Assignment

Part 1

Question 1. What is the primary goal of integrated healthcare delivery systems?
Ensure that every hospital that is part of an integrated delivery system is equipped to meet all of its patients' needs
Ensure that patients receive high-quality, cost-effective care in the most appropriate setting
Ensure that every American has equal access to healthcare services
Ensure that healthcare-related information can be shared among all the facilities operating in the same community

Question 2. Which one of the first hospital established in the British Colonies of North America?
Massachusetts General Hospital
New York Hospital
Pennsylvania Hospital
Cortez Hospital

Question 3. Why was American Medical Association (AMA) not able to reform medical profession until 1874?
Because it was a small organization
Because it encouraged state licensing boards
Because members had ties to the medical schools
Because of its large membership base

Question 4. Members of the AHIMA House of Delegates are
appointed by the AHIMA Board of Directors.
elected by the AHIMA Board of Directors.
elected by members in state component organizations.
elected by the AHIMA Nominating Committee.

Question 5. The primary function of the American Health Information Management Association is to
ensure that accurate and complete medical records are written for every hospital patient.
standardize the content and format of the health records maintained by acute and emergency care facilities.
promote the accuracy, confidentiality, and accessibility of health records in every healthcare setting.
provide support for two- and four-year health information management educational programs.

Question 6. Which organization's goal is centered primarily on health information technology?
HIMSS
AHDI
AHIMA
AAPC

Question 7. Which of the following funded grants to educate health information technology professionals?
American Health Information Management Association (AHIMA)
American Recovery and Reinvestment Act (ARRA) of 2009
American Academy of Professional Coders (AAPC)
None of the above

Question 8. Which of the following is true about Medical Billing and Coding professionals?
They assign medical codes to patient diagnoses and procedures
They process medical bills and/or claims for healthcare providers or payers
They may perform these duties together or separate
All of the above

Question 9. As a health information professional, if you end up working as a _____________ , you will mostly design and manage the compliance program which assures that the healthcare organization is operating conform state and federal government requirements, as well as accrediting agency requirements.
Project Manager
Compliance officer
Domain manager
Data quality manager

Question 10. Which of the following was (were) effect(s) of the Great Depression on US Healthcare?
There was a decrease in the use of medical services
There was a decrease in hospital revenues
It made physicians willing to accept government-sponsored health insurance
All of the above

Question 11. The Joint Commission provides accreditation services for the following:
Ambulatory care
Acute care
Long-term care
All of the above

Question 12. This allied health professional evaluates and treats patients with injuries from psychological, physical or work-related impairment.
An Audiologist
An occupational therapist
A physical therapist
A speech-language pathologist

Question 13. Which of the following statements is true about registered nurses
Nurses serve the same roles within an organization
Nurses are required to have a license in order to practice
Nurses graduate from nonacademic training programs
Nurses must have a bachelor's degree in order to practice

Question 14. Which of the following are medical coding credentials?
CCS
CCS-P
CCA
All of the above

Question 15. The traditional role of HIM practice was:
Information based
Department based
Electronically based
Analytically based

Part 2

Question 1. Which of the following statements is true about behavioral health?
It provides only day-hospital and day-treatment programs
Insurance coverage generally places restrictions on the psychiatric care such as a limit on the number of outpatient visits
The quality of treatment provided has not changed in the past 20 years
Psychiatric care is restricted to ambulatory care settings

Question 2. A physician needs to find palliative care for a terminally ill patient. What type of long-term care setting is the most appropriate?
Residential care facility
Hospice
Skilled nursing facility
Nursing home

Question 3. Which of the following government agencies supports medical research?
Social Security Administration
Centers for Medicare and Medicaid Services
US Public Health Services
National Institute of Health

Question 4. Which of the following is true about Quality Improvement Organizations (QIOs)?
They were once called peer review organizations
They ensure quality and efficiency of healthcare services
They cover each state and territory in the US
All of the above

Question 5. The concept of Accountable Care Organizations (ACO) has existed for a while but the ACO model began implementation only after the following was passed:
Patient Protection and Affordable Care Act of 2010
American Recovery and Reinvestment Act
The HITECH Act
HIPAA

Question 6. What service use work and play to help the patient improve independent functioning?
Occupational therapy
Diagnostic and therapeutic services
Administrative support services
Clinical laboratory services

Question 7. Who is responsible for implementing the policies and strategic direction of the hospital or healthcare organization and for building an effective executive management team?
Board of directors
Chief executive officer
Chief information officer
Chief of staff

Question 8. Which of the following would be categorized as voluntary hospitals?
U.S. Air Force hospitals
University hospitals
Investor-owned hospitals
Proprietary hospitals

Question 9. Which of the following statements best describes Medicaid?
State program that finances healthcare services for the elderly
Federal program that finances healthcare services for the elderly
State program that finances healthcare services for low-income families
Federal and state program that finances healthcare for low-income families

Question 10. Which of the following recent developments has not had a significant influence on the U.S. healthcare delivery system?
Growth of managed care
Emphasis on patient-focused care
Shortage of well-trained physicians
Growth of subacute care

Question 11. An Integrated Delivery System (IDS) has certain advantages, among which:
It is focused on process innovation
It provides a full continuum of care for patients
It is focused on process improvement for patients
It is focused on each clinical department

Question 12. I had surgery this morning. My surgery only lasted 30 minutes and I was ready to leave the facility 2 hours later. I must have had my surgery at which type of facility?
Freestanding ambulatory care center
Freestanding ambulatory surgery center
Subacute care
Integrated delivery system

