RHIA Domain III Practice Quesions Flashcards

1
Q

The use of electronic information and telecommunications technologies to support long-distance clinical healthcare, patient and professional health-related education, public health, and health administration is called:

a. Secure messaging

b. Consumer informatics

c. Personalized medicine

d. Telehealth

A

d. Telehealth

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2
Q

In order for health information exchange (HIE) participants to search for health records on each of the other systems using patient indexing and identification software, the systems must be linked by a(n):

a. Primary key interface (PKI)

b. Application programming interface (API)

c. Continuity of care record (CCR)

d. Record locator service (RLS)

A

d. Record locator service (RLS)

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3
Q

Which of the following is the unique identifier in the relational database patient table?

                       Patient Table

Patient # - Patient Last Name - First Name - DOB

021234 Smith Donna 03/21/1944

022366 Jones Donna 04/09/1960

034457 Smith Mary 08/21/1977

a. Patient last name

b. Patient last and first name

c. Patient date of birth

d. Patient number

A

d. Patient number

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4
Q

In addition to bar codes on health record documents, what other forms of recognition characteristics enhance the accuracy of form indexing features?
1. Access controls
2. COLD
3. OCR
4. Workflow

A
  1. OCR. In addition to bar codes on medical record documents, optical character recognition (OCR) may be available to enhance the accuracy of indexing features on forms
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5
Q

What term is used for a centralized database that captures, sorts, and processes patient data and then sends it back to the user?
1. Clinical data repository
2. Data exchange standard
3. Central processor
4. Digital system

A
  1. Clinical data repository
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6
Q

In a relational database, which of the following is an example of a many-to-many relationship?

a. Patients to hospital admissions

b. Patients to consulting physicians

c. Patients to hospital health records

d. Primary care physician to patients

A

b. Patients to consulting physicians

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7
Q

A possible justification for building an information system in-house rather than purchasing one from a vendor is that:

a. It is cheaper to buy than to build

b. The facility has development teams they do not want to give up

c. Integration of systems will be easier

d. Vendor products are not comprehensive enough

A

b. The facility has development teams they do not want to give up

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8
Q

What is the formatting problem in the following table?

    Medical Center Hospital Admission Types

Elective 2,843 62.4

Emergency admission 942 37.6

Total 3,785 100.0

a. The variable names are missing

b. The title of the table is missing

c. The column headings are missing

d. The column totals are inaccurate

A

c. The column headings are missing

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9
Q

Community Memorial Hospital had 25 inpatient deaths, including newborns, during the month of June. The hospital had a total of 500 discharges for the same period, including deaths of adults, children, and newborns. The hospital’s gross death rate for the month of June was:

a. 0.05%

b. 2%

c. 5%

d. 20%

A

c. 5%

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10
Q

In which of the following phases of systems selection and implementation would the process of running a mock query to assess the functionality of a database be performed?

a. Initial study

b. Design

c. Testing

d. Operation

A

c. Testing

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11
Q

In the data warehouse, the patient’s last name and first name are entered into separate fields. This is an example of what?

a. Query

b. Normalization

c. Key field

d. Slicing and dicing

A

b. Normalization

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12
Q

A physician is interested in conducting research on herniated intervertebral disc disease. She wants to compare the success of conservative medical care versus surgical intervention. The best source of this information is the:

a. Disease index

b. Operative index

c. Master patient index

d. Trauma registry

A

a. Disease index

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13
Q

The health information services department at Medical Center Hospital has identified problems with its work processes. Too much time is spent on unimportant tasks, there is duplication of effort, and task assignment is uneven in quality and volume among employees. What should the manager do?

a. The manager should have each employee complete a serial work request.

b. The manager should have each employee complete a work distribution chart.

c. The manager should have the employees complete a use case analysis.

d. The manager should develop a flow process chart.

A

b. The manager should have each employee complete a work distribution chart.

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14
Q

By querying the healthcare entity data, you find that patients admitted on a weekend have a mean length of stay that is 1.3 days longer than patients who are admitted Monday through Friday. This method of finding information is called:

a. Structuring query language

b. Data mining

c. Multidimensional data structuring

d. Satisficing

A

b. Data mining

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15
Q

A health information professional is preparing statistical information about the third-party
payers that reimburse care in the facility. She finds the following information: Medicare
reimburses 46 percent; Medicaid reimburses 13 percent; Blue Cross reimburses 21 percent;
workers’ compensation reimburses 1 percent; commercial plans reimburse 15 percent; and other payers or self-payers reimburse 4 percent. What is the best graphic tool to use to display this data?

a. Histogram

b. Pie chart

c. Line graph

d. Table

A

b. Pie chart

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16
Q

The user needs a list of all of the patients that were diagnosed with a cerebral infarction or a
cerebral hemorrhage. What type of search would be used in this situation?

