Professional review guide for the RHIA and RHIT Examination 2011 Edition

92 terms by rcherryhomes 

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Organization Management

The manager of a Health Information Department has many training and development methods available for the departmental and nondepartmental staff. Consider the following situation. The department's working hours are 8:00 AM to 6:00 PM After 6:00 PM, if a record is needed in the emergency room for a possible readmission, the ER clerk has access to the HID in order to retrieve the record. On the occasions when the ER clerk has retrieved a record, she has left the department open, the records have been pulled and not replaced, and it appears as if the clerk was viewing records unnecessarily. What would be the best training or development method for the ER clerk in order to rectify this situation?

A. Receive training by an ER coworker
B. Receive training by an expert in record documentation
C. Attend an outside workshop or seminar
D. Receive training by the supervisor of files

D

Strong lateral relationships within a facility are most likely when:

A. vertical relationships are less than adequate.
B. individual departments cooperate together to achieve organizational goals.
C. individual departments are only interested in their internal goals.
D. individual departments avoid one another.

B The reference pages indicated do not answer the question directly. The references relate to discussions of the organizational structure and design. Based on that information, assumptions regarding organizational relationships (vertical, lateral, matrix, etc.) can be made.

The Director of the Health Information Services Department has asked that the supervisor of coding institute a method to monitor the accuracy of coding. What method would be the most effective approach?

A. Perform a 100% review of one of the employees' work each day.
B. Review a sample of each employee's work annually.
C. Review a random sample of each employee's work monthly.
D. Have each employee check each other's work and report any problems to the supervisor.

C

You are the Coding Supervisor and wish to know the amount of time spent on coding by eight employees this month. You have the following productivity log. What percentage of time was spent on coding?

Productivity Log January
Number of Employees Charts Coded Standard Hours Worked
8 725 12 minutes per chart 1 ,280

A. 14.7% C. 8.8%
B. 6.8% D. 11.3%

D Remember to convert the hours to minutes. 725 × 12 minutes = 8,700 minutes 1,280 hours × 60 minutes = 76,800 minutes 8,700 minutes on coding/76,800 minutes worked = 11.3% spent on coding

The Director of Health Information Services has asked the supervisor over files to determine productivity standards for the file clerks. In initiating this process, the supervisor has determined that the best way to institute work standards is to

A. determine which employee can work the fastest.
B. perform time and motion studies.
C. improve employee morale.
D. develop standards based on professional standards and industry benchmarks.

D

A new health information management clerk has been on staff for 2 days. She has thus far analyzed charts incorrectly, sent out confidential information improperly, and used the copy machine inappropriately. Evaluate this situation and determine the best resolution:

A. Review the job description and job procedure with clerk and follow up with an in-service.
B. Review the job procedure with the clerk and have the analysis supervisor monitor her
progress.
C. Review the job description and job procedure with the clerk and follow up with a merit
evaluation.
D. Review job procedures with the clerk and follow up with an in-service.

B This is clearly a problem of not understanding the procedures of the tasks; therefore reviewing the job description probably will not be of much help. This rules out answers A and C. This also does not seem to be a problem that would require an in-service, thereby ruling out answer D. Therefore, the best solution is to review the procedures with her and have the analysis clerk monitor her progress to ensure that she fully understands the procedures.

"Qualified employees should be given priority when vacancies within the organization occur" is an example of:

A. a policy of the organization.
B. an objective for the organization.
C. a rule for the organization.
D. a procedure for the organization.

A

A rule is helpful to both managers and the employees in the decision-making process. A rule:
A. allows judgments to be made.
B. requires interpretation.
C. predecides issues.
D. provides the necessary detail

C

Which of the following statements describes a method?

A. Medical records requested by the emergency room will be retrieved and delivered within 30 minutes
B. Multiple-page discharge summaries are stapled together in the left-hand corner
C. Transcription turnaround time is established as 24 hours following completion of dictation by the physician
D. Only HIM personnel have access to the medical record filing area

B Answers A and C describe a standard. Answer D describes a rule.

