Exam 8: Health Information Management Issues in Other Care Settings

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The accrediting agency unique to ambulatory care is the _________.

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Correct Answer:
Verified

AAAHC

Match the health care setting with the corresponding patient below.
Patient presents with a gunshot wound to the arm
Urgent Care Center
Patient was admitted after attempting suicide related to severe depression
Physician's Office
Patient's doctor set up an appointment to have imaging studies of the abdomen performed at this facility
Skilled Nursing Facility
Correct Answer:
Verified
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Patient presents with a gunshot wound to the arm
Urgent Care Center
Patient was admitted after attempting suicide related to severe depression
Physician's Office
Patient's doctor set up an appointment to have imaging studies of the abdomen performed at this facility
Skilled Nursing Facility
Patient who suffered from a stroke 3 days ago requires 24-hour nursing assistance, speech therapy, and physical therapy
Long-Term Care
Patient visited a surgery center for a bunionectomy and returned home the same day
Behavior Health Center
Patient needs to visit his or her primary care physician, but no appointments are available, so the patient visits this center
Ambulatory Surgery Center
Patient was diagnosed with terminal disease that requires palliative care
Emergency Room Department
Patient is recovering from hip replacement therapy
Dialysis Center
Patient is at home receiving medical care
Home Health Care
Patient needs 24 hour nursing care and monitoring for more than 30 days
Hospice
Patient visits 3 times a week for end-stage renal disease
Physical Therapy Center
Patient visits the primary care physician for a well baby checkup
Rehabilitation Facility
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Correct Answer:
Verified

Describe the unique data collection issues in behavioral health care.

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Much of the data collection in behavioral health is free text. Psychology notes tend to be voluminous and detailed and do not lend themselves to menu-driven data collection. Of particular concern are psychology notes and documentation of restraints. Psychology notes may include testing instruments and extensive interview notes. Many of these notes are retained in the psychology department and do not become part of the patient's legal health record. The facility must have a policy specifically dealing with the storage, retention, and access to these notes. The use of restraints requires a physician order. Restraints include not only physical restraints but also confinement in protective enclosures. Documentation of the order, the application of restraints, the monitoring of a restrained patient, and the timely release from restraints are all required.

What unique length of stay issues apply to hospice care?

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Describe the unique data collection issues in radiology and laboratory services.

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An operation performed on an outpatient basis is called _________.

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This stand-alone facility has an average length of stay of over 30 days. This facility is most likely which of the following types of facilities?

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Health care service rendered in the patient's residence is ___________.

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Ambulatory care services are for which type of patients?

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Triage is generally performed by a(n):

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The ambulatory care setting in which the physician is the primary health care provider is called a ___________.

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Physical medicine and rehabilitation therapy occurs under the direction of a:

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Ambulatory care accreditation is offered by TJC and:

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The mandated minimum data set for ambulatory care patients is the ________.

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In emergency services, the system of prioritizing patients by severity of illness is called __________.

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Describe services available in rehabilitation that are NOT generally available in acute care.

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Health care service that is intended to soothe, comfort, or reduce symptoms but is not intended to cure is called __________.

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The minimum data set used for ambulatory care settings is also known as the:

(Multiple Choice)
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Match the following terms with their definitions.
Administers injections, performs wound care and patient education
Medical Secretary
May deliver primary care
Advance Practice Registered Nurse
Answers telephone and records appointments
Medical Assistant
Correct Answer:
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Responses:
Administers injections, performs wound care and patient education
Medical Secretary
May deliver primary care
Advance Practice Registered Nurse
Answers telephone and records appointments
Medical Assistant
Takes vital signs, changes dressings
Registered Nurse
Draws blood for diagnostic testing
Phlebotomist
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What is the first step in the patient encounter?

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