Which of the following is a key characteristic of the problem orientated health record? 24 terms. How is the patient registration department assisted by the HIM department? In a database the LAST_NAME column in a table would be considered a: A coding analyst consistently enters the wrong code for patient gender in the computer billing system. Key Concepts: Terms in this set (72) A health record technician has been asked to review … What clinical reports in the health record would the health data analyst need to consult in order to prepare this report? Develop a list of statutes, regulations, rules, and guidelines that contain requirements affecting the release of health records. Which of the following is an institutional user of the health record? Currently three deficiency notices are sent to the physicians through the EHR system including a final notice, a second reminder, and a final notification. What type of data will you provide to the physician? was used on an eye health record to mean "right eye." Two patients were both admitted and discharged on May 2. After this merging process, which department should the MPI manager notify to correct the source system data? This process creates a: A family practitioner requests the opinion of a physician specialist who reviews the patient's health record and examines the patient. Given the numbers 47,20,11,33,30,30,35, and 50, what is the median? Because of unexpected complications; however, the patient was discharged two days after the discharge summary was dictated. Which of the following is a correct statement regarding DNR orders? A new HIM director has been asked by the hospital CIO to ensure data content standards are identified, understood,implemented, and managed for the hospital's EHR system. At admission, Mrs. Smith's date of birth is recorded as 3/25/1948. Features. Which of the following are components of AHIMA's principles of information governance? HIT 101 - Chapters 12 & 13. Which of the following would be the best technique to ensure nurses do not omit any essential information on the nursing intake assessment in an EHR? Dr. Jones comes into the HIM department and requests that the HIM director provide a list of his records from the previous year that show a principal diagnosis of myocardial infarction. Policies and procedures need to be in place to address amendments and corrections in the EHR. Domain 1: Data analysis and management Filling, numbering and retrieval systems: Paper-based health Competencies for RHIAs fall into five domains. Review each patient's health record concurrently to ensure the history and physicals are present. RHIT Mock Exam 1 (final): 150 questions; 3 hours total RHIT Domain Quizzes (6 domains; 75 questions each): 9 hours total Total hours for Log Sheet 2: 15 hours Total points for completed Log Sheet 2: 50 … Which of the following should be avoided when designing forms for an electronic document management system (EDMS)? PLAY. In a routine health record quantitative analysis review, it was found that a physician dictated a discharge summary on 1/26/20XX. See more ideas about exam review, exam prep, exam. The MPI manager has identified a pattern of duplicate health record numbers from the specimen processing area of the hospital. Test. A health record technician has been asked to review the discharge patient abstracting module of a proposed new electronic health record (EHR). Quickly memorize the terms, phrases and much more. Consult with the medical director who has authority over the on call physicians for suggestions on how to improve response to the current notices. B. To comply with the Joint Commission standards, the HIM director wants to be sure that history and physical examinations are documented in the patient's health record no later than 24 hours after admission. Which of the following should the HIM professional perform first to identify the components of the legal health record? Which of the following would be the best way to ensure the completeness of the health record? Given these standards, how many filing hours will be required daily to retrieve and file records for each clinic day. What’s … c. The EHR should retain the previous version of the document and identify who made the change along with the date and time that the change was made. Each domain accounts for a specific percentage of the total questions on the certification exam… identify data content requirements for all areas of the organization. Which of the following would be the first step in trying to rectify the current situation? B. RHIT Prep Domain 1: Data Analysis and Management. B. An HIM technician was alerted by registration that the system has a record for John Smith with two different birthdates. Shaurice Dudley 8,320 views. The amount of time you have to complete this exam … Gravity. RHIT Exam Review Prep Property of Rasmussen College 2013 Domain 1: Data Analysis & Management Disclaimer Please note that these presentations are designed to serve as a valuable supplement to … Schnering's Professional Review Guide Online for the RHIA and RHIT Examinations, 2020, 2 terms Instant Access provides a personalized exam prep experience for students preparing for the AHIMA RHIA/RHIT exams. Clara maintains and updates an individual health record for herself as a tool she can use to collect, track, and share her past and current information about her health with providers. The passing score for the RHIA is 300. This situation reflects a problem in: A health data analyst has been asked to compile a listing of daily blood pressure readings for patients with a diagnosis of hypertension who were treated on the medical unit within a two-week period. Provides oversight for the development, review, and control of forms and computer screens. An audit of the EHR system discovers that the numbers in the dob are transposed in different health record reports. An example of data collected by TJC for the ORYX initiatives is: Community Hospital HIM department conducted a random sample of 600 health records to determine the rate of filing accuracy. RHIT Exam Prep: Domain 1. 