Exam 9: Managing Health Records

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Match the following terms with their descriptions.
A file identification system in which the patient receives the same number for all admissions
Serial unit
A file identification system that assigns the same number to an entire family, uniquely identifying each member by a modifier
Microfilm
A file identification system in which the patient receives a new number for each subsequent admission; however, each previous admission is brought forward and filed with the most recent visit
Retention schedule
Correct Answer:
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Premises:
Responses:
A file identification system in which the patient receives the same number for all admissions
Serial unit
A file identification system that assigns the same number to an entire family, uniquely identifying each member by a modifier
Microfilm
A file identification system in which the patient receives a new number for each subsequent admission; however, each previous admission is brought forward and filed with the most recent visit
Retention schedule
A method of identifying patient records in a computer-based system
Family unit
An alternative method for storing records
Serial
A copier-like piece of equipment used to input paper records in a document imaging system
Scanner
A file identification system in which the patient receives a new number for each subsequent admission
Unit
The length of time required for the maintenance of records
Index
(Matching)
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Because space is often limited in the facility, health care records may be maintained in alternative storage methods. List each of the methods discussed in Chapter 9.

(Essay)
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The machine used to input a paper document into a computerized imaging system is called a(n):

(Multiple Choice)
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As the new supervisor of Diamonte Hospital, new filing furniture is needed to store 12,000 annual outpatient charts. After measuring, it is determined that four charts equal 1 inch of linear file space. How many 36-inch-wide, eight-shelf units must be purchased to store these records?

(Multiple Choice)
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In one filing method, the patient's MR# is separated into sets for filing. The first set of numbers is called tertiary, the second set is called secondary, and the last set of numbers is called primary. This method is called ____________ filing.

(Short Answer)
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Which of the following methods assist security of records on a computerized system?

(Multiple Choice)
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If the average thickness of a record is 1.5 inches, how many records can be stored on a shelving unit that is 30 inches wide with five shelves?

(Multiple Choice)
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Shelley is the new health information management file room supervisor at Diamonte Hospital. Upon entering the file room she notices that the files are cramped and there is no room on the shelves to file any new charts. Shelley determines that it is critically necessary to order additional shelving to increase the file shelf space to store all of Diamonte's records. The facility has approximately 3,000 discharges each year. They keep 2 years of paper records on site. The average thickness of a record is 1 inch. They currently have 10 shelving units and each unit has five shelves and is 36 inches wide. How many additional filing units should Shelley order?

(Multiple Choice)
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All of the following are storage options that are used for older medical records EXCEPT:

(Multiple Choice)
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If you have 12,000 records to file, averaging 2 inches per chart, how many inches of file space do you need? How many shelf units (eight shelves per unit, 36 inches wide) would you need?

(Essay)
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Computerized chart locator systems are superior to paper-based locator systems for all of the following EXCEPT:

(Multiple Choice)
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List and describe the filing furniture used to store paper-based health care records. What measurements are important in the design of a file area?

(Essay)
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A numerical patient record identification system, which gives the patient a new number for each visit, is called _________numbering.

(Short Answer)
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The medical records department should have all of the following concerns with offsite storage EXCEPT:

(Multiple Choice)
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A numerical patient record identification system, in which the patient is given a new number for each visit, but with each new admission the previous record is retrieved and filed in the folder with the most recent visit, is called __________ numbering.

(Short Answer)
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Which of the following is NOT an alphabetical filing rule?

(Multiple Choice)
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Your facility has 10 years of records stored in the file area. You have averaged 12,500 discharges per year, and each record is approximately 75 pages. Administration has committed to transitioning to an electronic health record, and determines it would be best to use document imaging to convert all old records. You have estimated that the project will take approximately 12 months. Using the information provided in the table below, which vendor provides the best price for your document imaging solution? Vendor A \ 200 \ 1000/month Feerental of scarring equipment Vendor B \ 2.40 No additional Fees Vendor C \ 2.25 No additional Fees

(Multiple Choice)
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An effective way to accomplish paper record scanning is also known as:

(Multiple Choice)
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A copier-like machine called a ____________ is used to convert paper-based records into digital images for a computerized health care record.

(Short Answer)
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