Hit101 - Lesson 7, Ch. 8 Online Assessment

The health record typically begins in the patient registration/Admitting department. This is where the patient's personal and demographic information is collected and entered into the system. It is the first step in creating a comprehensive health record for the patient, as it establishes their identity and allows for proper identification and tracking of their medical information throughout their healthcare journey.

The key to the identification and location of a patient's health record is the MPI (Master Patient Index). The MPI is a database that stores unique identifiers for each patient, such as their name, date of birth, and medical record number. This index allows healthcare providers to accurately identify and locate a patient's health record, ensuring that the correct information is accessed and used for their care.

A health record with deficiencies that is not complete within the timeframe specified in the medical staff rules and regulations is called a delinquent record. This term is used to describe a record that has not been properly completed or updated within the required timeframe, indicating a failure to meet the necessary standards and guidelines.

In healthcare organizations, the authority file for identification of a patient's health record is usually called MPI, which stands for Master Patient Index. The MPI is a centralized database that contains unique identifiers for each patient, allowing healthcare providers to accurately and efficiently access and manage patient records. It helps ensure that patient information is correctly linked to the right individual and facilitates effective coordination of care across different healthcare settings.

A patient admitted to a healthcare facility on three different occasions receiving three different health record numbers suggests that the facility is using a serial numbering system. In this system, each patient is assigned a unique number that is incremented for each new admission. This allows for easy identification and tracking of individual patient records.

A requisition is a formal request made by a clinical area to charge out a health record. It is a document that specifies the patient's information and the reason for requesting the record. The requisition is used to ensure that the health record is properly accounted for and can be located when needed. The other options, such as outguide folder, MPI, and patient registry, are not specifically related to requesting the charge out of a health record.

A requisition is a formal request made by a clinical area to charge out a health record. This request is typically made when the health record is needed for a specific patient or for medical procedures. The requisition provides the necessary information and authorization for the health record to be temporarily removed from the designated area and used as required. The other options, such as outguide folder, MPI, and patient registry, do not specifically indicate a request for charging out a health record.

Alphabetic filing has a drawback of uneven expansion of file shelves or cabinets. This means that as the number of records increases, it becomes difficult to maintain a consistent and organized filing system. The shelves or cabinets may become overcrowded and disorganized, making it challenging to locate specific files. This drawback can lead to inefficiency and time wastage in retrieving and managing records.

The chart tracking system is responsible for recording the location of health records when they are removed from the filing system and also documents when the records are returned. This system helps to ensure that health records are properly accounted for and can be easily located when needed. The other options mentioned (chart deficiency system, abstracting system, and MPI) do not specifically deal with the tracking and recording of the location of health records.

The disadvantage of alphabetic filing is the uneven expansion of file shelves or cabinets. This means that as the number of files increases, it becomes difficult to maintain a consistent and organized filing system. This can lead to inefficiency and difficulty in locating specific files when needed.

The correct answer is MPI. MPI stands for Master Patient Index, which is a database that contains a unique identifier for each patient and links to their health records. It is used to identify and locate a patient's health record across different healthcare systems and facilities. The MPI ensures that all of a patient's information is accurately linked to their unique identifier, allowing for efficient and accurate access to their health records.

In healthcare organizations, the authority file for identification of a patient's health record is usually called the MPI (Master Patient Index). The MPI is a database that contains unique identifiers for each patient, allowing healthcare providers to accurately and efficiently access and manage patient records. The MPI helps to prevent duplicate records and ensures that patient information is consistently and accurately linked across different healthcare systems and facilities.

A patient admitted to a healthcare facility on three different occasions receiving three different health record numbers suggests the use of a serial numbering system. In this system, each patient is assigned a unique number in consecutive order, regardless of their previous admissions. This allows for easy identification and tracking of patients' records over time.

In a unit numbering system, all encounters or patient visits are kept in one folder. This means that all the information related to a specific patient, including their medical history, test results, and treatment records, are stored together in a single folder. This system allows for easy access and retrieval of patient information, as everything is organized in a centralized manner. In contrast, the other filing systems mentioned in the options may not necessarily keep all encounters or visits in one folder, making it more difficult to locate and manage patient records.

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Good forms design for paper forms includes having a unique identification number for every form, a clear and concise title, and using paper that is suitable for copying, faxing, or scanning. However, using bright colors to identify forms is not necessary or recommended as it can be distracting and may not align with the overall aesthetic of the form.

In a unit numbering system, all encounters or patient visits are kept in one folder. This means that all medical records and documentation related to a specific patient are stored together in a single folder, making it easy to access and manage the patient's information. This system allows for efficient organization and retrieval of patient records, as everything is consolidated in one place.

