Introduction to Health Informatics
Final Test Solutions
Course Introduction
Introduction to Health Informatics provides students with a foundational understanding of how information technology is applied within the healthcare sector to improve patient outcomes, streamline operations, and support clinical decision-making. This course explores the core concepts, tools, and systems used to collect, store, and analyze health data, including electronic health records, health information exchange, and telemedicine. Students will also examine the ethical, legal, and privacy issues surrounding health information management and gain insight into emerging trends and technologies shaping the future of healthcare delivery.
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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Sample Questions
Q1) The actual number of beds that a hospital has available for inpatients is called the
Answer: bed count
Q2) All of the following are ancillary services EXCEPT the _____ department.
A) Radiology
B) Laboratory
C) Emergency
D) Mammography
Answer: C
Q3) A Primary Care Physician will be most likely to perform which of the following?
A) Remove breast tumor
B) Take a chest x-ray
C) Analyze routine blood test results
D) A colonoscopy
Answer: C
Q4) Patients whose care requires them to remain in the hospital overnight are called _______.
Answer: inpatients
Q5) Health care professionals must adhere to their discipline's ____________.
Answer: code of ethics
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Chapter 2: Collecting Health Care Data
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Sample Questions
Q1) Explain how a health information technician ensures the quality of the health information database.
Answer: A health information technician reviews the record to verify that the data elements are accurate. This review may be done periodically (monthly or quarterly) on a sample of each employee's (responsible for abstracting) work.
Q2) Why is it important to have a standard to collect data when organizing and analyzing data?
Answer: It is important to ensure data relevancy when organizing data. In other words, all of the data need to be related in order to provide accurate information. For example, if out of 100 data samples for gender, four data samples state the race, the information is not valid or accurate.
Q3) Name three elements that may be collected as socioeconomic data and explain why this type of data is important.
Answer: Socioeconomic data may include a patient's marital status, profession, employer, religious affiliation, sexual orientation, personal habits, race, and ethnicity. Much of this information can be important for the health care provider in diagnosing an illness, and for directing the plan of care.
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Page 4
Chapter 3: Electronic Health Records
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Sample Questions
Q1) All of the following about the COLD system is true EXCEPT:
A) It is considered an EHR system.
B) Images are downloaded into the EHR format.
C) Document imaging files are attached and incorporated into the EHR.
D) Allows many types of images to be used.
Answer: B
Q2) The recording of clinical data at the time treatment delivered to the patient is called ___________.
Answer: point of care documentation
Q3) The major components of the Health Information Portability and Accountability Act (HIPAA) include the following EXCEPT:
A) Appointing a security officer
B) Training of personnel on security measures
C) Physical protection of data storage devices
D) EHR implementation incentive
Answer: D
Q4) Data that are valid and have not been altered by human error, viruses, or software crashes are said to have __________.
Answer: integrity
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Chapter 4: Acute Care Records
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Q1) Routine documentation of the nurse's interaction with a patient is recorded in the __________.
Q2) The physician who is primarily responsible for coordinating the care of the patient in the hospital is the ___________.
Q3) What are essential elements in the operative report? List at least five.
Q4) Which of the following is not a necessary part of a medication record?
A) The physician's signature
B) The dosage of the medication
C) The name of the nurse who administered the medication
D) The date and time of administration
Q5) In a paper record, the admission record is often synonymous with the:
A) History and physical
B) Nursing assessment
C) Face sheet
D) Demographic data
Q6) In caring for a patient, an attending physician may request a(n) ___________ from another physician or health care professional who specializes in the patient's problem.
Q7) The attending physician provides a(n) _____________ to explain the reason for admission.
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Chapter 5: Health Information Management Processing
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Sample Questions
Q1) Another word for an incomplete system is a ______________.
Q2) What internal control roles are played in the HIM department? Your answer should include, but not be limited to, identification of the function and the specific internal control role that it plays.
Q3) What processing problems can occur if an organization implements a universal chart order? How is the issue of record organization resolved in a computer-based record?
Q4) 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
Q5) TJC requires that acute care records be completed:
A) Within 15 days of discharge
B) In whatever time period the facility requires
C) Within 30 days of discharge
D) In whatever time period the state requires
Q6) Name the steps in ensuring completeness of the medical record and the purpose of each step.
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Chapter 6: Code Sets
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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) CPT-4 code changes become effective _____ of each year.
A) January
B) April
C) October
D) April and October
Q3) The NDC codes have which of the following segments?
A) Labeler code
B) Product code
C) Packaging code
D) All of the above
Q4) CPT-4 is copywritten by what organization?
Q5) How can coding assist health care facilities in analyzing their patient needs? Please list and discuss at least three reasons.
Q6) In the ICD-O codes set, ____________ codes and _____________ codes are found.
Q7) What are the seven different categories in each ICD-10-PCS code? List them in order from left to right.
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Chapter 7: Reimbursement
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Sample Questions
Q1) The blending of the insurance and provider roles in health care delivery is characteristic of _________.
Q2) Why would a coder or coding manager automatically review and/or revise patients assigned to DRG 469 and/or DRG 470?
A) The hospital might not be entitled to the reimbursement for these DRGs.
B) The federal government reviews these DRGs for fraud and abuse.
C) There is something incorrect with the codes assigned and/or data when a patient is grouped into either of these DRGs.
D) Both a and b are true.
Q3) A ______________ is a type of third party payer arrangement in which an individual is responsible for a percentage of the amount owed to the provider.
Q4) Patients are "grouped" into the same DRG because they have all of the following criteria in common EXCEPT similar:
A) Diagnosis
B) Resource intensity
C) Treatment
D) Length of stay
Q5) 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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Q1) Data collection in emergency departments:
A) Often utilizes menu-based forms or menu-based computer software
B) Follows the UACDS
C) Includes the mode of transport to the ED
D) Both A and C
Q2) The ambulatory care setting in which the physician is the primary health care provider is called a ___________.
