Health Data
A formal process of documenting what change in an information system is needed and approval to make the change is: ______________ -Change control -Change management -Configuration management -Corrective action
Change control
Which of the following is a critical component of strategic planning? -Identifying budgetary limitations -Selecting a strategic planning consultant -Monitoring the external environment -Setting up committees to define strategies
Monitoring the external environment
Which of the following determines the portfolio of data governance initiatives? -Compliance requirements -Data quality -Organizational strategy -Regulations
Organizational strategy
Which of the following is a primary data source? -Patient medical record -State cancer registry -MEDLINE -Physician index
Patient medical record
A determination of whether the new system pays for itself is _____. -Benefits realization -Budgeting -Cost/benefit analysis -Return on investment
Return on investment
Dr. Jones, a surgeon at Healthwise Hospital, takes out Dennis Adams' thyroid due to a diagnosis of thyroid cancer. How soon must Dr. Jones dictate the operative report? -Immediately after the surgical procedure is completed -Within 48 hours of the operation -Before the pathology report is completed -Before discharge or transferring the patient to a follow-up physician
Immediately after the surgical procedure is completed
Which of the following best describes a data governance program? -A group of data stewards and business analysts who set data policy -A process whereby data accountabilities and decision rights are assigned -The enterprise authority that ensures control and accountability for enterprise data -A project whose purpose is to control the organization's data assets
The enterprise authority that ensures control and accountability for enterprise data
A physician office established the goal of "Implementing our vendor's personal health record system offering via the existing portal to be used by the majority of patients will help improve our achievement of value-based care." What element of writing an effective goal is missing? -Measurement -Relevancy -Specificity -Time-based
Time-based
______ would be categorized as voluntary hospitals. US military hospitals University hospitals Investor-owned hospitals Proprietary hospitals
University hospitals
The federal government became involved in the _______ and malpractice issue through the establishment of the National Practitioner Data Bank under the Healthcare Quality Improvement Act of 1986. -employment of physicians -quality of care -licensure -pay for performance
quality of care
What is the traditional format for a hospital patient care record? -integrated -practice-oriented -chronological -source-oriented
source-oriented
A database management system that scales out is one that: -requires administrators to buy bigger servers to deal with increasing storage needs -does not use a table-based representation -uses cardinality to entity relationship to determine table structure -to deal with increasing storage needs
to deal with increasing storage needs
In healthcare facilities, the most common means of identifying a patient is by using the _____. -full name -date of birth -unique identification number -principal diagnosis
unique identification number
Which of the following is a secondary data source that collects data about patients with a specific diagnosis? -Disease index -Master patient index -Registry -Register
registry
Which of the following statements describes a critical skill to ensure a successful implementation of a strategic plan? -Ability to implement operational goals -Ability to deliver results on budget -Ability to develop performance metrics and track them on a balanced scorecard -Ability to accomplish all goals by oneself
Ability to develop performance metrics and track them on a balanced scorecard
An example of an operational requirement when developing a strategic plan for health IT is _____. -Acquiring mobile devices -Hiring a certified project manager -Implementing a remote back up site -Upgrading a patient portal with online scheduling
Hiring a certified project manager
Which is the best definition of ambulatory surgery? -Any surgical procedure that is done in an emergency department -Any surgical procedure that does not require an overnight hospital stay -Any surgical procedure that is done on a patient who is brought to the hospital in an ambulance -Any surgical procedure that is performed in a surgicenter
Any surgical procedure that does not require an overnight hospital stay
Which of the following is an example of system maintenance? -Adding a new information system component for a new center of excellence -Being prepared to implement regular updates to clinical classification systems -Creating a new position of health informatics -Revising technical specifications
Being prepared to implement regular updates to clinical
Which of the following most likely reflects a breakthrough strategy rather than an operational tactic? -Improving the speed and accuracy of coding -Empowering consumers by providing internet access to test findings and medication summary -Implementing imaging for historical records -Setting up a help desk for physicians in need of technology training
Empowering consumers by providing internet access to test findings and medication summary
If the whistleblower is an employee, the employer can take which actions against the employee. -Termination -Suspension -Demotion -None of the above
None of the above
_____ represents a significant strategic change in the HIM industry. -Physicians needing to keep up on dictation -Keeping patient medical records confidential -The personal health record -Submitting medical record data for billing and collections
The personal health record
Instructions: For this question, match the data sets listed in column A with the associated responsible standard setting organization. The organizations in column B may be used more than once. You may have multiple answers in Column A that correlate to more than one standard setting organization in Column B. a. transitions of care (toc) b. continuity of care record (CCR) c. clinical documentation architecture (CDA)
