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34 Cards in this Set

  • Front
  • Back

The first professional association for health information managers was established in:

1928

The hospital standardization program was started by the American College of Surgeons in:

1918


The formal process for conferring a health information management credential is called:

Certification


Which of the following are elected to their positions by AHIMA members?




a. AHIMA Board of Directors




b. AHIMA Commission on Certification for Health Informatics and Information Management




c. AHIMA House of Delegates




d. All of the above

d.

Functions as the legislative body of AHIMA

AHIMA House of Delegates

Makes up a virtual network of AHIMA members

AHIMA Communities of Practice

An arm of AHIMA that promotes education and research in health information management

AHIMA Foundation

The mission of the AHIMA

Community of professionals providing support to members and strengthening the industry and profession

Which of the following is true about the AHIMA?




a. Values a code of ethical health information management practice




b. Values the public's right to private and high-quality health information




c. Celebrates and promotes diversity




d. All of the above

b.

A secondary purpose of the health record

Generate a report to be used in performance improvement

An institutional user of the health record

Government policy maker

How do patient care managers and support staff use the data documented in the health record?

Evaluate the performance of individual patient care providers and to determine the effectiveness of the services provided

The definition that bests describes the concept of confidentiality

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

Which of the following statements does not pertain to paper-based health records?




a. They have built-in access control mechanism




b. They are kept in a locked storage areas that are accessible only to authorized staff




c. They are logged out according to the organization' s prescribed procedure.




d. They are forwarded to the appropriate service area when needed for patient care purposes

a.

Which of the following is an advantage offered by the computer-based clinical decision support tools?




a. They give physicians instants access to pharmaceutical formularies, referral databases, and reference literature




b. They review structured electronic data and alert practitioners to out-of-range laboratory values or dangerous trends.




c. They recall relevant diagnostic criteria and treatment options on the basis of date in the health record and thus support physicians as they consider diagnostic and treatment alternatives




d. All the above

d.

The hospital I work is transitioning to an EHR. In the meantime, we have part of the health record electronic and part is still paper. This concept is known as:

A hybrid record

Critique this statement: Data and information mean the same thing.

FALSE: Data is raw facts and figures and informations is used for clinical purposes



Which of the following statements does not pertain to EHR?




a. EHR technologies and systems must not intrude on the patient and provider relationship




b. EHRs are filed in paper folders.




c. In the US, a national health information infrastructure is being designed to support EHRs.




d. Clinicians use computer keyboards when documenting in the EHR

b.

Which of the following is a secondary purpose of the health record?




a. Support for provider reimbursement




b. Support for patient self-management activities




c. Support for research




d. Support for patient care delivery

c.

Use of the health record by a clinician to facilitate quality patient care is considered:

A primary purpose of the health record

Use of the health record to monitor bioterrorism activity is considered:

Secondary purpose of the health reocrd

How do accreditation organizations use the health record?

To determine whether standards of care are being met

How do research organizations use the health record?

To examine results of experimental protocols

Attorneys for healthcare organizations use the health record to:

Protect the legal interests of the facility and its healthcare providers

Our record has all of the lab filed together, all of the progress notes filed together, and so on. What format are we using?

Source-oriented health record

Inaccurate data recorded in the health record could:




a. Compromise quality patient care




b. Contribute to incorrect assumptions by policy makers




c. Invalidates research findings




d. All of the above

d.

The term used to describe expected data values is:

Data precision

Protection of healthcare information from damage, loss, and unauthorized alteration is also know as:

Security

Since we implemented a new technology, we have eliminated lost orders and problems with legibility. What technology are we using?

Computerized physician/


provider order entry

The paper-based health record format that organizes all forms in chronological order is known as the:

Integrated health record

Critique this statement:




The health record document services provided by allied health professionals and a patient's family.

FALSE:




The health record documents the care provided by healthcare professionals

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

Privacy

When all required data elements are included in the health record, the quality of characteristic for __________ is met.

Data comprehensiveness

Critique this statement:




Patient care managers are individuals users of health records.

This statement is TRUE