Professional review guide for the RHIA and RHIT Examination 2011 Edition

101 terms by rcherryhomes

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Informatics and Information Systems

Which of the following is primary storage?

A. RAM
B. USB drive
C. CD
D. External hard drive.

A

Your release of information system has part of the computing on the workstation and part on the file server. What type of technology is being used?

A. Internet
B. Client server
C. LAN
D. Operating system

B

Dr. Smith is entering a medication order in a CPOE. A window pops up and with the following message. Patient is on beta-blocker, which is a contraindication for this medication. Do you want to order this medication? Yes or No:

This is an example of a(n):
A. reminder.
B. alert.
C. allergy.
D. structured entry.

B

Barbara is being seen at a physician's office that she has never been to before. This physician practice is independently owned. She did not have to request copies of her medical records, but the physician has everything that she needs. The physician must be part of a(n):

A. integrated health network.
B. corporation.
C. regional health information organization.
D. electronic health record.

C

What types of software provide a front-end structure/interface that presents information in a familiar format leading to a natural style of interaction through the use of icons and a mouse?

A. Graphical user interface
B. Fiber optics
C. Assembly level language
D. Machine language

A

With data exchange standards, the ability to transfer data from one system to another system is called:
A. electronic data interchange.
B. messaging standards.
C. interfaces.
D. interoperability.

D

Which of the following would be a foreign key in the patient table?

A. last name.
C. medical record number
B. address
D. billing number

D

Cardiac exam W N L
Cardiac exam abnormal
Murmur
Arrhythmia
Other
Review the simplistic screen above. This is an example of how ____________ data can be entered:

A. unstructured
B. structured
C. nomenclature
D. template

B

Why would the database administrator add a foreign key to one of the tables?

A. The data element refers to ethnicity
B. To indicate that it is a primary key in another table
C. To ensure that each row is unique
D. To separate two tables

B

The information systems manager is testing what the system can handle with regards to passing large amounts of data. This is called:

A. volume testing.
B. acceptance testing.
C. rigorous testing.
D. final testing.

A

A scheduling system was used to schedule an appendectomy for Dr. Smith. The system automatically looked up how long it takes Dr. Smith to perform the surgery. It contacted the patient's insurance company to confirm that the procedure is covered by the patient's policy and notified materials management of the supplies that would be needed that day. This is an example of how _____________ could work.

A. reminders
B. alerts
C. OLAP
D. clinical guidelines

C OLAP is used to analyze data, determine relationships, look for trends, and conduct "what if" analysis. In the scenario, it would need to determine how long Dr. Smith takes to perform the surgery, determine the instruments and supplies that would be needed, obtain information from the insurance company, and determine if the surgery is covered.

The main purpose of an electronic documentation management system (EDMS) is to:

A. eliminate paper in the HIM Department.
B. support the management of the hybrid record.
C. take the first step to prepare for the electronic health record (EHR).
D. manage documents.
13.

D

Which application design is used in a computer-assisted coding (CAC)?
A. electronic data interchange
B. intraoperability
C. message standards
D. natural language processing

D

Mary is designing a computer screen that will be used to collect patient demographic information. What input design should be utilized for the state field?

A. Icon
B. Dialog box
C. Menu
D. Free form text

C

One of the coders is out on medical leave unexpectedly. The supervisor needs the work normally sent to her to be distributed among the other coders. Which of the following statements is true?

A. The supervisor will have to get a programmer to make the change.
B. Each chart will have to be rerouted manually.
C. The supervisor can change the established criteria.
D. The vendor will have to be contacted to make the change.

C

Which of the following tests how well new systems being implemented work with existing systems?

