{"product_id":"proctored-exam-study-guide-health-data-content-standards-him-1-4-key-concepts","title":"(Proctored Exam Study Guide) Health Data Content \u0026 Standards (HIM 1-4) Key Concepts","description":"\u003ch2\u003eHealth Data Content \u0026amp; Standards (HIM 1-4) Study Guide and Key Concepts\u003c\/h2\u003e\n\u003chr\u003e\n\u003ch2\u003e1) Master Patient Index (MPI)\u003c\/h2\u003e\n\u003cp\u003eThe master patient index must, at a minimum, include sufficient information to:\u003c\/p\u003e\n\u003cp\u003eA. Justify the patient’s hospital bill\u003cbr\u003eB. Uniquely identify the patient\u003cbr\u003eC. Summarize the patient’s complete medical history\u003cbr\u003eD. List all physicians who have ever treated the patient\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnswer: B\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eWhy:\u003c\/strong\u003e The MPI’s core purpose is accurate \u003cstrong\u003epatient identification\u003c\/strong\u003e and linking records to the correct person.\u003c\/p\u003e\n\u003chr\u003e\n\u003ch2\u003e2) Appropriate physician query title\u003c\/h2\u003e\n\u003cp\u003eQuery titles should not ask questions or offer answer options. Which is the best query title?\u003c\/p\u003e\n\u003cp\u003eA. CHF active or inactive\u003cbr\u003eB. CHF Type\u003cbr\u003eC. CHF systolic or diastolic\u003cbr\u003eD. CHF active or acute\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnswer: B\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eWhy:\u003c\/strong\u003e “CHF Type” is neutral and doesn’t lead or present choices.\u003c\/p\u003e\n\u003chr\u003e\n\u003ch2\u003e3) Specialist who shares the documentation goal with coding staff\u003c\/h2\u003e\n\u003cp\u003eImproving specificity of clinical reports through a physician query is a documentation goal shared by the coding staff and which specialist?\u003c\/p\u003e\n\u003cp\u003eA. Certified Health Data Analyst (CHDA)\u003cbr\u003eB. CHPS\u003cbr\u003eC. CTR\u003cbr\u003eD. CDIP\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnswer: D\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eWhy:\u003c\/strong\u003e \u003cstrong\u003eCDIP\u003c\/strong\u003e (Clinical Documentation Integrity Practitioner) focuses on improving clinical documentation quality.\u003c\/p\u003e\n\u003chr\u003e\n\u003ch2\u003e4) Registry annual caseload\u003c\/h2\u003e\n\u003cp\u003eYou have been asked to report the registry’s annual caseload to administration. The most efficient way to retrieve this is to use:\u003c\/p\u003e\n\u003cp\u003eA. Follow-up files\u003cbr\u003eB. Patient index\u003cbr\u003eC. Accession register\u003cbr\u003eD. Patient abstracts\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnswer: C\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eWhy:\u003c\/strong\u003e The \u003cstrong\u003eaccession register\u003c\/strong\u003e tracks cases entered into the registry (best for annual counts).\u003c\/p\u003e\n\u003chr\u003e\n\u003ch2\u003e5) HIPAA covered entity\u003c\/h2\u003e\n\u003cp\u003eAccording to the HIPAA Privacy Rule, which is a covered entity?\u003c\/p\u003e\n\u003cp\u003eA. Department of Health and Human Services\u003cbr\u003eB. Health plans\u003cbr\u003eC. Joint Commission\u003cbr\u003eD. Office of Inspector General\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnswer: B\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eWhy:\u003c\/strong\u003e HIPAA covered entities include \u003cstrong\u003ehealth plans\u003c\/strong\u003e, healthcare providers (that transmit HIPAA transactions), and clearinghouses.\u003c\/p\u003e\n\u003chr\u003e\n\u003ch2\u003e6) Notice of Privacy Practices (NPP)\u003c\/h2\u003e\n\u003cp\u003eWhen should the patient receive a copy of the Notice of Privacy Practices?\u003c\/p\u003e\n\u003cp\u003eA. Within 3 days after the initial appointment\u003cbr\u003eB. Initial encounter\u003cbr\u003eC. With any preappointment information\u003cbr\u003eD. Facility is only required to publicly post the notice\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnswer: B\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eWhy:\u003c\/strong\u003e Patients should receive the NPP \u003cstrong\u003eat the first service delivery\/first encounter\u003c\/strong\u003e (and acknowledgment is requested).