Question 13. Which organization has the mission of promoting the science and art of medicine and to improve public health?
The Joint Commission
American Medical Association
American Hospital Association
American College of Healthcare Executives

Question 14. Which of the following is true about accreditation?
It is a voluntary process
Most states do not recognize accreditation
Most states recognize accreditation by The Joint Commission as a condition of licensure
a and c

Question 15. One of the disadvantages of individual health plans is:
They do not cover inpatient hospitalizations
They are part of fringe benefits
They have low deductibles
They cost more than group policies

Part 3

Question 1. Which of the following is a primary purpose of the health record?
To support nursing care
To perform quality assurance
To bill for services
All of the above

Question 2. The admitting form of Mrs. Smith's health record indicated that her birth date was March 21, 1948. On the discharge summary, Mrs. Smith's birth date was recorded as July 21, 1948. Which quality element is missing from Mrs. Smith's health record?
Data completeness
Data consistency
Data accessibility
Data comprehensiveness

Question 3. Data definition refers to the
meaning of data
completeness of data
consistency of data
detail of data

Question 4. Which of the following is not a characteristic of high-quality healthcare data?
Data relevancy
Data currency
Data consistency
Data accountability

Question 5. I have been asked to list institutional users of the health record. Which one of the following would I include in my list?
Blue Cross and Blue Shield
The patient
FBI agent
AHIMA

Question 6. Which of the following elements is NOT considered a basic component of every information system?
Software
Communications technology
Users
None of the above

Question 7. Using a hospital discharge database, a physician does a study of diabetes mellitus comparing age of onset with response to a specific drug regimen. The physician has gathered _____ from the database.
data elements
information
informatics standards
data sets

Question 8. Which of the following connects devices across a large geographical area, such as a state?
Intranet
LAN
server
WAN

Question 9. Which of the following enable(s) computers on a network to communicate with each other?
Programming languages
HTML
Network protocols
Wide-area networks

Question 10. These computers are used to handle intensive input/output business transactions.
Mainframe systems
Midrange systems
Microcomputers
Supercomputers

Question 11. An information system that alerts a physician when a laboratory value is outside of the normal range is called a(n):
decision support system
enterprise-wide system
management information system
transaction processing system

Question 12. A _____ uniquely identifies each row in a table and ensures that it is unique.
Key
Primary key
Foreign key
None of the above

Question 13. A(n) _____ stores data in predefined tables consisting of rows and columns.
Object-oriented database
Relational database
Hierarchical database
None of the above

Question 14. Use case and sequence diagrams are an example of a:
High-level computer language
Low-level computer language
Unified modeling language
Network protocol

Question 15. In which phase of the systems development life cycle are trial runs of the new system conducted, backup and disaster recover procedures developed, and training of end users conducted?
Design
Implementation
Maintenance and evaluation
Planning and analysis

Part 4

Question 1. The physician records his findings while still in the patient's room. This is called:
Computers on wheels
Alerts
Point of care documentation
Clinical practice guidelines

Question 2. The coding supervisor wants a daily report of health records that need to be coded. Which of the following systems would be best in meeting the supervisor's needs?
CDSS
DSS
EIS
MIS

Question 3. Which of the following systems is designed primarily to support patient care by providing healthcare professionals access to timely, complete, and relevant information for patient care purposes?
Administrative information system
Clinical information system
Management support system
Strategic information system

Question 4. Which of the following is NOT a characteristic of a DSS?
Provides ad hoc reports
Provides day-to-day reports
Uses statistical modeling
Answers what-if questions

Question 5. I am entering free text and structured data. This is called:
Template-based entry
Alerts
Care pathways
Clinical practice guidelines

Question 6. Which of the following information systems is used to assist healthcare providers in the actual diagnosis and treatment of patients?
Clinical decision support system
Laboratory information system
Management information system
Pharmacy information system

Question 7. Which of the following is used primarily for monitoring performance?
DSS
EIS
ES
MIS

Question 8. Which of the following systems focuses on providing reports and information to managers for day-to-day operations of the organization?
Executive information system
Clinical decision support system
Management information system
Strategic decision support system

Question 9. Which of the following is a core ethical obligation of HITs?
Coding diseases and operations
Protecting patients' privacy and confidential communications
Transcribing medical reports
Performing quantitative analysis on record content

Question 10. Which of the following ethical principles is being followed when an HIT professional ensures that patient information is only released to those who have a legal right to access it?
Autonomy
Beneficence
Justice
Nonmaleficence

Question 11. Privacy can be defined as:
The limitation of the use and disclosure of private information
The right of an individual to be let alone
The physical and electronic protection of information
The protection of information from accidental or intentional disclosure

Question 12. Which of the following is an example of data collected by a patient monitoring system?
Demographic information
Vital signs
Lab results
Radiology report

Question 13. I am concerned about the possibility that the PHI that I am releasing as an ROI coordinator will be re-released to another inappropriately. Why would I be concerned with a secondary release of information?
PHI could be released without patient authorization.
This practice is illegal.
The hospital would be responsible for any inappropriate secondary release.
The secondary release is prohibited by many states.

Question 14. Which of the following statements represents an example of nonmaleficence?
HITs must ensure that patient-identifiable information is not released to unauthorized parties.
HITs must apply rules fairly and consistently to every case.
HITs must ensure that patient-identifiable information is released to the parties who need it to provide services to their patients.
HITs must ensure that patients themselves, and not other parties, are authorizing access to the patients' individual health information.

Question 15. I work for a 10-hospital chain that is purchasing five more hospitals. Many of these hospitals have different vendors supplying their information systems. This has resulted in concerns regarding
Point-of-care charting
Data mining
Interoperability
Supportive functions