HIM 266 Exam | Questions and Answers (Complete Solutions)

HIM 266 Exam | Questions and Answers (Complete Solutions) Which of the following is a true statement about technology? a. It has had little impact on healthcare and health information management. b. It has not improve ...

HIM 266 Exam | Questions and Answers (Complete Solutions) Which of the following is a true statement about technology? a. It has had little impact on healthcare and health information management. b. It has not improved the quality of care provided to patients. c. It provides the data needed to improve patient care and conduct research. d. It eliminated the need for evidence-based medicine. The HIM director accessed a vendor's _____ to determine if the supplies that she ordered had been shipped. a. Extranet b. Intranet c. Internet d. Firewall The benefit of a personal computer over a dumb terminal is that _____. a. It contains a firewall b. Processing is performed at the server c. Processing is performed on the PC d. It contains a network Which of the following is an example of information? a. Mary was admitted to the hospital with a myocardial infarction. b. The number of denials has decreased by 45 percent over the past year. c. Healthcare facilities utilize tablets and cellular phones. d. HIM professional's roles have changed. Using COW or WOW will help to improve _____. a. Cloud computing b. Analysis of data c. Documentation d. Interoperability Which of the following is a true statement about evidence-based medicine? a. Evidence-based medicine is using the EHR to provide care. b. Evidence-based medicine is the latest and greatest technology. c. Evidence-based medicine is following policies and procedures established by the healthcare facility. d. Evidence-based medicine is services that have been peer tested. Identify the data analytics tool that includes frequency distributions. a. Data mining b. Predictive modeling c. Descriptive statistics d. Inferential statistics Hidden patterns are identified through the use of a. Predictive modeling b. Health informatics c. Dashboards d. Data mining Barcodes may be used to improve _____. a. Health informatics b. Patient safety c. Data analysis d. Health information exchange The healthcare facility has decided to adopt a tool that helps with multidisciplinary care planning. Select the tool that meets this criteria. a. Clinical pathways b. Clinical practice guidelines c. Clinical provider order entry d. Electronic health record Contemporary HIM practices focus on _____. a. Workflow b. Processing health records c. Processes d. Data and information Which of the following statements justifies the use of a dashboard? a. It facilitates budget development. b. It manages information system projects. c. It utilizes statistical techniques. d. It monitors key measures. A process used to identify what is likely to happen in the future is known as _____. a. Descriptive statistics b. Inferential statistics c. Predictive modelling d. Data modelling The interdisciplinary field whose goal is to improve healthcare is known as a. Health informatics b. Data analytics c. Health information management d. Mapping specialist A home health agency has installed a __________ where they store forms, policies and other resources for employees. a. Intranet b. Internet c. Extranet d. Firewall Which of the following is the best field for a radio button? a. Gender b. State c. Principal diagnosis d. Lab test result The EHR indicates that Dr. Smith wrote the January 12 progress note at 11:04 a.m. We know he wrote it due to _____. a. Authorship b. Validation c. Integrity d. Identification The autonumbering field would be the best choice in field type for _____. a. Patient account number b. Date of admission c. Time of discharge d. Weight Which of the following is a use of secondary data sources? a. Research b. Consulting with another physician for patient care c. Determining what test to order d. Determining diagnosis Which of the following is an example of a primary data source? a. Cancer registry b. Health record c. Database d. Index A screen that allows for both free text and structured data entry is an example of _____. a. Direct data entry b. Template-based data entry c. Primary data source d. Secondary data source A nurse tried to enter a temperature of 134 degrees, and the system would not accept it. What is this an example of? a. Data collection b. Edit check c. Data reliability d. Hot spot Edit checks identify _____. a. Accurate data b. Illogical data c. Outdated data d. Current data In order to data map two systems, the concepts must be a. Similar b. Identical c. Clinically significant d. Merged The admission coordinator tried to enter the patient's insurance type and the appropriate insurance was not one of the options. This is a problem with _____. a. Data comprehensiveness b. Data timeliness c. Data relevancy d. Data definition Data integrity is exhibited when data _____. a. Is reliable and effective for its purpose b. Is complete, accurate, consistent and timely c. Edits have been passed d. Has been reviewed by the author Choose one of the following statements to defend the need for version control. a. Version control is required to manage screen design. b. Version control is required to determine edits that have been failed. c. Version control is required to overcome issues related to copying and pasting. d. Version control is required to manage documents. Identify the field type that is the BEST choice for capturing the patient's state of residence. a. Check box b. Radio buttons c. Free text d. Drop down menu True or False: Data quality measures are used to compare healthcare