Fundamentals of Health Information Management Study Guide

Which of the following is defined as "the discipline that focuses on health care data and the management of health care information in the electronic, paper, hybrid, images, verbal/audio format in combination with the translation of data in these formats into usable forms of information for the advancement of health and health care of individuals and populations?"

a. Information and Communications Technology Council (ICTC)

b. Health Informatics (HI)

c. Health Information Management (HIM)

d. Healthcare Information and Management Systems Society (HIMSS)

c. Health Information Management

Which of the following is defined as "the intersection of clinical sciences in which the application of computers in medicine and healthcare are used together with management practices that promote the proper implementation, use and maintenance of health information systems?"

a. Information and Communications Technology Council (ICTC)

b. Health Informatics (HI)

c. Health Information Management (HIM)

d. Healthcare Information and Management Systems Society (HIMSS)

b. Health Informatics (HI)

Which of the following is referred to as the "document containing the health information management curriculum" required to be covered in all accredited Canadian Health Information Management programs across Canada?

a. Canadian College of Health Information Management (CHIMA)

b. Canada's Health Informatics Association (COACH)

c. Healthcare Information and Management Systems Society (HIMSS)

d. Learning Outcomes for Health Information Management (LOHIM)

d. Learning Outcomes for Health Information Management (LOHIM)

Which of the following roles would be considered as an "entry level" Health Information Management professional?

a. Coding classification specialist

b. Records management technician

c. Business intelligence analyst

d. Both a and b

d. Both a and b

Which of the following roles would be considered as an "advanced level" Health Information Management professional?

a. Coding classification specialist

b. Chief privacy officer

c. Terminology manager

d. Business intelligence analyst

b. Chief privacy officer

Which of the following is of primary concern to policy makers, administrators, managers, and executive health leaders who depend on the collection of health information for planning and managing resources?

a. Data quality

b. Technological changes

c. Policies and procedures

d. Leadership roles

a. Data quality

At what stage of Electronic Health Record (EHR) adoptions are most Canadian health facilities at based on the Health care Information Management Systems Society (HIMSS) analytics framework?

a. Stage 1

b. Stage 2

c. Stage 3

d. Stage 5

c. Stage 3

Which of the following will eliminate a significant number of clerical positions and at the same time alter the skills required for the HIM (Health Information Management) occupational group?

a. Electronic Health Information Systems (EHIS) technologies

b. Health Informatics

c. Healthcare Information and Management Systems Society (HIMSS)

d. Information and Communications Technology Council (ICTC)

a. Electronic Health Information Systems (EHIS) technologies

How many steps are there in the lifecycle of information management?

a. Three

b. Four

c. Six

d. Seven

d. Seven

What year did an international multi-stakeholder task team complete a major revision of the current Learning Outcomes for Health Information Management (LOHIM) curriculum development?

a. 2009

b. 2010

c. 2011

d. 2012

a. 2009

Have been linked to improved health outcomes, which are measured using the data collected and analyzed by Health Information Management (HIM) professional

Health care reimbursements

Include missing operative report at the of coding, misplaced laboratory reports, and incomplete listing of conditions, as examples

Data quality issues

Is defined by Canada's Health Informatics Association (COACH) as "the intersection of clinical, information Management/Information Technology and management practices to achieve better health".

Health Informatics

Is known as Canada's Health Informatics Association

COACH

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.

Lifecycle

Opportunities for the HIM (Health Information Management) profession would include developing and maintaining data dictionaries, release of information analyst, and data integrity analyst

Entry level

Is one area of opportunity every HIM (Health Information Management) graduate will have when entering the workforce, which includes the role of "release of information"

Privacy

Which of the following elements make the Health Information Management (HIM) curriculum unique?

a. The study of computer literacy

b. The study of classifications and reimbursement methodologies

c. The study of health care organization and health care delivery in Canada

d. The combination of biomedical sciences, information management and the study of health care systems

d. The combination of biomedical sciences, information management and the study of health care systems

The Canadian Health Information Management Association (CHIMA), was originally founded in:

a. 1942

b. 1972

c. 1976

d. 2003

a. 1942

The Canadian College of Health Information Management (CCHIM), was originally founded in

a. 1942

b. 1972

c. 1976

d. 2007

b. 1972

The Canadian Health Information Management Association (CHIMA), was originally named the

a. Canadian Association of Medical Record Librarians

b. Canadian College of Health Record Administrators

c. Canadian Health Record Association

d. Canadian Hospital Association

a. Canadian Association of Medical Record Librarians

The Canadian College of Health Information Management (CCHIM) was originally named the:

a. Canadian Health Record Association

b. Canadian College of Health Record Administrators

c. Canadian Association of Medical Record Librarians

d. Canadian Health Care Association

b. Canadian College of Health Record Administrators

Healthcare Information and Management Systems Society (HIMSS) is a/an:

a. international organization that provides leadership in the optimal use of information technology and management systems to improve health care

b. association that represents a wide variety of health professionals who are interested in advancing health informatics in Canada

c. professional scientific association open to individuals interested in the advancement of biomedical and health informatics

d. association that acts as a link between international informatics associations and organizations to bring a global perspective to informatics

a. international organization that provides leadership in the optimal use of information technology and management systems to improve health care

