Hit 120 full course latest 2016 december [ all discussion , quizes, course project and final ]

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HIT 120 full course-latest 2016 december
[ all discussion , quizes, course project and final ]
Question
week 1
Evolution of Healthcare (graded)
 In this first thread, we will explore the healthcare system in the United States
(US). As you will learn by reading chapter 11 in Sayles' textbook, healthcare
services have evolved over the years and the US has become one of the world
leaders in healthcare technologies. Yet, we face various challenges in terms of
access, cost, and quality. Learning about healthcare system in general is
important for a health information professional for many reasons:
1. We work in healthcare, so we need to know our work environment and
adapt accordingly;
2. Many HIT and coding practices vary depending on the type of
healthcare setting;
3. Learning about the healthcare system helps you understand the big
picture and the impact of health information technology in patient care;
4. General knowledge about healthcare systems along with HIT or coding
specialization prepares you to move up the ladder and advance your
career.
In starting this topic, identify and elaborate on some of the healthcare
challenges. In your responses, reflect on your textbook readings as well as any
other literature and your experiences.
Health Information Professionals (graded)
This topic is dedicated to discussing the role of health information professionals,
medical coders, and billers. What do you know about these professions? What
education is required to work in these professions? What certifications or credentials
are required or preferred? What job skills are required to accommodate the shift
towards greater automation and the electronic medical record environment?

2. week 2
Forces Affecting Healthcare (graded)
 United States healthcare delivery is affectedby multiple forces,including
legislation (particularly, healthcare-related laws), technology, medical and
biological advances, and professional associations. Inthis topic, we will discuss
some of these forces and their impact on healthcare delivery. In starting this
topic, select one healthcare law presented in your resources; discuss when it
came into effect and what it is about; and its impact in healthcare then and
today.
In your response, demonstrate understanding of Sayles' Chapter 11, pages 651-
660. Use the Flash Timeline tool available in the lecture, and any other resources as
needed.
Hospital Structure and Operation (graded)
Hospitals are one of the major healthcare delivery settings. In this topic, explain the
definition of a hospital; discuss various types of hospitals based on size, services
provided, or ownership; and discuss the evolution of hospitals in the U.S. over the
years. In your response, refer to Sayles Chapter 11, pages 671-673.
week 3
Health Record Purpose, Format & Usage (graded)
After studying Sayles chapter 2, discuss primary and secondary purposes of the health
record and the importance of health information. Why is there an investment in health
information and the health information profession? What is the value of health
information? Why did the Federal Government invest millions of dollars in Health
Information Technology as part of the HITECH Act of 2009?
Health Record Functions & Data Attributes (graded)
Discuss functions of the health record. Connect functions of the health records to the
quality of data and information in the health record. How do these functions support
the purpose of health records?

3. week 4
Healthcare Information Systems & Their Development (graded)
General Hospital has determined that within three years, it will replace the nurses'
paper documentation with an electronic system. Nurses will use the new system to
document progress notes on the patient, vital signs, and any other nursing care
activities. The new system needs to communicate with the patient registration,
admission, discharge, and transfer system (R-ADT) as well as support the clinical
decision support system (CDSS). General Hospital is in the process of creating a
committee in order to start the process of analysis and defining the requirements of the
system. The committee will follow the process of the systems development life cycle
(SDLC). You have been appointed to this committee and before giving your
contribution to this project, need to understand and explain the information systems
and the Systems Development Life Cycle. Describe different types of systems being
discussed and explain the category they fit in (operations support, enterprise-wide, or
management support information system). Identify the SDLC phases and provide a
thorough description of each phase, including basic activities that occur in each phase.
Databases & Other Information Systems Components (graded)
After studying Sayles, pages 879-887, explain what is a database and what is it used
for? What is the difference between relational databases, object-oriented databases,
and object-relational databases? What are the basic functions of a database? Give an
example of a database and tell us if it is a relational, object-oriented, or object-
relational database.
week 5
Healthcare Information Applications (graded)
Describe and discuss the four basic categories of information systems applications
used in healthcare, clinical information systems, administrative information systems,
management support systems, research, and data analytics systems. In your response,
refer to Sayles, pages 910-926.
Transformation to Centralized HIM (graded)
Read and discuss the Real-World Case adapted from the presentation "In Search of
eHIM: A Case Study of Transformation to a Centralized HIM Record Archival and

