AHIMA Level 1

Question 1

Patient data collecting criteria differ per health care facility. A data piece you expect to be gathered in the MDS but not in the UHDDS is ______________.

Accepted Answer

cognitive patterns

Answer

The Minimum Data Set (MDS) is specifically designed for long-term care residents and includes detailed assessments of a patient's functional status, health problems, and cognitive patterns. In contrast, the Uniform Hospital Discharge Data Set (UHDDS), used for acute care, focuses on diagnoses, procedures, and patient demographics. Therefore, 'cognitive patterns' is a data piece expected in the MDS but not typically in the UHDDS.

Question 2

A good opening step toward maintaining the security of data included in a health information computer system would be ______________________.

Accepted Answer

define security levels for various sorts of information based on their sensitivity.

Answer

A crucial initial step in maintaining the security of data in a health information computer system is to define security levels based on the sensitivity of various types of information. This allows for the implementation of appropriate access controls and safeguards tailored to the risk associated with different data, ensuring that highly sensitive information receives the strongest protection and preventing unauthorized access.

Question 3

What does the prefix "99" indicate in the tumor registry accession number "99-0001"?

Accepted Answer

the year the case was put into the registry's database

Answer

In tumor registry accession numbers, the initial digits typically indicate the year the case was entered into the registry's database. Therefore, in the accession number '99-0001', the prefix '99' signifies that the case was accessioned or added to the registry in the year 1999. The subsequent numbers usually represent the sequence of cases for that year.

Question 4

A risk manager must locate a complete record of a patient's fall from his bed, including witness statements and likely causes of the incident. She would probably discover this knowledge in the __________________.

Accepted Answer

incident report

Answer

An incident report is the primary document a risk manager would consult for a complete record of a patient's fall. These reports are specifically designed to detail adverse events, including witness statements, a description of the incident, and an analysis of likely causes. This comprehensive documentation is essential for risk management, investigation, and identifying preventative measures.

Question 5

Ambulatory care professionals are more likely than acute care providers to use the information available in the ______________________.

Accepted Answer

problem list

Answer

Ambulatory care professionals, who manage ongoing outpatient visits, rely heavily on a problem list to track a patient's chronic and acute health issues over time. This list provides a concise, longitudinal summary of all active and inactive problems, facilitating continuity of care and informed decision-making across multiple encounters. Acute care, being more episodic, focuses more on the immediate admission and discharge diagnoses.

(AHIMA) American Health Information Management Association Practice Test

(AHIMA) American Health Information Management Association Practice Test

AHIMA Level 1