a. s&i framework b. astm c. hl7
As illustrated in the DIKW hierarchy, wisdom relates to understanding relationships or context of data. True False
false
Which of the following is best describes the purpose of business intelligence? -To store data in a data warehouse -To provide access to data for better decision making -To bring together an organization's key data -To implement better data security
To provide access to data for better decision making
Violations of EMTALA can result in _____. -Exclusion from Federal Healthcare Programs -Civil Penalties -Criminal Penalties -A and b only
A and b only
The fact that a patient entered data into an EHR via a portal is _____. -Administrative metadata -Captured in a data model -E-discovery -Software programming
Admin metadata
Which of the following is not associated with a typical data dictionary? -Table names -An entity-relationship diagram -A description of each attribute -Whether the attribute is required
An entity-relationship diagram
The goal of LOINC is to _____. -replace the laboratory fields in all healthcare databases -serve as the standard terminology for sharing laboratory results -standardize laboratory testing machines -limit the types of laboratory tests
serve as the standard terminology for sharing laboratory results
What are some examples of identity theft red flags categories?
Answer: Alerts or notification from a consumer reporting agency suspicious documents suspicious personally identifying information patient's reporting (p. 304).
Which of the following represents the correct sequence (from low to high) of levels of interoperability? -Semantic, basic, functional -Basic, functional, semantic -Functional, process, semantic -Functional, semantic, basic
Basic, functional, semantic
Which one of the following statements best reflects the current strategic planning environment? -The focus of strategic planning has become narrower in scope. -Because strategic planning is so complex, it requires fairly complex database support. -Strategic plans must project three to five years into the future if they are to be effective. -Because the environment is volatile, strategic planning must be fluid and open to change.
Because the environment is volatile, strategic planning must be fluid and open to change.
Which of the following best describes structured data? -Data that do not have a pre-defined data model -Data organized and interpreted by traditional databases -Data in documents, emails -Data about key business entities
Data organized and interpreted by traditional databases
Which of the following best describes master data? -Data that an enterprise maintains about key business entities -Data that describes other data -Structured data residing in a database -Data used to make business decisions
Data that an enterprise maintains about key business entities
The purpose an Interface Terminology is to facilitate data capture from the clinician at the point of care. Which is an example of an interface terminology? -ANSI -HL7 -Interoperability -MEDCIN
MEDCIN
Healthwise Hospital wants to be able to offer services to Medicare patients. In order to do this, they must first achieve which of the following? -Medicare certification and state licensure -AHIMA designation and Bylaw approval -State licensure and TJC Accreditation -Commercial insurance reimbursement approval
Medicare certification and state licensure
Which professionals on the healthcare team are primarily responsible for documenting information in the patient record? -physicians and providers who direct patient care -administrators, the medical director, and physicians -physicians, nurses, and health information professionals -surveyors and researchers who review records
physicians and providers who direct patient care
Lisa, an HIM analyst for Healthwise Hospital, is conducting a quantitative analysis of a discharged patient's chart. Her goal in this process is _____. -ensuring that the record is legible -identifying deficiencies early so they can be corrected verifying that health professionals are providing appropriate care -checking to ensure that bills are correct
identifying deficiencies early so they can be corrected verifying that health professionals are providing appropriate care
SNOMED-CT is a(n): -classification system -reference terminology -interface terminology -reimbursement system
reference terminology
Medicare requires that a history and physical examination be completed within what time frame after a patient's admission to a hospital? -12 hours -24 hours -48 hours -72 hours
24 hours
Hospitals can be classified by which of the following? -Type of services provided -Type of ownership -Number of beds -All of the above
All of the above
Which services are not provided by retail clinics? -Sports physicals -Immunizations -Chest x-rays -Prescription refills
Chest x-rays
All of the following are characteristic of strategic thinking except _____. -Process of thinking by a CEO and key leaders in an organization -A clear understanding of the organization's external and internal environment -Developing a short-range plan for how to respond to an issue -A vision of the organization at some point into the future
Developing a short-range plan for how to respond to an issue
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 ______. -Disease index -Operative index -Master patient index -Trauma registry
Disease index
The final step before users start to use the system on their own is:____________ -Change management -Data conversion -Go-live -Training
Go-live
Which registry tracks product performance and allows for patient notification of product failure? -Cancer -Diabetes -Birth defects -Implant
Implant
The process by which concepts and terms in one system are associated with concepts and terms in another system is called _______. -Mapping -Cross-walking -Linking -Connecting
Mapping
Who are the key assessors for external audits? Select all that apply. -State government -Federal government -Compliance officer -Risk manager
State and federal government
What does the metathesaurus component of the UMLS provides information on?
