RHIT Exam Prep Domain V

Flashcard maker : Lily Taylor
Which of the following is a data collection tool that records current processes?
Flow chart
Force-field analysis
Pareto chart
Scatter diagram
Flow chart
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 a physician reports that he is concerned about the quality of care at Hospital B because the hospital has doubled the number of deats 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?
Make no comment since this is a medical staff meeting
Agree with the physician that the data suggests a quality issue
Suggest that the data be adjusted for possible differences in type and volume of patients treated
Suggest that an audit be done immediately to determine the cause of deaths within the hospital.
Suggest that the data be adjusted for possible differences in type and volume of patients treated
Brainstorming, affinity grouping, and nominal group techniques are tools and techniques used during performance improvement initiatives to facilitate ____________ among employees.
Communication
Knowledge
Quality improvement
Cooperation
Communication
Which of the following has the ultimate responsibility for ensuring quality in a healthcare facility?
Board of Directors
Quality management department
Medical staff
Utilization management department
Board of Directors
The process that involves ongoing surveillance and prevention of infections so as to ensure the quality and safety of healthcare for patients and employees is known as:
Utilization management
Infection control
Risk management
Case management
Infection Control
As part of the clinic’s performance improvement program, a 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?
Clearly define what is to be studied and accomplished by instituting benchmarks
Hold a meeting with the transcriptionists to announce the benchmark program
Obtain benchmarks from other institutions
Hire a consultant to assist with the process
Clearly define what is to be studied and accomplished by instituting benchmarks
Managing the adoption and implementation of new processes is called:
Management by design
Change management
Process flow implementation
Visioning
Change management
Which of the following is an organization’s planned response to protect its information in the case of a natural disaster?
Administrative controls
Audit trail
Business continuity plan
Physical controls
Business continuity plan
Which of the following provide process measure metrics in a precise format?
Dashboard
Scoreboard
Structured indicator
Outcome indicator
Dashboard
A key feature of performance improvement is:
Replacing unstructured decision making
Developing managers to control processes
And endless loop of feedback
A continuous cycle of improvement
A continuous cycle of improvement
Which of the following terms refers to the process of planning for change?
Brainstorming
Change agent
Change management
Performance improvement
Change management
Which of the following should be the first step in any quality improvement decision-making process?
Analyzing the problem
Identifying the problem
Developing alternative solution
Deciding on the best solution
Identifying the problem
A report that lists the ICD-9-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:
Scheduled for a coding audit
Subjected to corrective action
Recommended for staff reappointment
Involved in an in-house training program
Recommended for staff reappointment
In conducting a qualitative analysis to ensure that documentation in the health record supports the diagnosis of the patient, what documentation would a coder look for to substantiate the diagnosis of aspiration pneumonia?
Diffuse parenchymal lung disease on x-ray
Patient has a history of inhaled food, liquid, or oil
Positive culture for Pneumocystis carinii
Positive culture for Streptococcus pneumonia
Patient has history of inhaled food, liquid, or oil
Which of the following statements does not represent a fundamental principle of performance improvement?
The structure of a system determines its performance
Systems are static and do not demonstrate variation
Improvements rely on the collection and analysis of data
Performance improvement requires the commitment and support of top administration
Systems are static and do not demonstrate variation
Many organizations and quality experts define quality as meeting or exceeding:
Patient quotas
System outputs
Customer expectations
Data collection
customer expectations
W. Edwards Deming believed that quality must be built into the:
Job title
Employee evaluation
Product
Organizational hierarchy
Product
Every healthcare organization’s risk management plan should include the following components except:
Loss prevention and reduction
Safety and security management
Peer review
Claims management
Peer Review
A 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?
Scanning all documents at the time of patient discharge
Scanning all documents after physicians have completed any record deficiencies
Begin remote work only after all deficiencies have been corrected in the paper work
Using scanners with the maximum amount of output
Scanning all documents at the time of patient dishcarge.
Change management is the process of planning for change. It concentrates on:
Addressing employee resistance to changes in processes, procedures, and policies
Scheduling planned changes in processes, procedures, and policies
Implementing the technology required to execute planned changes
Managing the cost of implementing planned changes
Addressing employee resistance to changes in processes, procedures, and policies
Which of the following is not a responsibility of a healthcare organization’s quality management department?
Helping departments to identify potential clinical quality problems
Participating in regular departmental meetings across the organization
Conducting medical peer review to identify patterns of care
Determining the method for studying potential problems
Conducting medical peer review to identify patterns of care
Total quality management and continuous quality improvement are well-known:
Performance improvement models
Quality indicators
Change management techniques
Management philosophies
Performance improvement models
According to the Pareto Principle:
20% of the sources of a problem are responsible for 80% of its actual effects
80% of the sources of a problem are responsible for 80% of its effects
20% of the sources of a problem are responsible for 20% of its effects
80% of the sources of a problem are responsible for 100% of its effects
20% of the sources of a problem are responsible for 80% of its actual effects
A record that fails quantitative analysis is missing the quality criterion of:
Legibility
Reliability
Completeness
Clarity
Completeness
Donabedian proposed three types of quality indicators: structure indicators, process indicators, and:
Performance indicators
Management indicators
Outcome indicators
Output indicators
outcome indicators
A quantitative tool that provides an indication of an organization’s performance in relation to a specific process or outcome is a/an:
Performance measure
Improvement opportunity
Team-based process
Data measure
Performance Measure
This type of performance measure focuses on a process that leads to a certain outcome, meaning that a scientific or experimental basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.