4. EDMS Processing Center in Multihospital Network" at AHIMA's 79th National
Convention, as shared in Sayles, page 941.
week 6
Principles of Ethics (graded)
Have the principles of ethical practice been a cornerstone for the HIT profession?
How or how not?
HIPAA (graded)
 Compare and contrast privacy, confidentiality, and security as addressed by
HIPAA. Illustrate with examples.
week 7
Quality and Performance Improvement (graded)
Explain performance improvement in healthcare and how it supports licensure,
accreditation, and certification of healthcare organizations.
Final Exam Review (graded)
In preparation for the final exam in week 8, review prior content related to health
information, healthcare delivery in the United States, and healthcare information
systems.

5. Objectives
Apply knowledge gained pertaining to healthcare services in the United States, users
of health information, information systems, and their use in healthcare.
Guidelines
For the Course Project, you are asked to research a healthcare organization along with
an information system used at this facility. Your report should identify the type of
healthcare setting, identify services offered, identify users of health information and
their needs, discuss how user needs are met, and describe a system used in this facility
and key system components and their functions. Application of knowledge attained in
this class will support your ability to critically analyze your findings, to assess the
strengths and weaknesses of this organization's health information system, and
provide recommendations for improvement as may be appropriate to the
situation. This project is valued at 180 points (18% of your grade).
Examples of the types of healthcare organization that may be appropriate subjects for
this type of project include hospitals, hospital systems, integrated healthcare systems,
multispecialty medical clinics, physician group practice offices, ambulatory surgical
centers, mental health service providers, public health clinics, rehabilitation or long-
term care facilities, insurance companies, pharmacies, Urgent care clinics, etc. The
organization chosen must be complex enough to offer sufficient challenge and must
be realistic in terms of information available at a level needed to complete the project
in the required time frame. For example, an assisted living facility that does not make
use of information systems would not be appropriate for this project. There is no need
to, nor would it be appropriate to access any confidential patient information in order
to complete the project. Students who are not able to interview an HIM professional
or other healthcare practitioners or administrators may use AHIMA resources, articles,
and case studies available online or library resources, and reach out to the professor
for more guidance.
For successful completion of the project, please follow the guidelines below and
comply with the criteria listed in the grading rubric for deliverables, organization,
grammar, and resourcefulness.
1. Describe and analyze the chosen healthcare facility. (20 points)
o Location - where is the organization located.
o Type of setting - acute care hospital, skilled nursing facility, physicians
office,surgical center, insurance company, etc.
o Size of the facility - research the number of beds if applicable or other
information on the size.
o Ownership - private, government owned, proprietary, voluntary, etc.
o Population served
o Services offered
o Any accreditation or certification facts (You can find these fromthe
organization's website
o Work on this section after completing Week 2 content and reviewing
Chapter11 - Draft due on Week 4, Completed in Week 7.
2. Describe users of the health information at this organization. (20 points)