For certified Canadian Health Information Management Association (CHIMA) members, a minimum of ____% of the continuing professional education (CPE) credits have to be relevant to the field of health information management.

a. 75

b. 80

c. 85

d. 90

b. 80

The following organization accredits health information management diploma and undergraduate degree programs in Canada

a. Canadian Health Information Management Association (CHIMA)

b. Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM)

c. Canada's Health Informatics Association (COACH)

d. Canadian Collee of Health Information Management (CCHIM)

d. Canadian Collee of Health Information Management (CCHIM)

The Health Information Science of Learning Outcomes for Health Information Management (LOHIM) 2010 includes the following except

a. information systems and technology

b. health information management

c. health information analysis and business intelligence

d. health information: privacy, confidentiality, and access

a. information systems and technology

The current Canadian College of Health Information Management (CCHIM) document that guides the colleges in what they should be teaching us known as the:

a. LOHRE document

b. LOHIM document

c. CHIMA guidelines document

d. CCHIM guidelines document

b. LOHIM document

What is the minimum number of continuing professional education (CPE) credits required to maintain certification?

a. 20 CPEs per year

b. 26 CPE's every two years

c. 36 CPE's every three years

d. 42 CPE's every four years

c. 36 CPE's every three years

The federally charted organization that accredits HIM (Health Information Management) programs and monitors the professional practice of HIM professionals in Canada

CCHIM

The title of the document containing the core HIM curriculum content that must be taught in all accredited HIM programs in Canada.

LOHIM

The international organization that supports HIM practice in developing nations, promotes the use of technology and the EHR, and promotes the use of HIM standards.

IFHIMA

The leadership group is designed to provide a unified voice for HIM professionals throughout Canada; it is composed of one member from each provincial health information management association as well as the national association.

NHIMA

The professional credential used in Canada by active, certified, Health Information Management professionals

CHIM

The association in the United States that represents certified HIM professionals

AHIMA

The Canadian association representing a wide variety of health professionals interesting in advancing health informatics

COACH

The international organization that provides leadership in the optimal use of information technology and management systems to improve health care

HIMSS

The association in the United States focused on the advancement of biomedical and health informatics

AMIA

The international association that acts as a link between international informatics associations and organizations to bring a global perspective to informatics

IMIA

Which of the following controls the flow of individuals through the health care system?

a. Nurse

b. Primary care giver

c. Emergency physician

d. Regional health authorities

b. Primary care giver

Which of the following was developed to ensure all eligible residents of Canada have reasonable access to insured health services on a prepaid basis, without direct charges at the point of service?

a. British North America Act (BNA)

b. Canada Health Act (CHA)

c. Canada Health and Social Transfer (CHST) Act

d. Established Programs Financing (EPF) Act

b. Canada Health Act (CHA)

Which of the following was allocated in 1977 to assist provinces with the cost for post-secondary education and health care by granting a lump sum payment?

a. British North America Act (BNA)

b. Canada Health Act (CHA)

c. Canada Health and Social Transfer (CHST) Act

d. Established Programs Financing (EPF) Act

d. Established Programs Financing (EPF) Act

Which of the following principles of the Canada Health Act (CHA) is described as covering all medically necessary health services provided by hospitals, physicians, and surgical dentists where the law of the province so permits?

a. Accessibility

b. Comprehensiveness

c. Portability

d. Universality

b. Comprehensiveness

Which of the following principles of the Canada Health Act is descried as being operated on a non-profit basis by a public authority?

a. Accessibility

b. Comprehensiveness

c. Portability

d. Public Administration

d. Public Administration

Canada's health care system is best descried as:

a. a privately funded healthcare system

b. one that delivers health care services to specific groups in Canada

c. a set of ten provincial and three territorial health insurance plans

d. one that delivers all types of health care services to all Canadian residents

c. a set of ten provincial and three territorial health insurance plans

In 1947, ________ introduced universal public hospital insurance as Premier of Saskatchewan.