The supervisor of retention and retrieval was receiving frequent complaints from the file clerks regarding the discharge clerk's job performance. The file clerks stated that it was becoming difficult to maintain their productivity levels because the discharge clerk was not processing the requisition slips in a timely manner. In order to get a clearer understanding of the situation, the supervisor asked the file clerks and the discharge clerk to complete a task list for a 2-week period. The supervisor is constructing a:

A. flow process chart.
B. movement diagram.
C. work distribution chart.
D. procedure flowchart.

C

In a filing system containing a total of 1,255 records, 48 records are identified as misfiles. What is the percentage of filing accuracy for this area?

A. 26.14%
B. 74%
C. 3.82%
D. 96%

D 1,255 − 48 = 1,207; 1,207 / 1,255 = 0.96 × 100 = 96%

The standard for record retrieval is 200 work units per month. Based on the table below, what is the variance from standard for the month of May?
May Productivity Report—Chart Retrieval
Week 1 Week 2 Week 3 Week 4
30 40 25 35

A. 75%
B. 65%
C. 53%
D. 15%

B Formula: Total actual work units × 100/ Standard work units = variance percent
(30 + 40 + 25+ 35) × 100 = 13,000 13,000/200 = 65%

Ms. Wolf, supervisor of coding and abstracting, would like to determine the coders' accuracy. Which type of management tool would provide her with the information she needs?

A. A stopwatch study
B. A coding audit
C. An employee-reported log
D. A time log

B

After a work sampling study was completed, it was found that 20% of a coder's time was devoted to pulling records for physicians with missing diagnoses. How many minutes of a 7-hour day are taken up with this activity?

A. 140
B. 84
C. 21
D. 56

B the hours must first be converted to minutes. 7 hours × 60 = 420 minutes 420 minutes × 0.20 = 84 minutes

Written documents that assist an organization in achieving its objectives and carrying out its mission statement are known as:

A. strategic plans.
B. game plans.
C. tactical plans.
D. operational plans.

A

Anna Kathryn is attending budget training for new supervisors. The representative from Finance explains that _____ costs will vary in direct proportion to changes in the volume of care provided.

A. fixed
B. periodic
C. variable
D. semi-variable

C

The organizing process determines how the work in a particular department will be divided and accomplished. In order to be in the best position to organize the work effectively, the manager must first engage in which management function?

A. Staffing
B. Directing
C. Planning
D. Controlling

C

The director of a Health Information Department has discovered that the department's policy regarding the usage of the copy machine has been consistently abused by majority of the staff. To put an end to this inappropriate use of the copy machine, the director should institute a department:

A. method.
C. objective.
B. rule.
D. procedure.

B

The average number of transcribed lines per month at Bent Tree Hospital is 142,500. The daily production standard is 950 lines per day. With twenty workdays in the month, calculate the minimum number of FTEs needed for this volume.

A. 13
B. 8
C. 6
D. 7.5

D 950 × 20 = 19,000; 142,500/19,000 = 7.5 FTEs

The supervisor of release of information in a Health Information Department is preparing a work distribution chart in the hopes of identifying some problem areas. Although the work distribution chart can provide the supervisor with a great deal of information concerning the work performed by her staff, it will not indicate:

A. if a task is divided among employees disproportionately.
B. the solution to a specific problem area.
C. if the skills of each employee are utilized appropriately.
D. the appropriate method of work division.

B

Emma Grace is a transcriptionist. Her productivity level, as determined by line count per day, has dropped significantly over the past 2 weeks. As a result, there is a backlog in transcription of history and physical reports and surgical reports. Several doctors and the operating room supervisor have complained. An appropriate initial course of action for the Supervisor of Transcription is to:

A. counsel the transcriptionist privately.
B. fire the transcriptionist immediately.
C. refer the matter to the Human Resources Department.
D. suspend the transcriptionist without pay for 3 days.

