Question 1

When the National Health care Information Network is fully implemented, plans are to allow for electronic communication among providers using

Accepted Answer

The National Health care Information Network (NHIN) is designed to use Internet-based technology to facilitate secure and confidential electronic communication among providers. This choice is supported by the NHIN's own description of its goals and planned implementation. Option A would be expensive and cumbersome, while Option B is not as secure as the NHIN requires. Option D suggests a less advanced and less secure approach. In summary, Internet technology that emphasizes data security and confidentiality is the most viable option for NHIN.

Question 2

The standard for record retrieval is 200 work units per month. Based on the table below, what is the variance from standard for the month of May?

Accepted Answer

The answer of The standard for record retrieval is 200...

Question 3

The plus sign beside survival time for subjects two (2) and six (6) in the table above indicate observations on these subjects were censored. This means the subjects

Accepted Answer

The plus sign beside survival time indicates that the event of interest (death in this case) did not occur during the study period. In other words, these subjects were censored - either they withdrew from the study before the end of the study, or they were lost to follow-up. The plus sign does not give any information about the stage of illness, risk factors, or cause of death. Therefore, option C is the best choice as it correctly explains the meaning of censorship.

Question 4

As a member of the project team for document imaging implementation, you were asked to provide the information in the grid. This is an example of a(an)

Accepted Answer

The information provided in the grid is related to project tasks and their timeline, which is best represented by a Gantt chart. A PERT diagram would show the sequence of activities and their dependencies, while a PMBOK chart is a reference guide for the project management process. A work flow diagram shows the flow of tasks within a process and may not necessarily include timelines.

Question 5

+In order to prevent the accidental introduction of a virus into your facility's local area network, your facility has a policy that strictly prohibits

Accepted Answer

Downloading executable files from electronic bulletin boards can introduce viruses into the network, as these files may contain malicious code.

Question 6

The CFO of your facility asks you to prepare a budget for the fiscal year based on the pa volume and type of healthcare services compared to anticipated needs for the services. process is an example of using the "__________" budgeting method.

Accepted Answer

A statistics budget involves preparing a budget based on the volume and type of services, which aligns with the description given.

Question 7

You are the coding supervisor at a large inpatient facility. Recently, there has been an increase in coding errors. You have a meeting with your coders to discuss possible reasons for the problem. The group agrees on the reasons listed below:  Having determined a good list of possible reasons for the increase in coding errors, you would like to have your coders help you determine where you should place your problem resolution efforts first. Your best bet for achieving consensus is to use

Accepted Answer

Nominal group technique is a structured group discussion technique that allows group members to generate and prioritize ideas in a facilitated and controlled manner. It is a good choice in this scenario as it will allow the coders to generate a list of potential solutions and then prioritize them as a group to determine where the problem resolution efforts should be focused first. Brainstorming and affinity grouping are also useful techniques but may not provide the structured approach that is needed in this situation. Force field analysis is not an appropriate technique as it is used to analyze the forces that drive or hinder a specific change, rather than to generate and prioritize ideas.

Question 8

You have been asked to reduce your department's operating budget by 20%. In order to do you will have to effect reductions in your largest budget line. You will have to make cuts in

Accepted Answer

Personnel typically make up the largest portion of a department's budget, so reducing personnel costs would likely result in the necessary 20% reduction. Equipment, supplies, and contracts may also need to be reduced, but they are not typically the largest budget lines.

Question 9

Investigator A claims his results are statistically significant at the 10% level. Investigator B argue that significance should be announced only if the results are statistically significant at the 5% level. From this we can conclude

Accepted Answer

Investigator B is using a more stringent level of significance (5% as opposed to 10%), which means that it will be more difficult for them to reject the null hypothesis and claim significance. However, this also means that if investigator B does find significance at the 5% level, it is more robust and trustworthy than significance found at the 10% level. It is possible for investigator A's results to also be significant at the 5% level, but this cannot be concluded without more information on the specific data and test being used.

Question 10

Carson surveyed members of AHIMA's student CoP regarding the relationship between clinical experiences and job opportunities. All respondents were seniors in HIA programs and each one expected to graduate and take the national exam within the next 6 months. Fifteen of the eighteen respondents indicated at least one clinical rotation had resulted in a job offer. Based on this information, Carson expects to be offered a job during senior clinical rotations. Carson is basing this expectation on

Accepted Answer

Carson is using inductive reasoning, as they are using specific examples (job offers resulting from clinical rotations) to make a generalization (that they can expect a job offer during their own clinical rotations).

Question 11

Take a look at the comparison of the two life cycles below:  Look at the cell in the Information Systems Life Cycle that is filled with question marks. Which of the following should replace those question marks to make a complete, correct comparison?

