Information Retention and Access Practice Test

These questions are part of the practice quiz. Start practicing

• Which of the following is NOT considered a challenge in the adoption of an electronic health record system?
• Case finding methods for patients with diabetes include all of the following except which?
• Which of the following is NOT a security measure that can be implemented to prevent privacy violations in this computer system?
• What follow-up rate does the American College of Surgeons mandate for all cancer cases to meet approval requirements as a cancer program?
• Which item would not be considered secondary data?
• In a serial numbering filing system, how are records from multiple admissions filed?
• To secure 24/7 access to paper health records, the Director of the HIM Department should
• What practice facilitates automatic indexing when implementing an electronic health record system?
• Which technology works best with automated record-tracking systems to speed the data-entry process?
• In a terminal digit filing system, what is the record number immediately in front of record number 01-06-26?
• What is the linear inches provided by a single six-shelf unit if each shelf is 36 inches long?
• In terminal digit filing order, which digits are typically used as the primary sort key?
• How many expansion inches are planned in the example?
• Who is described as evaluating software packages for a chart tracking system in the HIM Department?
• If staff are having trouble locating the terminal digit sections quickly, the supervisor could add more of which of the following?
• In a terminal digit filing system using six-shelf files, how many shelves should be allocated per primary number?
• If staff are having trouble locating the terminal digit sections quickly, the supervisor could add more of which of the following?
• As Director of the HIM Department, after considering options to limit access to the record file area, you decide to
• Which of the following is NOT an alternative storage method for paper-based records?
• Under the Patient Self-Determination Act of 1990, evidence of advance directives must be documented where?
• In what year did the Patient Self-Determination Act become law?
• Where in the health record would the following statement be located? 'Microscopic Diagnosis: Liver (needle biopsy), metastatic adenocarcinoma'
• Which of the following actions best reduces fragmentation when a patient has multiple admissions under a unit numbering system?
• Which feature should NOT be considered when designing screens to capture quality health data?
• Which item is NOT included in the certificate of destruction?
• According to terminal digit filing, what is the record number immediately after 99-99-30?
• Which index is used by the HIM department to link the patient’s name and number for access and retention of the patient record?
• Which statement is NOT a typical benefit of an electronic document management system in the HIM department?
• Which of the following is NOT a mandatory disclosure under the HIPAA Privacy Rule?
• Which of the following is NOT a data retrieval tool?
• In negotiating a contract with a commercial storage company for storage of inactive records, what would be the most important issue to clarify in writing?
• The statement 'Filing accuracy rate is calculated as (records retrieved from proper locations x 100) divided by records requested' is true or false?
• A HIM department currently uses 2,540 linear filing inches and plans to add 400 expansion inches. If each new unit has six shelves and each shelf is 36 inches, how many new shelving units are needed?
• A quality control measure for the filing, storage, and retrieval of health records should include criteria for which of the following?
• Which index is best suited for locating records of patients admitted with a specific diagnosis during a particular month?
• The HIM practitioner's duty to retain health information via archiving and storage includes all EXCEPT which of the following?
• A department plans to file 1,000 records, with each record 1 inch thick, using six-shelf open filing units where each shelf is 33 inches long. How many filing units should be purchased?
• Which action would NOT be included in the professional obligations of the health information practitioner that lead to responsible handling of patient health information?
• What percentage of records were found after the accuracy check given 2,500 total and 90 missing?
• Under HIPAA of 1996, what is a basic tenet in information security for health care professionals to follow?
• Which statement best describes the purpose of the R-ADT system in hospital operations?
• AHIMA recommends which method as the preferred destruction for computerized data?
• Which statement would be found in the laboratory report section of the health record?
• Which information should be permanently retained in some format even if the remainder of the health record is destroyed?
• Which statement about electronic document management system security is accurate?
• Under HIPAA, which element must a business associate contract include regarding the use and disclosure of PHI?
• The Chief of the Medical Staff requests a report on the number of coronary artery bypass grafts performed by a particular physician in April of the previous year. Where would the health information manager look for this information?
• What is the primary objective of a cost-analysis approach to records storage in a large hospital setting?
• Which of the following is an advantage of straight numeric filing over terminal digit filing?
• Which of the following is NOT a technical security control employed by electronic health record systems?
• Which information system component is primarily used for retrieving patient data in health information management systems?
• In a terminal digit filing system, the primary number corresponds to which portion of the record number?
• What is the business of buying and selling information as a commodity?
• What type of numbering/filing system is used when two patient records with the same base number are filed under a new, later number (e.g., 54-47-53 and 54-88-42 both under 54-88-42)?
• Which item fulfills the minimum information to uniquely identify a patient in the master patient index?
• Which term describes the practice of linking patient identity to the health record across multiple encounters to facilitate retrieval?
• In data sharing between hospital information systems without human intervention, what term describes this configuration?
• Which of the following is NOT a step in developing a health record retention schedule?
• Which of the following is NOT a data retrieval tool?
• If 2,500 feet of filing space are available and half is used, what fraction of the space remains unused?
• Which component of a patient encounter focuses on subjective symptoms reported by the patient?
