Question 1

Elizabeth Hoke is the Chief Executive Officer (CEO) at Anywhere Medical Center. At the beginning of each fiscal year, she begins a formal planning cycle. Her annual planning process should begin with which of the following?

Accepted Answer

Establishing the annual organizational objectives should be the first step in the annual planning process because it sets the foundation for the rest of the planning cycle.

Question 2

When submitting the cost of training, how much should the training staff request in the budget for doing the computer-based training? The training staff in the Human Resources Department is proposing a computer-based training program for 200 employees and needs to prepare a budget for the time and cost of the training. The training program will be 30 minutes in length. The employees can take the training online at any time. There are 200 employees to be trained. The rate of pay for 50 of the employees is $15.50 per hour. The rate of pay for 50 employees is $12.00 per hour. The rate of pay for the other 100 employees is $18.00.

Accepted Answer

The answer of When submitting the cost of training, how...

Question 3

Based on the budget illustrated below, what is the monthly budget variance percent for supplies?

Accepted Answer

The answer of Based on the budget illustrated below, what...

Question 4

The most realistic approach that could encourage increased productivity in the tedious record file/retrieval area is to

Accepted Answer

Varying and rotating the work assigned to each file clerk would provide them with a break from the monotony of performing the same task repeatedly. This would help to promote job satisfaction, which could potentially lead to increased productivity. Shortening the workday or working part-time may provide short-term relief but would not address the root cause of the issue. Flex time may not be applicable in a role where there is a need for a constant presence.

Question 5

Based on the information displayed in the decision matrix below, which

Accepted Answer

Vendor A has the highest total score (15) in the decision matrix.

Question 6

As the Director of Health Information Services, you manage the department with the assistance of four supervisors. One day you observe a coder coding charts from the face sheet without reviewing the record for additional documentation. The most appropriate course of action would be to

Accepted Answer

As the Director of Health Information Services, it is your responsibility to maintain the quality of work in the department. The correct course of action in this scenario would be to discuss the concern with the Supervisor of Coding and direct her to address the issue immediately. She can then take appropriate steps to retrain the coder and ensure that the entire record is reviewed for correct code assignment. Discussing the problem with the CFO or doing nothing is not the most appropriate course of action in this scenario.

Question 7

The Director of Health Information Services has recently received approval to purchase the necessary equipment to place all inactive records on optical disc. The director plans to redo the department layout to accommodate the equipment and to ensure that the equipment is placed in the most appropriate area of the department. Which of the following tools will best assist the director with this new layout?

Accepted Answer

A proximity chart would help the director to determine the best location for the equipment based on the department's workflow and accessibility. It allows the director to visualize the department layout and determine the most efficient placement for the equipment. A frequency chart, Gantt chart or replacement chart would not provide this level of detail for department layout or equipment placement.

Question 8

The span of control in an organization refers to the

Accepted Answer

The span of control refers to the number of people who report to one supervisor in an organization. This can vary depending on the size and structure of the organization. A larger span of control means that each supervisor is responsible for a larger number of employees, while a smaller span of control means that each supervisor has fewer employees reporting to them.

Question 9

In preparing a capital budget request, the first priority will be to document

Accepted Answer

Before requesting funding for new equipment, it is important to clearly document the need for it. This includes discussing how the new equipment will positively impact the organization and why it is necessary to invest in it. Details about the specific type of equipment, its cost, and location can be included in the budget request, but these should be secondary to explaining the need for the equipment.

Question 10

Jessica is the leader of a project team working on the definition of the women's health service line. Several departments are so enthusiastic about the progress that they ask for additions to the project. This is not uncommon, and is known as

Accepted Answer

The scenario is describing scope creep, which is the tendency for project scope to grow beyond its original parameters. This can lead to delays, increased costs, and decreased satisfaction with the final deliverable. Add-ons, effort expansion, and deliverable increase are not specific terms used in project management to describe this phenomenon.

Question 11

Mary and Sue are both employed as medical transcriptionists at ABC Hospital. They are able set their own work hours provided the department is covered by one of them during re office hours. This kind of work arrangement is referred to as:

Accepted Answer

Flex time allows employees to choose their work hours within certain limits, as long as the department's needs are met.

