Health Information Management Technology

Our college has applied to become accredited by CAHIIM and we have completed the initial steps. Identify the name of the initial stage of accreditation that we are in.

Candidacy

Which of the following individuals may authorize release of health information?

A married 15-year-old father

RHIA

A type of certification granted after completion of an AHIMA-accredited four-year program in health information management and a credentialing examination

Registered Health Information Administrator (RHIA)

A type of certification granted after completion of an AHIMA-accredited four-year program in health information management and a credentialing examination

RHIT

A type of certification granted after completion of an AHIMA-accredited two-year program in health information management and a credentialing examination

Registered Health Information Technician (RHIT)

A type of certification granted after completion of an AHIMA-accredited two-year program in health information management and a credentialing examination

Emeritus membership

AHIMA membership category for members who are 65 years old or older.

Student membership

AHIMA membership level that includes any student who does not have an AHIMA credential, has not previously been an active member of AHIMA, and who is formally enrolled in a Professional Certificate Approval Program or Approved Committee for Certificate Programs, or in a CAHIIM-accredited HIM program

Community Hospital is planning implementation of various elements of the EHR in the next six months. Physicians have requested the ability to access the EHR from their offices and from home. What advice should the HIM director provide?

Access can be permitted providing that appropriate safeguards are put in place to protect against threats to security.

An employee accesses PHI on a computer system that does not relate to her job functions. What security mechanism should have been implemented to minimize this security breach?

Access controls

Which of the following is true regarding the development of health record destruction policies?

All applicable laws must be considered

AAMRL

American Association of Medical Record Librarians

ACS

American College of Surgeons

The hospital standardization movement was initiated by the?

American College of Surgeons

AHIMA

American Health Information Management Association

AMRA

American Medical Record Association

Hospital Standardization Program

An early 20th-century survey mechanism instituted by the American College of Surgeons and aimed at identifying quality-of-care problems and improving patient care; precursor to the survey program offered by the Joint Commission

ARLNA

Association of Record Librarians of North America

A hospital is planning to allow coding professionals to work at home. The hospital is in the process of identifying strategies to minimize the security risks associated with this practice. Which of the following would be best to ensure that data breaches are minimized when the home computer is unattended?

Automatic session log-off

Which of the following refers to guarding against improper information modification or destruction?

Integrity

A subpoena duces tecum compels the recipient to:

Bring records to a legal proceeding

Organization that accredits HIM education program is

CAHIIM

Formal agreement granting an individual permission is known as

Certification

The HIM profession is changing due to

Changes in technolgy

CCHIIM

Commission on Certification for Health Informatics and Information Management (CCHIIM)

Typically, the record custodian can testify about which of the following when a party in a legal proceeding is attempting to admit a health record as evidence?

Identification of the record as the one subpoenaed

Community Hospital is terminating its business associate relationship with a medical transcription company. The transcription company has no further need for any identifiable information that it may have obtained in the course of its business with the hospital. The CFO of the hospital believes that to be HIPAA compliant, all that is necessary is for the termination to be in a formal letter signed by the CEO. In this case, how should the director of HIM advise the CFO?

Confirm that a formal letter of termination is required and that the transcription company must provide the hospital with a certification that all PHI that it had in its possession has been destroyed or returned

What is the term used most often to describe the individual within an organization who is responsible for protecting health information in conjunction with the court system?

Custodian of records

The healthcare organization wants to examine raw data to make conclusions about the future of the healthcare organization, known as?

Data Analytics

When data has been lost in an EHR, which action is taken to remedy this problem?

Data recovery

On review of the audit trail for an EHR system, the HIM director discovers that a departmental employee who has authorized access to patient records is printing far more records than the average user. In this case, what should the supervisor do?

Determine what information was printed and why

A dietary department donated its old laptop to a school. Some old patient data were still on the computer. What controls would have minimized this security breach?

Device and media controls

Which HIPAA-required tracking system can be queried to determine the percentage of responses to ROIs that are sent to attorneys, insurance companies, and covered entities?

Disclosure management system

I would like to consult with other HIM professionals on what to do in a situation. I should utilize

Engage

With regard to training in PHI policies and procedures:

Every member of the covered entity's workforce must be trained

The release of information function requires the HIM professional to have knowledge of:

Federal and state confidentiality laws

House of Delegates

Governs the HIM profession

What types of covered entity health records are subject to the HIPAA privacy regulations?

