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RHIT 2019 Reviewer Domain 6
Terms in this set (89)
22.5 hours per day
The RHIT supervisor for the filing and retrieval section of Community Clinic is developing a staffing schedule for the year. The clinic is open 260 days per year and has an average of 500 clinic visits per day. The standard for filing records is 50 records per hour. The standard for retrieval of records is 40 records per hour. Given these standards, how many filing hours will be required daily to retrieve and file records for each clinic day?
A HIM department is projecting workforce needs for its document scanning process. The intent of the department is to scan patient records at the time of discharge, providing a 24 hour turnaround time. The hospital has an average daily discharge of 120 patients, and each patient records has an average of 200 pages. Given the benchmarks listed here, what is the least amount of work hours needed each day to meet a 24 hour turnaround time?
database management system
The HIM department is developing a system to track coding productivity. The director wants the system to track the productivity of each coder by productive hours worked per day, health record ID, type of records coded and to provide weekly productivity reports and analyses. Which of the following tools would be best to use for this purpose
a. word processing documents
b. paper logbook
d. database management system
a predefined audit process
coding accuracy is best determined by
a. a predefined audit process
b. medicare conditions of participation
c. payer audits
d. joint commission standard for accreditation
policy and procedure
Which of the following is the approved method for implementing an organization's formal position?
a. hierarchy chart
b. organizational chart
c. policy and procedure
d. mission statement
Training will provide 146,000 savings in help desk support and can be justified
The HIM and IT departments are working together to justify additional employee password training. The additional training would cost approx 100k with the expectation that password calls to the IT help desk will be reduced by 20%. The IT department has done a cost analysis of help desk calls solving password issues. Given this data and approx 40 password calls per day, can the cost of the additional training be justified?
a. Training will provide 146k savings in help desk support and can be justified
b. The results of training will provide 365k savings in help desk support and can be justified.
c. The cost of training will be recouped in less than half a year and can be justified
d. The cost of training is not justified because qualitative results cannot be measured to calculate return on investment.
Determine whether the source of the benchmark data is from a comparable institution
As part of Community Hospital's organization-wide quality improvement initiative, the HIM director is establishing benchmarks for all the divisions within the HIM department. The following table shows sample productivity benchmarks for record analysis the director found through a literature search. Given this information, how should the director proceed in establishing benchmarks for the department.
a. Determine whether the source of the benchmark data is from a comparable institution
b. Use the low benchmark example as a beginning point for implementation
c. Contact the hospital statistician to determine whether the data are relevant
d. Use the average benchmark example as a beginning point for implementation
An audit of the document imaging process reveals that the HIM department staff is scanning 250 pages per hour and indexing 114 pages per hour. If the department is meeting its productivity standard for scanning, but is only meeting 60 % of the indexing standard, ho wmany more pages per hour mus be indexed to meet the indexing standard?
a. 45.6 pages
insufficient knowledge of team members
The HIM director has put together a group of department employees to develop coding benchmarks for the number and types of charts to be coded per work hour. The group includes seven employees from the analysis, transcription, release of information, and coding sections. No managers are included on the team because the HIM director wants a bottom up approach to benchmark development. What fundamental team leadership mistake is the HIM director making with composition for the team?
a. insufficient knowledge of team members
b. too many team members
c. unspecific team charge
d. too few team members
the supervisor is kept informed of the employee's accomplishments
Which of the following is a positive aspect of using employee self appraisal as a source of data for performance appraisal?
a. employees are in the best position to provide objective review without overstatment
b. the supervisor is kept informed of the employee's accomplishment
c. appraiser and employee trainign on teh purpose and procedures of this process is essential
d. peer pressure of evaluations can motivate team member sto be more productive
Which policy ensures that the minimum penalty appropriate to the level of employee offense is applied?
