Question 1

You are heading a research study that includes a patient questionnaire. Five of the questions will be answered using the following scale:  The data collected using this scale is called

Accepted Answer

The scale provided is an ordinal scale. It measures the order or rank of the response options but does not indicate the magnitude of the differences between the options. Therefore, the data collected using this scale is called ordinal data.

Question 2

Because Fred is recovering nicely, he asks Dr. Jones if he can go home for the weekend. Dr. Jones approves a two-night leave of absence (LOA). Chances are Fred is a patient in

Accepted Answer

Fred is likely in a long-term care facility, and his leave of absence will decrease the month's total inpatient service days, as he will not be present to receive services during his absence.

Question 3

Sun City reported 12 cases of chronic heart disease in a population of 8,000 in'2004. In 2008, S City reported there were still 12 cases of chronic heart disease, but its population had decreased 6,000. This represents an increase in the

Accepted Answer

Prevalence is the proportion of a population with a certain health condition at a given time. In this case, the number of cases of chronic heart disease remained the same while the population decreased, resulting in a higher prevalence (the proportion of cases in the population) of the condition in 2008 compared to 2004. The other options (B, C, and D) are not applicable in this scenario.

Question 4

The Credentialing Committee discovered the problems with Dr. Hernandez's hip replacements by

Accepted Answer

The answer of The Credentialing Committee discovered the problems with...

Question 5

You are starting your new job as the sole HIM professional at a small psychiatric practice. The practice uses DSM for billing purposes. You find this "theoretically" reasonable because DSM

Accepted Answer

The answer of You are starting your new job as...

Question 6

As the Information Security Officer at your facility, you have been asked to provide examples o the physical safeguards used to manage data security measures throughout the organization Which of the following would you provide?

Accepted Answer

Workstation use and location are physical safeguards that can prevent unauthorized access to data. This includes implementing access controls, physically securing workstations, and restricting physical access to areas where data is stored or processed. Audit controls, entity authentication, and chain-of-trust partner agreements are administrative and technical safeguards that are not specifically focused on physical measures.

Question 7

The census taken at midnight on August 1 showed 99 patients remaining in the hospital. On August 2, four patients were admitted, there was one fetal death, one DOA, and seven patients were discharged. One of these patients was admitted in the morning and remained only 8 hours. How many inpatient service days were rendered on August 2?

Accepted Answer

The answer of The census taken at midnight on August...

Question 8

The MS-DRG weight in a particular case is 2.0671 and the hospital's payment rate is $3,027. H much would the hospital receive as reimbursement in this case?

Accepted Answer

The reimbursement is calculated by multiplying the MS-DRG weight by the hospital's payment rate: 2.0671 * $3,027 = $6,257.11.

Question 9

Three people applied for a job: Ted is 84, Fred is 62, and Joe is 38. None of the applicants were offered the job. Given some of the remarks made during the interview, all three men felt they were not hired because they might have been considered too old. They went to an attorney to inquire into filing suit under the Federal Age Discrimination in Employment Act. The attorney said

Accepted Answer

The answer of Three people applied for a job: Ted...

Question 10

Community Hospital Administration decided to change the number of adult and children beds from 300 to 375 effective July 1. The total number of inpatient service days for adults and children for the year was 111,963. What was the percentage of occupancy rate for adults and children for the entire year?

Accepted Answer

The occupancy rate is calculated by dividing the total number of inpatient service days by the total bed days available and then multiplying by 100. The total bed days available for the year is 375 beds * 365 days = 136,875. The occupancy rate is (111,963 / 136,875) * 100 = 81.8%. However, since the change in bed numbers was effective from July 1, the calculation should consider the different bed numbers for the first half and the second half of the year, leading to an adjusted occupancy rate of approximately 90.8%.

Question 11

Community Hospital reported an average LOS in December of 3.7 days with a standard deviation of 23. This information indicates that

Accepted Answer

The standard deviation of 23 indicates a large variation in the LOS at Community Hospital, which means some patients may have stayed for a much shorter or longer period than the average of 3.7 days. It does not provide information about how Community Hospital compares to other hospitals or the specific length of stay for most patients.

