D260 Health Information Management Capstone

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Free D260 Health Information Management Capstone Questions

1. In this type of identification system, numbers are assigned in a serial manner, just as they are in the serial numbering system. However, during each new patient encounter the previous health records are brought forward and filed under the last assigned record number.
  • Unit numbering system
  • Serial-unit numbering system
  • Terminal digit filing system
  • Serial numbering system

Explanation

The serial-unit numbering system assigns numbers in a serial manner for each patient encounter, but unlike the pure serial numbering system, the patient’s previous health records are brought forward and filed under the most recent number. This allows each new encounter to be linked with prior records while still maintaining a sequential system for tracking patient visits.
2. Sunny View Hospital is planning to upgrade its electronic health record system. The current data storage requirement is 2,400 gigabytes, and the anticipated growth over the next three years is 1,200 gigabytes. If each server can store 500 gigabytes, how many servers will the hospital need to purchase to accommodate the current and projected data?
  • 6
  • 7
  • 8
  • 5

Explanation

First, calculate the total data requirement: 2,400 GB (current) + 1,200 GB (projected growth) = 3,600 GB. Each server can store 500 GB. Divide the total storage required by the storage capacity per server: 3,600 ÷ 500 = 7.2. Since partial servers cannot be purchased, the hospital will need to round up to the next whole number, which is 8 servers.
3. Which of the following will eliminate a significant number of clerical positions and at the same time alter the skills required for the HIM occupational group?
  • Electronic Health Information System technologies
  • Health informatics
  • HIMSS (systems society)
  • Information and Communications Technology Council (ICTC.)

Explanation

Electronic Health Information System technologies are transforming the HIM field by automating many clerical tasks, such as data entry, record retrieval, and filing, which historically required significant manpower. This shift reduces the number of traditional clerical positions while simultaneously demanding new skills in electronic data management, informatics, analytics, and system maintenance. HIM professionals must adapt by developing technical, analytical, and informatics competencies to manage, interpret, and secure digital health information effectively.
4. What report provided strategic advice to the premier on the preservation and future enhancement of quality health services for Albertans?
  • Mazankowski Report
  • Kirby Report
  • Romanow Report

Explanation

The Mazankowski Report provided strategic advice to the Premier of Alberta on preserving and enhancing the quality of health services in the province. It focused on long-term sustainability, efficiency, and the improvement of healthcare delivery for Albertans, offering recommendations for policy changes, funding models, and system reforms to ensure high-quality and accessible health services for the population.
5. What year did an international multi-stakeholder task team complete a major revision of the current Learning Outcomes for Health Information Management (LOHIM) document?
  • 2009
  • 2010
  • 2011
  • 2013

Explanation

The international multi-stakeholder task team completed a major revision of the Learning Outcomes for Health Information Management (LOHIM) in 2011. This revision was aimed at updating the competencies, curriculum standards, and learning outcomes required for accredited HIM programs, reflecting evolving industry needs, technological advances, and professional expectations. The updated LOHIM ensures consistency in education and practice for health information management professionals across Canada.
6. _________include missing operative report at the time of coding, misplaced lab reports, and an incomplete listing of conditions, as examples.
  • COACH
  • Data quality issues
  • Entry level
  • Health care reimbursements
  • Health informatics
  • Lifecycle
  • Privacy

Explanation

Data quality issues refer to errors, omissions, or inconsistencies in health information that can affect the accuracy, completeness, and reliability of patient records. Examples include missing operative reports at the time of coding, misplaced lab reports, and incomplete listings of conditions. Addressing these issues is essential for accurate clinical documentation, proper coding, effective decision-making, and overall improvement of healthcare delivery and outcomes.
7. The disease index may be used to retrieve health information to:
  • Locate a record when the physician remembers only the name
  • Locate cases of a specific physician
  • Obtain data on readmission rates by service
  • Review previous cases of a given disease

Explanation

A disease index organizes patient records according to diagnosis codes, allowing healthcare professionals to locate and analyze records for specific diseases. It is particularly useful for reviewing previous cases of a given disease, tracking trends, supporting research, and compiling data for quality improvement or reporting purposes. Unlike a patient name index, it focuses on the diagnosis rather than individual patient identifiers.
8. A patient's authorization is not required to disclose PHI under the following circumstances; Treatment, Payment, and what else?
  • HIV status
  • Healthcare operations
  • Substance abuse
  • Mental health conditions

Explanation

Under HIPAA, a patient’s authorization is not required to disclose PHI for treatment, payment, and healthcare operations. Healthcare operations include activities such as quality assessment, case management, auditing, and other administrative, financial, legal, and risk management activities necessary to run a healthcare organization. This allows providers to use and share PHI internally to manage patient care and organizational functions without obtaining individual consent for every use.
9. The HCPCS Level II national coding system
  • has code descriptors that describe diagnoses, services, and procedures.
  • describes common medical services and supplies not classified in CPT.
  • is a reimbursement methodology for making coverage and payment determinations.
  • ensures the uniform reporting of diagnoses on submitted claims.

Explanation

HCPCS Level II codes are used to describe medical services, supplies, and products that are not included in the CPT coding system. These alphanumeric codes ensure standardized reporting and billing for items such as durable medical equipment, prosthetics, and ambulance services. Level II codes complement CPT codes by covering services and products beyond standard procedures.
10. This criterion was added to the Canada Health Act in an attempt to ensure that eligible individuals in a province or territory have reasonable access to all insured health services on uniform terms and conditions. Means access to services when and where they are available, as they are available.
  • portability
  • universality
  • accessibility
  • Public Administration
  • Comprehensive Coverage

Explanation

Accessibility is a core principle of the Canada Health Act that ensures all eligible individuals have reasonable access to insured health services when and where they are available, without financial or other barriers. This principle was added to guarantee that services are provided equitably across a province or territory, promoting timely and fair access to necessary medical care for all residents.

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