Accepted Answer

The cell in the Information Systems Life Cycle that is filled with question marks corresponds to the cell in the Software Development Life Cycle labeled "Implementation." Therefore, the correct term to fill in the question marks would be "implementation," as this is the phase in which the software or system is actually developed and put into use. Both life cycles have corresponding phases labeled "Implementation," so option C is the best choice.

Question 12

You have been the supervisor in quality management at Happy Valley Hospital for almost a y now and your appraisal is right around the corner. Your director has asked the members of y, staff and the physicians on the committees you service to complete forms that will provide in' into the appraisal process. In addition, you have been asked to formally assess your own progress in this new position. It is time consuming and more than a little intimidating, but you suppose will provide you with some good insights into the quality of your work. Because you are, after the supervisor in QM, it is only fair that you participate fully in your facility's commitment to

Accepted Answer

The scenario mentions that various parties, including staff and physicians, are providing feedback on the supervisor's performance. This suggests a 360-degree evaluation, which is a type of performance appraisal that gathers input from multiple sources. Option A, participative evaluation, is not a recognized term in performance appraisal literature. Option C, conductive evaluation, is not a recognized term at all. Option D, managed evaluation, is not a commonly used term in the context of performance appraisals.

Question 13

Evidence-based management and decision-making is an emerging model now used to make more informed decisions. The primise of this model is

Accepted Answer

Evidence-based management and decision-making relies on using the best clinical and research practices available to make informed decisions, rather than solely relying on intuition or minimum requirements.

Question 14

As the Project Manager for the upcoming HER implementation, you ask one of your assistants to develop a work breakdown structure (WBS). Critical to implementations and project success, the WBS

Accepted Answer

The main purpose of a work breakdown structure (WBS) is to list all the steps and deliverables needed to complete the project, making it easier to manage and track progress. While determining dependencies, describing responsibilities, and defining the critical path are all important aspects of project management, they are not the primary function of a WBS.

Question 15

You are a new supervisor in the HIM department and find it difficult to deal with performance issues. Laney, an employee in the Release of Information section. has been late several times month. She has already been given a verbal warning. She was late again today. According to progressive discipline process, your next step will be to

Accepted Answer

According to the progressive discipline process, the next step after a verbal warning is to issue a written warning. This serves as a formal notice of the issue and the consequences of repeated violations. It also documents the employee's behavior for future reference if necessary. A suspension would typically come after multiple written warnings and continued poor performance. Reinforcing policies and reissuing the verbal warning may not be effective in correcting the behavior and may not be seen as a serious consequence.

Question 16

Which of the following employees would be considered exempt under the Fair Labor Standards Act?

Accepted Answer

According to the Fair Labor Standards Act, employees who are involved in decision making and planning for their organization at least 80% of the time are considered exempt from overtime pay. The head of the Department of Health Information Services is involved in decision making and planning 90% of the time, and therefore would be exempt. The coding supervisor and the sole employee in the physician's workroom may or may not be exempt depending on their job duties and responsibilities, and the departmental secretary would not be exempt.

Question 17

The researchers in the previous question wonder if there is any relationship between patient age and average fasting blood sugar. The best data display tool the researchers could use to look for a possible relationship would be a

Accepted Answer

A scatter diagram would be the best choice as it shows the relationship between two numerical variables, in this case patient age and fasting blood sugar levels. It would allow the researchers to see if there is any correlation or pattern between the two variables. A line graph would not be appropriate as it is used to display data over time. A Pareto diagram is used to display categorical data, while a cause and effect diagram is used to identify the potential causes of a problem.

Question 18

Your HIM department is moving to a new location, and in order to arrange your employees functions for optimal work flow efficiency and to decide which employees need to be placed d to each other, the tool you decide to use is a

Accepted Answer

A proximity chart is the best tool to use for arranging employees in close physical proximity to one another for optimal work flow efficiency. A proximity chart shows the physical location of each employee and allows the HIM department to place employees near each other such that their work intersects or requires interaction.

Question 19

Ms. Wolf, supervisor of coding and abstracting, would like to determine the coders' accuracy. Which type of management tool would provide her with the information she needs?

Accepted Answer

An audit would provide Ms. Wolf with the information she needs to determine the coders' accuracy in coding and abstracting. An audit involves the review of a sample of coded records to identify errors and discrepancies. It is a common management tool used to assess the quality and accuracy of work performed by employees. A stopwatch study, employee-reported log, or time log would not provide the specific information needed to assess the coders' accuracy in coding and abstracting.

Question 20

A p value of less than 0.05 is what researchers commonly use to reject the null hypothesis. small p value may place interpretation of the results of the study at risk for a

Accepted Answer

The answer of A p value of less than 0.05...

Exam 1: Registered Health Information Administrator