Question 12

Four HIT students are working on a LOS project at their clinical site. To describe the variability of the data, Smithson suggests using range because it is the most exact; Donaldson wants to use the mean because it is easy to calculate; Franklin recommends variance because it is the most popular measure of variability; and Howell proposes the use of standard deviation because it is the most easily understood. Who made the best suggestion?

Accepted Answer

Standard deviation is the most commonly used measure of variability as it provides a clear indication of how much the data deviates from the mean. It also allows for easy comparison of variability between different sets of data, making it a practical choice for statistical analysis. Additionally, it is often used in inferential statistics, which are frequently employed in healthcare research.

Question 13

A patient's husband slipped and fell in your HIM reception area and now he is suing the facility. You have to prepare detailed written answers to a long list of questions and send them to your hospital attorney. You will spend the afternoon working on

Accepted Answer

Interrogatories are written questions that one party sends to the other to help clarify the issues in a lawsuit. In this scenario, the patient's husband is suing the facility, so the hospital attorney would send the HIM department a long list of questions (interrogatories) to answer in writing. This would be the best choice for the task at hand. Affidavits, allocutions, and depositions are all legal terms, but they do not apply to the situation described.

Question 14

The ER staff has collected the data on the number of visits and wait times in the ER and has displayed the data on the chart shown. Based on this information, what kind of correlation do you see between the number of visits (Variable X) and the wait times (Variable Y)?

Accepted Answer

As the number of visits increases, the wait times also increase, indicating a positive correlation between the two variables.

Question 15

The state is considering the closure of the Arcadia Hospital. In reviewing the hospital statistics, which indicator will best help state officials determine whether closure is warranted?

Accepted Answer

Percentage of occupancy is the best indicator because it reflects how often the hospital is being used by patients. If the percentage of occupancy is consistently low, it may indicate that the hospital is not needed and closure could be warranted. Other indicators such as daily census, inpatient service days, and average length of stay may not provide as clear a picture of the hospital's overall use and efficiency.

Question 16

The patient's family asked the attending physician to keep the patient in the hospital for a few days more until they could make arrangements for the patient's home care. Because the patient no longer meets criteria for continued stay, if the physician complies with the family's request, this would be considered

Accepted Answer

Keeping a patient in the hospital when they no longer meet criteria for continued stay is an inappropriate use of hospital resources, as it can contribute to overcrowding and increase healthcare costs. The physician should work with the patient and family to make appropriate arrangements for home care or transfer to a lower level of care facility.

Question 17

When checking the census data at South Beach Women's Center, you see that just yesterday, there were four sets of triplets, five sets of twins and eight single births. Yesterday, South Beach Women's Center had

Accepted Answer

There were 4 sets of triplets (4 deliveries), 5 sets of twins (5 deliveries), and 8 single births (8 deliveries). Total deliveries = 4 + 5 + 8 = 17 deliveries.

Question 18

A run or line chart would be most useful for collecting data on

Accepted Answer

A run or line chart would be useful for collecting data on waiting time in the Pediatrics Clinic because it can show changes or trends over time. It can help identify where adjustments and improvements can be made to reduce waiting times. Patient satisfaction with food, delays in scheduling elective surgical procedures, and medication errors may be better collected through other types of charts or graphs that better suit the data being collected.

Question 19

You are implementing a quality improvement plan that utilizes the PDSA cycle. If you correctly implement PDSA, which phase of the project will take the most of your time?

Accepted Answer

The answer of You are implementing a quality improvement plan...

Question 20

In preparing the retention schedule for health records, the most concrete guidance in determining when records may be destroyed will be

Accepted Answer

The statutes of limitations in your state provide the most concrete guidance in determining when health records may be destroyed. These laws set out specific timeframes during which legal action may be taken, after which the records become obsolete. It is important to comply with these regulations to ensure the protection of patient confidentiality while also freeing up physical storage space. The other options listed may provide useful information but are not as definitive as legal statutes.

Exam 1: Registered Health Information Administrator

You are heading a research study that includes a patient questionnaire. Five of the questions will be answered using the following scale: The data collected using this scale is called

Because Fred is recovering nicely, he asks Dr. Jones if he can go home for the weekend. Dr. Jones approves a two-night leave of absence (LOA) . Chances are Fred is a patient in