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HITT 1301 > Ch 3 Health Information functions, purpose, users > Flashcards

Ch 3 Health Information functions, purpose, users Flashcards

1
Q

Identify an example of a primary purpose of the health record.

A

Patient care

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2
Q

Identify the institutional user that utilizes health record data to make decisions regarding healthcare programs.

A

Policy making body

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3
Q

The entire health record at our healthcare organization is accessible online. We utilize a

A

EHR

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4
Q

Identify a type of individual user

A

Patient

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5
Q

Deidentified data are used for

A

Public health and research

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6
Q

Identify the microfilm format that is inefficient when retrieving multiple admissions for a patient

A

Roll

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7
Q

The decision was made to choose a filing system that distributes health records evenly throughout the filing system. This is known as

A

Terminal digit

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8
Q

____ is used to assign weights to potential duplicate health records

A

Rules based algorithm

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9
Q

Form design standards should include

A

Assigning a unique identifier

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10
Q

Differentiate between qualitative analysis and quantitative analysis

A

Qualitative analysis looks at the quality of documentation and quantitative analysis looks for the presence of documents or signatures

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11
Q

The forms design committee

A

provides oversight for the development, review and control of forms and computer screens

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12
Q

In a paper based system, individual health records are organized in a standardized order in which of the following

A

assembly

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13
Q

Extracting data from a health record and entering it into an information system is known as

A

Abstracting

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14
Q

Two patients were given the same health record number. This is an example of a

A

Overlay

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15
Q

The physician did not complete the health record in the time frame required by the medical staff rules and regulations, these records are known as

A

Delinquent

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16
Q

Identify the type of health record that is controlled by patients

A

Personal health record

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17
Q

Explain how amendments to the EHR are handled

A

The amendment must have a separate signature, date, and time.

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18
Q

Version control of documents in the EHR requires

A

Policies and procedures to control which versions are displayed

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19
Q

The decision was made to not allow copying and pasting. Justification for this decision includes

A

Copying outdated information

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20
Q

When I key 10101963, the computer displays it as 10/10/1963. What enables this?

A

Input mask

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21
Q

Analyze the statement: information and data mean the same thing

A

False, because data is raw facts and figures and information is data converted into a meaningful format

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22
Q

A health record with deficiencies that is not complete within the timeframe specified in the medical staff rules and regulations is called an ———record

A

Delinquent

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23
Q

How many linear filing inches can a shelving unit hold based on the following data: shelving unit shelf width =36 inches number of shelves per unit = 9 shelves average record thickness: 1/2 inches

A

324
Calculate the linear filing inches, the width of the shelving unit is multiplied by the number of shelves
36 * 9= 324

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24
Q

Which of the following is a secondary purpose of the health record

A

Educate medical students

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25
Q

A new employee has been hired to link patient information such as patient name to a scanned document. This employee will be ——-

A

Indexing

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26
Q

The healthcare organized assigned the same patient 3 different health record numbers but the content is filed under the most recent health record number. This is known as ——-

A

Serial unit number

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27
Q

Identify the screen design concept that assists with data validation

A

Checking to ensure that the data is in an appropriate range

28
Q

Deficiencies in a health record include

A

Missing a document

29
Q

Identify the most efficient filing system

A

Unit numbering system

30
Q

Determine the number of shelving units required the shelve 2,000 pt health records if the average health record is 0.75 inches. The shelving unit is 36 inches wide and has 8 shelves

A

6 units
36 * 8 =288 inches
Linear filing inches needed 2000 * 0.75= 1.500
Shelving units needed: 1,500/ 288= 5.2 units = 6 units
Shelving units should always be rounded up to the next full unit

31
Q

The pt registration department assists the HIM department by _____

A

Assigning the health record number

32
Q

Identify the index that is key to locate a health record

A

Master patient index

33
Q

The numbering system that assigns one health record number per visit is ______

A

Serial

34
Q

The master patient index _____

A

Contains basic demographics information about the patient

35
Q

Identifying the filing system that is well suited far a small healthcare organization such as a one physician practice