The metathesaurus provides biomedical concepts and terms from more than 100 classifications and terminologies
What is the primary importance of data architecture management? -To identify security breaches -To define data requirements and integrate and control organization data assets -To determine what type of hardware are needed -To describe a data warehouse
To define data requirements and integrate and control organization data assets
Data on groups of people or patients without identifying a particular patient individually is called__________? -aggregate data -essential data -attribute -customary data
aggregate data
Data governance rules of engagement are policies for assigning decision rights True False
false
Which of the following documentation examples is in compliance with the Joint Commission standards for operative reports? -operative report is dictated immediately after surgery -operative note is recorded in the progress notes before transfer to the post-anesthesia unit -post-operative instructions are included in the patient orders before transfer to the post-anesthesia unit -operative report is dictated prior to the patient's discharge from the hospital
operative note is recorded in the progress notes before transfer to the post-anesthesia unit
A(n) ______ provides a common source for comparison and data aggregation through which data captured through a variety of terminologies can be mapped. -interface terminology -nomenclature -lexicon -reference terminology
reference terminology
A migration path _______. -Describes the costs and benefits of new systems -Documents the details of hardware and software requirements -Provides a tool to conduct a survey on potential challenges -Supplies a high level picture or framework for components of a system
-Supplies a high level picture or framework for components of a system
Dr. Laney discharges George Duncan to go home after a five-day hospital stay. How long will Dr. Laney typically have to complete George Duncan's discharge summary to be placed in his medical chart? -24 hours after discharge or immediately after the last treatment -48 hours after discharge -30 days after discharge -This patient will not require a discharge summary since his stay was less than 10 days
30 days after discharge
The stage at which every intended user is using basic functionality is _____. -Adoption -Implementation -Optimization -Use
Adoption
The best way to assure that elements of a health information system work together is to _____. -Adopt all components from a single vendor -Assure standards are applied to software development that support interoperability -Use an application service provider that supports all vendors -Verify that a vendor applies a systems' view to its product development
Assure standards are applied to software development that support interoperability
When a data breach occurs in a healthcare facility, what tool might be among those most useful in determining its cause? -Audit log -Data model -Security control policies -System flowchart
Audit log
DSM-V is used most frequently in what type of care setting? -Nursing homes -Ambulatory surgery centers -Behavioral health centers -Home health agencies
Behavioral health centers
Organizational strategy is recommended to be developed by an organization's _____. -Board of trustees and senior administrators -Board of trustees, senior administrators, and department managers -Department managers and line employees -Unionized employees
Board of trustees, senior administrators, and department managers
A cancer committee wants to compare long-term survival rates for breast cancer by comparing outcomes for the mastectomy versus lumpectomy approaches. The best source of this information is the ______. -Disease index -Operative index -Cancer registry -Master patient index
Cancer registry
Your supervisor asks you to evaluate use needs as part of a database design project. Which of the following phases is this task associated with? -Conceptual database design phase -Logical database design phase -Physical database design phases -All of the above
Conceptual database design phase
For a community hospital looking to cut cost out of a vendor's proposal for health IT, it should consider _____. -Acquiring its own hardware -Conducting process improvement in advance to improve return on investment -Extending implementation over a longer period of time -Writing their own software
Conducting process improvement in advance to improve return on investment
When a physician office acquires a new EHR in place of its old EHR, the old EHR data will require _____. -Chart conversion -Chart transition -Data conversion -Data processing
Data conversion
To categorize unstructured data which of the following should be incorporated into the data governance content management function? -Development of rules to place the data in transactional databases -Development of guidelines to use the data warehouse to store the data -Development of indexing and cataloging systems for the data -Development of a data dictionary to describe each element
