Question 1

Which is recommended by the clinical decision-making system (CDS)?

Accepted Answer

A)  discounted medicines 
B)  referrals to other physicians 
C)  possible side effects and allergies 
D)  possible treatment plans 
A)  discounted medicines 
B)  referrals to other physicians 
C)  possible side effects and allergies 
D)  possible treatment plans D

Question 2

Which data set is used in long-term care facilities?

Accepted Answer

A)  Minimum Data Set (MDS 3.0) 
B)  Outcome and Assessment Information Set (OASIS) 
C)  Uniform Ambulatory Care Data Set (UACDS) 
D)  Uniform Hospital Discharge Data Set (UHDDS) 
A)  Minimum Data Set (MDS 3.0) 
B)  Outcome and Assessment Information Set (OASIS) 
C)  Uniform Ambulatory Care Data Set (UACDS) 
D)  Uniform Hospital Discharge Data Set (UHDDS) A

Question 3

Which is a consideration in developing a computer data collection screen that is less important in a paper form?

Accepted Answer

A)  the needs of the users 
B)  the order in which the data is collected 
C)  the purpose of the data collection 
D)  simplicity 
A)  the needs of the users 
B)  the order in which the data is collected 
C)  the purpose of the data collection 
D)  simplicity B

Question 4

A standardized data set allows users of the data to:

Accepted Answer

A)  compare facilities and track trends 
B)  identify patients who do not pay bills 
C)  identify physicians who charge too much 
D)  monitor the effects of treatments 
A)  compare facilities and track trends 
B)  identify patients who do not pay bills 
C)  identify physicians who charge too much 
D)  monitor the effects of treatments

Question 5

Interoperability means:

Accepted Answer

A)  the ability to share data among different computer systems. 
B)  incentives for electronic health record (EHR) adoption. 
C)  efforts to use the same computers nation-wide. 
D)  surgery performed remotely using robots. 
A)  the ability to share data among different computer systems. 
B)  incentives for electronic health record (EHR) adoption. 
C)  efforts to use the same computers nation-wide. 
D)  surgery performed remotely using robots.

Question 6

Which activity is facilitated in an EHR as opposed to a hybrid record?

Accepted Answer

A)  Documentation by individual providers 
B)  Authentication of entries at point of care 
C)  Concurrent review by multiple users 
D)  Medication administration records 
A)  Documentation by individual providers 
B)  Authentication of entries at point of care 
C)  Concurrent review by multiple users 
D)  Medication administration records

Question 7

Which standard supports the storage and transmission of diagnostic images?

Accepted Answer

A)  picture archiving and communication system (PACS) 
B)  Health-Level 7 (HL7) 
C)  837I 
D)  Digital Imaging and Communication in Medicine (DICOM) 
A)  picture archiving and communication system (PACS) 
B)  Health-Level 7 (HL7) 
C)  837I 
D)  Digital Imaging and Communication in Medicine (DICOM)

Question 8

Who develops a form?

Accepted Answer

A)  the Chief Medical Officer (CMO) 
B)  a committee of users 
C)  the HIM department 
D)  the physician 
A)  the Chief Medical Officer (CMO) 
B)  a committee of users 
C)  the HIM department 
D)  the physician

Question 9

How did the federal government encourage adoption of the electronic health record (EHR)?

Accepted Answer

A)  Congress passed legislation requiring its use 
B)  Financial incentives in the form of increased payments 
C)  Zero-interest loans for community hospitals 
D)  Free computer systems for qualified providers 
A)  Congress passed legislation requiring its use 
B)  Financial incentives in the form of increased payments 
C)  Zero-interest loans for community hospitals 
D)  Free computer systems for qualified providers

Question 10

Which data element is a required component of the UHDDS?

Accepted Answer

A)  patient's eye color 
B)  patient's primary care provider (PCP) 
C)  citizenship status of patient 
D)  principal diagnosis 
A)  patient's eye color 
B)  patient's primary care provider (PCP) 
C)  citizenship status of patient 
D)  principal diagnosis

Question 11

What is the name for the unique identifier assigned to the patient at each visit?

Accepted Answer

A)  master patient index (MPI) 
B)  patient account number 
C)  medical record number (MRN) 
D)  Uniform Hospital Discharge Data Set (UHDDS) 
A)  master patient index (MPI) 
B)  patient account number 
C)  medical record number (MRN) 
D)  Uniform Hospital Discharge Data Set (UHDDS)

Question 12

An individual trained in all aspects of a computer system who can offer on-site support to others is called a _________.

Accepted Answer

The answer of An individual trained in all aspects of...

Question 13

Which data set pertains to acute care facilities?

Accepted Answer

A)  Minimum Data Set (MDS 3.0) 
B)  Outcome and Assessment Information Set (OASIS) 
C)  ICD-10-CM 
D)  Uniform Hospital Discharge Data Set (UHDDS) 
A)  Minimum Data Set (MDS 3.0) 
B)  Outcome and Assessment Information Set (OASIS) 
C)  ICD-10-CM 
D)  Uniform Hospital Discharge Data Set (UHDDS)

Question 14

A(n) _____________ can store the data from these different systems and make them usable through an interface without the need to run reports from each system.

