AHIMA Health Information Governance 3 — Questions and Answers
Question 1: A data steward's PRIMARY responsibility in health information governance is to:
- Approve IT infrastructure purchases
- Ensure data quality and appropriate use within an assigned domain (Correct answer)
- Negotiate payer contracts
- Oversee clinical staff credentialing
Correct answer: Ensure data quality and appropriate use within an assigned domain
Data stewards are accountable for the quality, integrity, and appropriate use of data elements within their assigned subject area or domain.
Question 2: Which regulation specifically governs the privacy and security of substance use disorder treatment records?
- HIPAA Privacy Rule
- 42 CFR Part 2 (Correct answer)
- HITECH Act
- CMS Conditions of Participation
Correct answer: 42 CFR Part 2
42 CFR Part 2 provides stricter federal protections for records related to substance use disorder treatment programs.
Question 3: In the context of health information governance, 'data provenance' refers to:
- The geographic origin of the patient
- The documented history of data origin, movement, and transformation (Correct answer)
- The encryption algorithm used to secure data
- The cost associated with data storage
Correct answer: The documented history of data origin, movement, and transformation
Data provenance tracks the origin, custody, and transformation history of data so users can assess its reliability and trustworthiness.
Question 4: Which governance mechanism is used to resolve disputes between departments about data definitions or ownership?
- Privacy officer mandate
- Data governance council or committee (Correct answer)
- Chief financial officer ruling
- Audit department review
Correct answer: Data governance council or committee
A data governance council serves as the authoritative body to adjudicate disagreements about data definitions, standards, and ownership across the organization.
Question 5: When a health system implements a new EHR, which governance document guides the mapping of legacy data fields to the new system's data elements?
- Business associate agreement
- Data migration crosswalk or mapping document (Correct answer)
- Release of information log
- Minimum necessary matrix
Correct answer: Data migration crosswalk or mapping document
A data migration crosswalk or mapping document aligns legacy data fields with corresponding elements in the new system to ensure accurate data transfer.
Question 6: The AHIMA Information Governance Adoption Model (IGAM) is structured around how many core competency areas?
- 4
- 8 (Correct answer)
- 12
- 16
Correct answer: 8
The AHIMA IGAM is organized around 8 core information governance competency areas that organizations use to assess and advance their IG maturity.
Question 7: Which scenario represents a violation of the 'minimum necessary' standard under HIPAA?
- A nurse accessing a patient's allergy list before administering medication
- A billing clerk pulling the entire medical record to verify a single diagnosis code (Correct answer)
- A physician reviewing imaging results ordered for the patient
- A care coordinator viewing the discharge summary for transition planning
Correct answer: A billing clerk pulling the entire medical record to verify a single diagnosis code
Accessing a complete medical record when only a specific data element (diagnosis code) is needed violates HIPAA's minimum necessary standard.
AHIMA Health Information Governance 3
A data steward's PRIMARY responsibility in health information governance is to: