RHIA Domain 1| 334 Question| WITH COMPLETE SOLUTION

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Data mapping is used to harmonize data sets or code sets. The code or data set from which the map originates is the: Correct Answer: Source For the purposes of mapping, the term coding system is u... sed very broadly to include? Correct Answer: classification, terminology, and other data representation systems. Mapping is necessary as health information systems and their use evolves in order to? Correct Answer: link disparate systems and data sets. Who owns the health records of patients treated in a healthcare facility? Correct Answer: The facility Health records and other documentation related to patient care are the property of the? Correct Answer: hospital or healthcare provider that created them. In figuring a drug dosage, it is unacceptable to round up to the nearest gram if the drug is to be dosed in milligrams. Which dimension of data quality is being applied in this situation? Correct Answer: Precision Precision often relates to? Correct Answer: numerical data. Using the staff turnover information in the following graph, determine the next action the quality council at the hospital should take. Correct Answer: Coordinate a PI team to look into the cause for the high employee turnover rate in year 3 The health information management (HIM) manager is concerned with a backlog in transcription of surgical reports. The medical staff rules and regulations stipulate that the surgeon should: Correct Answer: Write a detailed postoperative progress note about the procedure performed The operative report should be written or dictated immediately after? Correct Answer: surgery and filed in the patient's health record as soon as possible. One member of the medical staff reviewed a patient's history, examined the patient, and wrote findings and recommendations at the request of another member of the medical staff. The resulting medical report that documents the response of the reviewing medical staff member is a: Correct Answer: Consultation report A consultation report is the documented findings or recommendation for further treatment by a? Correct Answer: physician or specialist. The Abbreviated Injury Scale is a data element recorded in which of the following registries? Correct Answer: Trauma The Abbreviated Injury Scale reflects that nature of the injury and the severity (threat to life) by? Correct Answer: body system. Which of the following would a data analyst use to locate, retrieve, and use data? Correct Answer: Metadata In establishing roles and responsibilities within a data governance program, which of the following would normally be embedded within an organization's business unit and be responsible for monitoring the data quality of the unit? Correct Answer: Data steward Data stewards are typically designated throughout the? Correct Answer: enterprise within business units, including IT The director of the health information department wanted to determine the level of physicians' satisfaction with the department's services. The director surveyed the physicians who came to the department. What type of sample is this? Correct Answer: Convenience Researchers use convenience samples when they "conveniently" use? Correct Answer: any unit that is at hand. Who is responsible for the content, quality, and authentication of the discharge summary? Correct Answer: Attending physician Under which circumstances may an updated entry be added to a patient's health record in place of a complete history and physical? Correct Answer: When the patient is readmitted within 30 days of the initial treatment for the same condition An updated entry may be used for the patient's history and physical when the patient is readmitted within Correct Answer: 30 days of the initial treatment for the same condition The HIM director wants to ensure that state regulations are being followed with regard to retention of the health records of minors. Which of the following data management domains would be responsible for ensuring these regulations are followed? Correct Answer: Data life cycle management Data management is based on the assumption that all data have a? Correct Answer: life cycle. Typical data life cycle functions requiring data governance include: Correct Answer: establishing what data are to be collected and how they are to be captured; setting standards for data retention and storage; determining processes for data access and distribution; establishing standards for data archival and [Show More]

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