A. Volume test
B. System test
C. Unit test
D. Integration test

D

You are working with a database that is created from multiple databases being stored in a single database. This is a(n) :

A. electronic health record.
B. personal health record.
C. clinical data repository.
D. health information exchange.

C

At an integrated delivery system, the hospital and clinic have separate networks. There are times when they need to share information across the network. This can be accomplished with a:

A. gateway.
B. hub.
C. router.
D. bridge.

C

The data on the hard drive was erased by a corrupted file that had been attached to an e-mail message. Which software would be used to prevent this?
A. productivity
B. utility
C. virus
D. encryption

C

In selecting a messaging standard for use in a picture archival communication system, the BEST choice would be:

A. Consolidated Health Informatics Initiatives.
B. National Drug Code.
C. HL7.
D. DICOM.

D

You have just inserted data contained in a spreadsheet into your word processed document. This is an example of a(n) ____________ system.

A. integrated
B. interfaced
C. mapped
D. graphical user interface

A

Dr. Smith goes to Hollywood Hospital's website and logs in. He sees a list of patients currently in the hospital, test results, and more. Ms. Brown, a patient of Dr. Smith who is having surgery next week, logs onto the same website and only sees the date and time of her preoperative visit. This is an example of:

A. web portal.
B. single sign-on technology.
C. application service provider.
D. intranet.

A

Patient care can be improved through the use of technology. Which of the following is an example of how this happens?

A. Elimination of illegible orders
B. Scanning of medical record image
C. Redundant testing
D. Voice recognition

A

In the RFP, you have asked for information regarding the amount of time that a vendor has been in business and the number of installations of the product under consideration. If you want to review this information, you would go to the ________________ section.

A. functional specifications
B. organizational profile
C. vendor information
D. licensing and contractual details

C

A facility wants to purchase a system that will use barcodes on all drug and biological products to help in ensuring patient safety. Which system should they purchase?

A. BC-MAR
B. EMAR
C. CPOE
D. EHR

A

One of the ways that an EHR is distinguished from a clinical data repository is that the EHR
A. has clinical decision support capabilities.
B. has data from multiple information systems.
C. can have digital images.
D. aggregates data.

A

What type of algorithm will identify the highest percentage of potential duplicates in an MPI?

A. Deterministic
B. Rules-based
C. EMPI
D. Probabilistic

D

Which of the following systems would provide a snapshot of information about the patient's condition?

A. EHR
B. Continuity of care record
C. Personal Health Record
D. SMART card.

B

You are entering orders into an information system. This system prevented you from ordering a duplicate radiology test and prevented you from ordering a medication that the patient was allergic to. What system are you using?

A. Order entry/results reporting
B. Electronic health record
C. Clinical provider order entry
D. Decision support system

C

In order for the EHR and other systems to be interoperable, the systems must meet certain:

A. rules.
B. guidelines.
C. standards.
D. alerts.

C

You are developing a list of functions needed by users of a release of information system. You are also evaluating the current system to see what opportunities there are to improve the system.
Which stage of the system developmental life cycle stages are you in?

A. Analysis
B. Implementation
C. Design
D. Obsolescence

A

Southside Community Hospital utilizes a WAN that transports data across the Internet by using a private tunnel. This is a:

A. WLAN.
B. LAN.
C. VPN.
D. FDDI.

C

In performing a "what if" query to determine if the facility should expand the emergency department a __________________would be used.

A. decision support system
B. financial information system
C. clinical decision support system
D. knowledge based system

A

What type of system would be purchased to provide information on the census, update the master patient index, and distribute demographic data?

A. ADT
B. Executive information system
C. Clinical information system
D. Financial information system

A

As HIM Department Director, you are on the implementation team for the new MPI. You have been assigned the responsibility of looking at every data element stored in the system and establishing criteria for the use of each. An example of what you are doing is shown below.

Name Last name
Description This field is for the patient's last name
Number of characters 30
Alphanumeric Alpha
Acceptable characters a-z
Responsible person HIM Director
Used in reports Admissions list, discharge list, transfer list, health record number list, UB-92, CMS-1 500

You are responsible for the:

A. data flow diagram.
C. data dictionary.
B. decision tree.
D. rules based algorithms.

C

A milestone is:

A. the distance between the users and the data center.
B. a step in the path to the implementation of a system such as the EHR.
C. a project plan.
D. a module of an information system such as the EHR.