Development of indexing and cataloging systems for the data
Which of the following concepts is NOT a way to ensure that change is lasting and to prepare the organization for more change? -Quantify the impact, benefits, and value of the changes and use data to identify the direction for future change -Continue intensive communication on issues facing HIM and the organization -Approach strategy and organizational development as a continuous change process -Do not expect employees to change quickly, therefore provide training programs later into the process of strategic implementation
Do not expect employees to change quickly, therefore provide training programs later into the process of strategic implementation
Strategic planning for information systems is best performed by _____. -End users of an information system -Information technology staff -Organizational leadership across disciplines -Vendors and others who build systems
End users of an information system
Systems have a life cycle that provides _____. -Definition of goals for the overarching system -Feedback mechanism for continuous improvement -Sequential steps for strategic planning -Timeline for completion of implementation
Feedback mechanism for continuous improvement
______ govern(s) the operation of a hospital medical staff. -Medical staff classification -Medical staff bylaws -Medical staff credentialing -Medical staff committees
Medical staff bylaws
In carrying out the strategic plan for health IT, which of the following is most likely to ensure that a given part of the plan is carried out as expected? -Environmental scan -Project plan -Migration path -Risk analysis
Project plan
Physician A has been asked to participate in a clinical trial on diabetes. He needs to know the details about the study including the title, principal investigator, background, and rationale for the study. Which document should he refer to? -Common rule -Operating manual -Test requirements -Protocol
Protocol
Which of the following descriptions best describes the Medicaid program? -Provides healthcare benefits for people aged 65 and older -Provides healthcare benefits to low-income persons and their children -Authorizes states to construct new hospitals -Requires extensive changes in the Medicare program
Provides healthcare benefits to low-income persons and their children
Which of the following is an external user of data? -Public health department -Medical staff -Hospital administrator -Director of the clinical laboratory
Public health department
The vision of a health information services department should _____. -Stand alone as a guiding force for the department -Be developed by the director of the health information services department -Be limited by organizational constraints -Reflect the vision of the organization
Reflect the vision of the organization
When a healthcare professional complains that the EHR produces too many alerts, action should be taken to _____. -Dismiss the complaint because data quality will be impacted without the alerts -Eliminate some of the alerts about which most professionals have complained -Retrain the professional on how to use alerts correctly and monitor for future issues -Set up a process to evaluate and correct alert fatigue overall for the EHR
Set up a process to evaluate and correct alert fatigue overall for the EHR
_____ does not require "intent" to be found guilty. -The Stark Law -EMTALA -Waste -RACs
The Stark Law
Once a concept receives a unique identifier, it is placed in a specific metathesaurus structure. The structure itself has different levels of specification, meaning: -You can glean information about the concept just by looking at the identifier -The concepts could have several associated descriptions -The concept can have only one associated description -The concept does not exist
The concepts could have several associated descriptions
Why is data governance of the content management function important? -To make data modeling easier -To provide decision rights to end users -To develop data protection mechanisms -To identify links and relationships among documents can be identified
To identify links and relationships among documents can be identified
Instructions: Match each project with the correct strategic planning element. a. Implement a personal health record for all existing patients and families to improve health outcomes by 2021. b. Train nurses to use bedside computer terminals for nursing documentation as the first step in EHR implementation. c. Evaluate the impact of a reduction in clinical paper forms with nursing to prepare for bedside nursing documentation. d. Be recognized as one of the top-100 hospitals in the Midwest in 20XX.