6. o Physicians
o Nurses
o Administrators
o Support services
o External users depending on the type of the facility (such as accrediting
agencies, payors, state department of health, CMS, and others as
applicable).
o Any other users not listed above (therapists, pharmacists, etc.)
o Clarify whether this facility has paper medical records only, electronic
only, or both.
o If the facility has paper records, describe how users access these
records.
o If the facility has electronic records, describe how users access these
records.
o Work on this section after completing Week 3 content and reviewing
Chapter 2 - Draft due on Week 4, Completed in Week 7.
3. Discuss at least one information system used in the facility. (50 points)
o Identify the name of the system and the vendor (e.g., Chart Locator
software by 3M, Sunrise software by Eclipsys, etc.).
o Identify the type of system (e.g., registration, billing, coding,
computerized physician order entry [CPOE],nursing system, picture
archiving communication system [PACS], medication administration,
finance system, etc.).
o Classify the system (to the best of your ability) based on the description
you are given (e.g., clinical, administrative, decision support,
transaction-processing, MIS, EIS, etc.)and what you have learned from
Sayles, chapters 14 and 15.
o Describe the function of the system as explained by the interviewer or
other sources of information.
 What is their purpose, or what functions do they perform?
 Does it connect or interface with other systems?
 Is it user friendly?
 Is the system secure?
 Do vendors support the maintenance and updates of the system?
o Describe strengths (e.g., ask about benefits of using this system; has it
made a difference in the way care is delivered and decisions are
made?).
o Describe weaknesses (e.g., functions that the system does not currently
perform and you would like it to perform).
o Describe any details learned about the planning, design,
implementation, and maintenance of this system.
o Ask if it is possible to obtain copies of a screenshot, policies and
procedures, brochures, training guidelines, or anything else that they
may be willing to share.
o Work on this section after completing Weeks 4 and 5 content and
reviewing Chapters 14 and 15 - Due on Week 7.
4. Provide comments and conclusions. (15 points)
o Reflect on the learning experience as a result of working on this project.
o Summarize your findings about the organization.
o Summarize your findings about the system described.
o Identify key strengths and weaknesses of the system.

7. o Identify any opportunities for improvement (based on identification of
weaknesses or your knowledge about systems).
o Work on this section after completing all other sections of the project -
Due on Week 7.
Milestones
 First Deliverable: Healthcare facility selection (10 points), due in Week 2
o Students must select a healthcare organization and state whether this
organization has at least one information system, and submit it in the
Dropbox.
 Second Deliverable: Section 1 & 2 Draft (40 points), due in Week 4
o Students must complete the description of the healthcare facility
selected and users of health information at the facility, and submit it in
the Dropbox.
 Final Deliverable: Complete project - All sections including those that were
submitted as a draft, cover page, conclusions, and references (130
points), due in Week 7
o Students must complete the project in a Word document, APA format,
and submit it in the Dropbox.
Please Note: All deliverables must be submitted as Word Documents in the
applicable Dropbox.
See the Syllabus section "Due Dates for Assignments & Exams" for due date
information.
QUIZES
week 1

8. 1. Question : (TCO 1) What is the primary goal of integrated healthcare delivery
systems?
: Ensure that every hospital that is part of an integrated delivery system is equipped to
meet all of its patients' needs
Ensure that patients receive high-quality, cost-effective care in the most appropriate
setting
Ensure that every American has equal access to healthcare services
Ensure that healthcare-related information can be shared among all the facilities
operating in the same community
Question 2. Question : (TCO 1) Which one of the first hospital established in the
British Colonies of North America?
: Massachusetts General Hospital
New York Hospital
Pennsylvania Hospital
Cortez Hospital
Question 3. Question : (TCO 1) Why was American Medical Association (AMA) not
able to reform medical profession until 1874?
: Because it was a small organization
Because it encouraged state licensing boards
Because members had ties to the medical schools
Because of its large membership base
Question 4. Question : (TCO 2) Members of the AHIMA House of Delegates are
: appointed by the AHIMA Board of Directors.
elected by the AHIMA Board of Directors.
elected by members in state component organizations.
elected by the AHIMA Nominating Committee.
Question 5. Question : (TCO 2) The primary function of the American Health
Information Management Association is to
: ensure that accurate and complete medical records are written for every hospital
patient.
standardize the content and format of the health records maintained by acute and
emergency care facilities.
promote the accuracy, confidentiality, and accessibility of health records in every
healthcare setting.

