Upgrade to remove ads
Only $2.99/month

RHIT 2019 Reviewer Domain 3

Terms in this set (132)

Aggregate data
Data elements collected on large populations of individuals and stored in databases are referred to as:
Medicare
Based on the payment percentage provided in this table, which payer contributes most to the hospital's overall payments?
All individuals in the MEDPAR database except those admitted with a principal diagnosis of UTI or infectious disease
Community Hospital wants to compare its hospital acquired urinary tract infection (UTI) rate for medicare patients with the national average. The hospital is using the MEDPAR database for its comparison. The MEDPAR database contains 13,000.000 discharges. Of these individuals 200,000 were admitted with a principal diagnosis of UTI, another 300k were admitted with a principal diagnosis of infectious disease and 700k had a diagnosis of hypertension. Given this information, which of the following would provide the best comparison data for Community Hospital?

All individuals in the MEDPAR database

All individuals in the MEDPAR database except those admitted with a principal diagnosis of UTI

All individuals in the MEDPAR database except those admitted with a principal diagnosis of UTI or infectious disease

All individuals in the MEDPAR database except those admitted iwht a diagnosis of hypertension
31.5
Given the numbers 47, 20.11.33.30,30,35, and 50, what is the median?
Column headings are missing
What format problem is in the following table?
242
Community Hospital had 250 patients in the hospital at midnight on May 1. The hospital admitted 30 patients on May 2. The hospital discharged 40 patients, including deaths, on May 2. Two patients were both admitted and discharged on May 2. What was the total number of inpatient services days for May 2?

a.240
b. 242
c. 280
d. 320
95.5%
Community Hospital's HIM department conducted a random sample of 200 inpatient health records to determine the timeliness of the history and physicals completion. Nine records were found to be out of compliance with the 24 hour requirement. Which of the following % represents the H&P timeliness rate at Community Hospital?

a. 4.5%
b. 21.2%
c. 66.7%
d. 95.5%
Abstracted or indexed
To use a data elements for aggregation and reporting, that data element must be
Patient's laboratory value is 50
Which of the following best represents the definition of the term data.

a. Patient's laboratory value is 50.
b. Paint's SGOT is higher than 50 and outside of normal limits.
c. Patient's resting heartbeat is 70, which is within normal range.
d. Patient's laboratory value is consistent with liver disease.
Uniquely identifies each row in a table
Which of the following is true about a primary key in a database table?
Determine whether there was a medical or other reason why patients were not given aspirin
A quality goal for the hospital is that 98% of the heart attack patient's receive aspirin within 24 hours of arrival at the hospital. In conduction an audit of heart attack patients, the data showed that 94% of the patients received aspirin within 24 hours of arriving at the hospital. Given the data, which of the following actions would be the best?

a. Alert the Joint Commission that the hospital has not met its quality goal
b.
c. institute an in service training program for clinical staff on the importance of administering aspirin within 24 hrs
d. determine which physicians did not order aspirin
Procedures 1,4,6,7
The hospital's Performance Improvement Council has compiled the following data on the volume of procedures performed. Given this data, which procedures should the council scrutinize in evaluating performance?

a. Procedure 1,4
b. 2,3,5
c, 6,7
d, 1,4,6,7
82
A coding supervisor wants to use a fixed percentage random sample of work output to determine coding quality for each coder. Given the work output for each of the four coders shown here, how many total records will be needed for the audit if a 5 percent random sample is used?

a. 82
b. 156
c. 820
d. 1,550
Run chart
Which tool is used to display performance data overtime?
Research
David works for an organization that utilizes health record data to prove or disproved the efficacy of a healthcare treatment. What type of organization does David work for?
Death certificates
Which of the following is an example of how an internal user utilizes secondary data?
state infectious disease reporting
birth certificates
death certificates
bench marking with other facilities
Case finding
After the types of cases to be included in a registry have been determined, what is the next step in data acquisition?
Contains data on all paper types
For research purposes, an advantage of the Healthcare Cost and Utilization Project (HICUP) is that
The employee and patient have the same last name
An employee views a patient electronic health record it is a trigger event if

a. The employee and patient have the same last name
b. The patient was admitted through the emergency room
c. The patient is over 89 years old
d. A dietitian views a patient's nutrition care plan
73
Based on this output table, what is the average coding test score for the beginner coders?
Whether the patient setup an account in the patient portal
As part of your job duties, you are responsible for reviewing audit trails of access to patient information. All of the following are types of activity that you would monitor except

a. every access to every data element or document type
b. whether the person viewed, created, updated, or deleted the information
c. physical location on the network where the access occurred
d. whether the patient setup an account in the patient portal
Know your objectives or purpose of the data analysis
Which of the following is the first step in analyzing data
positively skewed distribution
A distribution where the scores pile up on the left side and taper off to the right.

Sometimes data do not follow a normal distribution and are pulled toward the tails of the curve. When this occurs, it is referred to as having a skewed distribution. Because the mean is sensitive to extreme values or outliers. it i gravitates in the direction of the extreme values thus making a long tail when a distribution is skewed. When the tail is pulled toward the right side, it is called.
Whether all access by workforce is appropriate
Recently, a local professional athlete was admitted to your facility for a procedure. During this patient's hospital stay, access logs may need to be checked daily in order to determine:

a. whether all access by workforce is appropriate
b. if the patient is satisfied with their stay
c. if it is necessary to order prescription for the patient
d. whether the care to the patient meets quality standards.
Cost to process the data
A consumer nonprofit organization wants to conduct studies on the quality of care provided to Medicare patients in a specific region. A HIT professional has been hired to manage this project. The non-profit organization asks the HIT professional about the viability of using billing data as the basis for its analysis. Which of the following would not be quality consideration in using billing data

Accuracy of the data
Consistency of the data
Appropriateness of the data elements
Cost to process the data
$140k
The HIM department recently performed an audit of health records. The audit showed that for the 10,000 records fields there was a 7 percent error rate. Given that the national average labor cost of each misfile is $200, what is the labor cost for the department for handling these misfiled records?

$1400
$14000
$140000
$285.714
$140k
6 days
Community hospital discharged 9 patients on April 1. The length of stay for each of the patients was as follows:
for patient A, 1 day,
for patient B, 5 days,
for patient C, 3 days,
for patient D 3 days,
for patient E 8 days.
For patient F 8 days
for patient G, 8 days
for patient H 9 days.
For patient I 9 days.
What was the average length of stay of these nine patients?
Line graph
Suppose that you want to display the number of deaths, due to breast cancer for the years 2005, through 2015. What is he best graphic technique to use?
100 patients
Community hospital had ta total of 3,000 inpatient service days, for the month of September. What was the average daily census for the hospital during September?

10
96.77
97
100 patients
3
If an employee produces 2080 hours of work in the course of one year, how many employees will be required for the coding area if the coding time on average for one record is 30 minutes and there are 12500 records that must be coded each year?

3
6
36
69
263
In may 270 women were admitted to the obstetrics service. Of these, 263 women delivered, 33 deliveries were by c section. What is the denominator for calculating the c section rate?
Patient date of birth
A health data analyst has been asked to abstract patient demographics information into an electronic database. Which of the following would the analyst include in the database
None of the data fields are adequate to use as a primary key for the table
The followi0ng data fields comprise a database table, patient last name, patient first name, street address, city, state, zip code, patient data of birth. Given this information, which of the following is a rue statement about maintaining the data integrity of the database table?

Patient last name should be used as the primary key for the table
Patient date of birth should be used as the primary key for the table
None of the data fields are adequate to use a primary key for the table
Patient last and first name should be used as the primary key for the table
Comparative
Data found on sites such as hospital compare use aggregated data to describe the experience of unique types of patient's with one or more aspects of their care. This data collection is called
Benchmark
The hospital acquired infection rate for our hospital is 0.2% whereas the rate at a similar hospital across town is 0.3%. This is an example of a:
Public health and research
Health department use the health records to monitor outbreaks of diseases. In this situation what type of use of the health records does this represent
Assisting researchers in determining effectiveness of treatment
Secondary data is used for multiple reasons including

Assisting researchers in determining effectiveness of treatments
Assisting physicians and other healthcare providers in providing patient care
Billing for services provided to the patient
Coding diagnoses and procedures treated
...
...
Accession number
What number is assigned to a case when it is first entered in a cancer registry?
It only contains Medicare patients
Why is the MEDPAR file limited in terms of being used for research purposes?
Normal distribution
Type of distribution are the mean, mean, and mode equal
Experimental medication, blood pressure
In this experimental study, blood pressure is taken before and after an experimental medication is used as the intervention in a sample of participants that were previously unable to control their blood pressure with other medications, in this example, the independent variable is the

Experimental medication, blood pressure
Blood pressure, experimental medication
Blood pressure, heart disease
Experimental medication, heart disease
Experimental medication, blood pressure
The data must be accurately queried
Which event must occur in order to maintain patient identity data integrity?

Queried, analyzed, normalized, coded
Which employees viewed, created, updated or deleted information
The facility privacy officer receives a phone call from a patient who is concerned that her former sis in law who is ia hospital employee has accesses her health record. The privacy officer requests an audit log of activity within he patient health record. What part of the audit log must be analyzed to determine if this complain has merit?