\u003c\/p\u003e\n\u003chr\u003e\n\u003ch2\u003e7) SOAP progress note: “Subjective”\u003c\/h2\u003e\n\u003cp\u003eUsing SOAP documentation, choose the \u003cstrong\u003esubjective\u003c\/strong\u003e statement:\u003c\/p\u003e\n\u003cp\u003eA. Adjust pain medication; begin physical therapy tomorrow\u003cbr\u003eB. Patient states low back pain is as severe as it was on admission\u003cbr\u003eC. Patient moving about very cautiously, appears to be in pain\u003cbr\u003eD. Sciatica unimproved with hot pack therapy\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnswer: B\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eWhy:\u003c\/strong\u003e Subjective = what the \u003cstrong\u003epatient reports\u003c\/strong\u003e (symptoms\/feelings).\u003c\/p\u003e\n\u003chr\u003e\n\u003ch2\u003e8) Inappropriate authentication\u003c\/h2\u003e\n\u003cp\u003eWhich method of identifying authorship\/authentication would be inappropriate in a patient’s record?\u003c\/p\u003e\n\u003cp\u003eA. Identifiable initials of a nurse writing a nursing note\u003cbr\u003eB. A unique identification code entered by the person making the report\u003cbr\u003eC. Written signature of the provider of care\u003cbr\u003eD. Delegated use of a computer key by a radiology secretary\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnswer: D\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eWhy:\u003c\/strong\u003e Authentication credentials \u003cstrong\u003emust not be shared\/delegated\u003c\/strong\u003e.\u003c\/p\u003e\n\u003chr\u003e\n\u003ch2\u003e9) Record destruction documentation: EXCEPT\u003c\/h2\u003e\n\u003cp\u003eAll of these details must be included in record destruction documentation \u003cstrong\u003eEXCEPT\u003c\/strong\u003e:\u003c\/p\u003e\n\u003cp\u003eA. Statement that records were destroyed in the normal course of business\u003cbr\u003eB. Dates the patient had surgery\u003cbr\u003eC. Method of destruction\u003cbr\u003eD. Signature of individuals supervising\/witnessing destruction\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnswer: B\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eWhy:\u003c\/strong\u003e Destruction logs track \u003cstrong\u003ewhat\/when\/how\/who\u003c\/strong\u003e, not clinical details like surgery dates.\u003c\/p\u003e\n\u003chr\u003e\n\u003ch2\u003e10) Least likely found by retrospective quantitative analysis\u003c\/h2\u003e\n\u003cp\u003eWhich item is least likely to be identified by a \u003cstrong\u003eretrospective quantitative analysis\u003c\/strong\u003e?\u003c\/p\u003e\n\u003cp\u003eA. Need for physician authentication of two verbal orders\u003cbr\u003eB. Discrepancy between postoperative diagnosis and pathology diagnosis\u003cbr\u003eC. X-ray report charted on the wrong record\u003cbr\u003eD. Missing discharge summary\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnswer: B\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eWhy:\u003c\/strong\u003e Quantitative review checks \u003cstrong\u003epresence\/absence\u003c\/strong\u003e; diagnosis discrepancies are more \u003cstrong\u003equalitative\u003c\/strong\u003e.\u003c\/p\u003e\n\u003chr\u003e\n\u003ch2\u003e11) Physical safeguard example\u003c\/h2\u003e\n\u003cp\u003eWhich is an example of a \u003cstrong\u003ephysical safeguard\u003c\/strong\u003e?\u003c\/p\u003e\n\u003cp\u003eA. Identifying a privacy officer\u003cbr\u003eB. Dual authentication for login\u003cbr\u003eC. Locking offices and file cabinets containing PHI\u003cbr\u003eD. Audit controls\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnswer: C\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eWhy:\u003c\/strong\u003e Physical safeguards protect \u003cstrong\u003ephysical access\u003c\/strong\u003e to PHI (locks, secured areas).\u003c\/p\u003e\n\u003chr\u003e\n\u003cblockquote\u003e\n\u003cp\u003e\u003cstrong\u003ePurchase the Rest to view the other answers!\u003c\/strong\u003e\u003c\/p\u003e\n\u003c\/blockquote\u003e\n\u003ch3\u003e12) H\u0026amp;P exception\u003c\/h3\u003e\n\u003cp\u003eA complete H\u0026amp;P may not be required for a new admission when:\u003cbr\u003eA. Stay is under 24 hours\u003cbr\u003eB. Patient is readmitted within a year\u003cbr\u003eC. A current, legible H\u0026amp;P from the physician office is available\u003cbr\u003eD. Hospital course is uncomplicated\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e13) Drop-down values improve which data quality trait?