B

A common language used in data definition language and data manipulation language is:

A. unified modeling language.
B. metadata.
C. HTML.
D. SQL.

D

The new EDMS has the ability to automatically route charts that need coding, analyzing, and other processing to the appropriate person. What is this technology called?

A. Workflow
B. Data flow
C. Routing
D. Integration

A

Differentiate between the physical and logical data models.

A. The physical data model shows how the logical model will be created and the logical data model shows the technology plan to be used.
B. The logical data model shows what the system should do and the physical data model shows how the logical data model will be created.
C. The logical data model uses DFDs and the physical data model uses entity relationship models.
D. The physical data model uses DFDs and the logical uses entity relationship model.

B

The administrator has asked us to develop a patient satisfaction database internally. This database will be used to collect data that can be used to improve our services. He does not want this to be a long, drawn-out process. Which of the following could speed up this process?

A. RFI
B. RFP
C. Prototyping
D. Functional requirements

C

Cynthia wants to retrieve a list of patients from the new electronic document management system. She wants a list of patients admitted to the hospital by Dr. Smith. Which of the following would explain why she cannot generate this list?

A. Improper scanning
B. The necessary indexing to retrieve this list was not done
C. The data is stored on optical disk so it not readily available
D. The COLD technology has not downloaded the lab reports

B

The medical staff want a speech recognition system where they dictate and then the editing of the dictation is done by editors. What type of speech recognition is this?

A. Key-word spotting
B. Hidden Markov model
C. Back-end speech recognition
D. Front-end speech recognition

C

The EHR system implementation team is using simulated patients and simulated patient information to add progress notes, nurses' notes, etc., to the EHR prior to implementation. Which phase is the team involved in?

A. Conversion
B. Testing
C. Analysis
D. Site preparation

B

You are interested in performing some data analysis on patients with cardiac problems. You have downloaded the data that you need on the cardiology patients from the data warehouse into a smaller database that you can work with. You are using a:

A. data mart.
B. clinical data repository.
C. specialized data warehouse.
D. executive information system.

A

The laboratory system was installed 3 years ago. It is running well and meeting the needs of the department. Which stage of the IS life cycle is the lab system in?

A. Initiation
B. Development
C. Implementation
D. Operations (maintenance)

D

Drop boxes, radio buttons, and pick lists are used in
A. structured data entry.
B. free text.
C. natural language processing.
D. unstructured data entry.

A

The facility HIS team has been researching network topologies and have decided on one that combines the attributes of bus, ring, and star topologies. What topology have they chosen?

A. Hybrid network
B. Network protocol.
C. Physical topology
D. TCP/IP

A

The hospital utilizes the best of breed model for their information systems. They are able to exchange data between the information systems from the various vendors seamlessly. This concept is:

A. interoperability.
B. networks.
C. transparency.
D. EDI.

A

The CEO needs to make a decision about the future of the health care facility. To make this decision, he utilizes an information system that queries a database containing data from a number of different information systems. What type of system is being used?

A. EHR
B. Results reporting
C. Financial information system
D. Executive information system

D

The EHR system selection committee evaluated three systems on a scale of 1-3 with a score of 3 being the best. The priority is ranked on a scale of 1-3 with 3 being the highest. Based on the evaluation above, which of the following systems should be purchased?

A. System A
B. System B
C. System C
D. None of the above

B

Upon final review of the RFP that is to be sent out to prospective vendors, it is noticed that there is content that should not be included in the operational requirement section of the document. Which of the following information would be deleted?

A. Response time
B. Data architecture
C. Data conversion
D. Data analysis tools

C

Dr. Smith needs something small and lightweight to use for dictating reports and entering data on the go. You suggest he use:

A. a laptop utilizing wireless technology.
B. a VPN.
C. voice recognition.
D. a PDA.

D

Maria has received a request to update a patient's insurance number. She accesses the
____________and updates the system. What system is she using?