9. provide support for two- and four-year health information management educational
programs.
Question 6. Question : (TCO 2) Which organization's goal is centered primarily on
health information technology?
: HIMSS
AHDI
AHIMA
AAPC
Question 7. Question : (TCO 2) Which of the following funded grants to educate
health information technology professionals?
: American Health Information Management Association (AHIMA)
American Recovery and Reinvestment Act (ARRA) of 2009
American Academy of Professional Coders (AAPC)
None of the above
Question 8. Question : (TCO 2) Which of the following is true about Medical Billing
and Coding professionals?
: They assign medical codes to patient diagnoses and procedures
They process medical bills and/or claims for healthcare providers or payers
They may perform these duties together or separate
All of the above
Question 9. Question : (TCO 2) As a health information professional, if you end up
working as a _____________ , you will mostly design and manage the compliance
program which assures that the healthcare organization is operating conform state and
federal government requirements, as well as accrediting agency requirements.
: Project Manager
Compliance officer
Domain manager
Data quality manager
Question 10. Question : (TCO 1) Which of the following was (were) effect(s) of the
Great Depression on US Healthcare?
: There was a decrease in the use of medical services
There was a decrease in hospital revenues
It made physicians willing to accept government-sponsored health insurance

10. All of the above
4 of 4
Comments:
Question 11. Question : (TCO 1) The Joint Commission provides accreditation
services for the following:
: Ambulatory care
Acute care
Long-term care
All of the above
Question 12. Question : (TCO 2) This allied health professional evaluates and treats
patients with injuries from psychological, physical or work-related impairment.
: An Audiologist
An occupational therapist
A physical therapist
A speech-language pathologist
Question 13. Question : (TCO 2) Which of the following statements is true about
registered nurses
: Nurses serve the same roles within an organization
Nurses are required to have a license in order to practice
Nurses graduate from nonacademic training programs
Nurses must have a bachelor's degree in order to practice
Question 14. Question : (TCO 2) Which of the following are medical coding
credentials?
: CCS
CCS-P
CCA
All of the above
Question 15. Question : (TCO 2) The traditional role of HIM practice was:
: Information based
Department based
Electronically based

11. Analytically based
Week 2
Question 1. Question : (TCO 2) Which of the following statements is true about
behavioral health?
: It provides only day-hospital and day-treatment programs
Insurance coverage generally places restrictions on the psychiatric care such as a limit
on the number of outpatient visits
The quality of treatment provided has not changed in the past 20 years
Psychiatric care is restricted to ambulatory care settings
Question 2. Question : (TCO 2) A physician needs to find palliative care for a
terminally ill patient. What type of long-term care setting is the most appropriate?
: Residential care facility
Hospice
Skilled nursing facility
Nursing home
Question 3. Question : (TCO 1) Which of the following government agencies supports
medical research?
: Social Security Administration
Centers for Medicare and Medicaid Services
US Public Health Services
National Institute of Health
Question 4. Question : (TCO 1) Which of the following is true about Quality
Improvement Organizations (QIOs)?
: They were once called peer review organizations

12. They ensure quality and efficiency of healthcare services
They cover each state and territory in the US
All of the above
Question 5. Question : (TCO 1) The concept of Accountable Care Organizations
(ACO) has existed for a while but the ACO model began implementation only after
the following was passed:
: Patient Protection and Affordable Care Act of 2010
American Recovery and Reinvestment Act
The HITECH Act
HIPAA
Question 6. Question : (TCO 2) What service use work and play to help the patient
improve independent functioning?
: Occupational therapy
Diagnostic and therapeutic services
Administrative support services
Clinical laboratory services
Question 7. Question : (TCO 2) Who is responsible for implementing the policies and
strategic direction of the hospital or healthcare organization and for building an
effective executive management team?
: Board of directors
Chief executive officer
Chief information officer
Chief of staff
Question 8. Question : (TCO 2) Which of the following would be categorized as
voluntary hospitals?
: U.S. Air Force hospitals
University hospitals
Investor-owned hospitals
Proprietary hospitals
Question 9. Question : (TCO 1) Which of the following statements best describes
Medicaid?
: State program that finances healthcare services for the elderly
Federal program that finances healthcare services for the elderly

