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.

_____is the term used to describe the processes of the collection, organization, storage, and retention, access, dissemination, analysis and interpretation, and destruction of health information.

  • COACH

  • Data quality issues

  • Entry level

  • Health care reimbursements

  • Health informatics

  • Lifecycle

  • Privacy

Explanation

Lifecycle is the term used to describe the full process of managing health information, from collection and organization to storage, retention, access, dissemination, analysis, interpretation, and eventual destruction. Understanding the lifecycle ensures that health information is accurately maintained, securely handled, and effectively used to support clinical care, administration, research, and policy-making throughout its existence.
3.

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.

4.

In this type of identification system, the patient receives a unique numerical identifier for each encounter or admission

  • Unit numbering system

  • Serial-unit numbering system

  • Terminal digit filing system

  • Serial numbering system

Explanation

The serial numbering system assigns a unique number to a patient for each encounter or admission. Each visit generates a new identifier, ensuring that all records for that specific encounter are grouped under the assigned number. This system is useful for tracking individual episodes of care separately, though it can make longitudinal tracking of a patient’s complete history more complex.

5.

In an integrated health record, documentation by health professionals is organized:

  • in sections by type of professional

  • In sections by problem number

  • Intermixed in date sequence

  • Depends on facility policy

Explanation

In an integrated health record, documentation from all health professionals is intermixed in strict chronological order. This allows caregivers to view the patient’s complete history of care as it occurred over time, facilitating continuity of care and comprehensive understanding of patient progress. Unlike source-oriented or problem-oriented systems, integrated records prioritize the timeline of events rather than separating information by provider or problem.

6.

Which of the following statements about classification of mental disorders is incorrect?

  • The ICD and DSM rarely change, and only change if new research demands that disorders must be reclassified.

  • There are two main systems for classifying mental disorders: the ICD and DSM.

  • The American Psychiatric Association and World Health Organization group mental disorders differently

  • The DSM-5 has more top-level categories, meaning it breaks down mental disorders into more categories.

Explanation

The statement that “The ICD and DSM rarely change, and only change if new research demands that disorders must be reclassified” is incorrect. Both the ICD and DSM are updated periodically to reflect new research, evolving clinical practices, and changes in societal understanding of mental health. These updates occur more regularly than implied and can include additions, modifications, or removal of disorders to improve accuracy and relevance in clinical diagnosis.

7.

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.
8.

According to AHIMA's Position on Transmission of Health Information, the health information manager should engage in all of the following to ensure that information is properly sent via facsimile transmission EXCEPT

  • encrypt the data if public channels are used for electronic transmittal.

  • to preprogram into the machine the number of destination sites.

  • ask the sender to contact the recipient prior to and after transmission.

  • to always follow up by sending the original record by mail.

Explanation

AHIMA’s guidelines emphasize secure and accurate transmission of health information via facsimile. Recommended practices include encrypting data when public channels are used, preprogramming destination numbers, and confirming receipt with the recipient. Sending the original record by mail is not required and is discouraged, as it introduces unnecessary duplication and potential privacy risks. Following proper fax procedures ensures confidentiality and integrity of the transmitted health information.

9.

Founded in 1896, this body's interest was to keep families together during times of illness. Involved in other public health initiatives, establishing outpost hospitals, nursing stations, nutrition services and university courses in public health nursing, blood donors.

  • The Canadian Red Cross Society

  • The Victorian Order of Nurses

  • The Order of St. John

  • The Children's Aid Society

Explanation

The Canadian Red Cross Society was founded in 1896 with the primary goal of supporting families during times of illness and crisis. Beyond providing direct care, the organization has been actively involved in public health initiatives, including establishing outpost hospitals, nursing stations, nutrition services, and offering education in public health nursing. It has also played a key role in blood donation services and disaster relief, making it a cornerstone of health and humanitarian services in Canada.
10.

In a busy hospital environment where patient records are frequently accessed and returned, which filing system is most effective for minimizing retrieval time and ensuring efficient organization of records?

  • Alphabetic

  • Terminal digit

  • Color-coded

  • Chronological

Explanation

The terminal digit filing system is most effective in busy hospital environments because it distributes records evenly across filing units by using the last digits of the patient number. This reduces congestion in high-traffic areas, minimizes retrieval time, and ensures efficient organization and access to records. It is especially useful in facilities with large volumes of patient records and frequent access.

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