• Which set of records filed consecutively on a shelf displays terminal digit filing order?
• What type of filing system is being used if records are filed in the following order: 12-23-75, 12-34-29, 12-35-71, 13-42-14, and 14-32-79?
• Which filing system would provide the most convenient method for the record retrieval of 200 patients consecutively admitted to the hospital?
• An executive information system is best described as providing support for which purpose?
• Given a total required space of 2,940 inches and units providing 216 inches each, how many units are needed (rounded up)?
• The function of an R-ADT system in a hospital information system is to handle which processes?
• Which department is responsible for maintaining medical records and responding to requests for records?
• The master patient index must, at a minimum, include sufficient information to
• Which of the following should NOT be included in the documentation of record destruction?
• What component of the history and physical examination includes an inventory designed to uncover current or past subjective symptoms?
• How many primary digit groupings are used in a terminal digit filing system where primary digits range from 00 to 99?
• What is the purpose of color coding record folders in a filing system?
• Which list is in correct alphabetical order?
• Which of the following is NOT a major management challenge in the storage and retention of electronic health record systems?
• The Director of Health Information Management has been asked by the Board of Trustees to justify support for the use of handheld devices by the medical staff for point-of-service input. Which one of the following reasons would NOT be included in the Director's response?
• What principle is applied when calculating the number of shelving units to buy, regarding partial units?
• Which item is the Health Information Manager primarily concerned with when purchasing file guides?
• Maintaining the confidentiality and integrity of patient information is an example of what?
• What horizon is used for expansion planning in the example's expansion needs?
• Which of the following is NOT an advantage of a computerized master patient index?
• If there are 150,000 records and the HIM department receives 3,545 requests, what is the request rate?
• Which of the following describes a disadvantage of terminal digit filing compared with straight numeric filing?
• A 200-bed acute care hospital currently has 15 years of paper health records and filing space is limited. What action should be taken?
• Which of the following is NOT a consideration when implementing a disaster plan?
• Which term describes a centralized data store designed to retrieve clinical information from multiple sources?
• When health care facilities close or medical practices dissolve, disposition of patient records should take into consideration all of the following EXCEPT
• When implementing the electronic health record, what is the technical security standard that requires unique user identification, emergency access procedures, automatic log-off, and encryption and decryption of data?
• If 2,500 records were filed in a month and 90 were not found during the accuracy check, what is the filing accuracy rate?
• Which of the following is NOT a document input device in the electronic document management system?
• If 2,000 charts are stored per year, each chart requires 0.4 inch of space, and storage costs $0.75 per inch, what is the annual storage cost?
• What is the total number of admissions expected next year after expansion?
• Which of the following would NOT be a strategy when purchasing an electronic health record system?
• What microform should the HIM practitioner select if the records must be unitized and color-coded for filing purposes?
• In a hospital budgeting scenario, if 25,000 inpatients require 0.25 inch of filing space and 15,000 ER patients require 0.125 inch, with shelving costing $1.05 per inch, what is the annual storage cost?
• What is the approximate cost per record when scanning 250,000 records for $195,000?
• What is the chief criterion for determining record inactivity?
• How many additional admissions are expected per year due to the expansion?
• In retention guidelines, the minimum period for minors combines age of majority with what other factor?
• Which scenario would most likely require activating a disaster plan to protect health information?
• Dr. Gray has applied for medical staff privileges at your hospital. What database would you research to determine if he has been denied medical staff privileges at another hospital?
• In a unit numbering system, which medical record number should be used to consolidate multiple admissions for the same patient based on the provided example?
• When engaging the services of a microfilm vendor, which factor should NOT be included in the contract?
• How many years does the FDA require research records pertaining to cancer patients to be maintained?
• Why must shelving units be purchased in whole numbers rather than fractions in this scenario?
• The scenario where lab staff can see tests and results, while billing staff can only see charges demonstrates which type of control?
• A hospital data analyst is ready to retrieve patient satisfaction data from six months of collection. Which data retrieval tool should be used?
• Which feature best describes how electronic health record incentives for physicians influence care?
• Color coding of record folders is used to assist in the control of
• Which of the following is NOT a benefit of the electronic document management system in the HIM Department?
• What is the primary purpose of the Master Patient Index (MPI)?
• An example of a primary data source is the
• For a health care facility to meet its record destruction needs, the certificate of destruction should include all but which element?
• The Assistant Director of Record Processing is evaluating software packages for a chart tracking system in the HIM Department. What is the BEST method to verify that the software will work as marketed?
• Which department is primarily responsible for indexing records to support retrieval by diagnosis?
• Health Informatics, Inc. is a vendor with a large collection of clinical information systems and hospital information systems that are designed to share data without human or technical intervention. This is a(an)
• Which action would most effectively reduce the 30-minute retrieval delay for Emergency Department record requests?
• What is a likely consequence of insufficient filing space in a health information management setting?
• A healthcare center currently handles 6,000 admissions per year and expects 200 more per year. If 30% of admissions are readmissions, how many new file folders are needed next year?
• Which item would not be considered secondary data?