The patient demographic info
Which employees viewed, created, updated or deleted information
The ownership of the record
Whether the patient had requested to be omitted from the facility patient directory
heatmap
This type of chart plots all data points as a cell for two given variables of interest and depending on frequency of observation in each cell, provides color to visualize high or low frequency
Software testing
Which of the following is not a component of the data analytics process?
Data mining
The process of extracting and analyzing large volumes of data from a database for the purpose of identifying hidden and sometimes subtle relationships or patterns and using those relationships to predict behaviors is called
a. 30
215. Given the numbers 47,20,11, 33,30,30,35, and 50, what is the mode?
d. Whether all access by hospital employees was appropriate
216. Recently, a state senator was admitted to your facility for a serious medical condition. The facility privacy officer has been tasked with reviewing access logs daily to determine which of the following?
C 5%
217. Community Memorial Hospital had 25 inpatient deaths, including newborns, during the month of The hospital had a total of 500 discharges for the same period, including deaths of adults, children, and newborns. The hospital's gross death rate for the month of June was:
d. Request a new data chart be presented that accurately reflects the trend of infection rate
218. The HIM data analytics professional is reviewing a chart (shown here) on nosocomial infections presented by the hospital's infection control committee. The committee is reporting that the decrease in infection rate has accelerated during the past 10 years. What comments should the data analytics professional make? (See graph)
b. Annualized revenue for YR-7 is more than the costs.
219. City Hospital's HIM department made a decision to discontinue outsourcing its release of (ROI) function and perform the function in house. Because of HIPAA implementation, the department wanted better control over tracking release of information. Given the graph sfciown here, how would you evaluate the ROI revenue growth? See graph
c. Abstracting
220. After the types of cases to be included in a trauma registry have been determined, what is the next step in data acquisition?
b. Case finding
221Review of disease indexes, pathology reports, and radiation therapy reports are parts of which function in the cancer registry?
'B. Predictive analytics
222. The business office at Community Hospital is looking at software that can help them with decreasing their fraud and abuse cases. The software claims to be able to flag those patients that would most likely be involved in fraud by examining many databases at the same time and finding those patients with demographic discrepancies. This is an example of
c. 8 days
223. Community Hospital discharged nine patients on April 1. The' length of stay for each of the patients was as follows: for patient A, 1 day; for patient B, 5 days; for patient C, 3 days; for patient p, 3 days; for patient E, 8 days; for patient F, 8 days; for patient G, 8 days; for patient H, 9 days; patient I, 9 days. What was the median length of stay?
a. Contains data about a patient and has been documented by the professionals who provided care the patient
224. A record is considered a primar—y data source when it:
d. Employee D
225. At Community Hospital, each M-time employee is required to work 2,080 hours annually. The table below shows the amount of time that four employees were absent from work over the past year. See graph
a. Aggregate
226. The following data were derived from a comparative dischargedatabase for hip and femur procedures: see table
These data can best be described as:
b. 15
227. In a frequency distribution, the lowest value is 5, and the highest value is 20. What is the range?
c. 19
228. What is the mean for the following frequency distribution: 10,15,20,25,25?
b. Whether the person viewed, created, updated, or deleted information belonging to a patient with the same last name
229. The HIM manager at Community Hospital is responsible for reviewing audit trails detailing potential access issues within the EHR. Which one of the following would be a type of activity that.t the manager would want to review?
c. There are "blank cells.
230. What is (are) the format problem(s) with the following table? See table
c. ll days
231. Mr. Jones was admitted to the hospital on March 21 and discharged on April 1. What was the length of stay for Mr. Jones?
d. Benchmarking with other facilities
232. Which of the following is an example of how an internal user utilizes secondary data?
C. 20%
233. Community Hospital had 25 inpatient deaths, including newborns, for the month of June. The hospital performed five autopsies for the same period. What was the gross autopsy rate for the hospital for June?
d. Pie chart
234. If you want to display the parts of A whole in graphic form, what graphic technique wouldyooiznse?
d. Daily inpatient census
235. Which term is used to describe the number of inpatients present at the census-taking time each day plus the number of inpatients who were both admitted and discharged after the census-taking time the previous day?
a. Average length of STAY
236. Suppose that five patients stayed in the hospital for a total of 27 days. Which term would used to describe the result of the calculation 27 divided by 5?
c. Gross hospital death rate
237. Which rate is used to compare the number of inpatient deaths to the total number of inpatient deaths and discharges?
b. Length of stay
238. Which term is used to describe the number of calendar days that a patient is hospitalized
a. Inpatient service day
239. Which unit of measure is used to indicate the services received by one inpatient in a 24-hour period?
b. Census
240. What term is used for the number of inpatients present at any one time in a healthcare facility?
b. Incidence
241. Which rate describes the probability or risk of illness in a population over a period of time?
b. External data
242. A statewide data base is used by your performance improvement department each month to compare other facilities' readmission rates to your facility's rates. This is an example of
b. It only contains Medicare patients.
243. Why is the MEDPAR file limited in terms of being used for research purposes?
b. 0.98%
244. At Community Hospital, each full-time employee is required to work 2,080 hours annually. The table below shows the amount of time that five employees were absent from work over the past year, see table
a. In each MS-DRG, the geometric mean is lower than the arithmetic mean.
245. Given the information here, which of the following statements is correct? See table
c. Seattle
246. Given the following information, in which city is the GPCI the highest for practice expense? See table
c. Dashboard
247. One of the pediatricians at Community Physician's Clinic worked with a software vendor to get a display of the patients she currently has in the hospital on her smart phone that lets hern know current information such as lab results, vital signs, medications given. This is called