a. Structured query language

b. Wildcard search

c. Truncation

d. Boolean search

A

d. Boolean search

17
Q

A hospital is conducting an analysis of its existing health information systems and is looking at potential areas that need attention. This step is typically referred to as:

a. Identify needs

b. Monitor results

c. Record feedback

d. Specify requirements

A

b. Monitor results

18
Q

Community Memorial Hospital discharged nine patients on April 1. The length of stay for each patient is shown in the following table. The average length of stay for these nine patients was:

Patient Number of Days

A 1

B 5

C 3

D 3

E 8

F 8

G 8

H 9

I 9

a. 5 days

b. 6 days

c. 8 days

d. 9 days

A

b. 6 days

19
Q

The department of surgery has acquired an analytics engine to enable it to provide predictive information at the point of care via the EHR. However, the department is struggling to get physicians to use the functionality because it does not have support staff to program or train users. This situation refers to the fact that the project plan did not illustrate:

a. Conflicts

b. Dependencies

c. Environmental issues

d. Policy decisions

A

b. Dependencies

20
Q

This Health Information Exchange (HIE) consent model requires the patient to give their consent for the inclusion of their data in the HIE.

a. Opt-in

b. Opt-out

c. Automatic consent

d. No-consent

A

a. Opt-in - The opt-in model requires patients to specifically affirm their desire to have their data made available for exchange within an HIE. This option provides up-front control for patients since their data cannot be included unless they have agreed

21
Q

A super user of health IT has complained to her supervisor that she is being asked by a physician to perform his data entry. What should the super user’s role be?

a. Aid others in using a new system during go-live and getting to adoption

b. Serve as a scribe for physicians who are new to data entry

c. Train users to learn how to use the system prior to go-live

d. Troubleshoot issues with the system that did not come to light during testing

A

a. Aid others in using a new system during go-live and getting to adoption

22
Q

Which of the following would likely be recorded on an information systems issues log?

a. Alan is present every day there is a system test.

b. Betty reported receiving 25 erroneous e-mail messages.

c. Dr. Brown effectively uses e-prescribing.

d. John requested a supply of tamperproof paper for his office.

A

b. Betty reported receiving 25 erroneous e-mail messages.

23
Q

A physician is concerned that the data patients enter into an EHR is not as reliable as data entered by another provider. What function serves to distinguish the source of data in an EHR?

a. Data dictionary

b. Data provenance

c. Data quality

d. Data registry

A

b. Data provenance

24
Q

A coding manager wants to display the patient types that have the most coding errors in relationship to coder years of service. The desire of the coding manager is to display how coder years of service is responsible for coding errors. The type of graph or chart best suited for this is a:

a. Bar graph

b. Pareto chart

c. Pie chart

d. Line graph

A

b. Pareto chart

25
Q

The best way to ensure that elements of a health information system work together is to:

a. Adopt all components from a single vendor

b. Ensure standards are applied to software development that support interoperability

c. Use an application service provider that supports all vendors

d. Verify that a vendor applies a systems’ view to its product development

A

b. Ensure standards are applied to software development that support interoperability

26
Q

What is the most important factor in determining the best storage method for health records?
1. Ensuring that the records are readily accessible and secure
2. Ensuring that the records are factual and informational
3. Ensuring that the records are both electronic and paper based
4. Ensuring that the records are personal and private

A
  1. Ensuring that the records are readily accessible and secure
27
Q

A hospital is conducting an analysis of its existing health information systems and is looking at potential areas that need attention. This step in the systems development life cycle is typically referred to as _____.

a. Identify needs

b. Monitor results

c. Record feedback

d. Specify requirements

A

b. Monitor results

28
Q

One of the older cardiologists expressed dissatisfaction with using an EHR, stating that he does not understand why it’s necessary. Sandy, as the EHR Clinical Coordinator, talks about his work as the first physician at ABC Hospital to use computerized technology for cardiac patients, and how cardiac diagnosis outcomes improved. She relates to him that the EHR will have the same impact and that the best reason to implement an EHR is to:

a. Determine the cost of care

b. Improve patient care

c. Eliminate medical errors

d. Meet Joint Commission mandate for the EHR

A

c. Eliminate medical errors

29
Q

In which record numbering system is the patient assigned a health record number on the first visit that is kept for all subsequent visits?
1. Unit numbering
2. Index unit numbering
3. Serial-unit numbering
4. Serial numbering

A
  1. Unit numbering
30
Q

This data collection tool is used when one needs to gather data on sample observations in order to detect patterns.
1. Check sheet
2. Ordinal data tool
3. Balance sheet
4. Nominal data tool

A
  1. Ordinal data tool