A

The Director of the Health Information Services Department has determined that an in-service for department supervisors on improving productivity levels in their respective areas is needed. As an outcome of this in-service, the director would like the supervisors to understand that when setting productivity levels, a supervisor must:

A. tailor any training needs to each individual employee to achieve the productivity levels.
B. direct training needs to the most efficient employee within the department in order to achieve the productivity levels.
C. determine the productivity standards for each area and job function.
D. consider only quantity and not quality.

C

The coding supervisor reviewed the productivity logs of four newly hired coders after their first month. The report below illustrates each coder's output. Based on analysis of this report, which employee will require additional assistance in order to meet the coding standards?
PRODUCTIVITY REPORT
Coding Standard: 20 charts per day
Coder Week1 Week 2 Week 3 Week 4
1 90 100 95 100
2 100 105 105 95
3 70 75 90 85
4 85 85 90 100

A. Coder 1
B. Coder 2
C. Coder 3
D. Coder 4

C 20 charts × 5 days = 100 per week × 4 weeks = 400
A standard of 400 charts coded over 4 weeks per coder. Coder 3 has coded only 320 charts over the 4 weeks.

Which of the following statements best describes the scalar or chain of command principle?
A. Effective organization is made up of people who perform the work assigned.
B. There is a clear flow of authority from superior to subordinate throughout the organization.
C. The objectives of a business or a group of functions within the business must be clearly defined and understood.
D. The number of subordinates under the immediate supervision of the supervisor should be limited.

The following questions represent advanced competencies.
IMPLEMENTATION PROCESS A HID COMPUTER STSTEM

Planned

Actual

ACITVITY Weeks October 1 2 3 4 November 1 2 3 4 December 1 2 3 4


1. organize staff [ Nancy]

2. select & order equipment [ Mary]

3. develop training plan [ Bob]

4. conduct training [Joe]

B

Based on the Gantt chart shown above, which planned activities can be done simultaneously?

A. Activities 1 and 2
B. Activities 3 and 4
C. Activities 1, 3, and 4
D. Activities 2 and 3

D

In order to improve efficiency and productivity, which of the following sequence of steps is the most effective?

A. Break down the work into component activities, assign personnel, and delegate authority.
B. Delegate authority, assign personnel, and define individual job duties.
C. Know the objective; assign personnel and group activities into proper organizational units.
D. Know the objective; break down the work into component activities, and group activities into proper organizational units.

D

Amelia Claire is a CNA and an RHIA who is a clinical documentation trainer for a large health system. The results of a quality improvement study indicated that an informed consent was not obtained for 25% of the surgical procedures performed. Amelia has discussed the problem with the director of the Health Information Department and they have decided to begin corrective action by providing an in-service. The most important participants that should attend this in-service are

A. nurses and unit clerks.
B. medical record and quality improvement personnel.
C. physicians and residents.
D. administrators.

C It is the physician's responsibility to ensure that a patient has consented to a surgical procedure.

The Director of Health Information Services has recently received approval to purchase the necessary equipment to place all inactive records on optical disc. The director plans to redo the department layout to accommodate the equipment and to ensure that the equipment is placed in the most appropriate area of the department. Which of the following tools will best assist the director with this new layout?

A. Proximity chart
B. Frequency chart
C. Gantt chart
D. Replacement chart

A

One of your first tasks as the new Manager of Health Information Services is to review the department policy and procedure manual. You have determined that several policy statements are incongruent with appropriate current employee practices. Proper management conventions require:

A. leaving the policy as written in the manual.
B. contacting the hospital attorney to decide what action to take.
C. enforcing the existing policy.
D. revising the policy appropriately and documenting the date of the change.

D

Elizabeth Home is the Chief Executive Officer (CEO) at St. Augustine Medical Center. At the beginning of each fiscal year, she begins a formal planning cycle. Her annual planning process should begin with which of the following?

A. Revising the institutional mission
B. Developing strategic plans
C. Establishing the annual organizational objectives
D. Developing strategic goals

C Although a CEO is involved in all of the options given, only the organizational objectives are completed annually. The mission statement is reviewed to ensure that the organizational objectives are consistent with it, but it is not revised annually. Strategic goals and objectives are completed on a long-term basis, not annually.