a. strategy b. goal c. objective d. vision
Classifications and nomenclatures _____. -categorize and aggregate data -represent the whole of a subject field -assign code numbers to concepts -help with computerized patient records
categorize and aggregate data
A set of terms and their synonyms that represent a medical domain is a _____. -data dictionary -clinical classification -mapping -clinical terminology
clinical terminology
Maps from terminologies to classifications (and possibly from classifications to terminologies) are expected to _____. -automate all coding -facilitate "enter once, use many" functionality -ultimately eliminate the need for classification systems -be very expensive for facilities to acquire and use
facilitate "enter once, use many" functionality
The barrier to adopting SNOMED for healthcare facility coding is that it ______. -does not include all diagnoses, procedures, and services that are common in a variety of facilities -is too complex to use as a reimbursement coding system -is only a vocabulary and does not include a numerical coding system -is not computer compatible
is too complex to use as a reimbursement coding system
A map of a single CPT code that is used to report any/all allergen tests to a LOINC code for a test for a unique allergen is an example of a(n) _____. -one-to-one map -narrow-to-broad map -broad-to-narrow map -unmappable
narrow-to-broad map
The two primary purposes of historical coding systems have been _____. -knowledge management and patient care -decision support and quality assurance -reimbursement and the creation of secondary records -research and utilization review
reimbursement and the creation of secondary records
As a result of the Flexner Report in the early part of the 20th century, which of the following occurred? -Hospitals were established in most communities in the United States -Nursing was recognized as a profession -Hospital accreditation standards were established -Standards were established for medical schools and medical education
-Standards were established for medical schools and medical education
Fraud can occur _____. (Select all that apply.) -When an individual deliberately deceives another to gain a benefit -When an individual in billing makes an unintentional mistake -When an individual does something he or she should have known was illegal All of the above
-When an individual does something he or she should have known was illegal -When an individual deliberately deceives another to gain a benefit
Which of the following best differentiates the role of strategic management and strategic thinking as compared to other management tools and approaches? -A component of each of the major functions of management -An additional function that one learns after mastering other management functions -A replacement for certain management functions -A role for senior managers and board of trustees
A component of each of the major functions of management
Which of the following is not a characteristic of strategy? -An action or set of actions -A description of how one intends to achieve the goals -A description of specific implementation plans -A plan to improve the organization's fit within the external environment
A description of specific implementation plans
Which of the following statements best describes a unit record system? -The charts generally have to be split into volumes for filing. -All records, both inpatient and outpatient, for a specific patient are in one file. -The hospital can accommodate a large outpatient clinic with many return visits. -Joint Commission approval is automatic because all parts of the record are filed together.
All records, both inpatient and outpatient, for a specific patient are in one file.
In a DG program which of the following is an example of decision rights? -Being assigned a password -Requiring the use of data encryption -Assigning authority to the IT department for data model standards -Establishing the DG program mission statement
Assigning authority to the IT department for data model standards
Provide at least five (5) examples of areas of special concern an organization's policies and procedures should include for reimbursement as identified by the OIG in its Compliance Guidance for Hospitals.
Billing for items or services not rendered Upcoding Unbundling Documentation Issues DRG creep Billing for discharge in lieu of transfer Reimbursement is all about the coding and billing and the documentation to support it.
