When health care facilities close or medical practices dissolve, procedures for disposition of patient records should take into consideration all of the following EXCEPT for
A. state laws and licensing standards.
B. Communities of Practice requirements
C. Needs and wishes of patients.
D. Medicare requirements.
When designing a computer view for information capture, all of the following should be considered except for which one?
A. external standards such as those developed by HL7 and NCVHS
B. standardized vocabularies
C. size of the document
D. forms committee membership
When operating under the Health Insurance Portability and Accountability Act of 1996, what is a basic tenet in information security for health care professionals to follow?
A. Security training is provided to all levels of staff.
B. Patients are noteducated about their right to confidentiality of health information.
C. Patients are noteducated about their right to confidentiality of health information.
D. When paper-based records are no longer needed, they are bundled and sent to a recycling center.
Which of the following steps would NOT be taken when bringing all patient health information together in a complete record, regardless of media output from?
A. Look at the past composition of records in the facility.
B. Determine storage requirements for information currently not filed in the medical record.
C. Decide if all patient health information is being collected and managed uniformly.
D. Evaluate what patient data, if any, is not incorporated in the medical record.
When evaluating a microfilm service bureau, all but which of the following are important factors to rate?
A. cost
B. emergency returns
C. storage after filming
D. cache memory
When merging or overwriting demographic information for duplicate and overlap master patient index entries, AHIMA recommends converting all but which one of the following minimum data elements?
A. encounter type
B. alias/previous name
C. attending physician
D. facility identification
A file area has limited space, medium file activity, and two file clerks. The HIM department would benefit from choosing which type of storage equipment?
A. compressible filing units
B. lateral filing cabinets
C. open shelf files
D. motorized revolving units
The HIM Department is located in a teaching hospital and provides record access 24 hours a day, 7 days a week. To secure the file area and continue to maintain accessibility, the department director should
A. be on call during the evening hours.
B. staff the file area with file clerks on all three shifts.
C. instruct medical staff in record retrieval.
D. instruct nurse supervisors in record retrieval.
Which of the following is NOT a consideration in the file folder size and design?
A. reinforced top and side panels
B. scoring on folder bottoms
C. vendor location
D. weight of folder
Where in the health record would the following statement be located: "Microscopic Diagnosis: Live (needle biopsy), metastatic adenocarinoma"?
A. operative report
B. pathology report
C. anesthesia report
D. radiology report
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