Which of the following statements is false in regard to departmental reengineering?

A. It is mainly done to reduce departmental costs.
B. It is intended to make small or minor changes in order to improve a function or process.
C. It is intended to improve departmental productivity.
D. It is intended to ensure satisfied customers.

B

In preparing a capital budget request, the first priority will be to document:

A. the specific type of equipment requested.
B. where the new equipment will be located.
C. the need for the new equipment.
D. the cost of the new equipment.

C

Based on the information displayed in the decision matrix below, which vendor would you recommend for the purchase of a copy machine?
Vendor A Vendor B Vendor C Vendor D
Criteria Weight Rating Rating Rating Rating
Quality 5 4 3 3 3
Speed 4 3 1 3 2
Service 2 3 3 5 2

A. Vendor A
B. Vendor B
C. Vendor C
D. Vendor D

A In order to determine which vendor to choose, each vendor's scores are added. The vendor that scores the highest for all three criteria is chosen. Calculations: Multiply the weight for each criterion by the rating. After this is done, each column is totaled. Vendor A scores 38; Vendor B, 25; Vendor C, 37; Vendor D, 27.

As the Director of the Health Information Department, you are preparing a request for approval for the purchase of an encoding system. Because this is considered a capital request, you are required to submit the cost-benefit ratio. The software and license costs $6,000, hardware maintenance is $1,500 and the training of two employees will cost $500. It is expected that the encoding system will increase reimbursement by $10,000. The cost-benefit ratio is:

A. 0.8.
B. 1.7.
C. 1.25.
D. 1.33.

C Costs = $6,000 + $1,500 + $500 = $8,000. Benefits = $10,000. (That is the increase in reimbursement.) 10,000/8,000 = 1.25. Benefits/Costs Ratio = 1.25 (This also known as the cost-benefit figure.) In other words, for every dollar invested in the encoding system, it will have a return of $1.25 after one year.

What two types of budgets are often prepared by managers of health information departments?

A. Capital budget and the finance budget
B. Capital budget and the operational or revenue and expense budget
C. Profit and loss budget and the finance budget
D. Finance budget and the revenue and expense budget

B

Mary and Sue are both employed as medical transcriptionists at All Children's Hospital. They are able to set their own work hours provided the department is covered by one of them during regular office hours. This kind of work arrangement is referred to as:

A. compressed work week.
B. job sharing.
C. flex time.
D. telecommuting.

C

The most important consideration in planning the office layout for a Health Information Services department is the:

A. number of employees.
B. cost.
C. types of furniture to be purchased.
D. workflow

D

Allison has conducted a timely performance evaluation for one of her employees and awarded the employee a 4% merit increase. She is currently completing the paperwork to submit to Human Resources. If the employee's hourly salary is presently $7.10, what will the hourly salary be with this increase?

A. $7.33
B. $7.38
C. $7.80
D. $7.54

B $7.10 × 0.04 = 0.284 + $7.10 = $7.384

The span of control in an organization refers to the:

A. number of supervisors for each functional area.
B. amount of space assigned to one supervisor.
C. amount of work expected of an employee.
D. number of people who report to one supervisor.

D

A work environment that is not ergonomically sound could lead to:

A. injuries.
B. conflict among departments.
C. employee arguments.
D. increases in department equipment budgets.

A

Jessica is the leader of a project team working on the definition of the women's health service line. Several departments are so enthusiastic about the progress that they ask for additions to the project. This is not uncommon, and is known as:

A. add-ons.
B. scope creep.
C. effort expansion.
D. deliverable increase.

B

The transcription production for February was 225,333 lines. The total work hours for all transcriptionists for the same period was 2,000. The average hourly cost was $13.50. Determine the cost per line for operating this service for this month.