Core immunization data elements to be included in an immunization registry have been developed by ______. -National Center for Health Statistics -American Health Information Management Association -Centers for Disease Control and Prevention -National Immunization Network
Centers for Disease Control and Prevention
John Smith and his wife have decided not to vaccinate their school-aged children due to lack of trust in the healthcare industry. Which group would have reservations about this decision? -National Center for Health Statistics -American Health Information Management Association -Centers for Disease Control and Prevention -National Child Abuse Network
Centers for Disease Control and Prevention
In determining how an Information Governance or Data Governance program should be organized, which of the following would be the best choice for success? -Choose a framework developed by another organization -Choose or modify a framework that fits the mission and scope of the program -Conduct a literature search and compare models -Hire a consultant with expertise
Choose or modify a framework that fits the mission and scope of the program
Which of the following is a business role; with major responsibilities that include identifying the specific data needed to operate business processes, recording metadata, and identifying and enforcing quality standards? -Chief data officer -Data definition stewards -Data production stewards -Subject matter experts
Data definition stewards
Which Act was passed to stop the practice of refusing to treat people because of inability to pay or insufficient insurance? -Health Information Technology for Economic and Clinical Health Act -Emergency Medical Treatment and Active Labor Act -American Recovery and Reinvestment Act -Federal False Claims Act
Emergency Medical Treatment and Active Labor Act
Mary Smith delivers a stillborn infant at Medical Center Hospital. The appropriate method of documenting information about the infant is to _____. -Create a separate health record for the infant since it was carried to term -File all stillborn information in the mother's record since it was not a live birth -Complete a final discharge progress note for the mother that mentions the stillborn birth since there were no other complications -Do not retain information about the infant in hospital records since this is not considered a "live birth"
File all stillborn information in the mother's record since it was not a live birth
Which of the following statements most accurately describes funding for the Medicaid program? -Funding comes from the federal government -Funding comes from each state government -Funding is a joint Federal and state initiative -Funding is from private sources
Funding is a joint Federal and state initiative
The HIM director at Healthwise Hospital, Jan Hines, RHIA, has noticed that history and physicals and OP Reports are not being transcribed and returned by the transcription service within the negotiated timeframes. What should be her primary concern related to this issue? -That the transcription service company will overcharge the hospital for reports that are delayed. -That physicians will stop dictating reports and just include comments in the progress notes. -That the Joint Commission will find that history and physicals are not being uploaded into the EHR system within the 24 hours required timeframe. -That information is not being made available in the patient portal within the required timeframe.
That the Joint Commission will find that history and physicals are not being uploaded into the EHR system within the 24 hours required timeframe.
What should be the critical driver in assessing whether to develop an information governance program or a data governance program for an organization? -The budget available to fund the program -The personnel available to staff the program -The organizational assets and problems requiring oversight -The timeline for implementation
The organizational assets and problems requiring oversight
Why are the data artifacts produced through data architecture management important? -They define data policy for the organization -They help to identify security breaches that may occur -They are required by federal regulation -They provide the foundation of information systems
They provide the foundation of information systems
Successful strategic thinkers understand that three of the following competencies can and must be developed. These three are _____. -Visioning, strategy development, and change management -Communication, visioning, and budgeting -Leadership, change management, and operations management -Improvement, visioning, and managing
Visioning, strategy development, and change management
Which of the following questions would be the first critical to answer before developing an organizational information governance program? -What projects will be targeted the first year? -What is definition of information governance at our organization? -Who will oversee the information governance program? -What is the budget for the information governance program?
What is definition of information governance at our organization?
Laura, an HIM analyst, extracts information such as tumor size and whether it has spread into nearby tissue or lymph nodes from a patient chart. She enters this information into a cancer registry database. This is an example of _____ information from the patient record. -abstracting -archiving -prepping -reporting
abstracting
Alex, an HIM analyst, reviews the record of Patty Eastly, a patient in the facility, to ensure that all documents are completed and signatures are present. This is an example of a _____. -closed review -qualitative review -concurrent review -delinquent review
concurrent review
The one aspect of managed care that has had the greatest impact on healthcare organizations during the past 25 years is _____. quality control cost control risk management utilization management
cost control
A patient's date of birth is part of the _____ data in the health record. -historical -financial -clinical -demographic
demographic
Which of the following is a governmental designation by the state that is necessary for the facility to offer services? -survey -licensure -certification -accreditation