A. Executive information system
B. Clinical decision support system
C. Admission-discharge-transfer system
D. Laboratory information system

C

The HIS department is involved in developing a plan that shows the fields that a database will contain, the operations that the database will exhibit, and the types of relationships. The team is developing the:

A. data model.
B. database design.
C. database manager.
D. data dictionary.

A

To enter the results of a CBC into the computer system, you would use a:

A. laboratory system.
C. pharmacy system.
B. radiology system.
D. order entry/results reporting system.

A

In developing your Information Systems Strategic Plan. Which of the following should be the basis for the plan?

A. Business plan
B. Previous IS strategic plan
C. Consultant's recommendations
D. Previous IS budgets

A

The vendor that you work for has decided to get into the EHR market. What standard should you suggest using in developing the functions performed by the EHR?

A. DICOM
B. LOINC
C. HL7 EHR functional model
D. IEEE 1073

C

When negotiating an information system contract, which of the following would be an example of a performance warranty specified in the contract?

A. Remedies
B. Operational practices
C. Insurances
D. Uptime

D

Critique the following statement: The EHR utilizes existing source systems for the EHR.

A. This is true as the EHR uses many source systems to populate the data
B. This is false as the EHR is a standalone system
C. This is false, as the EHR requires the latest and greatest system, thus eliminating legacy systems
D. This is true as the EHR obtains information SOLELY from the source documents

D

You have been asked how to handle versioning of documents in the EDMS. Which of the following should be your response?

A. Delete the first version and retain the second
B. Display the second version but identify that a previous version exists.
C. Do not allow edits to the system
D. Display both versions side by side

D

The physician will be called automatically when a lab result is at the panic level. This is an
example of a:

A. data-driven rule.
B. database.
C. clinical guideline.
D. reminder.

A

Your administrator has asked for the name of a standard that will allow different computer applications to communicate. Which of the following standards would you suggest?

A. Joint Commission
B. IOM CPR definition
C. HL-7
D. ASC X12

C

Webster Medical Center is installing a computerized provider order-entry system. Currently they are training the staff and testing the system. They are in the:
A. design phase.
B. implementation phase.
C. maintenance phase.
D. analysis phase.

B

Which one of the following is necessary during the strategic planning process for the EHR?

A. Gauging the user's readiness for the EHR
B. Writing the request for proposal to be used in selecting the EHR
C. Selecting the EHR to be used
D. Create newsletter to keep users informed of status of EHR

A

The hospital is undergoing the development of an information system strategic plan. The part of the process where changes in the community, legislation, and other factors are monitored is called:

A. health information exchange.
B. alerts.
C. environmental scanning.
D. critical path analysis.

C

Your transcription system utilizes disk mirroring. This is an example of a technology called:

A. RAID.
B. HL-7.
C. DASD.
D. CPOE.

A

Patient
Last name
First name
Middle initial
Street address
City
State
Zip
Medical record
number
Date of birth

67.
You are developing an entity relationship diagram. In the entity of the patient shown above, which of the attributes is the primary key?

A. Last name
B. Combination of last and first name
C. Street address
D. Medical record number

D

A preliminary step prior to issuing a formal RFP, which allows the facility to narrow down the field of potential vendors for procurement of a new hospital-wide computer system, would be to:

A. select the system to be purchased.
B. create a Gantt chart to monitor project progress.
C. issue a request for information (RFI) to potential vendors.
D. initiate contract negotiations.

C

Administration has asked the clinical provider order-entry task force to select the method of implementation that will reduce risk to the hospital. What method should they choose?

A. Implement all modules across the entire organization.
B. Implement one module in one unit while running the current system in parallel.
C. Implement all modules across the entire organization while running the current system in parallel.
D. Implement one module in one unit while shutting down the existing system.

B

The EHR is expected to be operational 100% of the time. Which of the following assist in this level of availability?