Health records in any format

I would like to apply for AHIMA fellowship. I have been a member of AHIMA for eight continuous years of HIM experience. I have a master's degree and I have worked in a # of volunteer roles for AHIMA. Determine if I am eligible for the designation. If not, determine why

I am not for an American Health Information Management Association (AHIMA) fellowship because I need a minimum of 10 yeas of HIM experience

When an individual requests a copy of the PHI or agrees to accept summary or explanatory information, the covered entity may:

Impose a reasonable cost-based fee

active membership

Individuals interested in the AHIMA purpose and willing to abide by the Code of Ethics are eligible for active membership. Active members in good standing shall be entitled to all membership privileges including the right to vote

The three elements of a security program are ensuring data availability, protection, and:

Integrity

The new model of HIM practice is

Information focused

IG

Information governance

Which of the following is a characteristic of breach notification?

It applies when one person's PHI is breached

Spoliation can be defined as which of the following?

It is destroying, changing, or hiding evidence intentionally

Access to health records based on protected health information within a healthcare facility should be limited to employees who have a:

Legitimate need for access

Which of the following is an example of a physical safeguard that should be provided for in a data security program?

Locking computer rooms

The admissions director maintains that a notice of privacy practices must be provided to the patient on each admission. How should the HIM director respond?

Notice of privacy practices is required on the first provision of service

Sally has requested an accounting of PHI disclosures from Community Hospital. Which of the following must be included in an accounting of disclosures to comply with this request?

PHI sent to a physician who has not treated Sally

A home health agency has plans to implement a computer system where its nurses document home care services on a laptop computer taken to the patient's home. The laptops will connect to the agency's computer network. The agency is in the process of identifying strategies to minimize the risks associated with the practice. Which of the following would be the best practice to protect laptop and network data from a virus introduced from an external device?

Personal firewall software

Ted and Mary are the adoptive parents of Susan, a minor. What is the best way for them to obtain a copy of Susan's operative report?

Present an authorization that at least one of them (Ted or Mary) has signed

An individual's right to control access to his or her personal information is known as:

Privacy

The right of an individual to keep personal health information from being disclosed to anyone is a definition of:

Privacy

Community Hospital has implemented an EHR and is no longer retaining paper health records. The hospital HIM department director has determined that the facility needs the file room space where the paper health records that are not yet eligible for destruction. The HIM director wants to move these health records to a remote storage location. The records will be stored in boxes and will be filed on open shelves at the remote location. Which of the following should be done so that record location can be easily identified in the remote storage area?

Provide a unique identifier for each box and prepare a log of the records that is cross-indexed by box identifier

A patient requests a copy of his health records. When the request is received, the HIM clerk finds that the records are stored off-site. Which is the longest timeframe the hospital can take to remain in compliance with HIPAA regulations?

Provide copies of the records within 60 days

Community Hospital has a storage facility with older records that must be retained to meet retention laws and guidelines. The HIM professional has been tasked with removing health records from an associated clinic of patients who have not been treated for a specific period of time and sending those records to the storage area. This process is called:

Purging records

RHIA

Registered Health Information Administrator

RHIT

Registered Health Information Technician

Which of the following is true about health information retention?

Retention periods differ among healthcare facilities

A health information technician receives a subpoena ad testificandum. To respond to the subpoena, which of the following should the technician do?

Review the subpoena and appear at the time and place supplied to give testimony

Which of the following should be considered first when establishing health record retention policies?

State retention requirements

A hospital HIM department receives a subpoena duces tecum for records of a former patient. When the health record technician goes to retrieve the patient's health records, it is discovered that the records being subpoenaed have been purged in accordance with the state retention laws. In this situation, how should the HIM department respond to the subpoena?

Submit a certification of destruction in response to the subpoena

I would like to propose a change to the HIM profession. I should go to

The House of Delegates

Information governance (IG)

The accountability framework and decision rights to achieve enterprise information management (EIM). IG is the responsibility of executive leadership for developing and driving the IG strategy throughout the organization. IG encompasses both data governance (DG) and information technology governance (ITG)

Which of the following definitions best describes the concept of confidentiality?