A.Employment at will
D.Discipline without punishment
Parallel work division
one release of information (ROI) specialist handles requests from insurance and managed care companies. Anotehr handles requests from attorneys and courts. Each completes all steps in the business process from beginning to end. This is an example of which of the following?
a. serial work division
b. job sharing
c. job rotation
d. parallel work division
When reviewing the monthly performance report, a manger noticed the coding accuracy rate was below standard. She considered whether this difference might be related to a recent change in systems or attributed to another factor. This manger is performing which of the following?
a. performance measurement
b. workforce planning
c. work observation study
d. variance analysis
In designing input by clinicians for an EHR system, which of the following would be effective for a clinician when the data are repetitive and the vocabulary used ins fairly limited?
a. drop down menus
b. point and click fields
c. speech recognition
d. structured templates
The medial transcription improvement team wants to identify the cause of poor transcription quality. Which of the following tools would best aid the team in identifying the root cause of the problem?
b. fishbone diagram
c. pareto chart
d. scatter diagram
Performance monitoring is data driven and the HIM department needs access to data in order to make important decisions. One way to provide real time data and important information that can be monitored a glance is to use which of the following?
c. pareto chart
d. time ladder
Based on a productivity log, a coder completed 23 charts during a 7.5 hour workday. The performance standard dis 4 charts per hour. How many charts did he code per hour. Round to the nearest whole number
. 25 hours per day
The RHIT supervisor for the filing and retrieval section of Community Clinic is developing a staffing schedule for the year. The clinic is open 260 days per year and has an average of 600 clinic visits per day. The standard for filing records is 60 records per hour. The standard for retrieval of records is 40 records per hour. Given these standards, how many filing hours will be required daily to retrieve and file records for each clinic day?
Tasks that need to be performed in a specific sequence
. Incorporating a workflow function in an electronic information system would help support
The acute-care hospital discharges an average of 55 patients per day. The HIM department is open during normal business hours only. The volume productivity standard is six records per hour when coding 4.5 hours per day. Assuming that standards are met, how many FTE coders does the facility need to have on staff in order to ensure that there is no backlog?
Quantity and quality
Coding productivity is measured by:
As close to 100 percent as possible
Quality standards for coding accuracy should be:
A statement or guideline that directs decision making or behavior is called a;
. Staffing tools
Position descriptions, policies and procedures, training checklists, and performance standards are all examples of:
The people within the organization who oversee the operation of a broad scope of functions such as coding, transcription, and release of information at the department level are referred to as:
Nominal group technique
Which of the following is a problem-solving technique that focuses on working with individuals to find a mutually acceptable solution?
city Hospital should obtain a business associate agreement with Community Hospital.
Community Hospital wants to offer information technology services to City Hospital, another smaller hospital in the area. This arrangement will financially help both institutions. In reviewing the process to establish this arrangement, the CEO asks the HIM director if there are any barriers to establishing this relationship with regard to HIPAA. In this situation, which of the following should the HIM director advise?
Base charges on the cost of labor and supplies for copying and postage if copies are mailed while following the state copy fee schedule.
To date, the HIM department has not charged for copies of records requested by the patient. However, the policy is currently under review for revision. One HIM committee member suggests not allow for copying fees. What input should the HIM director provide? not allow for copying fees. What input should the HIM director provide?
Scanning all documents at the time of patient discharge
An HIM department is researching various options for scanning the hospital's health records. The department director would like to achieve efficiencies through scanning, such as performing coding and cancer registry functions remotely. Given these considerations, which of the following would be the best scanning process?
Managing the adoption and implementation of new processes is called
Which of the following is a data collection tool that records tJhe workflow of current processes?
Clearly define what is to be studied and accomplished X&Y instituting benchmarks.
As part of the clinic's performance improvement program, an HIM director wants to implement benchmarking for the transcription division at a large physician clinic. The clinic has 21 transcriptionists who average about 140 lines per hour. The transcription unit supports 80 physicians at a cost of 15 cents per line. What should be the first step that the supervisor takes to establish benchmarks for the transcription division?
A standard of performance or best practice for a particular process or outcome is called a(n)
Individual employee's performance evaluation.
After an outpatient review, individual audit results by coder should become part of the
Investigate whether there are factors contributing to the low productivity that are not reflected in the national benchmarks.
An HIM director reviews the departmental scanning productivity reports for thepast three months and sees that productivity is below that of the national average. Which of the following actions should the director take
Must be supported by research and actual application by multiple healthcare systems
Which of the following is one of the four criteria describing the basics of best of practice clinical documentation improvement (CDI) programs?
