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RHIT Exam Domain 3

Terms in this set (65)

Given the numbers 47, 20, 11, 33, 30, 35, and 50, what is the mode?

a. 30
b. 32
c. 32.5
d. 35
a. 30
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?
a. Whether or not the patient is fit to continue public service
b. What information should be shared with the media
c. That the patient has received adequate care
d. Whether all access by hospital employees was appropriate
d. Whether all access by hospital employees was appropriate
Community Memorial Hospital had 25 inpatient deaths, including newborns, during the month of June. 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:

a. 0.05%
b. 2%
c. 5%
d. 20%
c. 5%

25 / 500 = 0.05 X 100 = 5%
After the types of cases to be included in a registry have been determined, what is the next step in data acquisition?

a. registering
b. defining
c. abstracting
d. finding
c. abstracting
Review of disease indexes, pathology reports, and radiation therapy reports is part of which function in the cancer registry?

a. case definition
b. case finding
c. follow-up
d. reporting
b. case finding
The business office at Community Hospital is looking ar 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 _______________.

a. descriptive analytics
b. predictive analytics
c. inferential statistics
d. descriptive statistics
b. predictive analytics
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 D 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. 5 days
b. 6 days
c. 8 days
d. 9 days
c. 8 days

1,3,3,5,8,8,8,9,9 8 is between 5 and 8 so the median is 8 days
A record is considered a primary data source when it:

a. contains data about a patient and has been documented by the professional who provides care to the patient
b. contains data abstracted from a patient record
c. includes data stored in a computer system
d. contains data that are entered into a disease-oriented database
a. contains data about a patient and has been documented by the professional who provides care to the patient
At Community Hospital, each full-time employee is required to work 2,080 hours annually. The four employees were absent from work over the past year for:
Employee A: 40 vacation hours / 6 hours sick leave
Employee B: 22 vacation hours / 16 hours sick leave
Employee C: 36 vacation hours / 8 hours sick leave
Employee D: 80 vacation hours / 32 hours sick leave
What employee had the highest absentee rate?
d. employee D

{(80+32)X100} / 2,080=
11,200 / 2,080=
5.38%

you would need to do this calculation for each employee to see who had the highest absentee rate
In a frequency distribution, the lowest value is 5, and the highest value is 20. What is the range?

a. 5 to 20
b. 15
c. 7.5
d. 20 to 5
b. 15

because the the range between 5 and 20 are 15
What is the mean for the following frequency distribution 10, 15, 20, 25, 25?

a. 47.5
b. 20
c. 19
d. 95
c. 19

10+!5+20+25+25=95
95 / 5= 19
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 the manager would want to review?

a. Every access to every data element or document type that occurred within the facility
b. whether the person viewed, created, updated, or deleted information belonging to a patient with the same last name
c. physical location of the redundant servers used for backup
d. whether all patients setup accounts in the patient portal
b. whether the person viewed, created, updated, or deleted information belonging to a patient with the same last name
Mr. Jones was admitted to the hospital on March 21 and discharged on April 1. What was the length of stay for Mr. Jones?

a. 5 days
b. 10 days
c. 11 days
d. 15 days
c. 11 days

(March 31 day - 21 days)+(April 1 day) = 11 days
Which of the following is an example of how an internal user utilizes secondary data?

a. state infectious disease reporting
b. birth certificates
c. death certificates
d. benchmarking with other facilities
d. benchmarking with other facilities
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?

a. 0.02%
b. 5%
c. 20%
d. 200%
c. 20%

(5/25)X100=20%
If you want to display the parts of a whole in graphic form, what graphic technique would you use?

a. table
b. histogram
c. line graph
d. pie chart
d. pie chart
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. inpatient bed occupancy rate
b. bed count
c. average daily census
d. daily inpatient census
d. daily inpatient census
Suppose that five patients stayed in the hospital for a total of 27 days. Which term would be used to describe the result of the calculation 27 divided by 5?

a. average length of stay
b. total length of stay
c. patient length of stay
d. average patient census
a. average length of stay
What rate is used to compare the number of inpatient deaths to the total number of inpatient deaths and discharges?

a. net hospital death rate
b. fetal/newborn/maternal hospital death rate
c. gross hospital death rate
d. adjusted hospital death rate
c. gross hospital death rate
Which term is used to describe the number of calendar days that a patient is hospitalized?

a. average length of stay
b. length of stay
c. occupancy rate
d. level of service
b. length of stay
Which unit of measure is used to indicate the services received by one inpatient in a 24-hour period?

a. inpatient service day
b. volume of services
c. average occupancy charges
d. length of services provided
a. inpatient service day
What term is used for the number of inpatients present at any one time in a healthcare facility?

a. average daily census
b. census
c. inpatient service day
d. length of stay
b. census
Which rate describes the probability or risk of illness in a population over a period of time?