Outcome measure
Data measure
Process measure
System measure
Process Measure
Who is responsible for ensuring the quality of health record documentation?
Board of directors
Administrator
Provider
Health information management professional
Provider
When all required data elements are included in the health record, the quality characteristics for ____________ is met.
Data security
Data accessibility
Data flexibility
Data comprehensiveness
Data comprehensiveness
The final results of care, treatment, and services in terms of the patient’s expectations, needs, and quality of life, which may be positive and appropriate or negative and diminishing are included in what area of performance measurement?
Outcomes
Processes
Systems
Benchmarks
Outcome
Which of the following actions is not included about a physician in the National Practitioner Data Bank?
Malpractice lawsuits
Disciplinary actions
Credentialing information from other facilities
Personal bankruptcy
Personal bankruptcy
The Joint Commission’s quality improvement activities for health record documentation include all but which of the following core performance measures for hospitals:
Acute myocardial infarction
Hypertension
Pregnancy and related conditions
Seizure disorder
Seizure disorder
The primary goal of the Hospital Standardization Program established in 1918 by the American College of Surgeons was to:
Establish minimum quality standards for hospitals
Train physicians and nurses for American hospitals
Standardize the educational curricula of American medical schools
Force substandard hospitals to close
Establish minimum quality standards for hospitals
When the patient’s physician contacts a healthcare organization to schedule an episode of care service, the healthcare organization begins which step in the case management process?
Preadmission care planning
Care planning at the time of admission
Review the progress of care
Discharge planning
Preadmission care planning
The principal process by which organizations optimize the continuum of care for their patients is:
Utilization management
Services management
Case management
Resource management
Case management
Which of the following services is most likely to be considered medically necessary?
Caregivers’ convenience or relief
Cosmetic improvement
Investigational cancer prevention
Standard care for health condition
Standard care for health condition
Environmental assessments are performed as part of which of the following processes?
Strategic planning
Operational planning
Quality improvement planning
Budget planning
Strategic planning
Two coders have found the same abbreviation on two records. One abbreviation of “O.D.” was used on an eye health record to mean “right eye.” The other abbreviation on the other patient’s record was used to mean “overdose” on an abuse record. What data quality component is lacking here?
Timeliness
Completeness
Security
Consistency
Consistency
When all required data elements are included in the health record, the quality characteristics for ___________ is met.
Data security
Data accessibility
Data flexibility
Data comprehensiveness
Data comprehensiveness
A standard of performance or best practice for a particular process or outcome is called a(n):
Performance measure
Benchmark
Improvement opportunity
Data measure
Benchmark
In this case management step, the case manager confirms that the patient meets criteria for the care setting and that the services can be provided at the facility.
Preadmission care planning
Care planning at the time of admission
Review the progress of care
Discharge planning
Care planning at the time of admission
All of the following services are typically reviewed for medical necessity and utilization, except:
Pressure ulcers
Staphylococcus infections
Catheter associated urinary tract infections
Air embolism
Staphylococcus infections
This data set was developed by the National Committee for Quality Assurance to aid consumers with health-related issues with information to compare performance of clinical measures for health plans:
HEDIS
UHDDS
UACDS
ORYX
HEDIS
The interrelated activities in healthcare organizations, which promote effective and safe patient outcomes across services and disciplines within an integrated environment are included in what area of performance measurement?
Outcomes
Processes
Systems
Benchmarks
Processes
After an outpatient review, individual audit results by coder should become a part of the:
Individual employee’s performance evaluation
Patient’s health record
Coding compliance review summary
Mission of the coding team
Individual employee’s performance evaluation
Which of the following is not a step in quality improvement decision-making?
Determination of the quickest solution
Definition of the problem
Development of alternative solutions
Implementation and follow-up
Determination of the quickest solution
The sixth scope of work for quality improvement organizations (QIOs) introduced which of the following?
Hospital Payment Monitoring Program
Payment Error Prevention Program
Program for Evaluation Payment Patterns Electronic Report
Compliance Program Guidance for Hospitals
Payment Error Prevention Program
A performance measure that enables healthcare organizations to monitor a process to determine whether it is meeting process requirements is called:
Indicator
Data measure
Indication
System measure
Indicator
This status is conferred by a national professional organization that is dedicated to a specific area of healthcare practice.
Credential
Certificate
License
Degree
Credential

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