In quality review activities, departments are directed to focus on clinical processes that are
A. high volume.
B. high risk.
C. problem prone.
D. all of the above
The HIM department frequently experiences a backlog in loose report filing. A quality improvement team is assembled to identify the outcome variables and the major or root causes. What visual QI tool is helpful to report the findings?
A. PDCA method
B. run chart
C. fishbone (cause and effect) diagram
D. scatter diagram
As a HIM coding supervisor, you are asked to compare the current coding process with proposed concurrent coding process. What visual tool would be the best to identify all the logical steps and sequence of each procedure?
A. decision matrix
B. cause and effect diagram
C. flowchart
D. run chart
Physicians who are members of the Surgery Committee meet to review surgical cases referred f quality issues and deviations from standard care norms. This type of review in which physician's record is reviewed by his or her professional colleagues is known as
A. concurrent review.
B. clinical pertinence review.
C. incident screening.
D. peer review.
Reporting the number of incomplete charts over a 6-month period using a run or line chart will prove valuable in the following two ways:
A. The run or line chart data can show how much and how far service goes.
B. Over time, the data can reveal trends and point out areas for improvement.
C. The data in the run or line chart can indicate the level of customer satisfaction related to transcription errors.
D. Over time, the data can reveal an increase in office morale and productivity.
Which of the following established legal liability for hospitals in 1965?
A. P.L.92-603
B. Health Care Financing Administration (HCFA)
C. Joint Commission on Accreditation of Health care Organizations (Joint Commission)
D. Darling v. Charleston Community Memorial Hospital
The Credentials Committee of the medical staff reviews information about applicants for staff membership and makes recommendations for staff appointment and reappointment to the
A. QI/UR Committee.
B. Medical Record Committee.
C. facility's governing body.
D. Director of Health Information Management Services.
Surgical case review includes all the following EXCEPT
A. determination of surgical justification based on clinical indication(s) in cases where no tissue has been removed.
B. cases with elements missing in the preoperative anesthesia consultation.
C. cases where there is a significant discrepancy between preoperative, postoperative, and pathological diagnoses.
D. cases with serious surgical complications or surgical mortalities.
Joint Commission requires that medical record review be performed to evaluate adequacy, accuracy, completeness, and quality of documentation
A. annually.
B. every 2 years.
C. on an ongoing basis.
D. quarterly.
What QI tool uses criteria to weigh different alternatives? This display would assist in viewing all relevant information at the same time.
A. the PDSA method
B. a decision matrix
C. a flowchart
D. a customer satisfaction survey
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