Systems Analysis study guide for test 3 – Flashcards
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1. The information system that assigns an ICD-10-CM code is called a(n): A. encoder B. grouper C. data quality indicator D. master patient index
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Encoder
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2. Which of the functionalities below is more likely to be found in a birth certificate system designed by a vendor than the state? A. productivity B. submit birth certificate data C. request social security number D. order copies of birth certificates
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Productivity
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3. Which product would identify that Dr. Smith needs to sign a discharge summary? A. chart locator B. quality indicator system C. chart deficiency D. release of information
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chart deficiency
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4. Which of the following systems would be used primarily by physicians, rather than HIM Department staff? A. cancer registry system B. data quality indicators system C. transcription system D. dictation system
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dictation system
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5. A request for an accounting of disclosure has been received. I should access which of the following to fulfill this request? A. data quality indicators system B. release of information system C. encoder/grouper D. disclosure management system
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disclosure management system
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6. Which of the letters listed below would be part of the release of information system? A. letter asking for additional information on a patient previously treated at the hospital B. letter notifying individual that the authorization was invalid C. letter notifying physician that he has delinquent medical records D. letter asking physician to clarify primary diagnosis
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letter notifying individual that the authorization was invalid
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7. Which of the following systems would track follow-up rates? A. release of information system B. encoder/grouper C. trauma registry D. dictation system
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trauma registry
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8. Which of the following statements is true? A. The release of information system's letters are only used to send letters to administration. B. The release of information system's letters communicates with the requester. C. The release of information staff rarely utilize the reporting function. D. The release of information staff probably do not use the letter capabilities as communication with those outside the department.
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The release of information system's letters communicates with the requester.
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9. Which of the following statements is true about the encoder? A. There is only one type of encoder. B. Encoders can only be used for ICD-10-CM C. Encoders assign the MS-DRG D. Encoders assign the code for both diagnoses and procedures.
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Encoders assign the code for both diagnoses and procedures.
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10. Which of the following is a term used to describe a type of encoder? A. rules-based B. grouper C. alert D. NCCI edit
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Rules-based
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11. A user needs to enter Macon General Hospital as one of the requesters of health information into the disclosure management system. Which table would be used to enter the name of the facility, address and other information? A. charge table B. report table C. requester table D. forms table
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requester table
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12. Which of the following is a function of the release of information software? A. track status of patient discharge B. track status of request C. duplicate medical record numbers D. resequencing diagnosis and procedure codes
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track status of request
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13. Reports designed specifically for one time use is called what type of report? A. standing B. routine C. ad hoc D. temporary
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ad hoc
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14. I just looked up a patient's diagnosis in the cancer registry. What kind of data is this? A. primary data B. secondary data C. aggregate data D. administrative data
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Secondary data
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15. HIPAA requires disclosure logs and policies and procedures to be maintained for how many years? A. 2 years B. 6 years C. 4 years D. 10 years
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6 years
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16. Which of the following is a true statement? A. A CD containing personal health record will last forever. B. I should copy data from one CD to another periodically. C. CDs are guaranteed to last at least 50 years. D. CDs should not be used to store protected health information.
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I should copy data from one CD to another periodically.
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17. Periodically through the day, I pull up a report that shows me how many delinquent medical records there are. This report would be an example of what type of report? A. static B. automatic C. dynamic D. ad hoc
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dynamic
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18. I want a list of Medicare patients discharged yesterday. This report would require what type of operation? A. calculations B. grouping C. sorting D. filtering
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Filtering
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19. I have analyzed some data and learned that our patient population has gotten younger over the past five years. This is an example of what? A. data B. patient specific information C. knowledge based information D. information
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Information
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20. I am filling in missing data and correcting some data entry problems. I am doing: A. face validity B. data cleansing C. data manipulation D. annotation
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data cleansing
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21. The amount of fields on a computer screen is controlled by what? A. size of monitor B. size of database C. number of data elements D. data on paper form that it replaces
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size of monitor
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22. Which of the following is an example of aggregate data? A. John Smith's white blood count is elevated. B. Coder A's productivity is 25% below standard C. Dr. Jones admitted Sally Mills today D. Twenty-five percent of the patients admitted today were Medicare patients
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Twenty-five percent of the patients admitted today were Medicare patients
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23. True or False: The four operations on a report are filtering data, sorting data grouping data and sharing data.
