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Chapter 1: The Health Care Industry
MULTIPLE CHOICE
- Which physician focuses on patient care in acute settings? a. hospitalist b. histologist c. radiologist d. obstetrician
ANS: A REF: p. 4 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- What set of standards allow a physician to care for patients at a hospital? a. standards of professional practice b. privileges c. orders to admit d. deemed status
ANS: B REF: p. 4 | p. 5 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A synonym for “licensed vocational nurse” is: a. registered nurse. b. licensed practical nurse. c. nurse practitioner. d. advanced practice nurse.
ANS: B REF: p. 6 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Which type of nurse can prescribe medicine? a. licensed vocational nurse (LVN). b. registered nurse (RN). c. licensed practical nurse (LPN). d. advanced practice registered nurse (APRN). ANS: D REF: p. 6 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Which is an example of a diagnosis?
TEST BANK Foundations of Health Information Management
5th Edition Nadinia Davis
a. Tonsillitis b. Appendectomy c. Chest x-ray d. Physical therapy
ANS: A REF: p. 3 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Which is an example of a procedure? a. bed sore b. pneumonia c. amputation d. appendicitis
ANS: C REF: p. 3 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Which health care professionals are responsible for orders that create the treatment plan? a. Nurses b. Physicians c. Physical therapists d. Medical assistants
ANS: B REF: p. 3 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A primary care provider (PCP) is responsible for: a. providing specialty medical care. b. surgical procedures. c. patient care in an acute care facility. d. routine care and referrals. ANS: D REF: p. 5 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A nurse is responsible for: a. delivering and managing patient care. b. ordering prescriptions. c. ordering the patient to be admitted or discharged. d. developing a patient care plan.
ANS: A REF: p. 5 | p. 6 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health
b. accreditation c. behavioral health d. Conditions of Participation (CoP)
ANS: A REF: p. 8 | p. 9 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- HIM professionals do all of the following, EXCEPT: a. secure health information. b. report health information. c. develop and implement EHRs. d. document patient care in health records.
ANS: D REF: p. 6 | p. 7 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Which type of HIM professional specializes in privacy and security aspects of HIM practice? a. medical coder b. data analyst c. patient registrar d. release of information specialist
ANS: D REF: p. 8 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Which credential requires an associate degree? a. Registered Health Information Technician (RHIT) b. Certified Coding Specialist (CCS) c. Certified Health Unit Coordinator (CHUC) d. Certified in Healthcare Privacy and Security (CHPS) ANS: A REF: p. 8 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- The American Health Information Management Association (AHIMA) and the American Medical Association (AMA) are examples of: a. accrediting bodies b. allied health professionals c. professional associations d. payers
ANS: C REF: p. 9
OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- How is the support from the American Health Information Management Association (AHIMA) different from the American Academy of Professional Coders (AAPC)? a. The AAPC only supports coders. b. AHIMA supports health information management professionals whereas AAPC supports coding professionals. c. AAPC supports health information management professionals whereas AHIMA supports billing professionals. d. AHIMA offers credentials while the AAPC does not. ANS: B REF: p. 9 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Evidence of competence (by passing an examination) entitles an individual to professional: a. credentials. b. accreditation. c. associations. d. privileges.
ANS: A REF: p. 7 | p. 8 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- All the information about the illness or health problem, the treatments provided, and the directions for self-care are documented in the patient’s: a. health record. b. continuum of care. c. bill. d. program.
ANS: A REF: p. 10 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Community Care Center has 200 beds. It has an average length of stay of years. Most of the patients are elderly, but there are some younger patients with serious chronic illnesses. Community Care Center is most likely a(n) _____ facility. a. acute care b. behavioral health c. long-term care (LTC) d. rehabilitation
ANS: C REF: p. 12 | p. 13
c. observation status d. visit ANS: A REF: p. 11 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- The number of beds that the state has approved for the facility is the: a. licensed beds. b. bed count. c. registered beds. d. certified count.
ANS: A REF: p. 13 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Care from multiple medical specialties over the course of a patient’s lifetime is called the: a. patient care plan. b. integrated delivery system (IDS). c. continuum of care. d. entitlement program.
ANS: C REF: p. 15 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Which patient is considered an inpatient for an acute care facility? a. A patient who died prior to arriving at the acute care facility b. A patient who spent 10 hours in the emergency room c. A patient who had her hand operated on in outpatient surgery, and then returned home d. A patient who was admitted for pneumonia
ANS: D REF: p. 11 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Which patient is not counted as a discharge? a. a patient who was treated in the emergency department and sent home b. an inpatient patient who died in the operating room c. an inpatient who was transferred to another health care facility d. an inpatient who left an acute care facility against medical advice (AMA)
ANS: A REF: p. 11 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Daisy Community Center is an acute care facility with 350 beds. On May 1, there were 305 inpatients. What is the percent occupancy? a. 32% b. 87% c. 100% d. 85% ANS: B REF: p. 13 | p. 14 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Rehabilitation facilities are LEAST likely to have: a. inpatients. b. outpatients. c. laboratories. d. operating rooms.
