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RHIA Prep 2018

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

In order to effectively transmit health care data between a provider and a payer, both parties must adhere to which electronic data interchange standards?

a)

DICOM

b)

IEEE 1073

c)

LOINC

d)

X12N

2.

The surgery department is evaluating its postoperative infection rate of 6%. The chief of surgery asks the quality improvement coordinator to find the post-operation infection rates of 10 similar hospitals in the same geographic region to see how the rates compare. This process is called:

a)

Benchmarking

b)

Critical pathway analysis

c)

Internal comparisons

d)

Universal precautions

3.

Which of the following are phases of the system development life cycle (SDLC)?

a)

Design, analysis, and alignment

b)

Maintenance, implementation, and improvement

c)

Analysis, design, implementation

d)

Analysis, alignment and improvement

4.

Which of the following is an example of a clinical information system?

a)

Laboratory information system

b)

Human resource management system

c)

Patient registration system

d)

Staff management system

5.

What is the term for health records maintained by patients or their families?

a)

Electronic health records

b)

Mixed-media records

c)

Personal health records

d)

Longitudinal health records

6.

A hospital uses the copy functionality in its EHR system for documentation purposes. The hospital has established explicit policies that define when the copy function may be used. Which of the following would be the best approach for conducting a retrospective analysis to determine if hospital copy policies are being followed?

a)

Randomly audit EHR documentation for patients readmitted within 30 days.

b)

Survey practitioners to determine if they are following hospital policy.

c)

Institute an in-service program for all hospital personnel.

d)

Observe the documentation practices of all personnel.

7.

How long should the master patient index be maintained?

a)

For at least 5 years

b)

For at least 10 years

c)

For at least 25 years

d)

Permanently

8.

A technique that describes an interaction between a user and a system is call a(n):

a)

Use case analysis

b)

RHIO

c)

Test case

d)

Use description

9.

A current key function in the health information field whereby data is turned into useful information is:

a)

Data mining

b)

Decision analysis

c)

Clinical decision support

d)

Data analytics

10.

What term is used for a centralized database that captures, sorts, and processes patient data and then sends it back to the user?

a)

Clinical data repository

b)

Data exchange standard

c)

Central processor

d)

Digital system

11.

Dr. Jones comes into the HIM department and requests that the HIM director pull all of his records from the previous year in the which the principal diagnosis of myocardial infarction was indicated. Where would the HIM director begin to pull these records?

a)

Disease index

b)

Master patient index

c)

Operative index

d)

Physician index

12.

In analyzing the reason for changes in hospital's Medicare case-mix index over time, the analyst should start with which of the following levels of detail?

a)

Account level

b)

MS-DRG level

c)

MDC level

d)

Ms-DRG triples, pairs, and singles

13.

A healthcare entity remains committed to purchasing a vendor's product, which the entity finds solid in its financial and administrative applications but weaker in clinical applications. What is the term for this strategy?

a)

Bridge

b)

Best-of-fit

c)

Best-of-breed

d)

Legacy

14.

The HIM director is on the design team for the CPOE system. During a user interface design session, a sample of the electronic system is demonstrated. Two of the physicians are concerned about the overuse of alerts. What problem could the alert feature pose in the new system?

a)

Unnecessary alerts can lead to clinicians ignoring other important alerts?

b)

Alerts make order entry difficult.

c)

Physicians do not like to be reminded how to treat patients.

d)

The Joint Commission discourages an alert system.

15.

In which phase of the systems development life cycle does initial training on a new information system generally occur?

a)

Analysis

b)

Design

c)

Implementation

d)

Maintenance and evaluation

16.

Identifying user information needs is part of which phase of the systems development life cycle?

a)

Analysis

b)

Design

c)

Implementation

d)

Evaluation

17.

In which type of health information exchange architectural model does the entity operate much like an application service provider (ASP) or bank vault?

a)

Consolidated

b)

Federated-consistent databases

c)

Federated-Inconsistent databases

d)

Switch

18.

Which index, often considered the most important resource in a healthcare facility, is a database of patients within the facility or associated group of facilities?

a)

Facility-specific index

b)

Disease index

c)

Master patient index

d)

Operation index

19.

Which of the following basic services provided by a health information exchange(HIE) entity matches identifying information to an individual?

a)

Consent management

b)

Person identification

c)

Record locator

d)

Identity management

20.

Dictated and transcribed reports and notes written by the physicians and other practitioners are examples of:

a)

Standardized clinical information

b)

Codified data

c)

Aggregate data

d)

Unstructured clinical information

21.

Allowing different health information systems to work together within and across organizational boundaries is referred to as:

a)

Telehealth

b)

Interoperability

c)

Informatics

d)

Interfaces

22.

One strategy for acquiring EHR components from various and interfacing them is

a)

Best-of-breed

b)

Best-of-fit

c)

Dual core

d)

Integration

23.

The EHR implementation strategy stops its paper processing immediately after the go-live of the system.

a)

Phased roll-out

b)

Big bang roll-out

c)

Pilot

d)

Straight turnover

24.

Mary Smith, RHIA, director of HIM at Central Hospital is in the process of training staff and employees on the move from a paper record to an electronic record. As she continues this transition, what health record format would most likely be used?

a)

Hybrid records

b)

Integrated records

c)

Problem-oriented records

d)

Clinical decision records

25.

A secure method of communication between the healthcare provider and the patient is:

a)

Personal health record

b)

E-mail

c)

Patient portal

d)

Online health information