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False
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11. True or False: The recommended life of a computer is three years
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False
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24. True or False: File backup procedures are included in maintenance tasks that are routinely performed.
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True
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25. Which of the following systems could have voice recognition as a feature? A. release of information system B. encoder/grouper C. trauma registry D. dictation system
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Dictation System
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26. Collaborative staging and TNM staging may be a part of which of the following systems? A. release of information system B. encoder/grouper C. data quality indicator D. tumor registry
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tumor registry
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27. The user is entering the number of units of blood given to a patient during surgery, the presence or absence of a nosocomial infection and other information from the patient's chart. The user must be abstracting into which system: A. release of information system B. encoder/grouper C. quality indicator D. tumor registry
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Quality indicator
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28. The user is entering the newborn's APGARs, the weight of the baby, request for social security number, name of parents, and other information. What system is being used? A. dictation B. birth certificate C. data quality indicator D. tumor registry
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Birth certificate
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29. The data element principal diagnosis is found in: A. transcription system B. encoder/grouper C. data quality indicator D. tumor registry
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Encoder/grouper
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30. Based on functionality, which of the following systems would you expect to become obsolete in the short term with an HER? A. chart locator B. data quality indicator C. encoder/grouper D. tumor registry
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Chart locator
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31. Where would you find a field entitled document type? A. transcription system B. encoder/grouper C. data quality indicator D. tumor registry
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Transcription system
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32.Which data quality characteristic is displayed the level of detail captured is at the level needed? A. Data granularity B Data comprehensiveness C. Data relevancy D. Data definition
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Data Granularity
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33. Which data quality characteristic is exhibited when you have all of the possible choices included? A. Data comprehensiveness B Data timeliness C. Data relevancy D. Data definition
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Data comprehensiveness
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34. A report is being created on the number of patients over the past three months but the last month of data has not been entered into the system yet. This is a problem with which of the data quality characteristics? A. Data comprehensiveness B Data timeliness C. Data relevancy D. Data definition
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Data timeliness
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35. 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? A. timeliness B. completeness C. security D. consistency
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consistency
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36. As a general rule, which of the following systems would be utilized by departments other than HIM? A. transcription system B. encoder/grouper C. master patient index D. tumor registry
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Master patient index (MPI)
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37. Which of the following is an example of a function of the cancer registry software? A. checking social security death index B. entering the device implanted C. resequencing diagnoses D. invoicing requester
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Checking social security death index
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38. The chart location system would help the healthcare facility with which of the following? A. security B. privacy C. accessibility D. documentation
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Accessibility
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39. Patient follow-up is a key part of which HIM system? A. chart locator B. disclosure management C. release of information D. cancer registry software
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Cancer registry software
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40. Which of the following is a management use of the chart locator? A. productivity reporting B. accounting of disclosures C. patient follow-up list D. looking for trends in type of accidents
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Productivity reporting
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41. True or False: A registry tracks multiple diseases and conditions rather than specialize.
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False
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42. True or False: The dictation system has implications for physicians and HIM staff
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True
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43. True or False: The transcription system should collect the date of transcription.
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True
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44. True or False: The grouper should only be able to utilize the current Medicare grouper.
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False
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45. True or False: Quality indicator systems collect voice from the dictation system to capture data.
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False
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46. The project team is revising three screens and creating two new reports in a current system. Which of the following statements is true? A. This meets the definition of a project. B. This does not meet the definition of a project. C. This would meet the definition of a project if they itemize the activities to be done. D. This would meet the definition of a project if they assign a start and stop date.
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This does not meet the definition of a project.