Accepted Answer

A)  data repository 
B)  data warehouse 
C)  health information exchange (HI
E)  
D)  data mapper 
A)  data repository 
B)  data warehouse 
C)  health information exchange (HI
E)  
D)  data mapper

Question 15

All of the data that have been collected about an individual patient are called a:

Accepted Answer

A)  data set. 
B)  file. 
C)  health record. 
D)  data repository. 
A)  data set. 
B)  file. 
C)  health record. 
D)  data repository.

Question 16

With what language does an HIM professional retrieve data in a relational database?

Accepted Answer

A)  Structured Query Language (SQL) 
B)  Codasyl 
C)  meaningful use 
D)  syntactic interoperability 
A)  Structured Query Language (SQL) 
B)  Codasyl 
C)  meaningful use 
D)  syntactic interoperability

Question 17

Which comparison is true of the data collected in the physician's office versus the acute care setting?

Accepted Answer

A)  More people are recording patient data in the physician's office. 
B)  The physician's office is more likely to use electronic data collection devices. 
C)  More data is collected in the acute care setting. 
D)  The physician's office records patient progress while the acute care facility does not. 
A)  More people are recording patient data in the physician's office. 
B)  The physician's office is more likely to use electronic data collection devices. 
C)  More data is collected in the acute care setting. 
D)  The physician's office records patient progress while the acute care facility does not.

Question 18

Where are blank original copies of forms kept?

Accepted Answer

A)  in the electronic health record (EHR) 
B)  in the master forms file 
C)  at patient registration 
D)  in the master patient index (MPI) 
A)  in the electronic health record (EHR) 
B)  in the master forms file 
C)  at patient registration 
D)  in the master patient index (MPI)

Question 19

The Office of the National Coordinator for Health Information Technology (ONC) supports the development of the Nationwide Health Information Network (NHIN), which is a:

Accepted Answer

A)  set of standards and policies. 
B)  series of networked computers. 
C)  centrally located data repository. 
D)  cloud-based EHR software suite. 
A)  set of standards and policies. 
B)  series of networked computers. 
C)  centrally located data repository. 
D)  cloud-based EHR software suite.

Question 20

Which feature reduces the chance that a physician orders a non-approved drug?

Accepted Answer

A)  electronic authentication 
B)  drop-down menus 
C)  connection to pharmacy computers 
D)  character limits for fields 
A)  electronic authentication 
B)  drop-down menus 
C)  connection to pharmacy computers 
D)  character limits for fields

Which is recommended by the clinical decision-making system (CDS)?

Which data set is used in long-term care facilities?

Which is a consideration in developing a computer data collection screen that is less important in a paper form?

A standardized data set allows users of the data to:

Interoperability means:

Which activity is facilitated in an EHR as opposed to a hybrid record?

Which standard supports the storage and transmission of diagnostic images?

Who develops a form?

How did the federal government encourage adoption of the electronic health record (EHR)?

Which data element is a required component of the UHDDS?

What is the name for the unique identifier assigned to the patient at each visit?

An individual trained in all aspects of a computer system who can offer on-site support to others is called a _________.

Which data set pertains to acute care facilities?

A(n) _____________ can store the data from these different systems and make them usable through an interface without the need to run reports from each system.

All of the data that have been collected about an individual patient are called a:

With what language does an HIM professional retrieve data in a relational database?

Which comparison is true of the data collected in the physician's office versus the acute care setting?

Where are blank original copies of forms kept?

The Office of the National Coordinator for Health Information Technology (ONC) supports the development of the Nationwide Health Information Network (NHIN), which is a:

Which feature reduces the chance that a physician orders a non-approved drug?

The Health Care Industry

Sources of Data

Data Quality and Management

Coded Data

Financial Management

Statistics and Data Analytics

Confidentiality and Compliance

Management and Leadership

Performance Improvement and Project Management

Filters

Exam 2: Collecting and Storing Health Care Data

Which is recommended by the clinical decision-making system (CDS)?

Which data set is used in long-term care facilities?

Which is a consideration in developing a computer data collection screen that is less important in a paper form?

A standardized data set allows users of the data to:

Interoperability means:

Which activity is facilitated in an EHR as opposed to a hybrid record?

Which standard supports the storage and transmission of diagnostic images?

Who develops a form?

How did the federal government encourage adoption of the electronic health record (EHR)?

Which data element is a required component of the UHDDS?

What is the name for the unique identifier assigned to the patient at each visit?

An individual trained in all aspects of a computer system who can offer on-site support to others is called a _________.

Which data set pertains to acute care facilities?

A(n) _____________ can store the data from these different systems and make them usable through an interface without the need to run reports from each system.

All of the data that have been collected about an individual patient are called a:

With what language does an HIM professional retrieve data in a relational database?

Which comparison is true of the data collected in the physician's office versus the acute care setting?

Where are blank original copies of forms kept?

The Office of the National Coordinator for Health Information Technology (ONC) supports the development of the Nationwide Health Information Network (NHIN), which is a:

Which feature reduces the chance that a physician orders a non-approved drug?

The Health Care Industry

Sources of Data

Data Quality and Management

Coded Data

Financial Management

Statistics and Data Analytics

Confidentiality and Compliance

Management and Leadership

Performance Improvement and Project Management

Filters