Final Part 10 Flashcards
To evaluate the timeframes for the administration of painkillers in surgical patients, the medication administration record would be reviewed. The medication administration record would be found within which clinical software?
A. Radiology
B. Pharmacy
C. Laboratory
D. Nursing
Nursing
Which of the following is not a component of a DMS?
A. File server
B. LIS
C. Workstation
D. Scanner
LIS
If a coding manager wanted to evaluate the impact of sequence changes of ICD-10-CM codes on the MS-DRG assignment for cardiac inpatients, which software would be used?
a. Encoder
b. Grouper
c. Chart deficiency
d. Disclosure management
Grouper
Which of the following is a method to determine how bad the cancer is by establishing the size of the tumor, the number of lymph nodes involved, and whether it has spread to other organs?
A. SEER
B. FORDS
C. HIM
D. TNM
TNM
Sarah is the CDI coordinator and knows that healthcare quality indicator reporting is used to help performance improvement for healthcare professionals delivering patient care. She needs to hire an employee who is meticulous and detail-oriented to perform what essential HIM function that provides the data for the healthcare quality indicator system?
A. Data abstracting
b. Dictation and transcription
c. Chart deficiency analysis
d. CAC
Data abstracting
Which of the following allows transcriptionists to use abbreviations and acronyms while the software types out the complete words of the abbreviation or acronym?
A. Registry
B. Expander
C. Encoder
D. Grouper
Expander
What legislation regulates the tracking of requests for and release of patient information?
A. HITECH
B. HIPAA
C. ARRA
D. TEFRA
HIPAA
What term describes the scientific discipline that is concerned with the cognitive, information-processing, and communication tasks of the healthcare practice, education, and research, including the information science and technology to support these tasks?
A. Health informatics
B. Epidemiology
C. Data analytics
D. Health information management
Health informatics
What is the term used to indicate that reports and letters can be tailored and changed to meet the requirements of the request or the needs of the recipient within an ROI system?
A. Manipulation
B. Customization
C. Conversion
D. Renovation
Customization
To assist in determining death rates from motor vehicle accidents in the state, which of the following systems would track follow-u rates?
A. Release of information system
B. Trauma registry
C. Encoder/grouper
D. Dictation system
Trauma registry
