

Information Technology in Healthcare Final Exam
Course Introduction
This course offers an in-depth exploration of how information technology is transforming the healthcare industry. Students will learn about the design, implementation, and management of healthcare information systems, including electronic health records, telemedicine, and health information exchanges. The course covers topics such as data privacy and security, regulatory compliance, interoperability, and emerging technologies like artificial intelligence and wearable devices. Emphasis is placed on understanding how IT solutions can improve patient care, enhance operational efficiency, and address current challenges in the healthcare sector.
Recommended Textbook Health Information Technology 3rd Edition by Nadinia A. Davis
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14 Chapters
874 Verified Questions
874 Flashcards
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Page 2

Chapter 1: Health Care Delivery Systems
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69 Verified Questions
69 Flashcards
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Sample Questions
Q1) The state approves the number of beds a hospital is allowed to have as part of its:
A) Licensure
B) Accreditation
C) Registration
D) Certification
Answer: A
Q2) Which is not an example of an allied health professional?
A) Respiratory Therapist
B) Surgical Technologist
C) Gastroenterologist
D) Dietician
Answer: C
Q3) All health care professionals must adhere to their medical discipline's ____ standards.
A) Accreditation
B) Certification
C) Professional
D) Licensure
Answer: C
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Page 3

Chapter 2: Collecting Health Care Data
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74 Flashcards
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Sample Questions
Q1) "Chest x-ray to rule out CHF" is an example of which of the following components of medical decision making?
A) Subjective
B) Objective
C) Assessment
D) Plan
Answer: D
Q2) How does the quantity of health data affect our understanding of what it contains?
Answer: Voluminous data are virtually impossible to understand unless they are put in some context, summarized, or otherwise organized. Before data become meaningful, that is, before they become information, they must be sorted, categorized, labeled, and analyzed.
Q3) In a database, a list of details about each field is a data _______. Answer: dictionary
Q4) A single letter, number, or symbol is a ________. Answer: character
Q5) The quality of data being correct is called ________. Answer: accuracy
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Chapter 3: Electronic Health Records
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67 Verified Questions
67 Flashcards
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Sample Questions
Q1) __________ is the ability of the software and hardware on different machines from different vendors to share data.
Answer: Interoperability
Q2) According to the Markle Foundation, the two barriers to EHR implementation are __________ and ____________.
Answer: lack of interoperability; privacy issues privacy issues; lack of interoperability
Q3) A health care record consisting of both paper and electronic data is a ___________.
Answer: hybrid record
Q4) Clinical decision-making systems can assist in the patient care process by all of the following EXCEPT:
A) Information on drug interaction
B) The availability of generic drug ordering
C) Possible side effects from drug usage
D) Patient compliance.
Answer: D
Q5) A method used to identify records in an electronic system is called __________. Answer: indexing
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Chapter 4: Acute Care Records
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Sample Questions
Q1) What is the documentation standard for History and Physicals (H&Ps) established by the Joint Commission?
Q2) If a hospital wanted to correspond with a patient after discharge, the appropriate source of the patient's current address would be the:
A) Discharge summary
B) Attending physician's office records
C) History and physical
D) Latest admission record
Q3) A predetermined set of instructions for a specific set of blood tests, x-rays, or other procedures is called:
A) Plan of care
B) Protocol
C) Utilization review
D) Verbal orders
Q4) All of the following are always elements of a physician's order EXCEPT:
A) Date
B) Physician's signature
C) Initials/signature of the individual executing the order
D) Reason/rationale for the order
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Chapter 5: Health Information Management Processing
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69 Flashcards
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Sample Questions
Q1) The process of recording elements into a collection device is called _________.
Q2) Which one of the following activities can be considered a preventive control?
A) Retrospective chart review
B) Concurrent chart review
C) Detective chart review
D) Documentation training review
Q3) Developing a universal chart order will theoretically eliminate which one of the following HIM functions?
A) Chart analysis
B) Deficiency detection
C) Chart assembly
D) Retrospective review
Q4) What is the most important step in ensuring data quality?