A. $1.20
B. $0.24
C. $2.40
D. $0.12

D 2,000 × $13.50 = $27,000; $27,000/225,333 = 0.1198, rounded to 0.12

HEALTH INFORM ATION DEPARTM ENT
M ONTHLY BUDGET
JANUARY
Items Budget Actual
Supplies 495 675
Travel 300 150
Rental Equipment 1,250 1,250
Service Contracts 900 1,1 30

Based on the budget illustrated above, what is the monthly budget variance percent for supplies?

A. 13.6%
B. 36%
C. 26.6%
D. 11.9%

B The formula for budget variance percent is actual minus budget divided by budget.
675 - 495 = 180 (180 × 100)/495 = 36%

The most realistic approach that could encourage increased productivity in the tedious record file/retrieval area is to:

A. shorten the workday by 1 hour.
B. vary and rotate the work assigned to each file clerk.
C. have all the file clerks work on a part-time basis.
D. arrange for all the file clerks to have flex time.

B

The HIM Department of a local hospital will experience a 20% increase in the number of discharges processed per day as the result of a merger with a smaller facility. This 20% increase is projected as 120 additional records per day. The standard time for coding a record is 15 minutes. Compute the number of FTEs required to process this increased volume in coding based on an 8-hour day.

A. 3.75
B. 2.8
C. 6.5
D. 5.25

A To determine the number of employees needed for a specific job, first determine how much time the work requires. In this case, we know we will have an additional 120 records per day and each record will average about 15 minutes. To figure the amount of total time, multiply 120 × 15 = 1,800 minutes. Compute this to hours by dividing by 60 (60 minutes in an hour): 1,800/60 = 30 hours. Based on the 8-hour day, divide 30 hours by 8 = 3.75 FTEs.

Cheryl is the Director of the Health Information Services Department and Suzanne is the Assistant Director. Cheryl notices one of Suzanne's subordinates leaving the department for an unscheduled break. When the employee returns, Cheryl immediately asks the employee to step into her office and begins discussing the unauthorized break. Which organizational principle is this director violating?

A. Organizational function
B. Grievance procedure
C. Span of control
D. Unity of command

D

As the Director of Health Information Services, you manage the department with the assistance of four supervisors. One day you observe a coder coding charts from the face sheet without reviewing the record for additional documentation. The most appropriate course of action would be to:

A. discuss your concerns with the Supervisor of Coding and direct her to address this issue immediately.
B. discuss the problem with the CFO.
C. discuss the matter directly with the coder and instruct him to review the entire record for correct assignment of codes.
D. do nothing because the coding area is extremely productive.

A

During the month of May, there were 800 discharge abstracts processed at a cost of $ 0.90 per abstract for a total of $ 720.00. In June, 732 discharge abstracts were processed for a total cost of $ 658.80. This type of cost is known as:

A. semi- variable.
B. adjustable rate.
C. fixed.
D. variable.

D

Which statement is an inaccurate description of the organization chart shown above?

A. The director has authority over others in the department.
B. The director has subordinates.
C. The assistant director and the supervisor have a lateral relationship.
D. The tumor registrar has authority over the assistant director.

D

The Director of a Health Information Department has received the quarterly variance budget report. The report indicates the "overtime" category is unfavorable. The director is required to justify this overtime expense. Which of the following would be considered an acceptable explanation for this expenditure? Overtime is unfavorable this quarter due to:
A. the annual purging of inactive files.
B. a chronic backlog in transcription.
C. a decrease in admissions this quarter.
D. a lack of supervision in the file area.

A

The director of a Health Information Department has asked the department supervisors to review and revise all job descriptions. Missy Harris, the supervisor over coding and analysis, has determined that the job description for the senior coders must be revised. Ms. Harris' decision to revise the job description is probably due to a change in the:

A. number of coders.
B. recruitment practices for coders.
C. scope of coding responsibilities.
D. method in which the coders' performance is evaluated.

C

Which of the following is false in regard to budget variances?

A. Variances are often calculated on the monthly budget report.
B. Permanent budget variances do not resolve during the current fiscal year.
C. A variance analysis identifies whether the variance is favorable or unfavorable.
D. Temporary budget variances are expected to continue in subsequent months.

