In which department or unit is the health record number typically assigned? Registered Health Information Technician (RHIT) Exam Number of Questions on Exam: 150 multiple-choice questions (130 scored/20 pretest) Exam Time: 3.5 hours – no breaks Domain 1 – Data Analysis and Management (18-22%) Tasks: 1. Data analysis is concerned with a variety of different tools and methods that have been developed to query existing data, discover exceptions, and verify hypotheses. Prior to sitting for the RHIT exam individuals are required to complete the academic requirements,at an associate's degree level, of a Health Information Management (HIM) program accredited by the Commission of Accreditation for Health Informatics and Information Management Education (CAHIM). Which of the following is a primary weakness of the paper-based health record? Apply to take the Registered Health Information Technician (RHIT) exam. It only contains Medicare patients - The Medicare Provider Analysis and Review (MEDPAR) file is made up of acute care hospital and skilled nursing facility claims data for all Medicare claims. Births, deaths, fetal deaths, marriages, and divorce. Patient care managers use the data documented in the health record to: b. The American Health Information Management Association (AHIMA) is the premier organization in the world for health information management, coding, health data analysis, and healthcare privacy and security professionals. b. The HIM director is part of the revenue cycle management team. c. Master patient index functions as the primary guide to locating pertinent demographic data about the patient and his or her health record number. Contains data about a patient and has been documented by the professionals who provided care to the patient. Medical assistants and nurses can also be a good fit for this role, as they have direct clinical care experience and are familiar with clinical data. either spread through autoinoculation or … 8 weeks, excluding orientation. Use of the health record by a clinician to facilitate quality patient care is considered: a. Case manager to meet w/ pt & family." which rate describes the probability or risk of illness in a population over a period of time? Before training or memos can be developed, the formal position on data dictionaries should be established through development of a policy and standards. There are 27 data analysis techniques we need to study for the PMP exam, and of course to manage our projects better. A unit of measure that reflects the services received by one inpatient during a 24-hour period is a(n) _____. The hospital had a total of 500 discharges for the same period, including deaths of adults, children, and newborns. Match. What would the HIM director use to provide this list? What is the denominator for calculating the C-section rate? Data Content, Structure, and Information Governance (24-28%) . incidence rate. _____ means that healthcare data should be up-to-date and recorded at or near the time of the event or observation. Says she is following her diabetic diet.". Para convertirse en MCSE: Data Management and Analytics, debe obtener como mínimo uno de los elementos siguientes: MCSA: SQL Server 2012/2014, MCSA: SQL 2016 Database Development, MCSA: SQL 2016 Database Administration, MCSA: SQL 2016 BI Development, MCSA: BI Reporting certificación. c. Line graph may be used to display time trends. Which term is used to describe the number of calendar days that a patient is hospitalized? Which of the following best describes an integrated health record format? either spread through autoinoculation or caused by Streptococcus pyogenes. Thirteen discharged were determined to be out of compliance with completion standards. Examples of _____ purposes of the health record are support for research, to serve as evidence in litigation, to allocate resources, and to plan market strategy. Establish a data dictionary policy with associated standards. a. Ex: numerical measurement carried out to the appropriate decimal place. Which of the following is an example of clinical data? Because of the unexpected complications, however, the patient was discharged two days after the discharge summary was dictated. Patient care managers are responsible for the overall evaluation of services rendered for their particular area of responsibility. the prevalence rate is. The amount of information contained on each PT in the _____ varies from facility to facility. The _____ is a listing in diagnosis code number order for patients discharged from the facility during a particular time period. Responsibility for the collection of _____ rests w/ the states. Which of the following is a risk of copying and pasting? A notation for a diabetic patient in a physician progress note reads: "Occasionally gets hungry. Which of the following elements is not a component of most patient health records? d. Vital signs record is comprised of blood pressure readings, temp, respiration, and pulse, making it the best source to gather this type of information. AHIMA plans to transition the current RHIT credential to various specialty certifications over a multi-year, multi-phased approach with a phase-out of the RHIT as we know it by 