HIT Intro
Healthcare Delivery Systems
Medical Records
Documentation
Medical Specialties
100

Establishes standards for the content of college programs in health information management

AHIMA Accreditation program

100

Can include the following: 

language and literacy

socioeconomic conditions

Availability of resources to meet daily needs

Exposure to crime, violence, and social disorder


Social determinants of health

100

Which HIM tasks is eliminated by the electronic health record system?

Assembly of paper charts

100

When should the copy/past function be used in documentation?

NEVER

100

Treats diseases of joints, muscles, bones, and tendons

Rheumatology

200

Who is appointed by the President of the United States to provide leadership and science-based recommendations about the public's health?

Surgeon General of the US

200

Patient history questionnaires are most often used in what setting?

Ambulatory care

200

What kind of information does patient registration include?

MRN, DOB, Gender

200

A quantitative review of the health record for missing reports and signatures that occurs when the patient is in the hospital is referred to as a _______ review.

Concurrent review

200

Diagnoses and treats all types of cancer and other benign and malignant tumors. 

Medical Oncology

300

Standardized performance measures developed to improve the safety and quality of healthcare.

Core measures

300

What is a good example of a long-term care setting?

Assisted living center, or nursing home. 

300

The reliability and effectiveness of data for it's intended uses in operations, decision-making and planning. 

Data quality

300

How can the healthcare facility determine which physician has the best patient outcomes?

Data mining

300

Specializes in the diagnosis, treatment and support of critically ill and injured patients, particularly trauma victims. 

Critical care medicine

400

Members of AHIMAs Board of Directors is appointed or elected?

Elected

400

What is the 1st step in the accreditation process?

Decision on accreditation, then self-assessment

400

A record not completed within the time frame specified in the medical staff rules and regulations is called a ____________.

Incomplete record

400

How should an addendum to the health record should be dated?

The day the addendum was created

400

Focuses on patients with complications of pregnancy and the effects on both the mother and the fetus

Maternal-fetal medicine

500

Which credentials are available through AHIMA?

RHIT, RHIA, CDIP

500

The term used to describe controlling information is?

Information governance

500

Which filing system is considered the most efficient?

Terminal digit filing

500

The process of identifying the source of health record entries by attaching a handwritten signature, the author's initials, or an electronic signature.

Authentication
500

Specializes in diseases of the blood, spleen and lymph.

Hematology

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