Information Retention and Access Practice Test

These questions are part of the practice quiz. Start practicing

• In the health record, the laboratory results would typically be documented in which section?
• As Director of the HIM Department, after considering options to limit access to the record file area, you decide to
• Microfilmed records are considered
• Which process should be analyzed to minimize delays in retrieving patient records?
• What is the linear inches provided by a single six-shelf unit if each shelf is 36 inches long?
• Who is described as evaluating software packages for a chart tracking system in the HIM Department?
• Which of the following actions best reduces fragmentation when a patient has multiple admissions under a unit numbering system?
• 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?
• Which of the following is NOT a data retrieval tool?
• Which formula yields the filing accuracy rate given total records and missing records?
• 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?
• 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 staff are having trouble locating the terminal digit sections quickly, the supervisor could add more of which of the following?
• The steps in developing a record retention program include all but which of the following?
• Which list is in correct alphabetical order?
• What does an open-shelf filing unit refer to in a filing expansion context?
• 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?
• Which of the following would NOT be a strategy when purchasing an electronic health record system?
• If 2,500 feet of filing space are available and half is used, what fraction of the space remains unused?
• Under HIPAA of 1996, what is a basic tenet in information security for health care professionals to follow?
• Which of the following is NOT a mandatory disclosure under the HIPAA Privacy Rule?
• In a terminal digit filing system, the primary number corresponds to which portion of the record number?
• Which of the following best describes the function of an information system that tracks surgical procedures by physician and date?
• A 200-bed acute care hospital currently has 15 years of paper health records and filing space is limited. What action should be taken?
• If 2,500 records were filed in a month and 90 were not found during the accuracy check, what is the filing accuracy rate?
• When engaging the services of a microfilm vendor, which factor should NOT be included in the contract?
• Which of the following is NOT an advantage of a computerized master patient index?
• What is the business of buying and selling information as a commodity?
• 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?
• If 2,500 feet of filing space are available and half is used, how many feet are currently unused?
• Which information system component is primarily used for retrieving patient data in health information management systems?
• 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?
• Which term describes the practice of linking patient identity to the health record across multiple encounters to facilitate retrieval?
• Unless state or federal laws require longer time periods, AHIMA recommends that patient health information for minors be retained for at least how long?
• What is the approximate cost per record when scanning 250,000 records for $195,000?
• A quality control measure for the filing, storage, and retrieval of health records should include criteria for which of the following?
• What practice facilitates automatic indexing when implementing an electronic health record system?
• The scenario where lab staff can see tests and results, while billing staff can only see charges demonstrates which type of control?
• University Hospital, a 900-bed tertiary health care organization, is undergoing information systems development. What system would best meet its needs?
• Which of the following is NOT an alternative storage method for paper-based records?
• In a terminal digit filing system, what is the record number immediately in front of record number 01-06-26?
• Which set of records filed consecutively on a shelf displays terminal digit filing order?
• The function of an R-ADT system in a hospital information system is to handle which processes?
• What is the total number of admissions expected next year after expansion?
• Which index is best suited for locating records of patients admitted with a specific diagnosis during a particular month?
• Why must shelving units be purchased in whole numbers rather than fractions in this scenario?
• Which term describes a centralized data store designed to retrieve clinical information from multiple sources?
• In a terminal digit filing system using six-shelf files, how many shelves should be allocated per primary number?
• Which action would most effectively reduce the 30-minute retrieval delay for Emergency Department record requests?
• What is the key advantage of using electronic health record data entry for clinical documentation?
• 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:
• A hospital administrator is querying multiple institutional databases to support strategic decision making. What type of information system is being used?
• According to AHIMA’s recommended retention standards, which type of health information does NOT need to be retained permanently?
• How many primary digit groupings are used in a terminal digit filing system where primary digits range from 00 to 99?
• When evaluating health information data security, which item is NOT typically considered?
• What follow-up rate does the American College of Surgeons mandate for all cancer cases to meet approval requirements as a cancer program?
• Which data type is typically excluded from long-term retention planning under the HIM duties described?
• Which data governance concept is illustrated when one department can view test results while another can view only billing charges?
• Which statement about the characteristics of the legal health record in an electronic document management system is FALSE?
• What unit of measurement is used to describe filing storage in this example?
• Which of the following is NOT a benefit of the electronic document management system in the HIM Department?
• 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?
• In what year did the Patient Self-Determination Act become law?
• What is the primary objective of a cost-analysis approach to records storage in a large hospital setting?
• To secure 24/7 access to paper health records, the Director of the HIM Department should
• 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)?
• 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?
• For record management, which factor primarily determines when a record becomes inactive?
• Given a total required space of 2,940 inches and units providing 216 inches each, how many units are needed (rounded up)?
• Which feature best describes how electronic health record incentives for physicians influence care?
• Which of the following is NOT considered a challenge in the adoption of an electronic health record system?
• Which issue would be LEAST concern when storing health records in off-site storage?
• Which item would not be considered secondary data?
• What is the chief criterion for determining record inactivity?
• 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?
• Which of the following should NOT be included in the documentation of record destruction?
• Which statement best describes the purpose of the R-ADT system in hospital operations?
• Which of the following is NOT an electronic document management system component?
• What percentage of records were found after the accuracy check given 2,500 total and 90 missing?
• An example of a primary data source is the
• Which type of information does the National Practitioner Data Bank primarily contain for physicians?
• Which of the following is NOT a step in developing a health record retention schedule?
• 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.
• If staff are having trouble locating the terminal digit sections quickly, the supervisor could add more of which of the following?
• Of 750 records filed during the week, 75 were not located. What is the filing error rate?
• 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?
• The master patient index must, at a minimum, include sufficient information to
• In retention guidelines, the minimum period for minors combines age of majority with what other factor?