A. Integrity
B. Redundancy
C. RAID
D. ECRM

B

You recently installed a new computer system and you just learned that the vendor does not have the right to use one portion of the system. Another company owns the rights to the information contained in this portion of the system. What clause in your contract would you review to see if you are protected from being sued by the other company?

A. Warranties
B. Indemnification
C. Support
D. Force majeure

A

Your facility has implemented the clinical systems needed to support the EHR. The knowledge-based and decision support systems will be installed next. Your team has a firm plan to indicate the direction you should take and the expected timeframe. This is called a:
A. cost benefit analysis.
B. migration path.
C. critical path.
D. value realization.

D

Which of the following is an example of two factor authentication?

A. User name and password
B. Token and smart card
C. Fingerprint and retinal scan
D. Password and token

D

As Director of Health Information Services, you are negotiating a contract to purchase a new computerized dictation system that will be used across three satellite ambulatory clinics. What element is most critical in the contract negotiation to ensure use of the software in multiple environments?

A. Delivery terms
C. Price and payment terms
B. Scope and term of warranties
D. License grant

D

The most secure model of signatures used in information systems is:

A. digital signature.
B. electronic signature.
C. digitized signature.
D. there is no difference in the level of security between these models.

A

Which of the following situations would be an appropriate use of a DSS?

A. Determining the number of staff needed on the nursing unit
B. Establishing the productivity standard for the organization
C. Generating a report that aggregates data from multiple information system, including both clinical and financial data
D. Determining whether or not to purchase a new MRI machine so that there are two instead of just one

D

Task Mandatory Desired

Add new patient X
Assign medical record number X
Barcodes for data entry X
Delete patient X
Admit patient X
Discharge patient X
Transfer patient X
The table above presents an example of:

A. the systems standards.
B. a RFI.
C. the functional specifications.
D. a systems design.

C

Which of these functions is found in an ambulatory EHR but not an acute care EHR?

A. Results review
B. Online documentation
C. eMAR
D. Problem list

D

The layer in which the user interacts with the EHR to capture data and retrieve data is called

A. physical layer.
B. migration.
C. presentation layer.
D. value curve.

C

This small physician practice does not have the technical staff to manage the EHR. The physicians are looking for someone who can manage the software and hardware for them at a set monthly cost. What type of organization are they looking for?

A. Standard development organization
B. Application service provider
C. Vendor
D. Professional association

B

The facility is implementing a new PACS. They know that the volume of data that will be passing over the Internet will significantly increase. As a result, they have updated their network. They want to determine if the updated network can handle the amount of data that is expected to be sent across the system. Which type of testing would they use?

A. Conversion
B. Functionality
C. Interface
D. Load or volume

D

Which of the following relationships does the diagram above demonstrate?

A. One to one
B. Many to many
C. One to many
D. One and only one

A

There was an unexpected hardware failure for our EHR. It is expected to be up and operational in three hours. Until then, which of the following plans would you need to initiate?

A. Information system strategic plan
B. Implementation plan
C. Business continuity plan
D. Project planning

C

You have been asked to develop scenarios that will be used to design and program a new release of information system. These scenarios will include the processes to be used in detail. What are you designing?

A. Strategic plan
B. Functional requirements
C. Use cases
D. Request for proposal

C

Mountaintop Hospital has decided to use the "best of breed" philosophy. Because of this, they need a(n) __________ to manage the sharing of data.

A. DBMS
B. RFP
C. consultant
D. interface engine

D Although the facility may benefit from the services of a consultant and they will need a DBMS to manage the database for the new systems, it is the interface engine that will be needed to manage communication between the various systems.

The HIM supervisor is evaluating software that would utilize electronic logging and monitoring of requests for copies of patient information. What department function is this most useful for?

A. Correspondence/ROI control
B. Record completion
C. Record location/tracking
D. Transcription

A

You have been asked to identify and display the existing record processing workflow with the paper record. After you finish this, you will redesign the process and display the new process. What tool should you use?