\u003c\/h3\u003e\n\u003cp\u003eUsing a dropdown for sex (male\/female\/unknown) improves:\u003cbr\u003eA. Timeliness\u003cbr\u003eB. Precision\u003cbr\u003eC. Accessibility\u003cbr\u003eD. Charge capture\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e14) HIPAA enforcement agency\u003c\/h3\u003e\n\u003cp\u003eHIPAA Privacy\/Security Rule enforcement is led by:\u003cbr\u003eA. FBI\u003cbr\u003eB. Office for Civil Rights (OCR)\u003cbr\u003eC. Recovery Audit Contractors\u003cbr\u003eD. Office of Inspector General\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e15) CARF facility—least likely service\u003c\/h3\u003e\n\u003cp\u003eWhich is least likely for a CARF-accredited facility?\u003cbr\u003eA. Brain injury rehab\u003cbr\u003eB. Vocational evaluation\u003cbr\u003eC. Chronic pain management\u003cbr\u003eD. Palliative care\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e16) CDS role analyzing trends\/variances\u003c\/h3\u003e\n\u003cp\u003eA CDS looking for trends and variances acts as a(n):\u003cbr\u003eA. Educator\u003cbr\u003eB. Analyst\u003cbr\u003eC. Ambassador\u003cbr\u003eD. Registrar\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e17) Medicare CoPs—likely added item\u003c\/h3\u003e\n\u003cp\u003eMedicare CoPs suggest documentation of which item for the patient’s record?\u003cbr\u003eA. Interval summary\u003cbr\u003eB. Consultation note\u003cbr\u003eC. Advance directive status\u003cbr\u003eD. Pathology report\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e18) ER record item not typical in acute care record\u003c\/h3\u003e\n\u003cp\u003eMost typical in ER record but not acute care record:\u003cbr\u003eA. Lab results\u003cbr\u003eB. Physical findings\u003cbr\u003eC. Time and means of arrival\u003cbr\u003eD. Diagnostic imaging\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e19) HIPAA workforce member—EXCEPT\u003c\/h3\u003e\n\u003cp\u003eWho is least likely considered a workforce member?\u003cbr\u003eA. Volunteer\u003cbr\u003eB. Lab intern\u003cbr\u003eC. Pharmacy trainee\u003cbr\u003eD. Electrician (external service)\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e20) Form\/screen design main driver\u003c\/h3\u003e\n\u003cp\u003eBest driver for designing new forms\/views:\u003cbr\u003eA. Needs of users\u003cbr\u003eB. Medical staff bylaws\u003cbr\u003eC. QIO standards\u003cbr\u003eD. Federal Register\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e21) Missed insulin dose found during retrospective review\u003c\/h3\u003e\n\u003cp\u003eThis is an example of:\u003cbr\u003eA. Utilization review\u003cbr\u003eB. Legal review\u003cbr\u003eC. Qualitative analysis\u003cbr\u003eD. Quantitative analysis\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e22) Best source for recent Medicare certification standards\u003c\/h3\u003e\n\u003cp\u003eBest resource for recent certification standards:\u003cbr\u003eA. Hospital bylaws\u003cbr\u003eB. CARF manual\u003cbr\u003eC. Joint Commission manual\u003cbr\u003eD. Federal Register\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e23) Verbal orders—first source to verify authorized recorders\u003c\/h3\u003e\n\u003cp\u003eTo confirm who is authorized to take verbal orders, consult:\u003cbr\u003eA. Policy and procedure manual\u003cbr\u003eB. Federal Register\u003cbr\u003eC. Consolidated manual for hospitals\u003cbr\u003eD. Hospital medical staff bylaws\/rules\/regulations\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e24) Rehab accreditation standards best resource\u003c\/h3\u003e\n\u003cp\u003eBest resource for rehab facility voluntary accreditation standards:\u003cbr\u003eA. CARF manual\u003cbr\u003eB. Medical staff bylaws\u003cbr\u003eC. Joint Commission manual\u003cbr\u003eD. CoPs for rehab facilities\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e25) Where does this “hospital course + discharge plan” excerpt belong?\u003c\/h3\u003e\n\u003cp\u003eA summary of treatment, response, and discharge plan belongs in:\u003cbr\u003eA. Admission note\u003cbr\u003eB. Discharge summary\u003cbr\u003eC. Physical exam\u003cbr\u003eD. Lab report\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e26) AHIMA—when should a query be considered?