• A major consideration in a hospital or facility closure is to
• Your state regulations require health records to be kept for a statute of limitations period of 7 years. Federal law requires records to be retained for 5 years. The minimum retention period for health records in your facility should be
• In a serial-unit filing system, the described method of consolidating admissions under a single reference number is an illustration of which concept?
• Which data cannot be retrieved from MEDPAR?
• Which statement describes the purpose of an outguide in records management?
• The HIM Department maintains 500,000 records and responds to 5,000 requests for records in a given period. What is the record usage rate?
• What application would be most effective for generating MS-DRG case mix reports using related clinical and financial data?
• Which item would not be considered when planning the conversion due to the facility not including space for paper-based records?
• According to AHIMA’s recommended retention standards, which type of health information does NOT need to be retained permanently?
• Which issue would be LEAST concern when storing health records in off-site storage?
• Fetal monitoring strips are part of the ______ record and should be maintained ______.
• When evaluating health information data security, which item is NOT typically considered?
• Which type of information does the National Practitioner Data Bank primarily contain for physicians?
• University Hospital has the messaging technology to securely route an alert for a patient's possible drug interaction or abnormal lab result to the appropriate physician's pager number. Which one of the following is the medical staff using?
• A Joint Commission-accredited facility is required to maintain which type of plan to protect health information from catastrophes such as fire, flooding, bomb threats, and theft?
• What best describes the role of a Master Patient Index in health information management?
• A health information manager develops a formal plan for the automatic transfer of records to inactive storage and potential destruction based on all of the following factors except:
• How many years does CMS regulations require that health records be maintained? Medicare's Conditions of Participation for Hospitals requires that patient health records be retained for at least _______ years unless a longer period is required by state or local laws.
• A health care facility participating in a statewide study on cleft lip and cleft palate would most easily collect the initial data from which source?
• In a terminal digit filing system with 100 units of 8-shelf files, how many shelves should be allocated to each primary number?
• If there is more than one patient with the identical last name, first name, and middle initial, the master patient index entries are arranged according to which data element?
• What does an open-shelf filing unit refer to in a filing expansion context?
• A 16-year-old female delivers a stillborn infant in Mercy Hospital. The clinical documentation on the stillborn infant would be filed in which record?
• Which record filing method is least likely to be used in a typical health information department?
• Which process should be analyzed to minimize delays in retrieving patient records?
• The steps in developing a record retention program include all but which of the following?
• What unit of measurement is used to describe filing storage in this example?
• Which statement best describes jacket microfilm?
• A surgeon requests the name of a patient admitted on January 11, 2013. Which system would be used to retrieve this information?
• If expansion adds 400 inches to the existing 2,540 inches, what is the total storage inches required?
• Which of the following is NOT an electronic document management system component?
• Which of the following best describes the function of an information system that tracks surgical procedures by physician and date?
• Which data governance concept is illustrated when one department can view test results while another can view only billing charges?
• Microfilmed records are considered
• Which security device is described as a method to limit access to a restricted record file area?
• A hospital administrator is querying multiple institutional databases to support strategic decision making. What type of information system is being used?
• Unless state or federal laws require longer time periods, AHIMA recommends that patient health information for minors be retained for at least how long?
• Capital Health Center is moving to a new facility in December 2016. The CEO is projecting a conversion to an electronic health record system by then. This new facility will not include space for filing of paper-based health records. Which of the following items would not be considered when planning this conversion?
• Of 750 records filed during the week, 75 were not located. What is the filing error rate?
• With a 30% readmission rate, how many readmissions are expected among 6,200 total admissions next year?
• Under the HIPAA Privacy Rule, when destruction services are outsourced to a business associate, the contract must provide that the business associate will establish the permitted and required uses and disclosures and include all but which of the following elements?
• What is the key advantage of using electronic health record data entry for clinical documentation?
• Which information system model is typically used by large organizations seeking scalable IT services from outside vendors?
• Which of the following is NOT an advantage of a centralized filing system?
• When evaluating an outside contract microfilm company, all but which of the following are important factors to rate?
• What term describes the system that securely routes patient alerts to the appropriate clinician's pager?
• Which item is collected and maintained in the organ transplant registry?
• For record management, which factor primarily determines when a record becomes inactive?
• The HIM Department should direct a request for a certified copy of a birth certificate for a patient born in the hospital 30 years ago to which office?
• If 2,500 feet of filing space are available and half is used, how many feet are currently unused?
• Which formula yields the filing accuracy rate given total records and missing records?
• If 2,375 records were located out of 2,543 requested, what is the filing accuracy rate?
• In the health record, the laboratory results would typically be documented in which section?
• Which of the following is NOT a factor to consider when developing a record retention program?
• Which statement about the characteristics of the legal health record in an electronic document management system is FALSE?
• MS-DRG reports are used for which purpose related to patient cases?
• Which data type is typically excluded from long-term retention planning under the HIM duties described?
• The software described is most useful for which departmental function?
• For the storage or disposition of 250,000 hospital records, which option is the most cost-effective?
• University Hospital, a 900-bed tertiary health care organization, is undergoing information systems development. What system would best meet its needs?