Question 12

One of your first tasks as the new Manager of Health Information Services is to review the department policy and procedure manual. You have determined that several policy statements are incongruent with appropriate current employee practices. Proper management conventions require

Accepted Answer

It is the responsibility of the Manager of Health Information Services to ensure that the policies and procedures in the manual are updated and accurately reflect current practices. Incongruent policies can lead to confusion, inconsistencies, and potential legal issues. Therefore, it is necessary to revise the policy appropriately and document the date of the change.

Question 13

Based on the Gantt chart shown above, which planned activities can be done simultaneously?

Accepted Answer

The answer of Based on the Gantt chart shown above,...

Question 14

Amelia Claire is a CNA and an RHIA who is a clinical documentation trainer for a large health system. The results of a quality improvement study indicated that an informed consent was not obtained for 25% of the surgical procedures performed. Brooke had discussed the problem with the director of the Health Information Department and they have decided to begin corrective action by providing an in-service. The most important participants that should attend this in-service are

Accepted Answer

Physicians and residents are the key stakeholders in obtaining informed consent for surgical procedures, as it is their responsibility to explain the procedure and obtain the patient's signed consent. While nurses and unit clerks may assist in this process, they are not ultimately responsible for obtaining the consent. Medical record and quality improvement personnel may be involved in tracking the rates of informed consent and monitoring progress towards improvement, but they may not necessarily have direct involvement in the consent process. Administrators may be responsible for overall policy and procedure, but they are not as directly involved in the informed consent process as physicians and residents.

Question 15

The Director of a Health Information Department has received the quarterly variance budget report. The report indicates the "overtime" category is unfavorable. The director is required justify this overtime expense. Which of the following would be considered an accept explanation for this expenditure? Overtime is unfavorable this quarter due to

Accepted Answer

The annual purging of inactive files would require additional staff hours and therefore could be a valid reason for overtime expenses.

Question 16

The Director of the Health Information Services Department has determined that an in- service for department supervisors on improving productivity levels in their respective areas is needed. As an outcome of this in-service, the director would like the supervisors to understand that when setting productivity levels, a supervisor must

Accepted Answer

The supervisor should determine the productivity standards for each area and job function. This means setting clear expectations for what is considered to be a productive level of work for each employee and job role. Tailoring training and directing training to the most efficient employee may be strategies to help achieve these productivity levels, but they are not the primary responsibility of the supervisor when setting productivity standards. Additionally, considering only quantity and not quality can be detrimental to both productivity and patient outcomes.

Question 17

Lizzie O'Leary, Director of the Health Information Services Department, is writing a memo about a recent problem the department has had with a contracted copy service when she is notified of an emergency, hospital-wide department-head meeting. Because it is necessary that the memo be completed by the end of the day, it is most appropriate for the director to delegate its completion to the supervisor of

Accepted Answer

The release of information supervisor would be best suited to complete the memo as they would have a good understanding of the issue with the contracted copy service, and as their role involves communicating with external vendors, they would likely have experience in writing memos and communicating effectively. Additionally, as the director is needed at an emergency meeting, delegating the task to a supervisor would ensure that the memo is completed by the end of the day.

Question 18

The Director of the Health Information Services Department is preparing the department's budget for the coming year. She has included the costs for the coding staff to attend at least two workshops in the budget. What portion of the department's budget will the cost of the workshops be allocated to?

Accepted Answer

The cost of the workshops is an expense that the department will need to incur, so it will be allocated to the expense budget.

Question 19

Which of the following statements is false in regard to departmental reengineering?

Accepted Answer

Departmental reengineering is not intended to make small or minor changes but instead involves radical redesigning of processes and structures to improve productivity, reduce costs, and ensure customer satisfaction.

Question 20

Which statement is an inaccurate description of the organization chart shown?

Accepted Answer

The tumor registrar is listed under the assistant director, indicating that the assistant director has authority over the tumor registrar. Therefore, statement D is inaccurate.

Exam 1: Registered Health Information Administrator