a. Newton Roswell

b. Michael Kirby

c. Roy Romanow

d. Tommy Douglas

d. Tommy Douglas

An Ontario resident travelled to the United States on vacation when he developed appendicitis which required an appendectomy as the County General Hospital in Texas. He was responsible for paying his hospital bill before he left and used his credit card. When he returned to Canada, he submitted his claim application to his provincial insurer and the expenditure for his surgery was approved. This scenario meets the criteria related to:

a. accessibility

b. comprehensiveness

c. portability

d. universality

c. portability

Which of the following has been accounted for the largest share of health expenditures?

a. Drugs

b. Hospitals

c. Physicians

d. Nurses

b. Hospitals

Surveillance against infections, monitoring health emergencies and prevention of chronic diseases would be the focus of ____________.

a. community care

b. family physicians

c. secondary care

d. public health

d. public health

Which of the following non-publicly insured care facilities provide accommodations for people requiring 24-hour supervised care seven days a week for professional health care services

a. Acute care

b. Ambulatory care

c. Home and community care

d. Long term care

d. Long term care

An individual arrived in a health care facility for minor day surgery procedure and left the same day. What type of health care services would the follow under?

a. Acute care

b. Ambulatory care

c. Inpatient care

d. Urgent care

b. Ambulatory care

An individual suffered from a severe injury from a motor vehicle collision is transferred from a small health care facility to a large, more sophisticated regional trauma center to receive highly complex care and major surgical procedures. The transferring facility would be considered:

a. primary health care

b. quaternary health care

c. secondary health care

d. tertiary care

b. quaternary health care

Which of the following OECD (Organization for Economic Cooperation and Development) countries spend less on health care than Canada and have a higher life expectancy than Canada?

a. France

b. Germany

c. Japan

d. United States

c. Japan

The Federal government is responsible for the health care of the First Nations who are living ____________.

a. off the reserve

b. on the reserve

c. off the reserve with infectious and communicable diseases

d. both on and off the reserve

b. on the reserve

Which of the following describes a framework implemented in Ontario to effectively deliver health care services at a more reasonable cost by integrating the administration and management of services based on patterns of use within a geographical area?

a. Health Services Restructuring Commission (HSRC)

b. Local Health Integrated Network (LHIN)

c. Regional Health Authority (RHA)

d. Regional Integrated Health Authority (RIHIA)

b. Local Health Integrated Network (LHIN)

Which of the following are regulated health professionals?

a. Physicians and nurses

b. Pharmacists

c. Occupational therapists and physiotherapists

d. All of the above

d. All of the above

Which of the following are methods of demonstrating accountability in health care organizations?

a. Score cards

b. Report cards

c. Benchmarking

d. All of the above

d. All of the above

According to the Canadian Institute for Health Information (CIHI), which population represents the largest group of hospitalized patients?

a. Under 1 year old

b. Between 16 and 25 year old

c. Between 26 and 64 year old

d. Over the age of 65.

d. Over the age of 65.

Which of the following would be listed as the purposes for regionalization?

a. To control costs and integrate health services

b. To improve system planning and provide greater accountability

c. To enhance public participation in decision-making and emphasize population health

d. All of the above

d. All of the above

A term given to a primary caregiver who is able to refer individuals to secondary care providers for more intense care or surgery

Gatekeeper

Is based on an equal per capita cost allocation to each province.

Block funding

An agency that was formed to promote and protect the health of all Canadians

PHAC

A database that includes hospital based and community based data from day surgery, outpatient clinics and emergency departments

NACRS

The individual who oversees financial operations and financial planning activities of a facility.

CFO

The individual who supports and directs the activities of the medical staff within clinical departments of a hospital

CMO

Includes nursing homes and continuing care facilities that call outside the publicly insured hospital system

LTC

Refers to the number of years a person is expected to live

Life expectancy

Was passed in 1984 and is Canada's federal legislation for publicly funded health care insurance

CHA

Refers to individuals who received health care services without being admitted.

Outpatients

Was implemented in Ontario as a form of regionalization of health care services

LHINS

Describes direct supplementary billing by physicians which was opposed by several provincial governments

Extra billing

The person who is recognized as the father of socialized medicine

Tommy Douglas

Uses data which is mostly derived through work completed by HIMs in coding and abstracting of hospital and ambulatory care visits

CIHI

Refers to block funding that grew according to a GDP escalator and was initiated to cover health, education, and social services.