facilities. a. True b. False True or False: Unstructured data is captured using drop-down menus and check boxes. a. True b. False A zip code is which type of field? a. Numeric b. Alphabetic c. Alphanumeric d. Auto-numbering The decision has been made to perform some data mining to determine where the skilled nursing facility is profitable and where there is a loss. Identify a data mining technique that could be used. a. Association rule learning b. Normalization c. Computer-aided software engineering d. Data modeling The following question was typed into the system: How many patients were discharged on November 12, 2013? This is an example of what type of query? a. Data manipulation language b. Structured query language c. Query by example d. Natural language query 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" The data that describes other data in order to facility data quality is found in the _____. a. Data definition language b. Data dictionary c. Data standard d. Data definition The user needs a list of all of the patients that were diagnosed a cerebral infarction or a cerebral hemorrhage. This is an example of a situation where what type of search should be used? a. Structured query language b. Wildcard search c. Truncation d. Boolean search In order to manipulate data in the relational database, the database administrator needs to know how to use _____. a. Computer-aided software engineering b. Structured query language c. Data modeling d. Physical data model Identify the level in the data model that describes how the data is stored within the database. a. Conceptual data model b. Physical data model c. Logical data model d. Data manipulation language The radiology images and video will be stored in a database. Identify the database model that should be utilized. a. Object-oriented database model b. Network database model c. Hierarchical database model d. Relational database model A database will be created to be used solely for a research study that is being conducted. Identify the best choice. a. relational database model b. data repository c. data mart d. data warehouse Identify the true statement about a data warehouse. a. The data warehouse contains data solely from the clinical information systems. b. All data warehouses contain the same data. c. The data in the data warehouse depends on how the database will be used. d. The data warehouse is updated in real time. Differentiate between the network database model and the hierarchical data model. a. The network data model is organized in tables and the hierarchical in a tree format. b. The network data model has parents/child and the hierarchical has owners/members. c. The hierarchical data model has parents/child and the network has owners/members. d. The network data model stores objects like video and the hierarchical does not. A database that is flexible and easy to use was recently installed. The data is stored in rows and columns much like a spreadsheet. What type of database must have been installed? a. Relational database b. Object-oriented database c. Hierarchical database d. Network database In order to utilize numeric fields, the data being entered must be appropriate for _____. a. Any data that is represented in numbers b. Code numbers c. Calculations d. Date/time What type of data mining technique should I use to group diagnoses? a. Association rule learning b. Anomaly detection c. Regression analysis d. Classification analysis "The HIM director should make the decision on which EHR is purchased."Which of the following is an appropriate critique of this statement? a. The HIM director should not even be involved this is a clinical system. b. The HIM director should be involved in the decision, but so should other stakeholders. c. The decision should be made by the HIM director and the medical staff director. d. The decision should be made by the HIM director and the chief information officer. A new graduate asked why the support of the chief executive officer (CEO) for the proposed EHR was needed. The response should be _____. a. The CEO should be the one who implements the information system. b. The CEO involvement is mandated by the Joint Commission. c. The CEO's involvement should only be approval of the system purchase. d. Others in the healthcare facility follow the lead of upper management. Identify the true statement about a project team. a. The project team contains only information system and HIM employees. b. The project team members are always assigned to the project on a full-time basis. c. The project team's composition is based on the needs of the project. d. The project team is made up of consultants. In order to determine what users need in an information system, which tool should be used? a. Questionnaire b. Trouble ticket c. Source code d. Weighted system Review the following goal and select the portion of the goal that illustrates the S in the SMART methodology of goal writing. "Patient revenue will be increased by 20 percent within six months." a. Patient revenue will be increased b. 20% c. Within 6 months d. The S is not represented in this goal The EHR that is currently being selected was initially planned for the inpatients at the hospital. Now the CIO has instructed the project management team to purchase one that works for both the inpatient and ambulatory services. This is an example of _____. a. Project management b. Project definition c. Scope creep d. Buy-in The project team is collecting data from system users regarding their needs. They must be in which stage of the system life cycle? a. Implementation b. Design c. Planning and analysis d. Support and evaluation The selection committee