Question 1

The American College of Surgeons mandates a successful follow-up rate for all cancer cases of at least ________ to meet approval requirements as a cancer program.

Accepted Answer

The American College of Surgeons mandates a successful follow-up rate of at least 90% for all cancer cases to meet approval requirements as a cancer program. This is because a high follow-up rate is essential for tracking the outcomes of cancer patients and assessing the effectiveness of treatments. It also helps to identify potential early recurrences or new primary cancers, which can be critical for timely intervention and improving patient outcomes.

Question 2

When a health care facility makes a decision to destroy computerized data, AHIMA recommends all but which one of the following as methods of destruction?

Accepted Answer

Deleting the file on the disk does not actually destroy the data; it only removes the reference to it, making it recoverable.

Question 3

When purchasing file guides, the Health Information Manager should be primarily concerned with which of the following?

Accepted Answer

Durability and visibility are the most important factors to consider when purchasing file guides because they will be used frequently and need to be able to withstand wear and tear.

Question 4

As Directory of the HIM Department you have become aware of instances of unauthorized access to the record file area. After considering several options to limit or restrict access to the area, you decide to

Accepted Answer

Installing a computerized access panel is a more secure and efficient method to control and monitor access to the file area, ensuring only authorized personnel can enter.

Question 5

Which one of the following master patient index core data elements is OPTIONAL, NOT RECOMMENDED by AHIMA?

Accepted Answer

Marital status is considered optional and not recommended by AHIMA for the master patient index core data elements.

Question 6

Unless state or federal laws require longer time periods, AHIMA recommends that patient health information for minors be retained for at least how long?

Accepted Answer

AHIMA recommends retaining patient health information for minors for age of majority plus statute of limitation, which varies by state. This ensures that the information is available in case of any legal action or future healthcare needs. Retention for 10 years (choice B) may not be enough in some cases, and retaining information permanently (choice D) may not be necessary and could pose potential privacy concerns. Retaining information for 120 years (choice C) is not practical and would result in unnecessary storage costs.

Question 7

In planning for a file system conversion to a new physical location, it is wise to schedule the actual conversion process to occur

Accepted Answer

Scheduling the conversion process to occur at an off-peak time for the department, such as a weekend, will minimize the disruption to daily operations. During a Joint Commission survey or when the department is closed could cause unnecessary stress and interruptions. Waiting until after purging inactive records could result in lost data or files that were thought to be inactive but were still needed.

Question 8

A major consideration in a hospital or facility closure is to

Accepted Answer

Ensuring that authorized parties have access to the information as provided by law is an important consideration in a hospital or facility closure to ensure that patient information is not compromised and is still available for treatment purposes. Options A and D only address the patient records and do not take into consideration the legal requirements for maintaining patient records. Option B suggests destruction of records that may still be legally required to be maintained.

Question 9

In negotiating a contract with a commercial storage company for storage of inactive records, what would be the most important issue to clarify in writing?

Accepted Answer

The most important issue to clarify in writing when negotiating a contract with a commercial storage company for storage of inactive records is confidentiality policies and liability concerns. It is important to ensure that the storage company has proper measures in place to protect the confidentiality of the records and to clarify any potential liability issues in case of a breach. While issues such as completing the list of stored records and billing terms are important, they are not as critical as the confidentiality and liability concerns. The issue of who will purge inactive files for transfer may also be important, but it is secondary to the confidentiality and liability concerns.

Question 10

A health information manager develops a formal plan or record retention schedule for the automatic transfer of records to inactive storage and potential destruction based on all but which one of the following factors?

Accepted Answer

The answer of A health information manager develops a formal...

Question 11

Which of the following is a DISADVANTAGE of terminal digit filing as compared to straight numeric filing?

Accepted Answer

Terminal digit filing requires more training because it is less intuitive than straight numeric filing, as it involves understanding the system of sorting by the last digits first.

Question 12

The master patient index must, at a minimum include sufficient information to

Accepted Answer

The master patient index serves as a record locator for all patient records within a healthcare facility, and it is essential that it can uniquely identify each patient to prevent confusion and ensure that the correct records are retrieved. While the index may contain additional information such as physicians who have treated the patient, the primary purpose is to provide a reliable way of accessing all records related to a particular patient. The index does not summarize medical history or justify hospital bills.

Question 13

Using terminal digit filing, the record number on the folders immediately in front of and behind the number 24-31-83 would be

Accepted Answer

In terminal digit filing, the records are organized by the last two digits, then the middle two, and finally the first two. Therefore, the numbers immediately in front and behind 24-31-83 would be 23-31-83 and 25-31-83.

Question 14

The Joint Commission suggests that hospitals use which type of patient information system?

Accepted Answer

The answer of The Joint Commission suggests that hospitals use...

Question 15

Which of the following is NOT a benefit of the electronic document management system in the HIM Department?

Accepted Answer

The electronic document management system in the HIM department has several benefits, including on-line availability of information, multiuser simultaneous access, system security, and confidentiality. However, it does not decrease the use of computer technology but rather increases it.

Question 16

The President of the Medical Staff requests a report on the number of coronary artery bypass grafts performed by a particular physician in April of the previous year. Where would the health information manager look for this information?

Accepted Answer

The operation index is used to track and report surgical procedures performed by specific physicians or in specific areas of a healthcare facility, making it the most likely location to find information on the number of coronary artery bypass grafts performed by a particular physician. The patient register and disease index are used to track patient demographics and diagnosis codes, respectively, and would not provide the specific information requested. The birth defects register is used to track congenital anomalies and would also not provide the specific information requested.

Question 17

Which of the following statements would be found in the laboratory report section of the health record?

Accepted Answer

Laboratory reports typically include results of tests such as blood urea nitrogen (BUN) levels, which is a lab test result.

Question 18

Which one of the following is an advantage of straight numeric filing over terminal digit filing?

Accepted Answer

Straight numeric filing is simpler and requires less training compared to terminal digit filing, which involves a more complex system of organizing files by the last digits.

Question 19

General Hospital has been in operation for 13 years. It has 6,000 admissions per year. The facility has expanded and will allow for 200 more admissions per year from now on. There are 2,500 linear feet of filing space available and half is being used the facility expects a 30% readmission rate. If a unit number/filing system is used how many file folders will be needed for the next year?

Accepted Answer

The facility has 6,000 admissions per year and a 30% readmission rate. This means that there will be 1,800 readmissions per year. The facility has 2,500 linear feet of filing space available and half is being used. This means that there are 1,250 linear feet of filing space available. Each file folder requires 1 linear foot of filing space. Therefore, the facility will need 1,800 file folders for the next year.

Question 20

Which one of the following is NOT an electronic document management system component?

Accepted Answer

A reader-printed is not a component of an electronic document management system. The other options, scanner, optical disk platter, and jukebox, are all common components used for storing and managing electronic documents.

Exam 1: Registered Health Information Administrator