CHST

The database that contains information on inpatients from acute care hospital discharges

DAD

Was formed in 1867 which gave the federal government responsibility for national health concerns over marine hospitals and quarantine regulations

BNA

Was the first minister of the federal department of Health

Newton Roswell

Were implemented in most provinces as a method of delivering integrated health care services across local regions at a more reasonable cost

RHA

Represents an interconnected network of all health care professionals and services to patients over time

Continuum of care

Raw facts and figures that have no inherent meaning; for example, characters, text, symbols, numbers, images is/are:

a. data

b. information

c. knowledge

d. wisdom

a. data

Facts and figures that have been organized either through manual or electronic processes, to reveal meaningful, useful, or valuable patterns is/are:

a. data

b. information

c. knowledge

d. wisdom

b. information

The comprehension and understanding an individual develops through organization, analysis, and synthesis of facts and figures about a specific subject is/are:

a. data

b. information

c. knowledge

d. wisdom

c. knowledge

The trait an individual demonstrates when utilizing experience and intelligence about principles of a particular subject with common sense and insight is/are:

a. data

b. information

c. knowledge

d. wisdom

d. wisdom

_____________ data are used for identity management and includes personal data elements such as name, date of birth, address, and gender

a. Administrative

b. Clinical

c. Demographic

d. Financial

c. Demographic

_____________ data such as sign, symptoms, diagnoses, and treatments are used for direct care and to maintain continuity of care across service providers.

a. Administrative

b. Clinical

c. Demographic

d. Financial

b. Clinical

Management Information Systems (MIS) standards were developed by the Canadian Institute for Health Information (CIHI) to:

a. collect and report administrative, clinical, and demographic information on inpatient separations from acute care hospitals

b. enable comparison of health human resources over time at the national and provincial/territorial levels

c. facilitate provincial/territorial, national and international comparative reporting and also support policy planning, decision making and research

d. collect and report financial and statistical data on the day-to-day operations of health service organizations

d. collect and report financial and statistical data on the day-to-day operations of health service organizations

According to Robertson, the four key challenges organizations face when integrating information management practices are:

a. content, people, processes, technology

b. content, practices, processes, technology

c. costs, people, processes, technology

d. data, processes, procedures, technology

a. content, people, processes, technology

An essential process for improving data quality is to reduce the burden of data collection by only collecting essential information needed to describe a certain population, a hospital stay, or other treatment/care/health assessment. These standardized elements are termed the:

a. Canadian Coding Standards

b. Discharge Abstract Database (DAD)

c. data quality framework

d. minimum data set

d. minimum data set

The Canadian Institute for Health Information (CIHI) Data Quality Framework is built upon the following five dimension of data quality:

a. accessibility, coherence, relevance, timeliness, usability

b. accountability, consistency, representativeness, security, timeliness

c. accuracy, comparability, relevance, timeliness, usability

d. accuracy, consistency, representativeness, timeliness, usability

c. accuracy, comparability, relevance, timeliness, usability

The degree to which information in or derived from the database or registry reflects the reality it was designed to measure is:

a. accuracy

b. usability

c. relevance

d. timeliness

a. accuracy

The period between the time the data is collected and its availability for higher use is known as:

a. accuracy

b. comparability

c. relevance

d. timeliness

d. timeliness

The extent to which databases are consistent over time and use standard conventions (such as data elements or reporting periods), making them similar to other databases is:

a. accuracy

b. comparability

c. relevance

d. timeliness

b. comparability

The ease with which a database or data in a registry may be understood and accessed is:

a. accuracy

b. comparability

c. relevance

d. usability

d. usability

The degree to which a database or registry meets the current and potential future needs of users is:

a. accuracy

b. usability

c. relevance

d. timeliness

c. relevance

The collection of software programs that supports a database by managing the database structure and controlling access to the data stored in the database is called a:

a. data dictionary

b. data warehouse

c. database management system

d. database security program

c. database management system

A simple representation, usually graphical, of more complex real world data structures is a/an:

a. data dictionary

b. data model

c. data warehouse

d. entity relationship diagram

b. data model

In a hospital, there is only one bed per patient and each patient occupies only one bed at a time. In a data model, this relationship would be considered a:

a. constraint

b. many- to-many relationship

c. one-to-many relationship

d. one-to-one relationship

d. one-to-one relationship

A person may see only one doctor but each doctor sees many patients. In a data model, this relationship would be considered a:

a. constraint

b. many-to-many relationship

c. one-to-many relationship

d. one-to-one relationship

c. one-to-many relationship

A person is prescribed three medications; each of the medications is also taken by many people. In a data model, this relationship would be considered a:

a. constraint

b. many-to-many relationship

c. one-to-many relationship

d. one-to-one relationship

b. many-to-many relationship

A family physician can only see 24 patients in the office each day. In a data model, this relationship would be considered a:

a. constraint

b. many-to-many relationship

c. one-to-many relationship

d. one-to-one relationship

a. constraint

A central repository for all information about a database is a:

a. data dictionary

b. data model

c. data warehouse

d. database management system

a. data dictionary