A) Software maintenance
B) Data entry
C) Data analysis
D) Timeliness of recording
Q5) In a paper-based record, errors are corrected __________ and writing the correct data near it. It is important not to obscure the erroneous data.
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Chapter 6: Code Sets
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Sample Questions
Q1) __________ is the assignment of alphanumerical values to a word, phrase, or other nonnumerical expression. In health care, coding is the assignment of numerical values to diagnosis and procedure descriptions.
Q2) What is used when a certain ICD-10-CM code requires a seventh character data field but does not have enough characters? Provide an example.
Q3) Which of the following classification systems is NOT used for reimbursement?
A) DSM-5
B) ICD-9-CM
C) ICD-O
D) Both a and c
Q4) Items with which every coder should be familiar are:
A) ICD-10-CM Official Guidelines for Coding and Reporting
B) Standards of Ethical Coding
C) Their facility's corporate compliance plan and coding compliance plan
D) All of the above
Q5) In a multi-axial code structure, such as ICD-10-PCS, each position of a ___________ has specific meaning.
Q6) What are the seven different categories in each ICD-10-PCS code? List them in order from left to right.
Page 8
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Chapter 7: Reimbursement
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Sample Questions
Q1) Medicare is a federal funded program available to those age 65 and older and those on permanent disability. However, there are many different programs that Medicare offers that are called Parts. How many parts does Medicare have and what services are offered? What does the federal program pay for and what is the patient responsible for?
Q2) Any of several reimbursement methods that pay an amount predetermined by the payer, based of the diagnosis, procedures, and other factors (depending on setting) rather than actual, current resources expended by the provider, is called ________.
Q3) An organization that insures covered lives as well as owns (exerts employer control over) the health care providers is a(n):
A) Health maintenance organization
B) Preferred provider organization
C) Indemnity company
D) Blue Cross organization
Q4) The blending of the insurance and provider roles in health care delivery is characteristic of _________.
Q5) Why is the MDS for LTC so different from the UHDDS?
Q6) The amendment to the Social Security Act that established Medicaid is
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Chapter 8: Health Information Management Issues in Other Care Settings
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Sample Questions
Q1) An operation performed on an outpatient basis is called _________.
Q2) Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted in 1986. How has this law changed the way hospitals handle indigent patients?
Q3) Describe the experiences of a patient in a physician's office. What professionals are the patient likely to encounter? What role do those professionals play in caring for the patient?
Q4) The accrediting agency for rehabilitation is the ___________.
Q5) A patient who visited a clinic saw two physicians and had an x-ray and a blood test. This patient can be said to have had _____ visits and _____ encounters.
A) Two; two
B) Two; four
C) One; four
D) One; three
Q6) Health care service that is intended to soothe, comfort, or reduce symptoms but is not intended to cure is called __________.
Q7) Describe services available in rehabilitation that are NOT generally available in acute care.
Page 10
Q8) Describe the unique data collection issues in behavioral health care.
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Chapter 9: Managing Health Records
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Sample Questions
Q1) The master patient index (MPI) is a tool in the health care facility used to store unique identifiable information on each patient who has been registered in that facility. The MPI is especially useful in a facility that uses a numerical system to identify patient records, because the MPI correlates the patient to the MR#. Describe the content of an MPI.
Q2) __________are networks that use RAIDs and other storage technologies.
Q3) The __________contains patient and encounter information often used to correlate the patient to the file identification.
Q4) Health information, whether paper or computer based, must be stored in an organized, secure environment for the duration of the retention schedule. Explain the procedures used to ensure the security of health information.
Q5) List and describe the filing furniture used to store paper-based health care records. What measurements are important in the design of a file area?
Q6) In a file room there are eight shelf units with eight shelves each that are 36 inches wide. How many inches of file space are available? Convert this number to feet.
Q7) _________and ___________are legacy storage methods for paper records using plastic film.