The expectation that personal information shared by an individual with a healthcare provider during the individual's care will be used only for its intended purpose

AMRA

The name adopted by the American Association of Medical Record Librarians in 1970; precursor of the American Health Information Management Association

American Medical Record Association (AMRA)

The name adopted by the American Association of Medical Record Librarians in 1970; precursor of the American Health Information Management Association

Data Analytics

The science of examining raw data with the purpose of drawing conclusions about that information

ACS

The scientific and educational association of surgeons formed to improve the quality of surgical care by setting high standards for surgical education and practice

American College of Surgeons (ACS)

The scientific and educational association of surgeons formed to improve the quality of surgical care by setting high standards for surgical education and practice

The Medical Record Committee is reviewing the privacy policies for a large outpatient clinic. One of the members of the committee remarks that he feels the clinic's practice of calling out a patient's full name in the waiting room is not in compliance with HIPAA regulations and that only the patient's first name should be used. Other committee members disagree with this assessment. What should the HIM director advise the committee?

There is no violation of HIPAA in announcing a patient's name, but the committee may want to consider implementing a change that might reduce this practice.

An external security threat can be caused by which of the following?

Tornadoes

code of ethics

a set of guidelines for maintaining ethics in the workplace

Data Use

ability to use technology to collect, store, analyze, and manage information, including the ability to use data visualization methods

registration

act of enrolling

Health Information Management

an allied health profession that is responsible for ensuring the availability, accuracy, an d protection of the clinical info that is needed to deliver healthcare related decisions.

CAHIIM

commission on accreditation for health informatics and information management education

engage

community website managed by AHIMA for members to communicate on HIM topics

New Graduate membership

for AHIMA student members only; after graduating a CAHIIM-accredited HIT-, HIA- or AHIMA-approved coding program, AHIMA student members may join as new graduate members at a reduced annual dues rate; limited to one year.

global membership

for people who are interested in HIM but live outside the U.S.

CAHIIM

independent accrediting organization whose mission is to serve the public interest by establishing and enforcing quality accreditation standards for health informatics and health information managemen

commission on accreditation for health informatics and information management education (CAHIIM)

independent accrediting organization whose mission is to serve the public interest by establishing and enforcing quality accreditation standards for health informatics and health information management

CCHIIM

independent body within AHIMA that establishes and enforces standards for the certification and certificate maintenance of health informatics and info management professionals

Commission on Certification for Health Informatics and Information Management (CCHIIM)

independent body within AHIMA that establishes and enforces standards for the certification and certificate maintenance of health informatics and info management professionals

Candidacy

initial accreditation stage when a program is working towards CAHIIM accreditation

Cerfication

is a credential earned by demonstrating specific skills or knowledge

credential

is a formal agreement granting an individual permission to practice in a profession, usually conferred a national professional organization dedicated to a specific area of healthcare practice; OR the accordance of permission by a healthcare organization to a licensed independent practitioner to practice in a specific area of specialty within the organization.

American Association of Medical Record Librarians (AAMRL)

name adopted by the association of record librarians of north America in 1944. Precursor of the American health info management association

new to AHIMA membership

offers those who have never been a member of the AHIMA a discounted rate for 2 years

ARLNA

organization formed 10 years after the beginning of hospital standardization movement whose original objective was to elevate the standards of clinical record keeping in hospitals, dispensaries, and other healthcare faculties, precursor of the American Health Information Management Association.

Association of Record Librarians of North America (ARLNA)

organization formed 10 years after the beginning of hospital standardization movement whose original objective was to elevate the standards of clinical record keeping in hospitals, dispensaries, and other healthcare faculties, precursor of the American Health Information Management Association.

Component state associations (CSAs)

professional associations that support the mission and views of AHIMA in their state

AHIMA

professional membership organization for managers of health record services and healthcare info systems as well as coding services; provides accreditation. advocacy, certification, and educational services.

American Health Information Management Association (AHIMA)

professional membership organization for managers of health record services and healthcare info systems as well as coding services; provides accreditation. advocacy, certification, and educational services.

premier membership

provides all the benefits described in active membership plus additional benefits such as unlimited recertification and additional discounts

board of directors

set the organizational strategy, maintain fiscal oversight, and the act as trustees of the organization

Informatics

use information and technology to communicate, manage knowledge, mitigate error, and support decision making

Accreditation

voluntary process of institutional or organizational review in which a quasi-independent body created for this purpose periodically evaluates the quality of the entity's work against pre-established written criteria