13. State program that finances healthcare services for low-income families
Federal and state program that finances healthcare for low-income families
Question 10. Question : (TCO 1) Which of the following recent developments has not
had a significant influence on the U.S. healthcare delivery system?
: Growth of managed care
Emphasis on patient-focused care
Shortage of well-trained physicians
Growth of subacute care
Question 11. Question : (TCO 1) An Integrated Delivery System (IDS) has certain
advantages, among which:
: It is focused on process innovation
It provides a full continuum of care for patients
It is focused on process improvementfor patients
It is focused on each clinical department
Question 12. Question : (TCO 3) I had surgery this morning. My surgery only lasted
30 minutes and I was ready to leave the facility 2 hours later. I must have had my
surgery at which type of facility?
: Freestanding ambulatory care center
Freestanding ambulatory surgery center
Subacute care
Integrated delivery system
Question 13. Question : (TCO 3) Which organization has the mission of promoting
the science and art of medicine and to improve public health?
: The Joint Commission
American Medical Association
American Hospital Association
American College of Healthcare Executives
Question 14. Question : (TCO 3) Which of the following is true about accreditation?
: It is a voluntary process
Most states do not recognize accreditation
Most states recognize accreditation by The Joint Commission as a condition of
licensure

14. a and c
Question 15. Question : (TCO 3) One of the disadvantages of individual health plans
is:
: They do not cover inpatient hospitalizations
They are part of fringe benefits
They have low deductibles
They cost more than group policies
HIT Program Orientation Attendance Quiz
week 3
Question 1. Question : Did you attend the HIT Program Orientation presentation?
Question 2. Question : What is the password provided in the HIT Program
Orientation?
HIT Program Orientation Survey Quiz
week 3
Question 1. Question : Did you complete the HIT Orientation Survey?
Question 2. Question : What is the password for the HIT Orientation Survey?

15. Week 5
Question 1. Question : (TCO 4) Which of the following is a primary purpose of the
health record?
: To support nursing care
To perform quality assurance
To bill for services
All of the above
:
Question 2. Question : (TCO 5) The admitting form of Mrs. Smith's health record
indicated that her birth date was March 21, 1948. On the discharge summary,
Mrs. Smith's birth date was recorded as July 21, 1948. Which quality element is
missing from Mrs. Smith's health record?
: Data completeness
Data consistency
Data accessibility
Data comprehensiveness
Instructor Explanation:Chapter 2, page 52
Question 3. Question : (TCO 5) Data definition refers to the
: meaning of data
completeness of data
consistency of data
detail of data
Question 4. Question : (TCO 5) Which of the following is not a characteristic of high-
quality healthcare data?
: Data relevancy
Data currency

16. Data consistency
Data accountability
Question 5. Question : (TCO 5) I have been asked to list institutional users of the
health record. Which one of the following would I include in my list?
: Blue Cross and Blue Shield
The patient
FBI agent
AHIMA
Question 6. Question : (TCO 6) Which of the following elements is NOT considered a
basic component of every information system?
: Software
Communications technology
Users
None of the above
Question 7. Question : (TCO 6) Using a hospital discharge database, a physician does
a study of diabetes mellitus comparing age of onset with response to a specific drug
regimen. The physician has gathered _____ from the database.
: data elements
information
informatics standards
data sets
Question 8. Question : (TCO 6) Which of the following connects devices across a
large geographical area, such as a state?
: Intranet
LAN
server
WAN
Question 9. Question : (TCO 6) Which of the following enable(s) computers on a
network to communicate with each other?
: Programming languages
HTML
Network protocols

17. Wide-area networks
Question 10. Question : (TCO 6) These computers are used to handle intensive
input/output business transactions.
: Mainframe systems
Midrange systems
Microcomputers
Supercomputers
Question 11. Question : (TCO 6) An information system that alerts a physician when
a laboratory value is outside of the normal range is called a(n):
: decision support system
enterprise-wide system
management information system
transaction processing system
Question 12. Question : (TCO 6) A _____ uniquely identifies each row in a table and
ensures that it is unique.
: Key
Primary key
Foreign key
None of the above
Question 13. Question : (TCO 6) A(n) _____ stores data in predefined tables
consisting of rows and columns.
: Object-oriented database
Relational database
Hierarchical database
None of the above
Question 14. Question : (TCO 6) Use case and sequence diagrams are an example of
a:
: High-level computer language
Low-level computer language
Unified modeling language
Network protocol