16 terms. Patient name, zip code, and health record number are typical: The link that tracks patient, person, or member activity within healthcare organizations and across patient care settings is known as: a. After investigation the technician determined the documentation was for two different patients, both named John Smith, who have the same health record number in the EHR. lilahjean03. a. Operative report, anesthesia report, recovery room report. Data that are collected on large populations of individuals and stored in databases are referred to as: A health data analyst has been asked to compile a report on the percentage of patients who had a baseline PTT performed prior to receiving heparin. select a representative set of data elements and track these across the databases to identify consistencies and differences. Course Description. … b. The standard for retrieval of records is 40 per hr. Which of the following is characteristic of the legal health record? c. Make all essential data fields required. This can be accomplished by the organization through management of which of the following? Community Hospital had 250 patients in the hospital at midnight on May 1. Which of the following data sets would the technician consult to ensure the system collects all federally required discharge data elements for Medicare and Medicaid inpatients in an acute-care hospital. Enterprise master patient index (EMPI). A patient's gender, phone number, address, next of kin, and insurance policy holder information would be considered what kind of data? Pre-test questions are not counted in the final results. In the event an amendment, addendum, or deletion needs to be made, which following should occur? Quizlet Live. Flashcards. Spell. Two coders have found the same abbreviation in two records. and family conditions? Cram.com makes it easy to get the grade you want! Which of the following should be the HIM director's first step in carrying out this responsibility? STUDY. The physician specialist would record findings, impressions, and recommendations in what type of report? The diseases to be reported are established by state law. Achieve your goal to earn the Registered Health Information Technician (RHIT®) credential. Choose from 500 different sets of rhit domain 1 flashcards on Quizlet. What is the Format of the Exam? This 6-lesson is focused on health data management, one of the areas of knowledge required for the RHIA Certification Exam . This six-topic course will reinforce your knowledge of RHIT Domain 1: Data Content, … Provide a template for entering data in the field. The primary goals of _____ are to improve patient care, streamline disability benefit claims, and improve public health reporting through secure, trusted, and interoperable health information exchange. The HIM manager is conducting a study in which she is comparing the current year's diagnosis codes to the proposed new codes for the next fiscal year and documenting variations in order to assess the impact on the organization. As part of the initiative to improve data integrity, the Data Quality Committee conducted an inventory of all of the hospital's databases. I'm too lazy to go look for the link now sorry. Which of the following is a secondary purpose of the health record? Which of the following is true about information assets? The following descriptors about the data element ADMISSION_DATE are included in a data dictionary: definition: date patient admitted to the hospital; data type: date; field length: 15; required field: yes; default value: none; template: none. Community Hospital's HIM department conducted a random sample of 150 inpatient health records to determine the discharge summary completion timeliness rate. Which of the following is not a recommended guideline for maintaining integrity in the health record? Evaluate patterns and trends of patient care. Practice Exam Domain 1 (RHIT Exam) OTHER SETS BY THIS CREATOR. Typically, healthcare facilities should retain the master patient index: A hospital's EHR defines the expected values of the gender data element as female, male, and unknown. What is this tool called? Gravity. What would the HIM director use to provide this list? The RHIT exam consists of 150 multiple-choice questions, including 20 pretest questions that appear randomly throughout the exam and are not scored. The RHIT book is purple and is just called RHIT exam prep I believe. You will receive a score report immediately following the exam and can view and print a certificate online. Before healthcare organizations can provide services, they usually must obtain this from government entities such as the state or county in which they are located. 200,000 of these individuals were admitted with a principal diagnosis of UTI; another 300,000 were admitted with a principal diagnosis of infectious disease, and 700,000 had a diagnosis of hypertension. Exam Prep: RHIA Domain 1—Health Data Management. Write. The hospital is using the mEDPAR database for its comparison. What would be the next logical step to determine the degree of data comparability among databases? a. RHIT Exam Review Prep Domain 7 - Duration: 1:02:26. The review showed more than 70 percent of the identified databases did not have data dictionaries. What standards must the facility meet to become certified for these programs? B. Request that the physician dictate an addendum to the discharge summary. B. Outcomes and Assessment Information set. They are available from the AHIMA store. C. Medication administration record and clinical laboratory reports. Given this data, what should be the committee's first action? Which of the following percentages represents the timeliness rate for discharge summaries at Community Hospital? The record should be clearly marked to indicate the presence of a DNR order. The hospital admitted 30 patients on May 2, discharged 40 patients, including deaths, on May 2. The standard for filing records is 50 per hr. Terms in this set (105) data dictionary. all individuals in the MEDPAR database except those admitted with a principal diagnosis of UTI or infectious disease, A health data analyst has been compile asked to. A medical group practice has contracted with an HIM professional to help define the practice's legal health record. b. Managing an organization's data and those who enter it is an ongoing challenge requiring active administration and oversight. uses an itemized list of patient's past and present medical problems. Which of the following is the goal of the quantitative analysis performed by HIM professionals? The HIM director is having difficulty with the emergency services on call physicians completing their health records. The national committee on vital and health statistics, A. You are the director of HIM at Community Hospital. Flashcards. Please note that after 12/30/18, access to one of course e-textbooks used in HIM2652, Electronic Health Records 2 nd and 3rd Edition, Richard Gartee, … UNDERSTANDING THE FORMAT. To create more space in the storage area, which of the following should be done? Which of the following data sets would the tech consult to ensure the system collects all the federally required data elements for discharged Medicare and Medicaid inpatients in an acute-care hospital? With the RHIA online courses, you have … Which of the following is a key characteristic of the problem-oriented health record? Also the RHIT book is purple and is just called RHIT exam Prep, exam Prep, exam,... Not a recommended guideline for maintaining the encounters of patients together in locating a record... Domain 1… Learn RHIT Domain 1 with free interactive flashcards this list enter it is an example:... This is an example of: Erin is an example of: Erin is an of! 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