a. mortality
b. incidence
c. morbidity
d. prevalence
b. incidence
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 ____________.

a. internal data
b. external data
c. ratio data
d. nominal data
b. external data
Why is the MEDPAR File limited in terms of being used for research purposes?

a. it only provides demographic data about patients
b. it only contains Medicare patients
c. it uses diagnoses and procedure codes
d. it breaks charges down by specific types of service
b. it only contains Medicare patients
At Community Hospital, ech full-time employee is required to work 2,080 hours annually. The following is the time that the five employees were absent from work over the past year.
Employee A: 40 vac/6 sick
Employee B: 22 vac/ 16 sick
Employee C: 36 vac/8 sick
Employee D: 80 vac/32 sick
Employee E: 16 vac/40 sick
What is the total sick leave rate for this group of employees for the year?

a. 0.29%
b. 0.98%
c. 1.29%
d. 1.54%
b. 0.98%

(6+16+8+32+40)= 102 hrs
2080 X 5 = 10,400
(102 X 100) / 10,400 = 0.98%
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 her know current information such as lab results, vital signs, medications given. This is called a ________.

a. Big data
b. Descriptive analytics screen
c. Dashboard
d. Descriptive tablet
c. Dashboard
Which of the following uniquely identifies each record in a database table?

a. data definition
b. data element
c. foreign key
d. primary key
d. primary key
Which of the following is a technique for graphically depicting the structure of a computer database?

a. data model
b. data flow diagram
c. foreign key
d. primary key
a. data model
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. This is an example of what type of report?

a. ad hoc or demand
b. annual report
c. exception
d. periodic scheduled
a. ad hoc or demand
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 he 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?

a. make no comment since this is a medical staff meeting
b. agree with the physician that the data suggest a quality issue
c. suggest that the data be adjusted for possible differences in type and volume of patients treated
d. suggest that an audit be done immediately to determine the cause of deaths within the hospital
c. suggest that the data be adjusted for possible differences in type and volume of patients treated
A report that lists the ICD-10-CM codes associated with each physician in a healthcare facility can be used to assess the quality of the physician's services before he or she is:

a. scheduled for a coding audit
b. subjected to corrective action
c. recommended for staff reappointment
d. involved in and in-house training program
c. recommended for staff reappointment
Which of the following is made up of claims data from Medicare claims submitted by acute-care hospitals and skilled nursing facilities?

a. NPDB (National Practitioner Data Bank)
b. MEDPAR (Medicare Provider Analysis and Review)
c. HIPDB (Healthcare Integrity and Protection Data Bank)
d. UHDDS (Uniform Hospital Discharge Data Set)
b. MEDPAR (Medicare Provider Analysis and Review)
Which autopsy rate compares the number of autopsies performed on hospital inpatients to the total number of inpatient deaths for the same period of time?

A) Net
B) Gross
C) Hospital
D) Average
b. gross
What do the wedges or divisions in a pie graph represent?

a. frequency groups
b. various data
c. percentages
d. classes
c. percentages
Within the context of the inpatient prospective payment system, how is the case-mix index calculated?

a. the sum of all relative weights divided by the total number of discharges
b.the total number of inpatient service days divided by the total number of discharges
c. the sum of all MDCs divided by the total number of discharges
d. the total number of inpatient beds divided by the total number of discharges
a. the sum of all relative weights divided by the total number of discharges
Using the information, calculate the C-section rate at University Hospital for the semiannual period.
Admissions 672
Delivered 504
Not delivered 147
Aborted 21
Vaginal deliveries 403
C-sections 101

a. 15.03%
b. 19.24%
c. 20.04%
d. 25.06%
c. 20.04%

(101 X 100) / 504
10,100 / 504
=20.039
=20.04%
Your administrator has asked you to generate a report that gives the number of hypertension patients last year. This is an example of _________.

a. descriptive analytics
b. predictive analytics
c. prescriptive analytics
d. real-time analysis
a. descriptive analytics
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. descriptive analytics
b. predictive analytics
c. prescriptive analytics
d. real-time analysis
d. real-time analysis
Which of the following types of data does not have a natural order?

a. nominal
b. ordinal
c. ratio
d. interval
a. nominal
In the community clinic Dr. Simpson, an interventional cardiologist, saw 270 patients last quarter. Of those, he performed stent procedures on 182 patients and angioplasty procedures on 88 patients. What is the proportion of Dr. Simpson's patients who have had stent procedures?

a. 0.76
b. 0.45
c. 0.33
d. unable to determine
a. 0.67

182 / 270 = 0.67
Which of the following reportable diseases usually requires telephone reporting as opposed to other methods of reporting?