18. Question 15. Question : (TCO 6) In which phase of the systems development life
cycle are trial runs of the new system conducted, backup and disaster recover
procedures developed, and training of end users conducted?
: Design
Implementation
Maintenance and evaluation
Planning and analysis
Week 6
Question 1. Question : (TCO 5) The physician records his findings while still in the
patient's room. This is called:
: Computers on wheels
Alerts
Point of care documentation

19. Clinical practice guidelines
Question 2. Question : (TCO 5) The coding supervisor wants a daily report of health
records that need to be coded. Which of the following systems would be best in
meeting the supervisor's needs?
: CDSS
DSS
EIS
MIS
Question 3. Question : (TCO 5) Which of the following systems is designed primarily
to support patient care by providing healthcare professionals access to timely,
complete, and relevant information for patient care purposes?
: Administrative information system
Clinical information system
Management support system
Strategic information system
Question 4. Question : (TCO 5) Which of the following is NOT a characteristic of a
DSS?
: Provides ad hoc reports
Provides day-to-day reports
Uses statistical modeling
Answers what-if questions
Question 5. Question : (TCO 5) I am entering free text and structured data. This is
called:
: Template-based entry
Alerts
Care pathways
Clinical practice guidelines
Question 6. Question : (TCO 5) Which of the following information systems is used
to assist healthcare providers in the actual diagnosis and treatment of patients?
: Clinical decision support system
Laboratory information system
Management information system
Pharmacy information system

20. Question 7. Question : (TCO 5) Which of the following is used primarily for
monitoring performance?
: DSS
EIS
ES
MIS
Question 8. Question : (TCO 5) Which of the following systems focuses on providing
reports and information to managers for day-to-day operations of the organization?
: Executive information system
Clinical decision support system
Management information system
Strategic decision support system
Question 9. Question : (TCO 7) Which of the following is a core ethical obligation of
HITs?
: Coding diseases and operations
Protecting patients' privacy and confidential communications
Transcribing medical reports
Performing quantitative analysis on record content
Question 10. Question : (TCO 7) Which of the following ethical principles is being
followed when an HIT professional ensures that patient information is only released to
those who have a legal right to access it?
: Autonomy
Beneficence
Justice
Nonmaleficence
Question 11. Question : (TCO 7) Privacy can be defined as:
: The limitation of the use and disclosure of private information
The right of an individual to be let alone
The physical and electronic protection of information
The protection of information from accidental or intentional disclosure
Question 12. Question : (TCO 7) Which of the following is an example of data
collected by a patient monitoring system?

21. : Demographic information
Vital signs
Lab results
Radiology report
Question 13. Question : (TCO 7) I am concerned about the possibility that the PHI
that I am releasing as an ROI coordinator will be re-released to another
inappropriately. Why would I be concerned with a secondary release of information?
: PHI could be released without patient authorization.
This practice is illegal.
The hospital would be responsible for any inappropriate secondary release.
The secondary release is prohibited by many states.
Question 14. Question : (TCO 7) Which of the following statements represents an
example of nonmaleficence?
: HITs must ensure that patient-identifiable information is not released to
unauthorized parties.
HITs must apply rules fairly and consistently to every case.
HITs must ensure that patient-identifiable information is released to the parties who
need it to provide services to their patients.
HITs must ensure that patients themselves, and not other parties, are authorizing
access to the patients' individual health information.
Question 15. Question : (TCO 6) I work for a 10-hospital chain that is purchasing five
more hospitals. Many of these hospitals have different vendors supplying their
information systems. This has resulted in concerns regarding
: Point-of-care charting
Data mining
Interoperability
Supportive functions

22. final
Page 1
Question 1.1. (TCO 1) What is the primary goal of integrated healthcare delivery
systems? (Points : 5)
To ensure that every hospital that is part of an integrated delivery system is equipped
to meet all of its patients’ needs
To ensure that patients receive high-quality, cost-effective care in the most
appropriate setting
To ensure that every American has equal access to healthcare services
To ensure that healthcare-related information can be shared among all the facilities
operating in the same community
Question 2.2. (TCO 1) Who is responsible for implementing the policies and strategic
direction of the hospital or healthcare organization and for building an effective
executive management team? (Points : 5)
Board of directors
Chief executive officer
Chief information officer
Chief of staff
Question 3.3. (TCO 1) Throughout the years, HIM roles have (Points : 5)
remained the same.
broadened in scope.
become more focused.
diminished.
Question 4.4. (TCO 1) Which of the following dictates how the medical staff
operates? (Points : 5)
Medical staff classification
Medical staff bylaws