ANS: D REF: p. 13 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Counting the 12 discharges on the maternity ward this week, you see women have stayed 2 days, 2 days, 2 days, 3 days, 3 days, 3 days, 3 days, 3 days, 3 days, 4 days, 4 days, and 7 days. What is the average length of stay (ALOS) on the maternity ward this week? a. 39 days b. 12 days c. 0.308 days d. 3.25 days
ANS: D REF: p. 14 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Which is true of an acute care facility? a. Patients receive care for severe conditions and are expected to recover. b. Treatment episodes are referred to as visits or encounters. c. Patients are not allowed to stay longer than 30 days. d. It offers primary care.
OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Why is health insurance referred to as a “third-party payer”? a. Because a third party, the payer, pays a provider (second party) for the patient (first party). b. Because it was originally required only when a husband and wife have a child, the third party. c. Because it only pays for one-third of the expenses. d. Because it is the third option for payment, following the patient and the government.
ANS: A REF: p. 18 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Medicare was enacted through which legislation? a. Title IX of the Health and Human Services Act b. Patient Protection and Affordable Care Act c. Family and Medical Leave Act d. Title XVIII of the Social Security Act
ANS: D REF: p. 18 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- What U.S. federal agency is responsible for the oversight of Medicare and Medicaid? a. The Department of Health and Human Services (DHHS) b. National Institutes of Health (NIH) c. Centers for Disease Control and Prevention (CDC) d. Department of Homeland Security (DHS)
ANS: A REF: p. 19 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- How is patient satisfaction with the health care provider and its services measured? a. surveys b. blogs c. social media posts d. Healthy People 2020 indicators
ANS: A REF: p. 18 | p. 19
OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- In which program do policymakers monitor health indicators and create objectives to promote wellbeing? a. managed care b. The Agency for Healthcare Research and Quality (AHRQ) c. The Patient Centered Outcomes Research Institute (PCORI) d. Healthy People 2020
ANS: D REF: p. 18 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- What do pharmaceutical manufacturers cite as the main reason for high drug costs? a. outsourcing b. research and development c. health insurance premiums d. marketing expenses
ANS: B REF: p. 19 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Unlike Medicare, eligibility for Medicaid is primarily based on: a. age b. disability status c. economic circumstances d. prior military service
ANS: C REF: p. 18 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- What is a benefit of health care facility obtaining accreditation through The Joint Commission in lieu of a Conditions of Participation review? a. Accreditation b. Unconditional status c. Certification d. Deemed status
ANS: D REF: p. 22 OBJ: 3. Discuss the external forces that guide policy-making and health care delivery,
professional organizations. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- How often does the Joint Commission (TJC) conduct onsite surveys? a. At least once a year b. At least once every 2 years c. At least once every 3 years d. At least once every 5 years
ANS: C REF: p. 21 | p. 22 OBJ: 3. Discuss the external forces that guide policy-making and health care delivery, including the impact of various levels of government, accreditation agencies, and professional organizations. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Medical professions have a code of _________ that govern the conduct of their members. a. conduct b. professionalism c. honor d. ethics
ANS: D REF: p. 23 OBJ: 3. Discuss the external forces that guide policy-making and health care delivery, including the impact of various levels of government, accreditation agencies, and professional organizations. MSC: CAHIIM, VI.7. Assess ethical standards of practice.
- Which independent organization, formerly the Institute of Medicine, published the report, To Err is Human: Building a Safer Healthcare System? a. The National Academy of Medicine (NAM) b. The Leapfrog Group c. Institute for Healthcare Improvement (IHI) d. The Patient Centered Outcomes Research Institute (PCORI)
ANS: A REF: p. 23 OBJ: 3. Discuss the external forces that guide policy-making and health care delivery, including the impact of various levels of government, accreditation agencies, and professional organizations. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
COMPLETION
- A nurse ________ focuses on the care of women during the period surrounding childbirth: pregnancy, labor, delivery, and after delivery.
ANS: midwife
REF: p. 6 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care
delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A profession is characterized by specific training in a body of knowledge that is supported by an explicit code of ________ and continuing education.
ANS: ethics
REF: p. 2 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, VI.7. Assess ethical standards of practice.
- When one physician asks another physician for an opinion regarding the care of a patient, the first physician is asking for a(n) ____________.
ANS: consultation
REF: p. 4 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A long-term care (LTC) facility has an average length of stay (ALOS) greater than ___________ days. (Input your answer in numeric value)
ANS: 30
REF: p. 12 | p. 13 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- The actual number of beds that a hospital has available for inpatients is called the _________.
ANS: bed count
REF: p. 13 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A health care organization that has permanent facilities, 24-hour nursing care for inpatients, and an organized medical staff is a type of _________.