Communicate performance expectations
Performance standards are used to:
Describe the elements of a job
A comprehensive retrospective review should be conducted at least once a year of what aspect of the clinical documentation improvement program?
A coding supervisor who makes up the weekly work schedule would engage in what type of planning?
Track and report on CC capture rates across the organization and by service
Which of the following is one of the five best practices for management of financial measures in the CPI program
One of the first steps in this managerial function is to perform an environmental scan of internal organization and external industry. This is which managerial function?
Helen is the HIM department head, and has been asked to share a SWOT analysis of her department with her new boss. One aspect of Helen's Swot analysis indicates that the chart tracking software is over 10 years old and is not compatible with the the digital dictation system. In a SWOT analysis, this would be a(n):
The HIM department at Memorial Hospital will install a computer-assisted coding (CAC) system next month. Meetings were held with all coders so they had input into the process and coul^ address any concerns. HIM managers are working together to ensure the process is as smooth as possible. This is an example of what kind of change?
Be created by and specifically for each organization
Clinical documentation policies and procedures should:
. Dr- Jones is the first physician in the practice to adopt the e-prescribing application. He says he likes to try out new technologies and to be a role model for other physicians. Dr. Jones is at what step in the innovation adoption life cycle?
Health Insurance Portability and Accountability Act
Privacy awareness and training must be provided to all employees in order to prevent privacy breaches. This requirement is covered under which of the following laws?
Perform a needs assessment
Before the actual job analysis process begins, an HIM manager must complete the following
When a meaningful is developed, an organization is more likely to achieve its goals and be profitable
Elizabeth prepares a weekly dashboard report with key performance indicators of the HIM department to send to the chief executive officer. Preparation of this report falls under what managerial function?
As the assistant director of the HIM department, Judy is responsible for creating a job description for the new application specialist position. As part of the data collection phase, Judy researches the AHIMA Body of Knowledge to locate similar job similar job descriptions already on file. The Body of Knowledge is what source of data?
Place Daniel on probation due to continuing problems with decreasing coding productivity and coding accuracy
Which of the following interns on Abigail's to do list is most likely to requite a critical conversation?
Using external sources
Jane is responsible for developing the positions needed for scanning inactive records in anticipation of EHR implementation. Since she has no scanning experience, Jane called the supervisors of the scanning function at three different facilities to pick their r brains in regards to scanning jobs. This is an example of what type of data collection in the job analysis process:
Missing planning meetings to determine the implementation schedule for the new project
Which of the following behaviors is an early indicator of resistance to change that an emcployee might exhibit when presented with a new project?
Kevin is responsible for updating all job descriptions in the tilM department. In ordear to gather information about the data analyst position to to establish standards, he spends time interviewing and observing Sophie, who has held this job for three years. What type of study in Kevin conducting on. the data analyst position?
. Set productivity standards for the area, and review results on a regular basis.
A supervisor wants to determine whether the release-of information staff members are working at optimal output. Which of the following would be most useful to determine this?
Charles is a supervisor of the imaging section of of the HIM department. In trying to update scanning productivity standards, Charles calls around to other area hospitals to ask what their scanning standards are. This is an example of what source of performance data?
Delegation is a skill that managers develop to show employees that they trust them with authority to perform certain projects on their own. Delegation falls under what managerial function?
What document outlines the work to be performed by a specific employee or group of employees with the same responsibilities?
Each year when coding updates are published, Amy plans a face-to-face seminar training program for coders, business office employees, and physician office personnel involved in coding and billing. It generally takes her three weeks to complete the training of all necessary personnel. Which method of employee training is being described?
Which of the following is an alternate work schedule option that has been made possible by the growth and development of technology?
360 performance appraisal
Angela's annual performance appraisal is scheduled for next month. She has been asked by her supervisor to provide the names of two peers and one person in another department with whom she regularly interacts. These individuals will contribute to Angela's evaluation. This is an example of what type of performance appraisal method?
18% error rate on abstracting data
Which of the following would be an indicator of process problems in a health information department?