23. Medical staff credentialing
Medical staff committees
Question 5.5. (TCO 1) Which of the following would be categorized as voluntary
hospitals? (Points : 5)
U.S. Air Force hospitals
University hospitals
Investor-owned hospitals
Proprietary hospitals
Question 6.6. (TCO 1) Which of the following can be defined as a voluntary system
of institutional review in which a quasi-independent body periodically evaluates the
quality of the services provided by healthcare organizations against written criteria?
(Points : 5)
Accreditation
Standardization
Licensure
Professionalization
Question 7.7. (TCO 1) Which of the following are government-sponsored healthcare
reimbursement systems? (Points : 5)
Medicare
TRICARE
Worker’s compensation
All of the above
Question 8.8. (TCO 2) Which organization started the Hospital Standardization
Program in 1918? (Points : 5)
American Association of Medical Colleges
American College of Surgeons
Committee of Medical Education
American Medical Association
Question 9.9. (TCO 2) The name of the credentials that a person can obtain after
receiving an associate degree from a school accredited by CAHIIM is (Points : 5)
RHIE.
RHIA.
RHIT.

24. AHIMA.
Question 10.10. (TCO 2) The formal approval process for academic programs in
health information management is called (Points : 5)
accreditation.
certification.
registration.
standardization.
Question 11.11. (TCO 2) Who is primarily responsible for implementing the policies
and strategic direction of the hospital or healthcare organization and for building an
effective executive management team? (Points : 5)
The board of directors
The chief executive officer
The chief information officer
The chief of staff
Question 12.12. (TCO 3) CMS was formally known as (Points : 5)
Center for Medicaid Services.
Center for Medicare Services.
AMA.
HCFA (Health Care Financing Administration).
Question 13.13. (TCO 3) Which of the following statements about the Joint
Commission is NOT true? (Points : 5)
The Joint Commission accreditation satisfies the requirements from Medicare
Conditions of Participations.
The Joint Commission accreditation is mandatory for all facilities that treat adults 65
years old and above.
The Joint Commission accreditation is a process and requires ongoing review and
evaluation.
The Joint Commission Accreditation is voluntary and not required for a hospital to
operate.
Question 14.14. (TCO 3) Which of the following can be defined as a voluntary system
of institutional review in which a quasi-independent body periodically evaluates the
quality of the services provided by healthcare organizations against written criteria?
(Points : 5)
Accreditation

25. Standardization
Licensure
Professionalization
Question 15.15. (TCO 3) Coding and billing staff would be considered as (Points : 5)
primary users of the health record.
secondary users of the health record.
not required to use the record.
None of the above
Question 16.16. (TCO 4) The primary users of the health record include (Points : 5)
patient care providers.
the patient.
billing office staff.
All of the above
Question 17.17. (TCO 5) A characteristic of data in which values are defined at the
appropriate level of detail is (Points : 5)
data consistency.
data granularity.
data comprehensiveness.
data integrity.
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Question 1.1. (TCO 5) Protection of healthcare information from damage, loss, and
unauthorized alteration is also known as (Points : 5)
privacy.
results management.
security.
data accuracy.
Question 2.2. (TCO 5) Which of the following best describes data completeness?
(Points : 5)
Data is correct.
Data is easy to obtain.
Data includes all required elements.