\u003c\/h3\u003e\n\u003cp\u003eA query should be considered when documentation is:\u003cbr\u003eA. Conflicting or unclear\u003cbr\u003eB. Incomplete\/ambiguous\u003cbr\u003eC. Lacks clinical validation\u003cbr\u003eD. All of the above\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e27) Best source for field names + security levels\u003c\/h3\u003e\n\u003cp\u003eTo track field names and security levels for data elements, use:\u003cbr\u003eA. Facility data dictionary\u003cbr\u003eB. UHDDS\u003cbr\u003eC. Glossary of healthcare terms\u003cbr\u003eD. MDS\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e28) Inappropriate in a query\u003c\/h3\u003e\n\u003cp\u003eWhich is inappropriate in a provider query?\u003cbr\u003eA. Including ICD-10 codes\/guidelines\u003cbr\u003eB. Being direct but not leading\u003cbr\u003eC. Adding an “unable to determine” option\u003cbr\u003eD. Keeping tone neutral\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e29) Trauma registry—standard ED data set\u003c\/h3\u003e\n\u003cp\u003eTo ensure comparable ED trauma data, review:\u003cbr\u003eA. DEEDS\u003cbr\u003eB. UHDDS\u003cbr\u003eC. ORYX\u003cbr\u003eD. MDS\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e30) Standard definitions for acute care data dictionary\u003c\/h3\u003e\n\u003cp\u003eBest resource for standard definitions commonly collected in acute care:\u003cbr\u003eA. Federal Register\u003cbr\u003eB. Conditions of Participation\u003cbr\u003eC. UHDDS\u003cbr\u003eD. MDS\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e31) Record delinquency—most serious month\u003c\/h3\u003e\n\u003cp\u003eGiven delinquent records %: April 51%, May 43%, June 61%. Worst month:\u003cbr\u003eA. April\u003cbr\u003eB. May\u003cbr\u003eC. June\u003cbr\u003eD. Cannot determine\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e32) Registry annual caseload (same concept)\u003c\/h3\u003e\n\u003cp\u003eMost efficient tool to obtain annual cancer registry caseload:\u003cbr\u003eA. Patient abstracts\u003cbr\u003eB. Follow-up files\u003cbr\u003eC. Accession register\u003cbr\u003eD. Patient index\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e33) De-identification removal\u003c\/h3\u003e\n\u003cp\u003eWhich must be removed during HIPAA de-identification?\u003cbr\u003eA. Principal diagnosis code\u003cbr\u003eB. Place of service code\u003cbr\u003eC. Date of birth\u003cbr\u003eD. Facility NPI\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e34) Newborn record qualitative checklist item (not adult)\u003c\/h3\u003e\n\u003cp\u003eWhich is unique to newborn inpatient records?\u003cbr\u003eA. Chief complaint\u003cbr\u003eB. APGAR score\u003cbr\u003eC. Condition on discharge\u003cbr\u003eD. Arrival method\/time\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e35) Essential physical exam data item\u003c\/h3\u003e\n\u003cp\u003eA key item typically documented in a physical exam is:\u003cbr\u003eA. Chief complaint\u003cbr\u003eB. General appearance\u003cbr\u003eC. Subjective ROS\u003cbr\u003eD. Family history\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e36) Problem-oriented record component for indexing\u003c\/h3\u003e\n\u003cp\u003eWhich component helps index documentation across the record?\u003cbr\u003eA. Database\u003cbr\u003eB. Problem list\u003cbr\u003eC. Initial plan\u003cbr\u003eD. Progress notes\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e37) Primary data source for healthcare statistics\u003c\/h3\u003e\n\u003cp\u003eWhich is a primary data source?\u003cbr\u003eA. Disease index\u003cbr\u003eB. MPI\u003cbr\u003eC. Accession register\u003cbr\u003eD. Health record\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e38) When can the original paper record leave the hospital?\u003c\/h3\u003e\n\u003cp\u003eOriginal paper record may be removed when:\u003cbr\u003eA. Taken to physician office post-discharge\u003cbr\u003eB. Sent with patient to LTC\u003cbr\u003eC. Transferred to another hospital’s trauma ED with the patient\u003cbr\u003eD. Taken to court in response to subpoena duces tecum\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e39) Patient Self-Determination Act (PSDA)\u003c\/h3\u003e\n\u003cp\u003eUnder PSDA, evidence of advance directives:\u003cbr\u003eA. Must be documented in the health record\u003cbr\u003eB. Is optional and not documented\u003cbr\u003eC. Requires attorney preparation\u003cbr\u003eD. Requires doctor approval\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e40) Joint