Question 1

Which of the following microform types is the least expensive to prepare and results in the greatest storage density?

Accepted Answer

The answer of Which of the following microform types is...

Question 2

If the HIM Department has purchased 100 unites of 8-shelf files and plans to use the terminal digit filing system, how many shelves should be allocated to each primary number?

Accepted Answer

The terminal digit filing system uses the last digit of the file number to determine the shelf on which the file is stored. Since there are 100 units of 8-shelf files, each shelf should be allocated to 10 primary numbers (100/10 = 10).

Question 3

Which of the following lists is in correct alphabetical order?

Accepted Answer

This list is in correct alphabetical order, starting with the last name "Ferlazzo" and progressing in alphabetical order based on the first name variations.

Question 4

In the event of water damage to a large volume of records, what action should be taken immediately to assist in disaster recovery?

Accepted Answer

Freezing the records immediately after water damage can help prevent further damage and growth of mold or mildew. Freezing can also aid in the eventual restoration process. Turning on the heat, turning off the air conditioning, and turning off fans could potentially cause more damage or spread mold spores.

Question 5

The same patient was admitted on three different occasions and assigned a new medical record number each time. In order to correct this situation in a unit numbering system, which medical record number should be used given the following information? Admitted 5/04/07 Patty Miller 23-33-56 Admitted 6/05/07 P.J. Miller 25-56-88 Admitted 9/27/07 Patricia Miller 27-12-12

Accepted Answer

In a unit numbering system, the first assigned medical record number is retained for all subsequent admissions. Therefore, all records should be filed under the first number, 23-33-56.

Question 6

What type of filing system would store records in the following order: 00-76-05, 01-76-04, 01-77-04, 02-76-05?

Accepted Answer

The answer of What type of filing system would store...

Question 7

Mary Schnering was admitted to Community Hospital on 1/3/08 and assigned a record number of 54-47-53. The patient was later admitted on 2/14/08 and assigned the number 54­88-42. Both records were eventually filed under 54-88-42. What type of numbering/filing system is being used at Community Hospital?

Accepted Answer

In a serial-unit numbering system, a patient receives a new number for each admission, but all records are eventually filed under the most recent number.

Question 8

Documentation of record destruction should include all but which one of the following?

Accepted Answer

The documentation of record destruction should include a statement that records were destroyed in the normal course of business, the method of destruction, and the signature of the individual supervising and witnessing the destruction. The dates not covered in destruction are not necessary to include in the documentation.

Question 9

A research request has been received by the HIM Department from the Quality Improvement Committee. The Committee plans to review the records of all patients who were admitted with CHF in the month of January 2008. Which of the following indices would be the best source in locating the needed records?

Accepted Answer

The disease index is an index of diseases and conditions that includes their codes, usually the ICD-10-CM codes. In this scenario, the Quality Improvement Committee wants to review the records of patients who were admitted with CHF. Therefore, they can use the disease index to locate the records of patients who had CHF as their primary or secondary diagnosis. The other indices (master patient index, physicians' index, and operation index) may not be as useful in this context.

Question 10

A HIM Department wants to buy new open-shelf filing units for its file expansion. Each of the shelves in a new 6-shelf unit measures 33 linear filing inches. There will be an estimated 1,000 records to file. The average record is 1 inch thick. How many filing units should be purchased?

Accepted Answer

Each shelf can fit 33 inches of records, so a single unit can hold up to 198 inches (6 shelves x 33 inches). Since each record is 1 inch thick, 1,000 records will take up 1,000 inches of shelf space. Dividing 1,000 by 198 gives approximately 5.05 units needed, but since we can only buy whole units, we need to round up to the nearest whole number, which is 6. Therefore, the correct answer is C) 6.

Question 11

In retrieval of optical image files, cache memory

Accepted Answer

Cache memory can store frequently accessed files and data, which can improve retrieval times for all users on the system.

Question 12

The health care providers in a large teaching hospital requires access to health records 24 hours a day, 7 day a week. To secure the area an continue to maintain accessibility, the Director of the HIM Department should

Accepted Answer

Staffing the department with personnel 24 hours a day is the best option to ensure that health care providers have access to health records at all times, while also maintaining the security of the records. This also allows for immediate response to emergency requests and ensures that the records are always available when needed. The other options, such as relying on a director to be on call or training security guards to retrieve records, may not provide the same level of accessibility or security as having dedicated personnel on hand. Arranging for records to be retrieved at 7:00 AM every morning also does not make sense as health care providers might need access to records at any time.

Question 13

Brian Hiltz was discharged from the hospital after a 3-day hospitalization and instructed to return to the outpatient department for follow-up care. ON his first visit as an outpatient, a new record was created and he was assigned a new record number. Following completion of the outpatient appointment, his outpatient record is filed permanently in the outpatient department. What is the filing system used in this situation?

Accepted Answer

In a decentralized filing system, separate records are maintained for inpatient and outpatient visits, as seen in this scenario where a new record was created for the outpatient visit.

Question 14

On his 5/23/08 admission to Metropolitan Hospital, David Robinson was assigned the medical record number 07-23-38. The previous record number assigned to Mr. Robinson during a 4/1/07 admission was 07-10-47. In a serial numbering/filing system, how would these records be filed?

Accepted Answer

In a serial numbering/filing system, each admission is assigned its own number and filed separately. Therefore, the 4/1/07 admission would be filed under 07-10-47 and the 5/23/08 admission would be filed under 07-23-38.

Question 15

Which of the following is NOT a safety hazard in the file area of the HIM Department?

Accepted Answer

Stepladders which are fully open and locked in place are not a safety hazard in the file area of the HIM Department.

Question 16

At Community Hospital the average admission will create a file that will take up 0.25 inch of file space. Each new ER record requires 0.125 inch of filed space. Approximately 25,000 new patients are admitted per year and 15,000 ER patients are treated per year. The shelving cost is $1.05 per filing inch. How much money should be allocated for storage space in next year's budget?

Accepted Answer

The total file space required is (25,000 * 0.25) + (15,000 * 0.125) = 6,250 + 1,875 = 8,125 inches. The cost is 8,125 * $1.05 = $8,531.25.

Question 17

What microform should the HIM practitioner select if the records must be unitized and color-coded of filing purposes?

Accepted Answer

Jacket microfilm is the best choice as it allows for unitization and color-coding of records, which is necessary for efficient filing and retrieval of information. Roll microfilm, cartridge, and cassette formats do not provide the same level of flexibility in organizing and accessing records.

Question 18

In a manual record-tracking system, no record should be removed from the file without being replaced by a(n)

Accepted Answer

In a manual record-tracking system, no record should be removed from the file without being replaced by a outguide. Outguides are used to inform other staff members that a file has been removed and who has it. This helps to prevent misplacement or loss of records.

Question 19

As a prerequisite to phasing in a new imaging system, what process would facilitate automatic indexing?

Accepted Answer

Redesigning forms to include bar codes would allow for automatic indexing by the new imaging system. The bar codes could be scanned to quickly and accurately pull up the corresponding patient record.

Question 20

When using stationary open-shelf files, _________ inches are recommended for aisles between file units.

Accepted Answer

The answer of When using stationary open-shelf files, _________ inches...

Exam 1: Registered Health Information Administrator