ANS: hospital
- A seamless continuity of care with services from many different providers across a patient’s lifespan is called ________ care, which has yet to be fully realized in practice.
ANS: integrated
REF: p. 16 OBJ: 2. Summarize the structure of the health care system, including types of providers and their patients, third-party payers and the role of the employer, pharmaceutical companies and device manufacturers, and the interrelationships working to provide continuity of care. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- The Centers for Medicare and Medicaid Services waives routine Conditions of Participation compliance audits for appropriately accredited facilities by granting them _________.
ANS: deemed status
REF: p. 22 OBJ: 3. Discuss the external forces that guide policy-making and health care delivery, including the impact of various levels of government, accreditation agencies, and professional organizations. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- Voluntary compliance with a set of standards developed by an independent agency is part of the _________ process.
ANS: accreditation
REF: p. 21 OBJ: 3. Discuss the external forces that guide policy-making and health care delivery, including the impact of various levels of government, accreditation agencies, and professional organizations. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A(n) _________________ administers substances that cause loss of sensation.
ANS: anesthesiologist
REF: p. 4 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A(n) _________________specializes in treating patients with cancer.
ANS: oncologist
REF: p. 4 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care
delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- The type of physician who provides care related to the female reproductive system is a(n) ______________________.
ANS: gynecologist
REF: p. 4 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A(n) _________________ for women before, during, and after delivery.
ANS: obstetrician
REF: p. 4 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A(n) _________________ delivers primary care to children.
ANS: pediatrician
REF: p. 4 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A(n) _________________ treats diseases of the digestive system.
ANS: gastroenterologist
REF: p. 4 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
- A(n) _________________ is a medical doctor who treats diseases of the mind.
ANS: psychiatrist
REF: p. 4 OBJ: 1. Describe the roles of clinicians and allied health professionals, including health information management professionals, and their interrelationships across the health care delivery system. MSC: CAHIIM, V.4. Identify the impact of policy on health care.
Chapter 2: Collecting and Storing Health Care Data Davis: Foundations of Health Information Management, 5th Edition
MULTIPLE CHOICE
- Organized data that have been collected about a patient or a group of patients is called: a. the health record. b. epidemiology. c. health data. d. health information.
ANS: D REF: p. 32 OBJ: 1. Distinguish health data and health information. MSC: CAHIIM, I.3. Identify policies and strategies to achieve data integrity.
- Data that have been processed into a useful frame of reference are called: a. observation. b. information. c. schedule. d. assessment.
ANS: B REF: p. 32 OBJ: 1. Distinguish health data and health information. MSC: CAHIIM, I.3. Identify policies and strategies to achieve data integrity.
- Data is a plural term. What is the singular form of the word data? a. datum b. datus c. dato d. datae ANS: A REF: p. 32 OBJ: 1. Distinguish health data and health information. MSC: CAHIIM, I.3. Identify policies and strategies to achieve data integrity.
- You create a list of all the cases of the flu seen at the clinic in the past month. What is this list an example of? a. primary data b. data analytics c. aggregate data d. vital statistics
ANS: C REF: p. 32 OBJ: 1. Distinguish health data and health information. MSC: CAHIIM, I.3. Identify policies and strategies to achieve data integrity.
- ________________ is the process of examining the data and exploring them to create information. a. data analytics b. epidemiology
c. aggregate data d. vital statistics ANS: A REF: p. 32 OBJ: 1. Distinguish health data and health information. MSC: CAHIIM, I.3. Identify policies and strategies to achieve data integrity.
- Electronic data are collected and organized into a: a. database. b. system. c. data map. d. data set.
ANS: A REF: p. 33 OBJ: 2. Explain the purpose and contents of a data dictionary. MSC: CAHIIM, I.3. Identify policies and strategies to achieve data integrity.
- What is the first step in collecting quality data? a. determining the needs of the users b. creating the request for proposal (RFP) c. looking at the data that have already been collected d. designing a data collection form or screen
ANS: A REF: p. 34 OBJ: 2. Explain the purpose and contents of a data dictionary. MSC: CAHIIM, I.3. Identify policies and strategies to achieve data integrity.
- What is the meaning of the expression, “garbage in, garbage out?” a. all data must be collected in to discover what must be ignored b. collecting incorrect data will result in having data that is not useful c. quality data can only be collected by quality people d. even bad data is useful to some users of data ANS: B REF: p. 33 | p. 34 OBJ: 2. Explain the purpose and contents of a data dictionary. MSC: CAHIIM, I.3. Identify policies and strategies to achieve data integrity.
- Which of the following is NOT an example of the possible contents of a two-character state field? a. F b. FL c. DC d. NM
ANS: A REF: p. 34 OBJ: 2. Explain the purpose and contents of a data dictionary. MSC: CAHIIM, I.3. Identify policies and strategies to achieve data integrity.
- A(n) _________ field may contain both letters and numbers. a. numeric b. character