licensure
Mary Smith has been a patient in a variety of healthcare facilities over a period of many years. A health record that links data from all of these care settings so it is accessible to her current physician is called a _____ record. -lifelong -horizontal -developmental -longitudinal
longitudinal
Using a process that is known as _____, CMS and the Joint Commission both require that healthcare professionals assess the work of colleagues in the same profession. peer review utilization review workflow process mediation
peer review
A state sets up a cancer registry for the state. This is an example of a(n) _______ registry. -incidence -population-based -cohort -project
population-based
Advance Directives are useful as part of the health record because they __________. -provide the name of the next of kin -substitute for the notice of privacy practices -state the patient's preferences for care -take the place of informed consent
state the patient's preferences for care
What should be considered first when determining how long records must be retained? -the amount of space allocated for record filing -the number of records -the most stringent law or regulation in the state -the cost of filing space
the most stringent law or regulation in the state
Among the many skills that HIM professionals possess that are critical to a successful corporate compliance program, some of the most important is their knowledge of accurate documentation, coding and billing, accreditation, and attention to detail. -True -False
true
Medicare Conditions of Participation standards are the minimum standards that hospitals must meet in order to be a Medicare or Medicaid provider. -True -False
true
Which of the following is best described as a broad category of applications and technologies for gathering, storing, analyzing, and providing access to data to help enterprise users make better business decisions? -Business intelligence -Content management -Database management -Data governance
Business intelligence
Establishing a process to receive complaints and a procedure to protect the anonymity of complainants is one of the required elements in a(n) ____. -OIG Workplan -Compliance program -Reimbursement plan -ACO program
Compliance program
CMS developed health and safety standards for improving quality of care and protecting the health and safety of patients that must be met in order for a healthcare organization to participate in Medicare and Medicaid programs. The standards are called ____. -HITECH -ARRA -Accountable Care -Conditions of Participation
Conditions of Participation
A(n) ____ is imposed on providers by the OIG when fraud and abuse is discovered through an audit or self-disclosure. -Corporate Integrity Agreement -OIG Workplan -Red Flags Rule -None of the above
Corporate Integrity Agreement
A professional who applies technology, clinical practice, and financial affairs to helping organizations optimally use health information systems is _____. -Data analyst -Database administrator -Health information manager -Health informatician
Database administrator
What is the primary goal of integrated delivery systems (IDS)? -To ensure that every hospital that is part of the IDS is equipped with state-of-the-art equipment and technology -To ensure that patients receive high-quality, cost-effective care in the most appropriate setting -To ensure that every American has equal access to healthcare services -To ensure that healthcare-related information can be shared among all the facilities operating in the community
To ensure that patients receive high-quality, cost-effective care in the most appropriate setting
The original goal of the International Classification of Diseases (ICD) was to describe ________. -morbidity -prevalence of disease -mortality -incidence of disease
mortality
What is the main difference between the AHIMA data quality model and the MRI essential principles? -The MRI essential principles limits characteristics to clinical documentation -AHIMA data quality model attempts to include all healthcare data -Only the MRI essential principles is used to design data quality measures -All of the above
AHIMA data quality model attempts to include all healthcare data
It is Saturday morning and your 6-month-old baby is fussy, running a fever of 102, and pulling on his ear. What is the most appropriate setting to seek healthcare services? -Emergency department -Physician's office -Urgent care -Pharmacy
Urgent care
A healthcare organization that provides a full range of healthcare services along a continuum of care (for example, an organization that provides acute care services, long-term care services, and home health services) is called a(n) ____. -integrated delivery system -managed care system -public health system -hospital system
integrated delivery system
Which of the following is an operational element that should be included in a migration path for a hospital with an existing EHR and wishing to improve its population health data for value-based care reimbursement? -Acquisition of a clinical data warehouse -Building a data dictionary that encompasses data needs across the continuum -Coordinating the collection and use of social determinants of health -Supporting e-prescribing from computerized provider order entry systems
Coordinating the collection and use of social determinants of health
Which of the following best describes the role of innovation in strategic thinking as compared to other management tools and approaches? -Creates new market opportunities and serves as the driving force behind growth and profitability -Is an additional function that one learns after mastering other management functions -Is a replacement for certain leadership functions -Is the only goal of a strategic leader
Creates new market opportunities and serves as the driving force behind growth and profitability
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 _____. -Conflicts -Dependencies -Environmental issues -Policy decisions
Dependencies
The federal government is introducing ________ to advance value-based care. -Certification of hospitals -Prospective payment -Focus on population health -Deemed status
Focus on population health