is at a stalemate on the system to purchase. What should be done to prevent this from happening? a. Develop an objective method of selection b. Utilize a request for information c. Get physicians involved in the selection d. Negotiate with two vendors The vendor is scheduled to receive 30 percent of their payment when the software is delivered. This is an example of a _____. a. Payment milestone b. Force majeure c. Source code d. Escrow Three members of the project team are conducting a site visit for an EHR under consideration. This is an example of a(n) _____. a. Evaluation b. System analysis c. Request for proposal d. Functional requirement What should be reviewed to learn about the vendor's financial status, the number of installs of the information system, sample resumes, and more? a. Request for proposal b. Request for information c. Functional requirements d. Contract When a healthcare facility decides to use the best of breed strategy, which of the following is true? a. The various information systems must be integrated. b. The various information systems must be interfaced. c. The information systems purchased are from the same vendor d. The information systems purchased are easier to manage. Which component of the request for proposal provides the size of the healthcare facility and the number of employees who will utilize the information system? a. Description of the proposed system b. Information for potential vendors c. Letter of introduction d. Request for vendor profile Which of the following is an open-ended question? a. How does the current information system meet your needs? b. One a scale of 1 to 5, with 5 being the best, how does the current information system meet your needs? c. Do you like the current information system? d. Do you believe the current information system should be replaced? Which of the following should the healthcare facility do prior to initiating a search for an information system? a. Establish the budget b. Establish the user task force c. Create project plan d. Conduct a feasibility study A facility has decided to implement one module of the IS across the entire healthcare facility, a strategy known as _____. a. Phased b. Pilot c. Big bang d. Parallel A realistic test environment should be made up of _____. a. A subset of features that change as the type of testing changes b. Both the IS and the documentation to be followed c. An exact replica of the IS to be used including data d. An exact replica of the IS to be used excluding data During implementation, an evaluation of the facility's processes should be conducted. This evaluation is known as _____. a. Evaluation and support b. Change management c. Reengineering d. Test environment Identify the true statement about ongoing support required after go-live. a. The project team should be available to assist users during go-live. b. The regular help desk should support the users during go-live. c. The vendor should provide staff to support users during go-live. d. The project team should be available in the IS department to answer questions Identify the true statement about training resources provided to the employees. a. The employee should keep these in order to refer to the materials later. b. These should be collected at the end of training to be used in the next session. c. The content should not include objectives or the agenda. d. Training materials are not required. Identify the true statement regarding training in the following list. a. A variety of methods should be used to accommodate different learning styles. b. Training should be limited to the information system only. c. Training should be performed a minimum of six months prior to implementation of the IS. d. In order to facilitate training, all employees should receive the exact same training regardless of their position. In the new system, the service rendered is stored as a three-character alphabetic field. The old system stores it as a two-digit number. What needs to be done? a. Integrate the data b. Interface the systems c. Select the go-live model d. Convert the data Providing a process's policy and procedure guide to a user who has never used the IS and asking the user to perform the process could be used in what type of testing? a. Application b. Documentation c. Volume d. Acceptance Testing has identified an issue. This issue should be documented in the _____. a. Evaluation b. Work flow c. Project plan d. Trouble ticket The healthcare facility has decided to test the new EHR to ensure that it meets the functional requirements. They plan to conduct _____________testing. a. Application b. Documentation c. Volume d. Acceptance What question should be repeated during reengineering? a. When? b. Why? c. Where? d. How? When a project implementation team member enters the number of days after which the bill drops, the services performed, and other information about how the system should function, what part of the implementation is being performed? a. Conversion b. Programming c. Data conversion d. Setting configuration Which go-live strategy is the quickest, but the riskiest, for implementing a new lab system quickly? a. Parallel b. Big bang c. Pilot d. Phased Which of the following is accomplished during system evaluation? a. Learn what worked and what did not b. Support users during go-live c. Ensure system is working properly d. Create documentation required to continue use of the IS Which of the following is an accurate assessment of the statement "Once the system is operational and is working well, then the implementation process is over?" a. The statement is true. b. The statement is inaccurate because there should be an