Final Exam HIM

HIM has been recognized as an allied Health profession since:

The hospital standardization movement was inaugurated by the :

Throughout the years, HIM roles have:

The traditional model of HIM practice was:

The new model of HIM practice is:

What evolving role oversees the process that begins at the time of documentation through billing?

The organization that accredits HIM programs is:

What evolving role assesses quality in health record banking?

The primary focus of AHIMA is to:

Active members of AHIMA include those who:

Which of the following functions as the legislative body of AHIMA?

Which of the following promotes education and research?

The virtual network used by AHIMA members is:

We have 324 Medicare patients last month. This statement represents which of the following:

I am a patient. My medical history including information from myself and my physicians in stored on the Internet. This is an example of which of the following:

Which of the following is an example of a primary purpose of the medical record?

Examples of patient care delivery usage if the medical record include which of the following uses?

Critique this statement: The PHR and EHR are synonyms.

Which of the following users of the health record is an example of an institutional user?

Which of the following users would utilize aggregate data?

I wok for an organization that utilizes health record data to prove or disprove hypotheses related to disease. I must work for what type of organization?

Critique the following statement: A user of health records includes only care providers who document in the health record of refer to it for patient care.

I work for CMS; how would I use the health record?

A physician just received notification from an EHR system that a patient's lab test had a dangerously high value. This is an example of what kind of clinical tool?

I just told my physician something embarrassing about myself. I told him because I expect him to use the information for my care only. This concept is called:

Someone suggested that we collect a patient's eye color. This was not implemented. What quality characteristic would be the justification for not collecting this information?

It was suggested that we enter the patient's age manually in all of our information systems. What quality characteristic would be the justification for not doing this, but rather sharing information between the systems?

According to the AHIMA sate quality model, what is the term that is used to describe how data is translated into information?

Which two major types of data are contained inn the health record?

Which of the following terms refers to state or county regulation that healthcare facilities must meet to be permitted to provide care?

Which of the following would not be found in a medical history?

An attending physician requests the advice of a second physician who than reviews the health record and examines the patient. The second physician records impressions in what type of report?

Which specialized type of progress note provides healthcare professionals impressions of patient problems with detailed treatment action steps?

Written or spoken permission to proceed with care is classified as:

Which of the following reports provides information on tissue removed during a procedure?

Sleeping patterns, head and chest measurements, feeding and elimination status, weight, and Apgar scores are recorded in which of the following records?

Which of the following is not considered patient demographic information?

Which of the following administrative documents name s the patient's choice of legal representative for healthcare purposes?

Which type of health record contains information about care provided prior to arrival at a healthcare setting and documentation of care provided o stabilize the patient

patient history questionnaires, problem lists, diagnostic tests results, and immunization records are commonly found in which type of record?

The ambulatory surgery record contains information most similar to:

Which standardized tool is used to assess Medicare-certified rehabilitation facilities?

Interdisciplinary care plans are an important part of which type of health record?

Portions of a treatment record may be maintained in a patient's home in which two types of settings?

A patient's legal status, complaints of others regarding the patient, and reports of restraints or seclusion would be found most frequently in which type of health record?

Paper records may require thinning in which two settings?

A growth and development record may be found in what type of record?

The document that indicates current and past medical conditions is :

Which of the following is an accrediting organization?

An accrediting organization is awarded deemed status by Medicare. This means that facilities receiving accreditation under its guidelines do not need to:

Which group focuses on accreditation of managed care and preferred provider organizations?

Which of the following regulations would most likely contain information on who is authorized to enter documentation in a patient's record?

Which of the following groups has instituted a health record-prohibited abbreviation list?

Which type of health record includes both paper and computerized components?

Which of the following is a disadvantage of an EHR over a paper-based record?

In an integrated health record, documentation by health professionals is organized:

The patient indicates that her pain is worse. In which part of a SOAP note would this information be recorded?

Which of the following electronic record technological capabilities would allow an x-ray to be sent to a physician in another state?