Q3) What is the first step in the patient encounter?
A) Making the appointment
B) Collecting health insurance information
C) Being examined by triage nurse
D) Being examined by primary health care provider
Q4) Physical medicine and rehabilitation therapy occurs under the direction of a:
A) Phlebotomist
B) Physiatrist
C) Psychiatrist
D) Psychologist
Q5) Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted in 1986. How has this law changed the way hospitals handle indigent patients?
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Chapter 9: Managing Health Records
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Sample Questions
Q1) _________and ___________are legacy storage methods for paper records using plastic film.
Q2) The length of time that a record must be retained is called the ____________.
Q3) __________are networks that use RAIDs and other storage technologies.
Q4) In a unit number filing system, the medical record number:
A) Changes with each new admission
B) Is not assigned to minor children
C) Is used for medical coding purposes
D) Remains the same for the life of the patient
Q5) It is important for the HIM department to locate records in a timely manner. Identify and describe the system used to locate medical records within a facility.
Q6) The machine used to input a paper document into a computerized imaging system is called a(n):
A) Copier
B) Indexer
C) Mapper
D) Scanner
Q7) A numerical patient record identification system, which gives the patient a new number for each visit, is called _________numbering.
Page 11
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Chapter 10: Statistics
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Sample Questions
Q1) Which statement best describes the patient abstract?
A) Patient database
B) Summary of the patient's stay
C) Summary of the patient's medical history
D) Patient demographics
Q2) The length of stay for Patient E is _______________.
Q3) What is the mean for the following frequency distribution: 10, 15, 20, 25, 25?
A) 25
B) 10
C) 20
D) 19
Q4) The length of stay for Patient G is _______________.
Q5) Margaret Lorraine was admitted to the hospital on March 17 and discharged on April
5. What is her length of stay?
Q6) The length of stay for Patient C is _______________.
Q7) Which statement below requests aggregate health information?
A) Request for report on all DRG 127 for the month of June
B) Request for patient information, MR# 02-34-65, DRG 127
C) Request for first case of CHF for the third quarter
D) Request for record of patient #197808, under the care of Dr. S. S. Schoner
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Chapter 11: Quality and Uses of Health Information
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Sample Questions
Q1) A predetermined course of treatment for a patient with a particular diagnosis is known as a ______________.
Q2) Accreditation varies from certification by which of the following?
A) Accreditation is voluntary.
B) Certification is voluntary.
C) Only accreditation is motivated by reimbursement.
D) Only certification is motivated by reimbursement.
Q3) Which of the following medical staff committees reviews medication usage?
A) Surgical case review
B) P&T committee
C) Medical executive committee
D) Credentials committee
Q4) The level of detail with which data is collected is known as __________.
Q5) Compare and contrast the difference between prevalence and incident. Why is it important to know both?
Q6) The ______________ process would be initiated following a patient's fall from the bed, to gather information and coordinate the claim.
Q7) Who was W. Edward Deming and what was his quality management theory? Discuss his quality management principles.
Page 13
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Chapter 12: Confidentiality and Compliance
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Sample Questions
Q1) The new nursing supervisor is discussing her plans for the unit with you. She wants to hang a board on the wall of the nursing unit listing each patient's name, room number, working diagnosis, and medication schedule. You advise her that:
A) This is a good idea, since it will facilitate coordination of care.
B) It is a violation of confidentiality to display patient-specific information in a public place.
C) This is not a good idea, because it is a violation of prospective consent.
D) The physicians will not like it because it will show everyone who has the most patients.
Q2) What is the routine process to prepare for a Joint Commission survey?
Q3) There are some exceptions to the rules surrounding notification when protected health information is breached. List the three exceptions, providing examples.
Q4) In some circumstances, patient-specific information can be released without the consent of the patient. List three reasons that information can be released without patient consent.
Q5) A _____________ is the designated official in the health care organization who oversees privacy compliance and handles complaints.
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Chapter 13: Him Department Management
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Q1) An important part of management is the supervision of the department functions and services, and the monitoring of the department's productivity. Standards must be established to monitor the functions and services. When a standard is established correctly, with the goals of the department in mind, it will promote effective HIM operations and services. Give an example standard for each of the basic HIM functions or services.
Q2) To reach a desired goal the department must establish ______________, directions for achieving a goal.
Q3) The department within the health care organization that provides guidance for employee management is the:
A) HIM department
B) Human resources department
C) Material management
D) Operations management
Q4) Supervisors would most likely perform which of the following duties?
A) Review financial reports for the health care facility.
B) Develop a yearly budget for the health care facility.
C) Conduct subordinate employee evaluations.
D) Develop policies and procedures for various hospital departments.
Q5) List and briefly explain the basic functions of an HIM department.
Page 15
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Chapter 14: Training and Development
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Sample Questions
Q1) The first item on the monthly HIM department meeting agenda is:
A) Call to order
B) Review of old business
C) New business
D) Adjournment
Q2) Why is communication essential to an HIM department? With which stakeholders do HIM professionals need to communication regularly?
Q3) Patient health information should be _________ in an appropriate method to employees on a need-to-know basis in accordance with HIPAA regulations and health care facility policy.
Q4) An employee's low ________ in a particular area can help a manager assess education needs.
Q5) Melissa has been working in the HIM department as an assembly clerk for the past 6 months, but during her evaluation she asked her supervisor if she could train to become a coder. The supervisor has approved Melissa's __________.
Q6) How is development different from training?
Q7) All HIM professionals should recognize that their __________ are accompanied by a commitment to lifelong learning.
Page 16
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