evaluation of the implementation. c. The statement is inaccurate because there should be an evaluation of the implementation as well as ongoing maintenance. d. The statement is true because the acceptance testing has been done. If a coding manager wanted to evaluate the impact of sequence changes of ICD-10-CM codes on the MS-DRG assignment for cardiac inpatients, which software would be used? a. Encoder b. Grouper c. Chart deficiency d. Disclosure management Kelly, the CDI specialist, is evaluating the information used by the coding professionals when they need to code various surgeries. She is particularly interested in the time lag between the actual surgical procedure and when the pathology diagnosis is determined. In which information system would the data element "principal procedure" be found? a. Transcription system b. Encoder/grouper c. Data quality indicator d. Tumor registry Sarah is the CDI coordinator and knows that healthcare quality indicator reporting is used to help performance improvement for healthcare professionals delivering patient care. She needs to hire an employee who is meticulous and detail-oriented to perform what essential HIM function that provides the data for the healthcare quality indicator system? a. Data abstracting b. Dictation and transcription c. Chart deficiency analysis d. CAC The HIM technician is entering the newborn's APGAR scores, the weight of the newborn, request for social security number, name of parents, and other health and demographic information. What system is being used? a. Dictation b. Birth certificate c. Data quality indicator d. Tumor registry To assist in determining death rates from lung cancer, which of the following would be used as a function of the cancer registry software? a. Checking social security death index b. Entering the device implanted c. Resequencing diagnoses d. Invoicing requester To assist in determining death rates from motor vehicle accidents in the state, which of the following systems would track follow-up rates? a. Release of information system b. Encoder/grouper c. Trauma registry d. Dictation system To determine the severity of illness, collaborative staging and TNM staging is performed. This is part of which of the following systems? a. Release of information system b. Encoder/grouper c. Data quality indicator d. Cancer registry What information system is used to improve the communication between physicians and HIM staff to clarify information in the health record to improve its quality by making it more complete and accurate? a. ROI b. Transcription c. CAC d. CDI What information system performs part of its activities while the patient is still admitted and then is updated once the patient is discharged in order to improve efficiency to get claims submitted in a timely manner? a. ROI b. Transcription c. CAC d. CDI Which of the following information systems would be considered revenue generating for the HIM department? a. Cancer registry b. ROI c. CDI d. Transcription Which of the following statements is true? a. The release of information system's letters are only used to send letters to administration. b. The release of information system's letters communicates with the requester. c. The release of information staff rarely utilize the reporting function. d. The release of information staff probably do not use the letter capabilities as communication with those outside the department. Which of the following systems is used in a hybrid paper and electronic health record system but is expected to become obsolete when a fully functional and complete EHR system is in place? a. Chart locator b. Data quality indicator c. Encoder/grouper d. Tumor registry Which of the following systems would be used primarily by physicians and that may have voice or speech recognition capabilities, rather than HIM department staff? a. Cancer registry system b. Data quality indicators system c. Transcription system d. Dictation system Which of the following systems, that is required by HIPAA, can be queried to determine the percentage of responses to ROIs that are sent to attorneys, insurance companies, and covered entities? a. Chart locator system b. CDI system c. Encoder/grouper d. Disclosure management system Which software would identify that Dr. Williams needs to dictate and sign an operative report? a. Chart locator b. Quality indicator system c. Chart deficiency d. Release of information All employees in the nursing and clinical ancillary departments attended HIPAA privacy and security training sessions this year. The documentation of attendance would be kept within which information system? a. Financial b. Materials management c. Hospital information d. Human resources As the CEO develops a 10-year strategic plan, she runs "what-if" scenarios through the information systems to determine what might happen if the facility eliminates and adds certain services. What information system would help in this process? a. HRIS b. DSS c. Practice management d. Facilities management As the administrative manager for Williamstown Internal Medicine Clinic, each physician is given a weekly report on their work productivity regarding patient office visits, hospital admissions, surgeries, and consultations. Which information systems would I need to use to complete this task? a. Registration—admission, discharge, transfer (R-ADT) b. Scheduling c. Executive information d. Practice management Due to an influenza epidemic in Smithtown, the hospital is almost at full-capacity. Which information system would be used to efficiently manage resources such as personnel, beds, appointments of surgeries and CT scans, to coordinate equipment and