d. Patient number
248. Which of the following is the unique identifier in the relational database patient table? See table
d. Primary key
249. Which of the following uniquely identifies each record in a database table?
a. Data model
250. Which of the following is a technique for graphically depicting the structure of a computer database?
a, Ad hoc or demand
251. The Medical Staff Executive Committee has requested a report that identifies all medical staff members who have been suspended in the last six months due to delinquent health records. Thi-as is an example of what type of report?
c. Suggest that the data be adjusted for possible differences in type and volume of patients treated.
252. Hospital A discharges 10,000 patients per year. Hospital B is located in the same town and discharges 5,000 patients per year. At Hospital B's medical staff committee meeting, a physician reports that lie is concerned about the quality of care at Hospital B because the hospital has double the number of deaths per year than Hospital A. The HIM director is attending the meeting in a staff position. Which of the following actions should the director take?
b. Emergency
253.Community Hospital has compared its admission-type patient-profile data for two consecutive years. From a performance improvement standpoint, which admission types should the hospital examine for possible changes in capacity handling? See graph
c. Recommended for staff reappointment
254. A report that lists the ICD-10-CM codes associated with each physician in a healthcare faciltiy canbe used to assess the quality of the physician's services before he or she is:
c. Family practice
255. The following table compares Community Hospital's pneumonia length of stay (observed LOS to the pneumonia LOS of similar hospitals (expected LOS). Given this data, where might Community Hospital want to focus attention on its pneumonia LOS? See table
b. Full-time coders are more productive than part-time coders.
256. The following data has been collected about the HIM department's coding productivity as part of the organization's total quality improvement program. Which of the following is the best assessment of this data? See table
c. Cost comparison reflects a net reduction in overall expenses on a monthly basis for the e-WebCoding system.
257. Community Hospital performed a cost-savings analysis between its current paper-based, on-site processes and an e-WebCoding telecommuting model. Given the graph here, what does the cost analysis show? See graph
d. Medicaid
258. Given the following information, from which payer does the hospital proportionately receive the least amount of payment' see table
b. MEDPAR
259. Which of the following is made up of claims data from Medicare claims submitted by acute-care hospitals and skilled nursing facilities?
b. Gross
260. Which autopsy rate compares the number of autopsies performed on hospital inpatients to the total
c, Percentages
261. What do the wedges or divisions in a pie graph represent?
a. The sum of all relative weights divided by the total number of discharges
^262. Within the context of the inpatient prospective payment system, how is the case-mix index calculated?
c. 20.04%
263. Using the information in the table below, calculate the C-section rate at University Hospital for the semiannual period. See table
a. Descriptive analytics
264. Your administrator has asked you to generate a report that gives the number of hypertension patients last year. This is an example of
d. Real-time analysis
265. Community Hospital is using a system that will help them detect when intracranial pressure becomes high in patients with a recent CVA that will quickly send an "alert to the physician. This is an example of
a. Nominal
266. Which of the following types of data does not have a natural order?
a. 0.67
267. In the community clinic Dr. Simpson, an interventional cardiologist, saw 270 patients last quarterOf those, he performed stent procedures on 1 patients and angioplasty procedures on 88 patents. What is the proportion of Dr. Simpson's patients who have had stent procedures?
c. Measles
268. Which of the following reportable diseases usually requires telephone reporting as opposed to other methods of reporting'!
b. Inferential statistics
269. The type of statistics that makes a best guess about a larger group of data by drawing: conclusions
from a smaller group of data is called:
b. Predictive modeling
270. A managed care organization is using a system that examines the past healthcare behaviors of their patients to determine their future costs for their healthcare. This is an example
c. The physician's index
271. A secondary data source includes
b. Evidence-based medicine
272. Large population-based studies are used to identify the care processes or interventions that achieve the best healthcare outcomes in different types of medical practice. This research concept is called?
a. Have some consistency
273. To be reliable, statistical data must
c, Daily inpatient census
274. What is the official count of inpatients taken at midnight called'?
c. Patient number
275. In the relational database shown here, the patient table and the visit table are related by: see table
a. Identify patients who have been seen or treated in a facility for a particular disease or condition for inclusion in a registry
276. Case finding is a method used to:
. Comparative
277. Data found on sites such as Hospital Compare use aggregated data to describe the experiences of unique types of patients with one or more aspects of their care. This data collection is called?
a. National Center for Health Statistics
278.Certificates, such as those for births and fetal-deaths, are reported by hospitals to the individual state registrars and maintained permanently. State vital statistics registrars then compile the data and report them to which of the following:
b. 5.17%
279. The HIM professional reported to the qualify improvement committee at Community Hospital that there were 58 patients with influenza discharged from the hospital in January. Of those, 3 died. What is the case fatality rate for influenza for January7
: c. Abstracted
280. Information that has been taken from the health records of injured patients and entered into the trauma registry database has been
c. $5.43 per record
281. The HIM department at Community Hospital has three full time coders. One is considered the lead coder and his salary is $20.35 per hour. One coder is a new graduate who makes $15.50 per hour and the third coder is an experienced employee who earns $ 18.90 per hour. The lead coder codes four records per hour; the new coder codes three records per hour and their experienced coder codes six records per hour. Using a 7.5-hour productive what is the unit cost for the lead coder?
d. 637
Analyze the following report of physician deficiency rates and determine which physician has the lowest deficiency rate / for H&P complete within 24 hrs of admission