Commission accreditation is voluntary, and it is:\u003c\/h3\u003e\n\u003cp\u003eA. Done annually in every facility\u003cbr\u003eB. Required for state licensure in all states\u003cbr\u003eC. Often used to meet deemed-status\/reimbursement requirements for some programs\u003cbr\u003eD. Considered unnecessary by most facilities\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e41) Regional sharing of patient information\u003c\/h3\u003e\n\u003cp\u003eAccessing patient info from multiple organizations in a geographic region suggests:\u003cbr\u003eA. Expert system\u003cbr\u003eB. RHIO\u003cbr\u003eC. CPOE\u003cbr\u003eD. EDMS\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e42) Joint Commission—H\u0026amp;P timing for operative patients\u003c\/h3\u003e\n\u003cp\u003eTime requirement for operative patient H\u0026amp;P is:\u003cbr\u003eA. No time requirement\u003cbr\u003eB. Within 8 hours post-surgery\u003cbr\u003eC. Within 24 hours of admission or prior to surgery\u003cbr\u003eD. Within 24 hours after surgery only\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e43) Which is a consultation report?\u003c\/h3\u003e\n\u003cp\u003eA. Cardiologist’s opinion on surgical risk\u003cbr\u003eB. Pathology tissue exam report\u003cbr\u003eC. Radiology interpretation\u003cbr\u003eD. Technical ECG tracing interpretation\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e44) Promoting community-wide health information exchange\u003c\/h3\u003e\n\u003cp\u003eYou are promoting membership in a:\u003cbr\u003eA. Data retrieval portal group\u003cbr\u003eB. Continuum of care\u003cbr\u003eC. Data warehouse\u003cbr\u003eD. Regional health information organization\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e45) Qualitative review of surgical records checks for:\u003c\/h3\u003e\n\u003cp\u003eA. Severity of illness supports acute care\u003cbr\u003eB. Quality of follow-up care\u003cbr\u003eC. Infection occurred and treatment details\u003cbr\u003eD. Presence of operative report elements (diagnosis, findings, specimens)\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e46) H\u0026amp;P completion standard meeting JC + Medicare CoPs\u003c\/h3\u003e\n\u003cp\u003eRecommended completion timeframe:\u003cbr\u003eA. 12 hours after admission\u003cbr\u003eB. 24 hours after admission or prior to surgery\u003cbr\u003eC. 24 hours after admission only\u003cbr\u003eD. 12 hours after admission or prior to surgery\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e47) Getting transfer information to outpatient scheduling system\u003c\/h3\u003e\n\u003cp\u003eFastest source for transfer\/service movement information:\u003cbr\u003eA. Disease index\u003cbr\u003eB. R-ADT system\u003cbr\u003eC. Generic abstracting screens\u003cbr\u003eD. Indicator monitoring program\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e48) External data threat example\u003c\/h3\u003e\n\u003cp\u003eWhich is an external data threat?\u003cbr\u003eA. Unlocked workstation\u003cbr\u003eB. Intern viewing celebrity records\u003cbr\u003eC. Malware\/phishing to steal credentials\u003cbr\u003eD. Poor password policy\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e49) Real-time documentation at point of care\u003c\/h3\u003e\n\u003cp\u003eEncouraging staff to document at time\/location of service is:\u003cbr\u003eA. Quantitative record review\u003cbr\u003eB. Clinical pertinence review\u003cbr\u003eC. Concurrent record analysis\u003cbr\u003eD. Point-of-care documentation\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003ch3\u003e50) OBRA 1987—core SNF assessment data set\u003c\/h3\u003e\n\u003cp\u003eCore assessment elements for SNF residents are collected using:\u003cbr\u003eA. UHDDS\u003cbr\u003eB. Uniform Ambulatory Core Data\u003cbr\u003eC. MDS\u003cbr\u003eD. Uniform Clinical Data Set\u003cbr\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003chr\u003e\n\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e","brand":"NurseQuizPrep","offers":[{"title":"Default Title","offer_id":45640285683873,"sku":null,"price":5.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0685\/5806\/1729\/files\/HealthDataContentsol3.png?v=1768400980","url":"https:\/\/nursequizprep.store\/products\/proctored-exam-study-guide-health-data-content-standards-him-1-4-key-concepts","provider":"NurseQuizPrep","version":"1.0","type":"link"}