Answer-All required data items are included. Ensures that the
entire scope of the data is collected with intentional limitations documented.
Consistency - Answer-The extent to which the healthcare data are reliable and the
same across applications
Currency - Answer-The extent to which data are up-to-date; a datum value is up-to-date
if it is current for a specific point in time. It is outdated if it was current at a preceding
time yet incorrect at a later time.
Definition - Answer-The specific meaning of a healthcare related data element.
Granularity - Answer-The level of detail at which the attributes and values of healthcare
data are defined.
Precision - Answer-Data values should be strictly stated to support the purpose.
Relevancy - Answer-The extent to which healthcare-related data are useful for the
purposes for which they were collected.
Timeliness - Answer-Concept of data quality that involves whether the data is up-to-date
and available within a useful time frame. Timeliness is determined by how the data are
being used and their context.
"relative weight" of the DRG - Answer-weight reflects the intensity of resources and
clinical severity
MS-DRG - Answer-Medicare Severity Diagnosis Related Groups
Case Mix Index (CMI) - Answer-Determined by multiplying the relative weight of each
DRG by the number of discharges which in turn provides a weight for the DRG.
inpatient census - Answer-how many patients are present in your facility at one
particular point in time
Daily inpatient census - Answer-how many patients were admitted and discharged
during a 24-hour period beginning and ending at the census taking hour.
Length of stay - Answer-Subtract the date of admission from the date of discharge
Total length of stay - Answer-sum of the lengths of stay for all patients discharged
during a given a time period.
Nominal Data or Scale - Answer-lowest level of measurement, organized into categories
but with no recognition of order. ie Male/Female or True/False