A

Alphabetic filing system

36
Q

Identify the element that is typically found in the paper health record

A

Patient identification

37
Q

Writing the word error is appropriate for _____

A

Corrections

38
Q

Identify an example of information

A

The HIM committee will meet to discuss the problem with the delinquent chart count

39
Q

Identify the task that is preformed during qualitative analysis

A

Checking that only approved abbreviations are used

40
Q

Consider the following sequence of numbers. What filing system is being used if these numbers represent the health record numbers of 3 records filed sequentially within the filing system?
36-45-99
37-45-99
38-45-99

A

Terminal digit

41
Q

The annual volume stats for General Hospital are noted below. Determine the name of shelving units that will be required to store this year’s inpatient discharge records
Avg inpatient discharges = 15,000
Avg inpatient record thickness = 3/4 inch
Shelving unit shelf widths = 36 inches
Number of shelves per units = 6

A

52
15,000 discharges * .75 inches = 11.250 linear filing inches
36 inches width * 6 shelves = 216 linear filing inches per shelving unit
11.250 linear filing inches required / 216 linear filing inches per shelving unit = 52.08
= 52 shelving units

42
Q

The health record typically begins in the _____

A

Patient registration department

43
Q

Identify the component of the EHR that assists physicians in making medical decisions

A

Clinical decision support

44
Q

Identify the software that is used for voice recognition

A

Natural language processing

45
Q

Critique the following statement. Patient care management are individual users of health records

A

True

46
Q

Which of the following statements justifies the need for versioning

A

To ensure there is no confusion on the correct document

47
Q

Identify the appropriate description of alphabetical filing

A

Smith, Carl J.
Smith, Mary A.
Smith, Paul M
Smith, thomas

48
Q

The use of the health record by a clinician to facilitate quality pt care is considered a ______

A

A primary purpose of the health record

49
Q

Determine the sequence of health record numbers that is in terminal digit order

A

12-56-36, 13-58-39, 14-75-87, 15-85-98
Terminal digit order, the last numbers of the health record number are in ascending order

50
Q

Which of the following is a way that pt care managers and support staff use the data documented in the health record

A

Evaluate the performance of the employees

51
Q

The use of the health record by a clinician to facilitate quality pt care is considered a ____

A

Patient care support

52
Q

Identify the HIM task that is eliminated by the electronic health record

A

Assembly

53
Q

Dr Smith wants to use a lot of free text in his EHR. What should be your response?

A

Dr we recommend that you use little if any free text in the EHR

54
Q

Using information understanding and experience that give individual the power to make informed decisions is known as

A

Knowledge

55
Q

Determine the appropriate form design principle

A

Data fields should be labeled

56
Q

Identify the filing system that is well suited for a small healthcare org such as a one physician practice

A

Alphabetic filing system

57
Q

Identify the component of the EHR that assists physicians in making medical decisions.

A

Clinical decision support

58
Q

Justify a rule that prohibits use of the copy and paste function in the electronic health record

A

The content may contain outdated information

59
Q

Identify an appropriate standard for forms design.

A

An appropriate field type such as radio buttons should be selected

60
Q

Which of the following that pt care managers & support staff use the data documented in the health record?

A

Communicate vital information among dept and across disciplines and settings

61
Q

The employee notified the supervisor that she found a problem when reviewing the MPI. She found the 2 pt’s information were merged together inappropriately. The employee found a ___

A

duplicate

62
Q

An addendum to the health record should be dated

A

The day the addendum was created

63
Q

The health record typically begins in the

A

Pt registration department

64
Q

The key to the identification and located of a patient’s health record is the

A

MPI

65
Q

How many linear filing inches can a shelving unit hold based on the following data?
Shelving unit shelf width = 36 inches
# of shelves per unit= 9 shelves
Average record record thickness = 1/2 inch

A

162

66
Q

Identify the screen design concept that assists with data validation

A

Selecting from a predefined list such as in check boxes and radio buttons

67
Q

Which of the following is a secondary purpose of the health record

A

Assist caregivers in patient care management

HITT 1301 (9 decks)

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