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Quiz 13.2 (RHIA)

Terms in this set (25)

A transcriptionist's 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


refer the matter to the human resources department since the issue is outside of the supervisor's authority.

counsel the transcriptionist privately and develop an action plan for improved performance.

suspend the transcriptionist without pay until her productivity improves.

fire the transcriptionist immediately and post the job vacancy.
counsel the transcriptionist privately and develop an action plan for improved performance.
"Qualified employees should be given priority when vacancies within the organization occur" is an example of


a rule for the organization.
a procedure for the organization.
a policy of the organization.
an objective for the organization.
a policy of the organization
Recognizing diversity in the workplace


means better work schedules, wages, and benefits for employees.

brings awareness to the individual qualities that an employee brings to the organization.

affords more freedom for employees to make demands of their bosses
.
provides for bosses who are less strict on their employees.
brings awareness to the individual qualities that an employee brings to the organization
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?

Perform a 100% review of one of the employees' work each day.

Review a sample of each employee's work annually.

Review a random sample of each employee's work monthly.

Have each employee check each other's work and report any problems to the supervisor.
Review a random sample of each employee's work monthly
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 (8)
Charts Coded (725)
Standard (12 minutes per chart)
Hours Worked (1,280)


14.7%
8.8%
6.8%
11.3%
11.3%
---
*Remember to convert the hours to minutes.725 x 12 minutes = 8,700 minutes1,280 hours x 60 minutes = 76,800 minutes8,700 minutes on coding/76,800 minutes worked = 11.3% spent on coding
The supervisor over imaging has received frequent complaints from the scanning clerks regarding a prepping clerk's job performance. The scanning clerk's productivity levels have been impacted by the prepping clerk's inability to process the discharge charts in a timely manner. In order to get a clearer understanding of the situation, the supervisor asked the scanning clerks and the prepping clerk to complete a task list for a 2-week period. The supervisor is asking her employees to complete a



movement diagram.
procedure flowchart.
flow process chart.
work distribution chart.
work distribution chart.
The director of the Health Information Services Department has determined that an in-service for department supervisors on developing productivity standards within 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


implement productivity standards that align with the mission and goals of the organization.

develop standards that only consider an analysis of quantity and not quality.

direct training needs to the most efficient employee within the department in order to achieve the productivity levels.

create standards that are far too complicated to achieve.
implement productivity standards that align with the mission and goals of the organization.
AR days have not decreased as expected. The coding supervisor knows that he must initiate change within the coding process to ensure achievement of the goal. Which of the following actions should the coding supervisor take first?


Assign the resolution of the issue to the director of HIM.

Create a strategic action plan on how to handle these issues.

Call a meeting with the coders to discuss the issue.

Do nothing. The issues will eventually resolve over time.
Call a meeting with the coders to discuss the issue
---
This allows participation from the staff responsible for the work in the contribution of solutions to the problem and then "buy-in" to the process for resolution.
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 facility's electronic health record (EHR) in order to retrieve the record. On the occasions when the ER clerk has retrieved a record it appears as if the clerk was viewing records unnecessarily within the EHR. What would be the best training or development method for the ER clerk in order to rectify this situation?


receive training by an ER coworker

attend an outside workshop or seminar

receive training by an expert in record documentation

receive training by the Release of Information (ROI) supervisor
receive training by the Release of Information (ROI) supervisor
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.

variable
periodic
semifixed
fixed
periodic
---
Periodic cost is not an actual business-related term used to describe cost
---
-A variable cost is a cost that varies with the level of output. Variable costs are sensitive to volume
-Semifixed costs are costs that behave in a combination of fixed and variable ways and that volume is not the only change agent.
Which of the following statements describes a method of following a procedure?

Medical records requested by the emergency room will be retrieved and delivered within 30 minutes.

Only HIM personnel have access to the medical record filing area.

Multiple-page discharge summaries are stapled together in the left-hand corner.

Transcription turnaround time is established as 24 hours following completion of dictation by the physician.
Multiple-page discharge summaries are stapled together in the left-hand corner.
---
**"Medical records requested by the emergency room will be retrieved and delivered within 30 minutes" and "transcription turnaround time is established as 24 hours following completion of dictation by the physician" describe a standard. "Only HIM personnel have access to the medical record filing area" describes a rule.
Which of the following statements best describes the scalar or chain of command principle?