A tornado touched down in the community and multiple patients were brought to the hospital. The HIM director has asked all department personnel to to report to the emergency staging area to help with record management. The HIM director is performing which function of management /
A governing principle that describes how a department or an organization is supposed to handle a specific situation or execute a specific process is a:
The HIM supervisor has set a key performance standard for the release of information ((ROI staff related to the time between receipt of a request and when the request is sent to the requestor. This standard is considered the ROl:
HIM managers set different types of standards to evaluate employee performance for functions such as coding, analysis, and release of information. These standards are called:
Joe is a supervisor of the imaging section of the HIM department. In trying to update scanning productivity standards, Joe asked the current scanners to track their tasks on an activity log- Each scanner logs in the time it takes to scan a specific amount of records. This is an example of what source of performance data?
When interviewing candidates for a job, Angela likes to get a feel for how their experiences, will shape their future actions. She likes to ask the question, "Tell me about a time when you had to prioritize three or four courses of action, what they were, and how you decided to prioritize each ->ae- you choose correctly? How did it work out?" This is what type of interview question
. That access be granted that is view-only
University medical center would like to give access to the EHR to referring physicians for their patients' information for continuing care. The HIM manager should recommend which of the following
Community Hospital recently implemented a fully integrated electronic health record (EHR) system. The process for record analysis will be significantly different with this new system. The process is changing from the hybrid to a fully electronic analysis process. Which of the following should the HIM manager modify to reflect this process change?
Discuss this issue and the importance of compliance with the chief of surgery
In a recent documentation quality audit, the HIM manager discovered that the orthopedic surgeons have a high rate of noncompliance with history and physical examinations being available in the patient's record prior to surgery. Which of the following is the best action for the HIM manager to take to address this noncompliance issue?
One element of Helen's SWOT analysis mentions the hospital across town recently sent all their coders home to work remotely. Currently all coding done at Helen's hospital is done in-house. In a SWOT analysis, remote coding done by the other hospital would be a(n):
New employee orientation
The HIM manager is also the facility privacy officer. In this role, she is required to provide her expertise in regard to HIPAA privacy and security regulations. She oversees initial training of the workforce for the organization. Which of the following is the best setting to accomplish this initial training to ensure all workforce members are trained?
The coding staff at University Hospital has access to the Internet for research purposes while performing their job duties. The coding manager has noticed an increase in use and distraction b/ her coders who are using social media while on the job. In this situation, what should the coding manager develop and use to handle the inappropriate use of the Internet by her coding staff?
In all positions it is important to develop requirements for employee success to perform their job. For the release information technician position, the statement, "apply policies and procedures for disclosure of health information to process requests with 98% accuracy," would be considered
A recent HIM trend is instituting a clinical documentationimprovement program. This is not a small undertaking. Which of the following can be used by the HIM itadnager to assist in measuring whether or not the program is successful?
A coder with a vision impairment may need additional workspace lighting and a larger computer monitor installed with adjustments to screen contrast and magnification. This would an example of a(n):
Health information management
Clinical documentation improvement staff members must work directly with this department to obtain data about retrospective physician queries:
Critical incident method
As an HIM manager, Chelsea documents both positive and negative examples of her employee's work throughout the year. She refers back to these examples during annual evaluations. This is an example of what type of performance appraisal method?
Establish an error-management team to receive notice of these instances and correct them
After implementing a new EHR, the HIM department is noticing that documents are occasionally found in the wrong health record or are mislabeled. Which of the following would be the best approach to manage these errors in the EHr?
Which HIM role works with patients to help them understand health data?
As the director of HIM services, Mitch receives a weekly report from his coding supervisor, The report graphically displays inpatient and outpatient coding volume data, employee turnover rates, and the number of claim denials due to coding errors. This snapshot report is called a:
A document that describes the steps involved in performing a specific function is
What is the foraial process of introducing change, adopting the change, and diffusing it throughout the organization?
In a management sense, controlling means:
What kind of planning addresses long-term needs and sets comprehensive plans of action?
The HEM director conducted an analysis of the coding department that revealed that 10 of the coders are credentialed and have at least 10 years of experience. However, the top five coders are leaving their employment within the next three months. This is an example of which type of analysis?
Which of the following is a written description of an organization's formal position*?
THIS SET IS OFTEN IN FOLDERS WITH...
RHIT 2019 Reviewer Domain 5
RHIT 2019 Reviewer Domain 3
RHIT 2019 Domain 6
RHIT 2019 Reviewer Domain 2
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