AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 1581:

  The health information reception desk is experiencing a huge influx of phone calls on Monday, Tuesday,

  and Wednesday mornings. This is creating a problem in getting requested patient information out within an

  acceptable time frame. The reception staff work group has agreed to start recording the reason for the

  phone calls for the next 4 weeks. They want to focus on solving the response-time problem by reducing the

  turnaround time for the largest category of phone calls.

  Which QI tool best supports this goal?

  A. control chart

  B. Pareto chart

  C. run chart

  D. scatter diagram

  Correct Answer: B

• Question 1582:

  The outpatient coding staff has been working to improve coding accuracy. The standard for the number of cases that must be coded has been raised four times in the past year. The staff states that "the more cases that must be coded, the greater the error rate will be for the corresponding time period." The department keeps statistics on both the numbers of cases coded and the corresponding error rate. What is the best QI tool for testing the coding staff's theory?

  A. control chart

  B. Pareto chart

  C. run chart

  D. scatter diagram

  Correct Answer: D

• Question 1583:

  A culture and sensitivity report was returned to the inpatient unit of Brian Hospital. The sensitivity showed bacterial resistance to the current antibiotic the patient was receiving. The patient continued on the same antibiotic without improvement. A generic quality screen identified this case for review. At a minimum, which committee should review this case?

  A. Surgical Case Review

  B. Safety Committee

  C. Information Management Committee

  D. Pharmacy and Therapeutics Committee

  Correct Answer: D

• Question 1584:

  Case study #6 You are helping the Nursing Department to write indicators, to determine appropriate formulas ratios and to determine data collection time frames. One important aspect of care is documentation of education of patients. More specifically, the nursing department would like assess its documentation of education on colostomy care for patients with new colostomies.

  Referring to Case Study #6, which of the following ratios would you recommend?

  A. number of records with documentation of colostomy-care teaching total number of patients on surgery unit B. number of records with documentation of teaching total number of discharges

  C. number of records with documentation of colostomy-care teaching total number of patients with new colostomy

  D. number of records reviewed with documentation of colostomy-care teaching total number of records reviewed

  Correct Answer: C

• Question 1585:

  Case study #6 You are helping the Nursing Department to write indicators, to determine appropriate formulas ratios and to determine data collection time frames. One important aspect of care is documentation of education of patients. More specifically, the nursing department would like assess its documentation of education on colostomy care for patients with new colostomies.

  Referring to Case Study #6, what would be the most cost-effective and appropriate collection time frame?

  A. prospectively

  B. concurrently

  C. retrospectively

  D. long-term care review

  Correct Answer: C

• Question 1586:

  Case Study #5

  Upon employment at your facility, all new employees read, demonstrate understanding, and sign Confidentiality Statements. Disclosure of confidential information is grounds for immediate dismissal. Each year, during the annual performance evaluation, every employee again reads, demonstrates understanding, and signs the Confidentiality Statement.

  You are the Director of the Quality Department. Your Department has found that the femoral-popliteal bypass failure rate of one of your vascular surgeons, Dr. Z., is twice that of the national average. Members of the surgery department have reviewed that vascular surgeon's performance both by reading the medical records and by watching videos of her surgery. The Surgery Department and the Executive Committee have decided to deny reappointment for this surgeon.

  Lucille X, the mother of one of your quality coordinators, has severe peripheral vascular disease. She was admitted to your facility and has an angiogram. The angiogram shows that she should have a femoralpopliteal bypass. She had told you that she would be in your facility and asked you to visit her. You are now fulfilling that promise and are also bringing her flowers. While pausing to knock on her door, you hear your employee, Mary

  A. , vehemently state to her mother, "Mom, Dr. Z is z quack; half of her bypass surgeries fail. You must have Dr. DoGood!" Referring to Case Study #5, are the meeting minutes about the decisions regarding Dr. Z of Department of Surgery and of the Executive Committee admissible in court?

  B. Yes, federal amendments to the Medicare Act require release of peer review.

  C. Yes, state laws allow discovery of medical review committee records.

  D. No, the federal Freedom of Information Act and state "sunshine laws" protect peer review.

  E. No, under state laws, records of medical review committees are not subject to introduction into evidence.

  Correct Answer: D

• Question 1587:

  Case Study #5

  Upon employment at your facility, all new employees read, demonstrate understanding, and sign Confidentiality Statements. Disclosure of confidential information is grounds for immediate dismissal. Each year, during the annual performance evaluation, every employee again reads, demonstrates understanding, and signs the Confidentiality Statement.

  You are the Director of the Quality Department. Your Department has found that the femoral-popliteal bypass failure rate of one of your vascular surgeons, Dr. Z., is twice that of the national average. Members of the surgery department have reviewed that vascular surgeon's performance both by reading the medical records and by watching videos of her surgery. The Surgery Department and the Executive Committee have decided to deny reappointment for this surgeon.

  Lucille X, the mother of one of your quality coordinators, has severe peripheral vascular disease. She was admitted to your facility and has an angiogram. The angiogram shows that she should have a femoralpopliteal bypass. She had told you that she would be in your facility and asked you to visit her. You are now fulfilling that promise and are also bringing her flowers. While pausing to knock on her door, you hear your employee, Mary

  A. , vehemently state to her mother, "Mom, Dr. Z is z quack; half of her bypass surgeries fail. You must have Dr. DoGood!" Referring to Case Study #5, what do you do as Director of the Quality Department?

  B. Seek the advice of the facility's legal counsel.

  C. Immediately dismiss Mary G upon her arrival back in the department.

  D. Walk into Lucille's room and state that Dr. Z is a fine surgeon and also advise Mary G to lower her voice.

  E. Upon Mary G's arrival back in the department, give her a written warning.

  Correct Answer: B

• Question 1588:

  Refer to the table Summary of Selected Blood Product Review. Based on the results reported in the table, which blood component or derivative should first be the topic of an in- depth study?

  

  A. packed red blood cells

  B. fresh frozen plasma

  C. platelets

  D. unable to determine from the table

  Correct Answer: B

• Question 1589:

  Refer to the table Summary of Selected Blood Product Review. What percent of the fresh frozen plasma units met indications?

  

  A.7%

  B. 24%

  C. 22%

  D. 76%

  Correct Answer: B

• Question 1590:

  Refer to the table Summary of Selected Blood Product Review. The table was first produced during which quality improvement function?

  

  A. pharmacy and therapeutics function

  B. drug usage evaluation

  C. medical record review

  D. blood usage review

  Correct Answer: D