Good form design for paper forms should not include the use of bright colors to identify forms. Bright colors can be distracting and make the form difficult to read. It is important for forms to have a unique identification number, a clear and concise title, and to be printed on appropriate weight paper for copying, faxing, or scanning purposes.

Quantitative analysis review typically involves checking for completeness and accuracy of forms and reports, as well as ensuring that necessary signatures are present. However, it does not usually involve checking every word in the record for correct spelling. Spelling errors may be addressed during a separate proofreading or editing process.

The correct answer is "Data" because the facts and figures mentioned in the question are all related to data. Data refers to a collection of facts, statistics, or information that can be analyzed or used for various purposes. It can be in the form of numbers, text, images, or any other format. Therefore, "Data" is the most appropriate term to describe the given facts and figures.

Good forms design for electronic forms should use radio buttons for single selections of items, not for multiple selections. Radio buttons are used to present a list of mutually exclusive options, where only one option can be selected at a time. For multiple selections, checkboxes are typically used.

The unit numbering system is best for maintaining the encounters of a patient together because it assigns a unique number to each encounter, allowing for easy tracking and organization. This system ensures that all encounters related to a specific patient can be easily identified and grouped together, making it efficient for maintaining patient records and tracking their medical history.

The correct answer is d. The patient’s last name, first name and middle initial are used to file patient records. This is known as alphabetic filing system, where records are organized alphabetically based on the patient's name. This system allows for easy retrieval of records and is commonly used in healthcare settings.

A quantitative review of the health record for missing reports and signatures that occurs when the patient is in the hospital is referred to as a concurrent review. This type of review is conducted in real-time while the patient is still in the hospital, and it aims to identify any missing or incomplete documentation in the health record. It helps ensure that all necessary reports and signatures are obtained promptly, allowing for accurate and comprehensive patient care.

Straight Numeric Filing is a filing system where records are organized in chronological order based on patient numbers. The records are filed from the lowest to the highest patient number. This system allows for easy retrieval of records based on the order in which they were created or received.

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The preferred numbering system for maintaining the encounters of a patient together is "Unit". This system assigns a unique number to each patient encounter, ensuring that all encounters for a particular patient are linked together. This helps in organizing and tracking the patient's medical history and treatment progress effectively.

Document imaging is a system that allows for the scanning and digitization of paper documents, making them accessible electronically. It enables random access for retrieval, meaning that specific documents can be easily located and accessed. It also allows multiple people to view the documents simultaneously, and it can be accessed from remote locations. However, document imaging does not necessarily mean that it is a completely paperless system, as physical documents may still exist alongside their digital counterparts.

Color coding the folders would be the best change to address the problem of misfiles in the terminal digit filing system. This change would make it easier for staff to visually identify and locate the correct folders, reducing the likelihood of misfiles. Implementing an automated record tracking system could also help, but it may be a more costly and complex solution. Eliminating the use of outguides may not directly address the issue of misfiles. Adding file staff could potentially help, but it may not be as effective as implementing a visual cue like color coding.

In the Unit Numbering System, a patient is assigned a patient number the first time they are registered, and that same number is used for all subsequent admissions and encounters. This means that even if the patient has multiple admissions or encounters, they will always have the same patient number. This system allows for easier organization and retrieval of patient records, as all of the patient's records are filed under one number in one location.

The correct answer is a. The serial numbering system assigns a new patient number to a patient each time they are registered for an admission or encounter. This means that a patient with multiple admissions or encounters will have multiple patient numbers, and their records will be filed in multiple locations. This system allows for easy identification and organization of patient records based on the order in which they were registered.

In a paper-based system, the completion of the chart is usually monitored in a special area of the HIM department called the incomplete record file. This file is specifically designated for tracking and managing incomplete or unfinished charts, ensuring that they are completed in a timely manner. This allows the HIM department to stay organized and ensures that all necessary information is included in the patient's record.

The correct answer is b. The Serial-Unit Numbering System is a method where patients receive a new number each time they are registered by the facility. This means that each time a patient is admitted or has an encounter, their records are reassigned a new number. However, all of the patient's records are filed in the most current folder in one location. This system allows for easy access to a patient's most recent records while still maintaining a record of their previous admissions or encounters.

Outguides in a manual record tracking system serve as a visual check for misfiled records and expedite the correct placement of refiled records. When a file is checked out, an outguide is placed in its position to indicate that the file is temporarily missing. This visual cue helps prevent misfiling of other records in its place. Additionally, when the file is returned, the outguide is removed and the refiled record can be easily and quickly placed back in its correct position, expediting the process of reorganizing the records.