According to Kotter, creating a sense of urgency is critical to successful change. What example best illustrates an effective technique for creating a sense of urgency by minimizing sources of complacency? -Laying out the vision and informing employees that their jobs are at stake -Convening a project steering committee to expand ownership of the vision and agenda -Engage employees, customers, and coworkers in a dialogue about change through a series of input meetings (namely, having them participate in the SWOT analysis) -Identify a revolutionary vision and goals, encourage strategic thinking, and drive decision making down to all levels -Completing a detailed plan and then engaging staff to carry out the implementation
Identify a revolutionary vision and goals, encourage strategic thinking, and drive decision making down to all levels
In SNOMED-CT, which term is used to describe how concepts are linked to one another? -Concept-orientation -Mapping -Relationship -Lexicon
Relationship
Registry data in a secondary healthcare database would most likely be used by _____. -Attending physicians for providing patient care -Researchers studying the efficacy of treatment methods -Insurance companies for determining whether to pay for a specific episode of care -Facility administration in setting per diem costs
Researchers studying the efficacy of treatment methods
____ programs are designed to prevent or reduce accidents and injuries in healthcare facilities and organizations. -Risk management -Accountable care -Security -Accreditation
Risk management
A patient suffered a stroke and following her hospitalization cannot return to her home. The arrangements for transfer to a nursing home and communicating with her family are completed by ______. Physical therapy Occupational therapy Social services You Answered Nursing
Social services
Which of the following is the best match of strategic planning concepts? -Operations improvement = strategic management -Operations improvement = external focus -Strategic management = community focus -Strategic management = external focus
Strategic management = external focus
An implementation plan is developed to ensure successful execution and includes _____. -Strategies, goals, and objectives -Vision, mission, and values -External and internal assessments -Timelines, resource needs, and vision
Strategies, goals, and objectives
Which of the following statements most accurately describes the Medicare program? -A state program that finances healthcare services for the elderly -A federal program that finances healthcare services for the elderly -A state program that finances healthcare services for low-income families -A federal program that finances healthcare services for low-income families
A federal program that finances healthcare services for the elderly
The new EHR vendor has a patient portal option, the HIM professionals are asked to comment on the implementation of the patient portal. Which of the following is the most appropriate response from the HIM team? -Agree to whatever the EHR vendor team suggests -Advocate for HIM professionals to lead the implementation -Suggest that risk management should be consulted -Suggest that patient portals not be implemented because of privacy concerns
Advocate for HIM professionals to lead the implementation
Which of the following would be the best source for the foundation of an organization's information governance mission statement? -AHIMA Information Governance Mission Statement -Comparison of various information governance mission statements -An organization's mission and overall strategy -An organization's reporting structure
An organization's mission and overall strategy
The database design phase where administrators assess user requirements and construct entity-relationship diagrams is called the _________. -Conceptual database design phase -Logical database design phase -Physical database design phase -Schema mapping
Conceptual database design phase
Which of the following best describes the importance assigning data decision rights? -Guarantee data security -Assure that HIPAA requirements are met -Certify that Meaningful Use criteria are met -Ensure responsibilityfor data-related decisions and when and how those decisions are made
Ensure responsibility for data-related decisions and when and how those decisions are made
________ hospitals provide long-term care services to patients recuperating from debilitating or chronic illnesses and injuries -Acute care -Specialty -Rehabilitation -Psychiatric
Rehabilitation
Two clerks are abstracting data for a registry. When their work is checked, discrepancies are found between similar data abstracted by the two clerks. Which data quality component is lacking? -Completeness -Validity -Reliability -Timeliness
Reliability
_____ includes avoidance, prevention, reduction, segregation, and non-insurance transfer. -The OIG workplan -Incident reporting -Contingency planning -Risk control
Risk control
What is the intention of managed care? -To manage cost, quality and access to care -To manage peer review efforts -To manage Medicare and Medicaid programs -To manage the accreditation process
To manage cost, quality and access to care
In conducting an analysis to determine the consistency of input in structured data which of the following sources would an analyst consult? -Document files in shared folders -Email files -Transactional databases -Binary Large Object Data Server
Transactional databases
You are working in the credentialing office at the hospital and need to check to see if a physician applying for medical staff privileges has had privileges denied at any other facility. You would check the: -Healthcare Integrity and Protection Data Bank -MEDPAR file -National Practitioner Data Bank -Volunteer Mutual Association
National Practitioner Data Bank
A patient involved in a clinical trial must follow a specific course of diagnosis and treatment that is referred to as a _____. -Protocol -Care plan -Registry -Case definition
Protocol
Not-for-profit hospitals differ from for-profit hospitals because they _____. do not bill for services -pay dividends to stockholders -reinvest excess funds in services and education -provide free medical education to medical students and residents
reinvest excess funds in services and education