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47. The facility started out developing a simple database to collect patient satisfaction data. It became more and more complex. This is an example of: A. scope creep B. middleware C. reengineering D. milestone
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Scope Creep
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48. In the new system, the service is stored as a three character alphabetic field. The old system stores it as a two digit number. What needs to be done? A. integrate B. interface C. select go-live model D. convert the data
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Convert the data
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49. The facility is scheduled to implement a new financial information system in six months. Which of the following implementation model is the safest for the organization? A. parallel B. phased C. pilot D. big bang
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Parallel
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50. Critique this statement: The HIM Director should make the decision on which EHR is purchased. A. The HIM Director should not even be involved this is a clinical system. B. The HIM Director should be involved in the decision, but so should other stakeholders. C. The decision should be made by the HIM Director and the Medical Staff Director. D. The decision should be made by the HIM Director and the Chief Information Officer.
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The HIM Director should be involved in the decision, but so should other stakeholders.
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51. The facility is using an iterative process to develop the system. It is which of the following: A. alpha site B. beta site C. prototyping D. feasibility study
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prototyping
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52. The critical path just slipped. What does this mean? A. The project team failed to plan properly. B. The vendor failed to meet a deadline. C. The implementation will be delayed. D. The PERT chart was designed improperly.
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The implementation will be delayed.
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53. The facility refuses to settle for a substandard information system. They want to install the best of the best so they plan to purchase from multiple vendors. What strategy should be utilized? A. best of breed B. best of fit C. phased approach D. parallel approach
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best of breed
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54. The selection committee is at a stalemate on the system to purchase. What should be done to prevent this from happening? A. develop an objective method of selection B. utilize a request for information C. get physicians involved in the selection D. negotiate with two vendors
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develop an objective method of selection
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56. The team member is entering the number of days after which the bill drops, the services performed, and other information about how the system should function. What part of the implementation is being performing? A. conversion B. programming C. data conversion D. Setting Configuration
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Setting Configuration
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57. The facility wants to implement the new lab system quickly. Which go live strategy is the quickest, but the riskiest? A. parallel B. cutover C. pilot D. phased
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Cutover
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58. The project team is revising three screens and creating two new reports in a current system. Which of the following statements is true? A. This meets the definition of a project. B. This does not meet the definition of a project. C. This would meet the definition of a project if they itemize the activities to be done. D. This would meet the definition of a project if they assign a start and stop date.
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This does not meet the definition of a project.
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59. The facility started out developing a simple database to collect patient satisfaction data. It became more and more complex. This is an example of: A. scope creep B. middleware C. reengineering D. milestone
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Scope creep
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60. In the new system, the service is stored as a three character alphabetic field. The old system stores it as a two digit number. What needs to be done? A. integrate B. interface C. select go-live model D. convert the data
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Convert the data
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61. The facility is scheduled to implement a new financial information system in six months. Which of the following implementation model is the safest for the organization? A. parallel B. phased C. pilot D. big bang
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Parallel
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62.This data set is a standardized set of performance measures used for many employers and agencies but is mainly used for managed care: A. OASIS B. HEDIS C. ORYX D. MDS-LTC
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HEDIS
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63. This data set was developed by the CMS and is primarily targeted for home care: A. OASIS B. HEDIS C. ORYX D. UACDS
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OASIs
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64. This data set was developed by the Joint Commission and is used to examine a healthcare facility's internal performance over time and to compare performance with others: A. OASIS B. HEDIS C. ORYX D. MDS-LTC
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ORYX
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65. I reviewed the patient's record of Mr. Brown and found there was no H&P on the record at 7 hours past this patient's admission time. This would be an example of: A. quantitative analysis B. qualitative analysis C. data mining D. data warehousing
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quantitative analysis
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66. I reviewed the health record of Sally Williams and found the physician stated on her post-op note the documentation of "examined after surgery." This would be an example of: A. quantitative analysis B. qualitative analysis C. data mining D. data warehousing
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qualitative analysis