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Chapter 10: Statistics
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Sample Questions
Q1) An organization of data elements in rows and columns is called a
Q2) Which of the following graphs would best illustrate the following information: of the 440 discharges for the month of June, 340 were Medicare, 60 were Medicaid, 20 were insurance, and 20 were self pay?
A) Pie chart
B) Line chart
C) Brainstorming
D) Decision matrix
Q3) Explain the difference between a population and a sample.
Q4) What rate is used to indicate the percentage of the hospital's beds occupied by inpatients for a given time period?
A) Percent occupancy
B) Total length of stay
C) Inpatient bed occupancy rate
D) Both a and c
Q5) A database of specific cancer or trauma information is an example of a ____________.
Q6) Frequency distributions that are not symmetrical are ______________ .
Page 12
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Chapter 11: Quality and Uses of Health Information
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Sample Questions
Q1) In the popular PDCA quality improvement method, which step of the process involves monitoring effectiveness of the solution over a period of time?
A) Plan
B) Do
C) Check
D) Act
Q2) The PI methodology called ___________ seeks to improve a process by eliminating waste and inefficiency.
Q3) The level of detail with which data is collected is known as __________.
Q4) Define and explain the three quality management theory methods.
Q5) A __________ chart is useful for organizing the results of a brainstorming session.
Q6) How has HITECH legislation affected the use of health data to improve patient care?
Q7) Why did health care facilities need to establish quality standards in patient care? Which two organizations began to assist in establishing patient care standards in hospitals?
Q8) Health information may be used in ___________to support the plaintiff's claim.
Q9) What is the NCQA and its mission?

Page 13
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Chapter 12: Confidentiality and Compliance
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Sample Questions
Q1) What information is provided when there is a breach of confidential health information? Who is responsible to conduct this investigation?
Q2) A 16-year-old woman presents in the emergency room for treatment of stomach pain, accompanied by her mother and husband. She is conscious, alert, and oriented. Of the following, who is the appropriate individual to sign the consent for treatment?
A) The patient
B) The patient's mother
C) The patient's husband
D) No consent is necessary for this emergency treatment.
Q3) A _____________ is the designated official in the health care organization who oversees privacy compliance and handles complaints.
Q4) The right or responsibility to make legal decisions for someone else as a result of a legal document is ______________.
Q5) The HITECH Act greatly strengthened HIPAA regulations surrounding:
A) the business record rule
B) litigation
C) business associates
D) third-party payers
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Chapter 13: Him Department Management
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62 Flashcards
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Sample Questions
Q1) The _______________ is used to explain to EHR vendors what the health care organization intends to accomplish and requires of an EHR product.
Q2) To maintain a high-quality HIM department, the supervisors and managers should:
A) Monitor employee dress code.
B) Continually evaluate the functions of the HIM department on the basis of the goals and standards set.
C) Convert to concurrent processing.
D) Never promote from within.
Q3) What is the difference between the human resources department and human resources within the HIM department? What kind of impact does human resources have on the HIM department and the rest of the health care facility?
Q4) All of the following administration chiefs are subordinate to the Chief Executive Officer EXCEPT the:
A) COO
B) CIO
C) CNO
D) CEO
Q5) List the ways supervisors can monitor employee productivity.
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Chapter 14: Training and Development
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Sample Questions
Q1) Which of the following is used as a guide to prepare meeting minutes?
A) Employee evaluations
B) Meeting agenda
C) Job description
D) Memorandum
Q2) Why is it important for HIM employees to be aware of infection control?
Q3) The term used to describe the training to familiarize a new employee with the job is
Q4) All HIM professionals should recognize that their __________ are accompanied by a commitment to lifelong learning.
Q5) An ______ is used to organize the topics to be discussed during a meeting.
Q6) What type of training provides continuing education for current employees, mandated by some accreditation agencies?
A) orientation
B) inservice
C) routine
D) quality
Q7) ___________ provides documentation of the message intended for the recipient.
Q8) What qualities do successful teams have? Name at least three qualities.
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