A. Policy and procedure
B. Data dictionary
C. Data flow diagram
D Data mapping

C

Installation of a new electronic document management system is scheduled for the HIM department. The department director calls a meeting of the HIM supervisors to coordinate plans for training the HIM staff. What key factors must be taken into consideration as part of the training preparation process?

A. The total storage capacity and price of the new system
B. Collecting the results of the RFP responses and vendor selection process used during the selection process
C. Presentation content and scheduling to accommodate all employee shifts
D. Scheduling training times and locations for all physicians and hospital personnel who will use the system

C

You have just been promoted to
a data analyst in the HIM Department. You will be responsible for data collection, data manipulation, and presentation including graphs. Which type of software package will you use?

A. Word processing
B. E-mail
C. Database
D. Spreadsheet

D

You have been asked to establish guidelines on screen design that will be used in all of your information system projects. Which of the following standards would be included in your guidelines?

A. The screen should read right to left
B. Eliminate all hyperlinks
C. Provide instructions on how to complete the screen
D. Use red and green to flag key data

D

You are entering the valid choices for each of the data elements, defining each data element and more. You must be managing the:

A. functional requirement.
B. data dictionary.
C. system analysis.
D. data flow diagram.

B

Your department must send information electronically to the state health department every day. Currently this is taking a significant amount of time. What technology can be used to automatically send this information without human intervention?

A. Electronic data interchange
B. LAN
C. Internet
D. Network interface card

A

The CIO has given you a list of critical success factors developed for the EHR that your facility is developing. Which of the following would you expect to see on this list?

A. Implement e-prescribing
B. Get buy-in from the key players
C. Utilize thin clients
D. Utilize encryption

B

Your hospital just does not have the funds to outlay for hardware, software, and a long implementation time for a new system. They just read about a project where the software and hardware resides at the vendor's data center facility. The hospital uses a VPN to access the database that also resides at the vendor's data center. They are seriously considering this model because the implementation time would be short and the upfront costs are low when compared to an onsite installation. Which of the following are they considering?

A. Internet
B. Application service provider
C. E-commerce
D. E-health

B

You have had a problem with duplicate medical record numbers in your facility's MPI. Now you are joining a health information exchange, so you will need to clean up your database and prevent the duplicates from happening again. If you want to find near matches as well as identical matches in your MPI, you should implement a _________ algorithm.

A. probabilistic
C. fuzzy
B. deterministic
D. none of the above

A

Juan has been asked to investigate e-health companies. Which of the following would NOT be included in his investigation?

A. Health Data: a company that stores patient identifiable health information online
B. HealthInfo: a company that provides medical references to patients
C. Physician Services: a company that provides medical references to physicians
D. Café Services: a company that provides cafeteria services to the hospital

D

If your network was graphed, it would show a hub in the middle with nodes surrounding it.
What type of network is it and why would you choose it?

A. Star, ease of adding computers
B. Ring, operates over high distance
C. Bus, ease of adding computers
D. Ring, does not go down much

A

You just learned that you are storing the same data in two places in the database. What could be used to eliminate this redundancy problem?

A. Data quality
B. Schema
C. Normalization
D. Knowledge management

C

The patient has been on medication X for several years. A physician ordered medication Y. The information system immediately sends the physician a message that says that medication Y is contraindicated due to medication X. What technology is being used?
A. Point of care system
B. Clinical decision support systems
C. EHR
D. Order entry results reporting

A

The new computer hardware arrived and the technical staff was not able to install it because there was not enough space in the computer room. Which of the following implementation steps was not properly executed?

A. System evaluation
B. Conversion
C. Site preparation
D. User preparation

C

You are considering three vendors for your new encoder. Your facility wants to purchase the system from a stable company. After reviewing the vendor profile information below, which of the vendors would you eliminate from consideration?

Topic Vendor A Vendor B Vendor C
Number of years in business 2 10 3
Number of installations 72 135 5
Number of installation staff 3 4 1
Age of product 2 5 3
Financial standing Good Excellent Fair

A. Vendor A
B. Vendor B
C. Vendor C
D. You cannot eliminate any of the vendors

C

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