A manager may transfer authority to subordinates to carry out responsibility.

The number of subordinates under the immediate supervision of the supervisor should be limited.

It is the right of an executive to give orders and expect obedience.

There is a clear flow of authority from superior to subordinate throughout the organization.
There is a clear flow of authority from superior to subordinate throughout the organization.
The HIM director is not satisfied with performance improvement results of the department. In order for the staff to truly accept the change that has been set into motion, the director must influence the core values and beliefs that are shared by the members of her staff. Which of the following terms is this scenario referring to?



organizational chart
organizational culture
organizational network
organizational structure
organizational culture
---
The organizational culture creates an environment where employees are receptive to change. Organizational structure outlines how certain activities are directed in order to achieve the goals of an organization. These activities can include rules, roles, and responsibilities. Organizational network is connected together by informal networks and the demands of the task, rather than a formal organizational structure. Organizational chart is a graphic representation of an organization's formal reporting structure.
The 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 stopwatch study
a coding audit
an employee-reported log
a time log
a coding audit
Written documents that assist an organization in achieving its objectives and carrying out its mission statement are known as


operational plans.
tactical plans.
game plans.
strategic plans.
strategic plans
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?

leading
planning
directing
organizing
planning
The director of Health Information Services has asked the supervisor over imaging to determine productivity standards for the imaging clerks. In initiating this process, the supervisor has determined that the best way to institute work standards is to

improve employee morale.
determine which employee can work the fastest.
develop standards based on professional standards and industry benchmarks.
perform time and motion studie
develop standards based on professional standards and industry benchmarks
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

if a task is divided among employees disproportionately.

if the skills of each employee are utilized appropriately.

the appropriate method of work division.

the solution to a specific problem area.
the solution to a specific problem area.
--
The supervisor of the area can examine the data generated on the work distribution chart to assist in identifying problems but not solutions.
The coding supervisor reviewed the productivity logs of four newly hired coders after their first month of employment. The report below illustrates each coder's output. Based on the analysis of this report, which employee will require the most additional assistance in order to meet the coding standards?

PRODUCTIVITY REPORTCoding Standard: 20 charts per day


Coder 4
Coder 1
Coder 2
Coder 3
Coder 3
---
20 charts x 5 days = 100 per week x 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.
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 20 workdays in the month, calculate the minimum number of FTEs needed for this volume.

13
6
7.5
8
7.5
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.


Review the job description and job procedure with the clerk and follow up with a merit evaluation.

Review the job description and job procedure with the clerk and follow up with an in-service.

Review the job procedure with the clerk and have the analysis supervisor monitor her progress.

Review job procedures with the clerk and follow up with an in-service.
Review the job procedure with the clerk and have the analysis supervisor monitor her progress
---
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 also does not seem to be a problem that would require an in-service.
-Therefore, the best solution is to review the procedures with her and have the analysis supervisor monitor her progress to ensure that she fully understands the procedures.
Based on the Gantt chart shown above, which planned activities can be done simultaneously?

activities 1 and 2
activities 2 and 3
activities 3 and 4
activities 1, 3, and 4
activities 1 and 2
activities 2 and 3
activities 3 and 4
activities 1, 3, and 4
--
Analysis of the bars on the Gantt chart reveal that the planned bars for activities #2 and #3 are aligned and therefore take place simultaneously.
The standard for record retrieval is 200 work units per month. Based on the amount of actual work units produced, as referenced in the table below, what is the percentage of productivity for the month of May?
May Productivity Report—Chart Retrieval

Week 1 -30
Week 2 -40
Week 3 -25
Week 40-35


53%
15%
75%
65%
65%
---
Formula: Total actual work units x 100/ Standard work units = productivity percentage(30 + 40 + 25+ 35) x 100 = 13,00013,000/200 = 65%
After a work sampling study was completed, it was found that 20 percent of a coder's time was devoted to creating electronic queries to be sent to the physicians' electronic inboxes. How many minutes of a 7-hour day are taken up with this activity?


84
140
56
21
84
--
The hours must first be converted to minutes.7 hours x 60 = 420 minutes420 minutes x 0.20 = 84 minutes.
Strong lateral relationships within a facility are most likely when


individual departments cooperate together to achieve organizational goals.

individual departments avoid one another.

individual departments are only interested in their internal goals.

vertical relationships are less than adequate.
individual departments cooperate together to achieve organizational goals.
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