D

The expense budget is also known as the:

A. production budget.
B. operating budget.
C. contract budget.
D. profit and loss budget.

B

The Supervisor of a Health Information Department has aspirations of becoming the HID director. She works very long hours so that she can address all department issues herself rather than relying on her staff to assist her. Which type of management skills is she in need of improving in order to attain her goal of department director?

A. Delegating skills
B. Leadership skills
C. Motivating skills
D. Political skills

A

The supervisor over release of information has requested a meeting with her superior, the Director of Health Information Services. She begins the meeting by describing how overwhelmed she is feeling. She is extremely behind in her work and she does not know what she can do to change the situation. In advising the supervisor, the director suggests that perhaps she should begin addressing her problem by attending a management workshop. Which of the following workshop topics is more likely to help the supervisor with her problem?

A. "Leadership Styles for Women Managers and Supervisors"
B. "The Nature of Delegation"
C. "Understanding Your Employee"
D. "Writing Skills for the Release of Information Supervisor"

B

The Director of the Health Information Services Department is developing a plan to convert their existing filing system to a terminal digit filing system. The tool that is most useful to the director in displaying the steps and completion schedule for each phase of the conversion is a:

A. work distribution chart.
B. Gantt chart.
C. procedure flowchart.
D. flow process chart.

B A Gantt chart is a scheduling tool.

Mr. Beasley determined that the rate of absenteeism with three of his employees was 15%. He felt that this was unacceptable and decided that there were two different ways he could handle this situation. He evaluated these alternatives and thought the best thing to do would be to suspend all three for 2 days. Once he implemented this idea, he analyzed the consequences. How would you label this process?

A. Decision making
B. Planning
C. Crisis management
D. Communicating

A

The Project Manager is responsible for all of the following functions, EXCEPT:

A. approval of the budget for the project.
B. creation of project plan.
C. recruitment of project team.
D. recommending plan revisions.

A

A basic concept of office layout and workflow is that the:

A. paper and employee move to a predetermined location.
B. employee moves to the paper.
C. office layout and workflow should be revised frequently.
D. paper moves to the employee.

D

Which of the following tasks is the most appropriate for the Health Information Services Director to delegate to the Supervisor of Record Processing and Statistics?

A. Formulating a record retention policy for the entire facility
B. Reviewing monthly statistical reports to verify accuracy
C. Interviewing applicants for the position of Tumor Registrar
D. Completing a performance rating on the Assistant Director of the department

B

When interviewing a prospective employee, which of the following questions is inappropriate to ask?

A. "Can you type?"
B. "Where may we contact you?"
C. "What language other than English can you speak or write?"
D. "Do you own a home?"

D One must be familiar with the various labor laws to ensure that an interviewee is not asked questions that could be considered discriminating or illegal.

If the budgeted payroll expense was $24,300 and the actual payroll expense was $25,800, what is the percentage of cost variance?

A. 6.0%
B. 0.58%
C. 6.17%
D. 6.7%

C 25,800 - 24,300 = 1,500; 1,500/24,300 = 0.0617 × 100 = 6.17%

Which of the following actions illustrates the use of a participative management style?
A. Discussing suggested approaches of improving productivity and performance with employees
B. Basing decisions on information found in the manual of operations
C. Providing supervision only when requested by employees
D. Micromanaging all aspects and functions performed in the department

A

In deciding to purchase or lease a new dictation system, the Director of Health Information
Services calculated the payback period and rate of return on the investment. The hospital's required payback period is 3 years with a required rate of return of 20%. If the equipment costs
$32,000 and generates $8,000 per year in savings, what would the payback period for this equipment be?

A. 2 years
B. 5 years
C. 3 years
D. 4 years

D Formula: initial investment/annual cash flow = payback period $32,000/$8,000 = 4 years

The Director of a Health Information Department prepared a document in which the following information could be obtained: job title, reporting line, span of control, and routes of promotion. The document she was preparing was a(n):

A. job description.
B. organizational chart.
C. work distribution chart.
D. job procedure

B

The Director of the Health Information Department had to resign immediately due a family crisis requiring her to leave the country. Her superior, the Administrator of Support Services, must appoint an Acting Director as soon as possible, but is questioning who might be the best individual for this temporary role. What tool would assist the administrator with this decision?