staff as needed? a. Registration—admission, discharge, transfer (R-ADT) b. Financial c. Scheduling d. Administrative In order to run accurate "what if" scenarios, information systems must have access to large amounts of various types of data. These large amounts of data are typically found _____. a. On the Internet b. In data warehouses c. In practice management d. In a DSS It was 58 degrees in the HIM director's office Monday morning and 81 degrees in the assistant director's office which is on the other side of the department. The HVAC system needed adjustment or repair. A message was sent through the network about this need. What information system would receive the request? a. Executive information b. Materials management c. Administrative d. Facilities management Smithtown Healthcare, a large IDS, is evaluating the processes of patient care and patient outcomes in pediatrics. It is using software to help solve problems and check to see if the care given meets established guidelines. What method or tool is in the software that helps in this process? a. Algorithms b. Data warehouses c. Data repositories d. Scheduling The CEO, CFO, and the governing body of Smithtown Healthcare want to investigate how to prepare for a new telehealth clinic. What information system would be used to assist in this process? a. DSS b. Practice management c. HRIS d. R-ADT The emergency department wants to evaluate the utilization and distribution of supplies to best determine restocking schedules, inventory checks, wasted supplies. Which information system would help the emergency department coordinator in this process? a. Health information management b. Materials management c. Practice management d. Facilities management The governing board of Smithtown Healthcare wants the CEO to develop a 10-year strategic plan in response to the new population census report from the state. Which information system would assist the CEO with this task? a. EMPI b. HRIS c. EIS d. HIM The hospital is evaluating which external healthcare facilities are used most often for continuing care for discharged patients after they leave the hospital. It needs information on which rehabilitation facilities and skilled nursing facilities are used most frequently to determine the need for additional facilities. Which system would provide this information? a. HRIS b. EMPI c. R-ADT d. EIS Thomas, the coding supervisor, receives notices for all coding updates and schedules training for the coding staff about the changes. He knows that any changes to codes will affect the chargemaster. He works with the billing coordinator to ensure these changes ultimately feed into which information system? a. Administrative b. Executive c. Financial d. Registration Tina is the EMPI Coordinator for Smithtown Healthcare, a large medical center with many satellite clinics. Because so many patients visit the clinics, sometimes new health record numbers are mistakenly assigned to them (even though they may already have a number) when they register for a particular service. Tian performs all of the following except _____. a. Unmerge overlays b. Merge duplicate records c. Confirm that health record contains all patient visits d. Verify insurance status When a baby is born at the hospital and admitted, a new health record number is assigned to him or her by which system? a. Registration—admission, discharge, transfer (R-ADT) b. Financial c. HRIS d. Encoder Which part of the administrative information system would be used to evaluate the highest and lowest paying healthcare services? a. Encoder b. EIS c. Financial management d. Practice management All of the following are benefits to an NIS except _____. a. Reduced costs in nursing care b. Improved patient care c. Decrease in lost charges d. Increased average length of stay Dr. Smith highlighted a section of a consultation report in the DMS so that Dr. Franklin would discuss it with him later in the day. This is possible due to what feature in the DMS? a. Annotation b. OCR c. SQL d. Symbiology Dr. Thornton needs to perform a biopsy on the ascending colon and will need assistance from a ultrasound to ensure the location of the tumor. Which information system would be used during this procedure? a. Radiology b. Pharmacy c. Laboratory d. Nursing Evelyn lives in Oregon and was diagnosed with a rare brain tumor. She is admitted to a local university medical center for treatment where a robot controlled remotely by a neurosurgeon in Chicago performs a procedure to remove the tumor. This type of procedure is termed _____. a. Telehealth b. Telemonitoring c. Telesurgery d. Teleradiology To evaluate the timeframes for the administration of painkillers in surgical patients, the medication administration record would be reviewed. The medication administration record would be found within which clinical software? a. Nursing b. Laboratory c. Radiology d. Pharmacy What specialty software is needed to retrieve and store digital images such as MRI scans and cardiac catheterization films? a. SQL b. DMS c. OCR d. PACS What type of system would look for contraindications between two medications such as Warfarin (Coumadin) and ibuprofen which could increase bleeding? a. Laboratory b. Radiology c. Pharmacy d. Nursing Which of the following are considered benefits of telehealth? a. Decreased access to care b. Decreased continuity of care c. Decreased access to health information d. Decreased lengths of stay for inpatients Which of the following information systems would notify physicians of normal ranges and panic values of blood glucose, creatine kinase, and bilirubin levels? a. Laboratory b. Radiology c. Nursing d. Inventory control