26. Data is reliable.
Question 3.3. (TCO 6) An information system that alerts a physician when a
laboratory value is outside of the normal range is called a(n) _____. (Points : 5)
decision support system
enterprise-wide system
management information system
transaction processing system
Question 4.4. (TCO 6) Which of the following information systems is considered an
administrative information system? (Points : 5)
Financial information system
Laboratory information system
Nursing information system
Digital imaging system
Question 5.5. (TCO 6) Which of the following systems is designed primarily to
support patient care by providing healthcare professionals access to timely, complete,
and relevant information for patient care purposes? (Points : 5)
Administrative information system
Clinical information system
Management support system
Strategic information system
Question 6.6. (TCO 6) Which of the following can be described as an organized
collection of data saved in a file on a computer? (Points : 5)
Client
Database
Network
Server
Question 7.7. (TCO 6) Which of the following statements about emerging technology
is NOT true? (Points : 5)
Emerging technologies have had a significant influence on the development of
healthcare services in the past.
Emerging technologies promise to improve clinical decision making and patient care
in the future.
Emerging technologies probably will not affect the practice of health information
management in the near future.

27. Emerging technology development is likely to escalate in the future.
Question 8.8. (TCO 6) Which of the following best describes emerging technologies?
(Points : 5)
They are quickly adopted.
They introduce change to healthcare organizations.
They are usually simple to operate.
They are inexpensive to implement.
Question 9.9. (TCO 6) Expert knowledge-based information refers to (Points : 5)
facts about a specific subject area and reasoning processes to evaluate these facts.
data sets that have the same attributes, but are from different sources, that are
evaluated against each other.
interpreted data that are linked to individual patients.
All of the above
None of the above
Question 10.10. (TCO 6) Who would participate in a JAD session? (Points : 5)
End users, analysts, and developers
CEO, administrators, and the board of directors
Patients, insurance companies, and HCFA
Doctors, nurses, and therapist
Question 11.11. (TCO 7) Which of the following definitions best describes the
concept of privacy? (Points : 5)
The protection of healthcare information from damage and loss
The expectation that personal information shared by an individual with a provider
during the course of care will only be used for the intended purposes
Shared by an individual with a provider during the course of care will only be used for
intended purpose
The expectation that only individuals with the appropriate authority will be allowed to
access healthcare information
Both A and D
Question 12.12. (TCO 7) Which of the definitions best describes the concept of
security? (Points : 5)
The right of individuals to control access to their personal health information
The protection of healthcare information from damage and loss

28. Shared by an individual with a provider during the course of care and will only be
used for intended purpose
The expectation that only individuals with the appropriate authority will be allowed to
access healthcare information
Question 13.13. (TCO 7) Which of the definitions best describes the concept of
confidentiality? (Points : 5)
The right of individuals to control access to their personal health information
The protection of healthcare information from damage and loss
The expectation that personal information shared by an individual with a provider
during the course of care will only be used for the intended purpose
The expectation that only individuals with the appropriate authority will be allowed to
access healthcare information
Question 14.14. (TCO 7) The promotion of good for others, or the provision of
helpful services for others, refers to _____. (Points : 5)
autonomy
beneficence
bioethics
justice
Question 15.15. (TCO 7) Justice would require the HIT professional (Points : 5)
to ensure that the information is not released to improper people.
to make certain that the patient, and not a spouse or third party, is making the decision
regarding access to the patient’s health information.
to apply the rules fairly and consistently for all.
to ensure that the information is released to individuals who need it to do something
that will benefit the patient.
Question 16.16. (TCO 8) Many organizations and quality experts define quality as
meeting or exceeding (Points : 5)
patient quotas.
system outputs.
customer expectations.
data collection.
Question 17.17. (TCO 8) A fishbone diagram is also called a (Points : 5)
force-field analysis.
nominal group technique.

29. flowchart.
root-cause analysis.
(TCOs 1-8) Describe in details two forms of
delivering ambulatory care services in the United
States. (Points : 20)
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Question 2. 2. (TCOs 1-8) Discuss performance
improvement and its role in today's healthcare
environment. How can health information
professionals, coders or billers contribute to higher
quality in a healthcare organization? (Points : 20)
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Question 3. 3. (TCOs 1-8) Explain the main
activities that occur during the planning, analysis,
and implementation phases of a systems
development life cycle. (Points : 20)
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Question 4. 4. (TCOs 1-8) Describe the source-
oriented and problem-oriented medical record
formats. In what healthcare setting are they most
useful? Why? (Points : 20)
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