A. Staffing table
B. Replacement chart
C. Proximity chart
D. Frequency chart

B

The file section supervisor is preparing the staffing budget for the coming fiscal year. Presently the staff is filing approximately 500 charts per day. By the time the fiscal year begins, this is expected to increase to 650 charts per day. Currently it takes nine FTEs to file 500 charts. The supervisor should project an FTE increase for the coming year's budget of

A. 13%.
B. 76%.
C. 23%.
D. 55%.

C Currently, each FTE files 55.5 charts (500/9 = 55.5).
• Since there will be 150 more charts per day needing filing (150/55.5 = 2.70), you will need
2.70 FTEs for filing the extra charts.
• Add current 9 FTE to the 2.70 FTE increase needed = 11.7 FTE.
• Divide by the increase of 2.7 FTE by the 11.7 total FTE needed to get the percentage increase in FTE. (2.7/11.7 = 23% increase).
For an anticipated increase from 500 to 650 you will need to increase your filing FTE staff by
23%.

. Lizzie O'Leary, Director of the Health Information Services Department, is writing a memo about a recent problem the department has had with a contracted copy service when she is notified of an emergency, hospital-wide department-head meeting. Because it is necessary that the memo be completed by the end of the day, it is most appropriate for the director to delegate its completion to the supervisor of:

A. storage and retrieval.
B. transcription.
C. coding and abstracting.
D. release of information.

D

Of the following, which is NOT considered justification to approve overtime? Overtime is not justified:

A. for unpredictable fluctuations in volume.
B. when there is unusually high absenteeism.
C. when there is a temporary change of work methods.
D. for employees who want to supplement their wages.

D

A job analysis includes the:

A. summation of the qualifications needed in a worker for a specific job.
B. collection of data to determine the content of a job.
C. title of the job and summary of the basic tasks making up a job.
D. goals to be achieved by a worker over a specified period of time.

B

The Director of the Health Information Services Department is preparing the department's budget for the coming year. She has included the costs for the coding staff to attend at least two workshops in the budget. What portion of the department's budget will the cost of the workshops be allocated to?

A. Staffing budget
B. Revenue budget
C. Personnel budget
D. Expense budget

D

The manager of a transcription agency is preparing December's staffing schedule. Because this month has several holidays, there are more requests for vacation and personal days than usual. Additionally, it is apparent to the supervisor that she will not be able to approve all requests for time off. It will be best for the supervisor to construct the schedule by:

A. processing requests based on seniority.
B. granting requests on a first-come basis.
C. adhering to the hospital and department policy regarding requests for time off.
D. not approving any time off, thus eliminating any conflicts.

C

The supervisor over the file section has discovered an enormous backlog of loose lab reports. The first step that the supervisor should take in attempting to resolve this matter is to:

A. analyze possible courses of action.
B. gather relevant data regarding the problem.
C. identify and clarify the problem.
D. choose the best course of action.

C

New equipment has just been purchased for a Health Information Services Department. Prior to its arrival and placement in the department, it is important for the manager to adhere to the rules and regulations governed by:

A. FDA.
B. OSHA.
C. CMS.
D. SSA.

B

The best source for obtaining data for a job analysis is the:

A. department director.
B. supervisor of the job.
C. the person who performs the job.
D. procedures manual.

C

Mike Guimond is an information specialist in the Department of Information Technology. He has been asked to assist with the Joint Commission survey process, which accounts for approximately 75% of his time. He also receives project assignments from the HIM director, his immediate supervisor, as well as the overall project manager. This refers to what type of authority relationship?

A. Functional
B. Parallel
C. Matrix
D. Divisional

C

The department director is responsible for budget costs that are controllable. Which of the following costs would be out of the director's control?