See table
c. Proportion
283. Suppose that 6 males and 14 females are in a class of 20 students with the data reported as 3/1. What term could be used to describe the comparison
d. Quantitative
284. One of the questions on the patient satisfaction survey that is sent to the patient after discharge asts for the number of times the nurses checked the patient's vital signs in a day. This is an example of which type of data?
c, personal mobile device
285. The Information Services Department has requested information about the electronic signature system being used in your facility. They would like to kniow locations where physicians are accessing the system. Review the information in the table below and determine which site has the highest percentage of use. See table
d. Review audit trail information to determine which employees have accessed this patient's information
286. A celebrity injured while on vacation was admitted to the local community hospital for treatment of a fracture. On day two of the admission, the hospital was contacted by several media agencies stating that they were a ware the patient was at at the facility and requesting information about the current medical condition of this high profile celebrity patieni patient. The CEO is concerned that an has shared information to the media regarding this patient. The facility privacy officer was tasked with determining if a facility employee leaked this information to the press. How would the privacy officer begin this analysis?
44.7%
287. A family practitioner in your looal physician's clinic saw 150 adults in one week for their annual physical examinations. Sixty- y-seven received the flu vaccine and three patients received the pneumococcal pneumonia vaccine. What is the rate of the flu vaccine administration for this physician?
d. Scatter diagram
288. Which of the following is used to plot the points for two variables that maybe related to each other in some way?
c. Worker's Compensation
289. The coding department at Community Physician's s Clinic developed the following report for the denials committee at the clinic. The billing report shows the following information. Using the information below, identify which payment source has the highest denial rate.
d. 79.96%
290. Using the information in the table below, calculate the vaginal delivery fate at University Hospital for the semiannual period, see table
d. Which employees viewed, created, updated, or deleted information
291. The facility privacy officer is visited at the hospital by a recent patient that is concerned that her nosy neighbor, who happens to be=s a hospital employee, accessed her electronic health record inappropriately in order to tell othier neighbors about the patient's health conditions. In order to determine this occurred the privacy officer requests an audit log of activity within the p^atient's health record. What part of the audit log would the privacy officer need to first analyze to determine if this patient complaint is valid?
b. 264 hours
292. The coding department at Community Physician's Clinic developed the following report for the denials committee at the clinic. The billing report shows the following information. How many hours will it take to reconcile these denials if each denial takes 1.5 hours to review and resubmit the bill? See table
a. 50
293. On October 1st, a hurricane hit a small coastal community, which has a community hospital licensed for 50 beds. Hospital staff set up 10 additional beds around the facility and used three labor room beds and two treatment room beds in order to help take care of patients. Which of the following would be the denominator used to determine the percentage of occupancy for October 1st?
b. Census
294. The number of inpatients present in a healthcare facility at any given time is called
A. 2.2%
295. The Information Services Department has requested information about the electronic signature system being used in your facility. They would like to know the locations where physicians are accessing the system. Review the information in the table below. What is the percentage of pnysicians not using the electronic signature system? See table
a. Core measures
296. The Joint Commission and CMS have identified sets of patient care characteristics that they have determined reflect the quality of care an organization can provide for important diagnosis These sets are called
B. I&d of pilonidal cyst, simple
297 Given the following information, which of the following has the lowest work RVU?
See table
d. $5.51 per record
298. The HIM department at Community Hospital has three full time coders. One is considered the lead coder and his salary is $20.35 per hour. One coder is a new graduate who makes $15.50 per hour and - 'the third cciJ^coder is an experienced employee who earns $ 18.90 per hour. The lead coder codes four records per hour; the new coder codes three records per hour and their experienced coder codes six records per hour. Using a 7.5-hour productive day, what is the unit cost for the new graduate coder?
c. Prescriptive analytics
299. This type of analytics allows users to prescribe a number of different possible actions:
THIS SET IS OFTEN IN FOLDERS WITH...