Question 1

ORYX is a program that was developed by

Accepted Answer

ORYX is a program developed by Joint Commission to link patient outcomes to accreditation. It is a performance measurement tool used by Joint Commission-accredited hospitals to track and improve their performance.

Question 2

The Health Department is considering a big newspaper advertising campaign to promote their family planning services. You suggest they first conduct an external analysis to determine the type of advertising most of the people in your target group rely on when making health care choices. You are suggesting the Health Department first engage in a(n)

Accepted Answer

A gap analysis helps identify the difference between current and desired outcomes, which in this case would involve understanding the current advertising methods used by the target group for healthcare decisions.

Question 3

Referring to the record completion data for December, you would be most concerned with the

Accepted Answer

The answer of Referring to the record completion data for...

Question 4

The use of computer key signatures requires the same administrative controls as

Accepted Answer

The answer of The use of computer key signatures requires...

Question 5

Your hospital has purchased a number of outpatient facilities. You have been assigned to chair an interdisciplinary committee that will write record retention policies for the new corporation. You begin by telling the committee their primary consideration when making retention decisions must be

Accepted Answer

Statutory requirements are the primary consideration for retention policies as they are the legal guidelines that must be followed in terms of documentation and retention. Ignoring these requirements can lead to legal and financial consequences for the organization. While space considerations and provider preferences are important, they should not supersede legal requirements. Professional standards can also inform retention policies, but they are not the primary consideration.

Question 6

A piece of objective data collected upon initial assessment of the patient is the

Accepted Answer

Vital signs, such as heart rate, blood pressure, and temperature, are objective measurements that can be taken and recorded during an initial assessment. The other options (review of systems, history of present illness, and chief complaint) are subjective data collected from the patient's own account and may vary from person to person.

Question 7

In order to alter the facility's health record format to achieve a record that is strictly chronological, the committee would recommend a(n)

Accepted Answer

An integrated medical record organizes all documentation in chronological order, regardless of the source, which aligns with the committee's goal of achieving a strictly chronological record.

Question 8

The delinquent rate

Accepted Answer

The delinquent rate is given as 36% in the alphanumeric code "11ec357f_2f79_e8f1_b39c_3110d84acc7a_C1078_00".

Question 9

The percentage of records delinquent due to the absence of an operative report

Accepted Answer

The answer of The percentage of records delinquent due to...

Question 10

You are considering the classification of two patients discharged from your hospital yester Both patients had a length of stay that was increased due to co-morbidities and/or complicat described below:  The best way to describe these two cases would be to say that:

Accepted Answer

Both Fred and Ted have concomitant chronic co-morbidities, which means they had pre-existing health conditions. Additionally, Ted had an iatrogenic complication, which means that the complication was caused by medical treatment or procedures, while Fred had a nosocomial complication, which means the complication was acquired during their hospital stay.

Question 11

The difference between an Institutional Review Board (IRB) and a hospital's Ethics Committee is that

Accepted Answer

The main difference between an Institutional Review Board (IRB) and a hospital's Ethics Committee is that the IRB focuses specifically on ensuring the ethical treatment of human research subjects, while the Ethics Committee covers a wide range of ethical issues related to patient care and organizational practices. The Ethics Committee may address issues related to informed consent, end-of-life decision making, conflicts of interest, and other ethical concerns. Therefore, option C is the best choice as it accurately reflects the difference between the two committees.

Question 12

A number of key elements for your facility's computerized patient record are still input by clerical staff from handwritten data entry sheets. You are concerned about the transfer of data. If the vital signs stored in the database are not what were originally recorded, the impact on patient care could be severe. You are concerned about the

Accepted Answer

The concern stated in the scenario is about the transfer of data from handwritten data entry sheets into the computerized patient record, and the potential for errors or inaccuracies during this process. The validity of the data is important because it ensures that the information entered into the system accurately reflects the original measurements taken by medical staff. Without valid data, the effectiveness of patient care could be compromised.

Question 13

Your facility has been working to develop a strong performance improvement model and, have come up with the model shown. They ask if you see anything missing from model. You tell them they

Accepted Answer

The performance improvement model does not include a step for ongoing monitoring and reassessment, which is necessary to ensure that the changes implemented are sustained and effective in the long term. Without this step, the model may not be effective in achieving the organization's performance goals.

Question 14

In preparation for conversion to a computerized patient record, a committee at your facility is defining each of the data elements in a patient record to determine which elements should be required and to set parameters for each element. The committee is working on the data

Accepted Answer

The committee is working on defining the data elements, which involves creating a dictionary of all the data elements in the patient record. The other options may be important considerations in this process, but they are not directly related to defining the data elements. Data edits relate to how the data is entered or validated, reasonableness relates to ensuring that the data is appropriate or consistent, and feasibility relates to whether the system can actually capture and store the data.

Question 15

Part of your job description is to educate physicians regarding proper documentation and standards. You are the

Accepted Answer

A Health Information Manager is responsible for ensuring that medical records are accurate, complete, and compliant with regulations, which includes educating physicians on proper documentation and standards.

Question 16

In reviewing the policies on release of information in respect to the privacy rules, you note is still acceptable to allow release of protected health information without patient permission

Accepted Answer

Protected health information can be released without patient permission to a quality assurance committee for review purposes as it is part of healthcare operations, which is allowed under HIPAA regulations.

Question 17

You and the statistician, Dr. Cline, are working to determine sample size. You are discussing which sampling method you will use. There are 1,200 possible records and you need 100 records for the study. Dr. Cline suggests you select every twelfth record until sample size is achieved. This makes sense to you. It takes less time and is less subject to error than other sampling methods. The two of you agree to use

Accepted Answer

The sampling method suggested by Dr. Cline is systematic sampling, where every twelfth record is selected. This method is less time-consuming and less subject to errors than other sampling methods, and is commonly used when the population size is known and there is a clear sampling frame. Random sampling (choice A) involves selecting records at random, which can be time-consuming and may not provide a representative sample. Simple sampling (choice B) is similar to random sampling, where records are selected at random, and may also be time-consuming, while stratified random sampling (choice D) involves dividing the population into strata and selecting records from each stratum, which may not be necessary or feasible for this study. Therefore, the best choice in this situation is systematic sampling.

Question 18

An effective means of protecting the security of computerized health information would be to

Accepted Answer

Developing clear policies on data security that are supported by top management is the most effective means of protecting the security of computerized health information. This sends the message that data security is a top priority for the organization and provides a framework for employees to follow. While changing passwords and writing detailed procedures are important, they are not sufficient on their own to ensure data security. Installing fingerprint scanning and recognition can provide additional security, but may also be costly and may not be practical for all organizations.

Question 19

Your facility would like to improve physician documentation in order to allow improved cod' As coding supervisor, you have found it very effective to provide the physicians with

Accepted Answer

The answer of Your facility would like to improve physician...

Question 20

The Chief of Staff, Chief of Medicine, President of the Governing Body, and most departmental managers have already completed CQI training. Unfortunately, the hospital administrator has not been to training, refuses to get involved with CQI, and refuses to let the administrative departmental staff get training.

Accepted Answer

The refusal of the hospital administrator to participate in CQI and denying training to administrative staff violates Joint Commission standards and goes against the philosophy of continuous quality improvement. The Joint Commission expects involvement from all staff, both clinical and administrative, in CQI efforts.

Exam 1: Registered Health Information Administrator