A. Equipment purchases
B. Fringe benefit cost per employee
C. Supply requisitions
D. Overtime authorizations

B

Kim Khoury is planning a luncheon for the team members and stakeholders on the CPOE implementation to celebrate reaching a major milestone. Which of the following is true?

A. Acknowledging accomplishments and milestones motivates teams.
B. Budgets rarely permit these extra expenses.
C. Celebrations are only appropriate at the close of a project.
D. Professionals are self-motivated, making celebrations unnecessary.

A

Beth Huber, Director of Health Information, has been selected to participate in a strategic planning retreat for her health system. In preparation, she refreshes her understanding of strategic planning. Which of the following will likely be included in the retreat?

A. Improvement of existing programs and services
B. Opportunities to review internal structures and systems
C. Enhancing customer and patient satisfaction
D. Focus on the organization's fit with the external environment

D

The project definition justifies the need for the new project. What would you expect to see in the project justification?

A. Project scope, resources needed, and amount of time required
B. Project scope, resources needed, and developing the solution
C. Resources needed, amount of time required, and preparing supporting documentation for the system chosen
D. Amount of time required, alternative analysis, and implementation review

A

Roberta Little Eagle is the new HIM supervisor at a large South Dakota reservation clinic. In order to become familiar with the specific steps currently used in record processing, she uses which graphic tool?

A. Force field analysis
B. Histogram
C. Fishbone analysis
D. Flowchart

D

Megan is the new Director of Health Information at Blue Ridge Rehabilitation Associates, a large multispecialty clinic. Her initial assessment of the department's functioning is that there is considerable duplication of effort. To collect information on the systems used in the current functions and to analyze and improve the process, she chose to use a:

A. work process flowchart.
B. systems diagram.
C. decision tree.
D. Pareto chart.

A

Which of the following would NOT be a scientific method of establishing standards?

A. Stopwatch studies
B. Work sampling
C. Personal experience
D. Time-log studies

C Personal experience is subjective. A, B, and D rely on objective measurement of job performance.

Lucy Ann manages a claims review unit for an insurance company. Her staff keys a high volume of data daily. She has scheduled a staff physical therapist to do the annual ergonomics presentation to help prevent repetitive strain injuries. All of the following would be included EXCEPT:
A. using a footrest.
B. wrists should be elevated.
C. monitor placed directly in front and elevated.
D. lumbar support provided.

B Wrists should be in a neutral position.

South Beach Medical Center is preparing to open as a new 250-bed acute care hospital. This facility is located in a growing area of the city and is projected to have 85% occupancy within 3 years. To determine the number of employees needed in the HIM department, the director must first

A. determine employee salary ranges.
B. develop a departmental organizational chart.
C. collect data from hospitals that are of comparable size.
D. identify the departmental functions to be performed.

D

A national HIM publication routinely requests that practitioners submit statistics from their facility regarding department functions. These are then summarized and published in graphic form, providing a tool for which of the following activities?

A. Benchmarking
B. Work standards
C. Job evaluation
D. Job redesign

A

In project management, the series of specific tasks that determine the overall project duration is referred to as:

A. project network.
B. critical path.
C. risk analysis.
D. project definition.

B

The formalized roadmap that describes how your institution executes the chosen strategy defines:

A. operations improvement.
B. strategic thinking.
C. operational mission.
D. strategic planning.

D

Which of the following is a tool for strategic thinking?

A. Storytelling
B. Driving force
C. Innovations
D. Critical issues

A

Which of the following helps the organization prioritize investment opportunities?

A. Return on investment
B. Profitability index
C. Net present value
D. Internal rate of return

B

Which of the following emphasizes the work climate in which harmony and cohesion promote good work?

A. Effectiveness
B. Chain of command
C. Scalar chain
D. Esprit de corps

D

Which of the following is often characterized as a manager's version of a pilot's cockpit as it contains all the critical information for leading the organization?

A. Balanced scorecard
B. Revenge effect
C. Executive dashboard
D. Groupthink

C

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