• Which information system model is typically used by large organizations seeking scalable IT services from outside vendors?
• Which item fulfills the minimum information to uniquely identify a patient in the master patient index?
• Which of the following is NOT a consideration when implementing a disaster plan?
• What is a likely consequence of insufficient filing space in a health information management setting?
• Under HIPAA, which element must a business associate contract include regarding the use and disclosure of PHI?
• If expansion adds 400 inches to the existing 2,540 inches, what is the total storage inches required?
• With a 30% readmission rate, how many readmissions are expected among 6,200 total admissions next year?
• In data sharing between hospital information systems without human intervention, what term describes this configuration?
• 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?
• How many additional admissions are expected per year due to the expansion?
• 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?
• Color coding of record folders is used to assist in the control of
• Which item would not be considered secondary data?
• 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?
• The statement 'Filing accuracy rate is calculated as (records retrieved from proper locations x 100) divided by records requested' is true or false?
• AHIMA recommends which method as the preferred destruction for computerized data?
• 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 application would be most effective for generating MS-DRG case mix reports using related clinical and financial data?
• Which feature should NOT be considered when designing screens to capture quality health data?
• How many years does the FDA require research records pertaining to cancer patients to be maintained?
• According to terminal digit filing, what is the record number immediately after 99-99-30?
• 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?
• Which information should be permanently retained in some format even if the remainder of the health record is destroyed?
• Which of the following is NOT an advantage of a centralized filing system?
• What best describes the role of a Master Patient Index in health information management?
• The software described is most useful for which departmental function?
• Which of the following is NOT a technical security control employed by electronic health record systems?
• 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?
• In a serial-unit filing system, the described method of consolidating admissions under a single reference number is an illustration of which concept?
• A major consideration in a hospital or facility closure is to
• Which item would not be considered when planning the conversion due to the facility not including space for paper-based records?
• Which data cannot be retrieved from MEDPAR?
• 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 terminal digit filing system with 100 units of 8-shelf files, how many shelves should be allocated to each primary number?
• For the storage or disposition of 250,000 hospital records, which option is the most cost-effective?
• Case finding methods for patients with diabetes include all of the following except which?
• Which record filing method is least likely to be used in a typical health information department?
• When evaluating an outside contract microfilm company, all but which of the following are important factors to rate?
• What horizon is used for expansion planning in the example's expansion needs?
• 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?
• Which action would NOT be included in the professional obligations of the health information practitioner that lead to responsible handling of patient health information?
• Which of the following is NOT a factor to consider when developing a record retention program?
• Which of the following is NOT a security measure that can be implemented to prevent privacy violations in this computer system?
• MS-DRG reports are used for which purpose related to patient cases?
• 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?
• An executive information system is best described as providing support for which purpose?
• Which index is used by the HIM department to link the patient’s name and number for access and retention of the patient record?
• Where in the health record would the following statement be located? 'Microscopic Diagnosis: Liver (needle biopsy), metastatic adenocarcinoma'
• Which security device is described as a method to limit access to a restricted record file area?
• Which component of a patient encounter focuses on subjective symptoms reported by the patient?
• If there are 150,000 records and the HIM department receives 3,545 requests, what is the request rate?
• Maintaining the confidentiality and integrity of patient information is an example of what?
• Which department is responsible for maintaining medical records and responding to requests for records?
• 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?
• For a health care facility to meet its record destruction needs, the certificate of destruction should include all but which element?
• Which of the following is an advantage of straight numeric filing over terminal digit filing?
• In a serial numbering filing system, how are records from multiple admissions filed?
• A surgeon requests the name of a patient admitted on January 11, 2013. Which system would be used to retrieve this information?
• What is the primary purpose of the Master Patient Index (MPI)?
• Fetal monitoring strips are part of the ______ record and should be maintained ______.
• Which statement is NOT a typical benefit of an electronic document management system in the HIM department?
• Which item is collected and maintained in the organ transplant registry?
• How many expansion inches are planned in the example?
• What term describes the system that securely routes patient alerts to the appropriate clinician's pager?
• 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?
• Which statement best describes jacket microfilm?
• If 2,375 records were located out of 2,543 requested, what is the filing accuracy rate?
• A hospital data analyst is ready to retrieve patient satisfaction data from six months of collection. Which data retrieval tool should be used?
• Which statement would be found in the laboratory report section of the health record?
• Which statement describes the purpose of an outguide in records management?
• What is the purpose of color coding record folders in a filing system?
• When health care facilities close or medical practices dissolve, disposition of patient records should take into consideration all of the following EXCEPT
• Which department is primarily responsible for indexing records to support retrieval by diagnosis?
• Which item is NOT included in the certificate of destruction?
• Which of the following is NOT a data retrieval tool?
• Which technology works best with automated record-tracking systems to speed the data-entry process?
• Which of the following is NOT a major management challenge in the storage and retention of electronic health record systems?
• In terminal digit filing order, which digits are typically used as the primary sort key?
• Which of the following is NOT a document input device in the electronic document management system?
• What component of the history and physical examination includes an inventory designed to uncover current or past subjective symptoms?
• 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?
• Which scenario would most likely require activating a disaster plan to protect health information?
• Which filing system would provide the most convenient method for the record retrieval of 200 patients consecutively admitted to the hospital?
• What microform should the HIM practitioner select if the records must be unitized and color-coded for filing purposes?
• Which of the following describes a disadvantage of terminal digit filing compared with straight numeric filing?
• Which item is the Health Information Manager primarily concerned with when purchasing file guides?
• 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?
• The HIM practitioner's duty to retain health information via archiving and storage includes all EXCEPT which of the following?
• What principle is applied when calculating the number of shelving units to buy, regarding partial units?