a. chicken pox
b. influenza
c. measles
d. pertussis
c. measles
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:

a. descriptive statistics
b. inferential statistics
c. generalized statistics
d. mathematical statistics
b. inferential statistics
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 of _____________.

a. descriptive analytics
b. predictive modeling
c. prescriptive analytics
d. real-time analysis
b. predictive modeling
A secondary data source includes ___________.

a. vital statistics
b. the medical record
c. the physician's index
d. a videotape of a counseling session
c. the physician's index
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. clinical pathway
b. evidence-based medicine
c. patient-centered care
d. morbidity indicators
b. evidence-based medicine
To be reliable, statistical data must:

a. have some consistency
b. be applicable to what is being measured
c. be collected from one source only
d. have multiple meanings
a. have some consistency
What is the official count of inpatients taken at midnight called?

a. average daily census
b. census
c. daily inpatient census
d. inpatient service days
c. daily inpatient census
Case finding is a method used to:

a. identify patients who have been seen or treated in a facility for a particular disease or condition for inclusion in a registry
b. define which cases are to be included in a registry
c. identify trends and changes in the incidence of disease
d. identify facility-based trends
a. identify patients who have been seen or treated in a facility for a particular disease or condition for inclusion in a registry
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. What is this data collection called?

a. patient-specific
b. aggregated
c. comparative
d. detailed
c. comparative
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:

a. National Center for Health Statistics
b. Agency for Healthcare Research and Quality
c. Health Services Research
d. National Statistics Research
a. National Center for Health Statistics
The HIM professional reported to the quality 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 the influenza for January?

a. 1.60%
b. 5.17%
c. 0.10%
d. 94.8%
b. 5.17%

(3X100) / 58
300 / 58
5.17%
Information that has been taken from the health records of injured patients and entered into the trauma registry database has been:

a. aggregated
b. mapped
c. abstracted
d. queried
c. abstracted
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 day, what is the unit cost for the lead coder?

a. $3.36 per record
b. $4.49 per record
c. $5.43 per record
d. $5.51 per record
c. $5.43 per record

20.35 X 2080= 42,328
7.5 X 4= 30 per day
30 X 5 X 52= 7,800 per year
42,328 / 7,800= $5.43 per record
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?

a. Average
b. Percentage
c. Proportion
d. Rate
c. proportion
One of the questions on the patient satisfaction survey that is sent to the patient after discharge asks for the number of times the nurses checked the patient's vital sign in a day. This is an example of which type of data?

a. nominal
b. interval
c. qualitative
d. quantitative
d. quantitative
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 aware that the patient was at the facility and requesting information about the current medical condition of this high profile celebrity patient. The CEO is concerned that an employee 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?

a. create a new policy about high-profile patient privacy
b. start by discussing the situation with the media to resolve their inquiries
c. make contact with employees in the facility
d. review audit trail information to determine which employees have accessed this patient's information
d. review audit trail information to determine which employees have accessed this patient's information
A family practitioner in your local physician's clinic saw 150 adults in one week for their annual physical examination. Sixty-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?

a. 44.7%
b. 67.0%
c. 20.0%
d. 447%
a. 44.7%

(67/150)X100=44.66
=44.7%
Which of the following is used to plot the points for two variables that may be related to each other in some way?

a. force-field analysis
b. pareto chart
c. root cause analysis
d. scatter diagram
d. scatter diagram
The facility privacy officer is visited ar the hospital by a recent patient that is concerned that her nosy neighbor, who happens to be a hospital employee, accessed her EHR inappropriately in order to tell other neighbors about the patient's health conditions. In order to determine this occurred, the privacy officer requests an audit log of activity within the patient's health record. What part of the audit log would the privacy offer need to first analyze to determine if this patient complaint is valid?

a. the physician documentation from her recent stay regarding the patient's health conditions
b. whether the patient had requested any amendments to her record
c. if the record has any deficiencies that would cause the record to be delinquent
d. which employees viewed, created, updated, or deleted information
d. which employees viewed, created, updated, or deleted information
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?

a. 50
b. 60
c. 63
d. 65
a. 50
The number of inpatients present in healthcare facility at any given time is called a __________.

a. survey
b. census
c. sample
d. enumeration
b. census
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 diagnoses. These sets are called:

a. core measures
b. conditions of coverage
c. case mix
d. cost outliers
a. core measures
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 an 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?

a. $3.36 per record
b. $4.49 per record
c. $5.43 per record
d. $5.51 per record
d. $5.51 per record

15.50 X 2080=32,240
7.5 X 3=22.5
22.3 X 5 X 52= 5850
32,240 / 5859= $5.51
This type of analytics allows users to prescribe a number of different possible actions:

a. descriptive analytics
b. predictive analytics
c. prescriptive analytics
d. real-time analysis
c. prescriptive analytics
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