2027. Health Services Organization and Delivery 4. On Saturday, October 10th, we'll be doing some maintenance on Quizlet to keep things running smoothly. b. While not listed as one of the core elements of an _____, AHIMA recommends the use of a Unique Patient Identifier to be included in the core data elements of the _____. Text used "Registered Health Information Technician Exam Preparation" by Darcy Carter . This situation reflects a problem in: b. No obvious head trauma. ASTM: American Society for Testing and Materials. The standard for retrieval of records is 40 records per hour. a. Subjective entries relate significant information in the patient's words or from the patient's point of view. In order to become a Registered Health Information Technician (RHIT) you must sit for the RHIT exam. A clinic is open 260 days per year and has an average of 500 clinic visits per day. c. Request that the physician dictate an addendum to the discharge summary. Unit - Unit numbering systems are the most commonly used system in large healthcare facilities. In a problem-oriented health record, problems are organized: b. d. Requisition is a request from a clinical or other area in the organization to charge out a specific health record. Non-member price: $299 (Learn more about the benefits of AHIMA membership. Reliability is frequently checked by having more than one person abstract data for the same case. The physician has gathered ______ from the database. In which of the following systems are all encounters or patient visits filed or linked together? A quick learner who can absorb new ideas and can communicate clearly and effectively. Nurses and clinicians are recording bedside documentation electronically in a clinical documentation system, while most other documentation, such as physician progress notes and orders are paper based and stored in a paper health record, making retrieval of the complete record after discharge difficult and risking the record's integrity. d. Uses an itemized list of past and present health problems. It is usually made of strong colored vinyl with two plastic pockets and is the size of a regular record folder and is place in the record location when the record is removed from the file. A(n) _____ entry in a SOAP note relates professional conclusions reached from evaluation of the other information gathered during the encounter. (I'M NOT SURE ABOUT THIS ONE). A hospital _____ is a person who is provided room, board, and continuous general nursing service in an area of the hospital where patients generally stay at least overnight. Provide uniform data definitions for common terms. Member price: $2 29 ; Eligibility for Early Testing. Spoke to CPS re: referral. d. 25 hours per day - 600/60=10; 600/40=15; 10+15=25 hours per day. b. _____ include data on births, deaths, fetal deaths, marriages & divorces. The diseases to be reported are established by state law. To create more space in the storage area, which of the following should be done? c. Data currency. Nine records were found to be out of compliance with the 24-hr requirement. Which of the following can assist managers with the tasks of monitoring productivity and forecasting budgets? Given the following file numbers, which are arranged correctly in terminal-digit filing order? AHIMA's retention standards recommend that the master patient index be maintained: d. Record retention should only be done in accordance with federal and state law and written retention and destruction policies of the organization. The HIM department is planning to scan paper-based medical record documents. Which of the following percentages represents the timeliness rate for discharge summaries at Community? What is the difference between data and information? Careful attention must be given to ensure that data stored in a database have data quality characteristics including accuracy, accessibility, comprehensiveness, consistency, currency, definition, granularity, and timeliness. Indeed may be compensated by these employers, helping keep Indeed free for jobseekers. The _____ report describes the surgical procedures performed on the pt. c. 11 days - 31 days in March (31-21)+1=11. Offering a single source of truth for management of global file shares, SharePoint sites, and more, ZL Tech delivers a first-of-its-kind platform to help organizations take control of dark data. There were 40 discharged patients, including deaths, on May 2. a. "Registered Health Information Technician Exam Preparation" by Darcy Carter. The number of coding staff is 5. Maintain filing and retrieval systems for health records 4. Tasks that need to be performed in a specific sequence. HIM departments may be the hub of identifying, mitigating, and correcting MPI errors, but that information often is not shared with other departments within the healthcare organization. 3. The MDS provides a structured way to organize resident information and develop a resident care plan. Aggregate data is data extracted from individual health records and combined to form de-identified information about groups of patients that can be compared and analyzed. On the discharge summary, it's listed as 7/21/1948. 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