RHIT - Registered Health Information Technician Data Integrity and Quality Questions and Answers

Question 1

A health information technician is performing a quality audit on the Emergency Department's patient records.
They find several instances where the 'Time of Arrival' is recorded as later than the 'Time of Triage'.
Which AHIMA data quality characteristic is being violated?

Accepted Answer

Consistency

Answer

Accuracy

Answer

Timeliness

Answer

Comprehensiveness

Question 2

A provider dictates a discharge summary and, upon review, realizes they stated the incorrect dosage for a medication. The electronic health record (EHR) system allows for amendments. What is the proper procedure for correcting this error?

Accepted Answer

Create an addendum to the original note, clearly stating the correction, the reason for the change, and including the current date and time.

Answer

Delete the original dictated note and re-dictate the entire summary with the correct information.

Answer

Overwrite the incorrect dosage in the original note with the correct information.

Answer

Notify the IT department to have the original entry purged from the system.

Question 3

Which of the following is the PRIMARY goal of a data governance program in a healthcare organization?

Accepted Answer

To ensure data assets are managed securely and meet organizational quality and integrity standards throughout their lifecycle.

Answer

To increase the speed of data entry for clinical staff.

Answer

To select and implement a new electronic health record system.

Answer

To reduce the number of required fields in patient registration forms.

Question 4

An RHIT is conducting a review of patient demographic data and finds multiple entries for the same patient with slight variations in the name (e.g., 'Jon Smith', 'John Smith', 'Jonathan Smith'). This issue directly impacts the integrity of the:

Accepted Answer

Master Patient Index (MPI)

Answer

Charge Description Master (CDM)

Answer

Medical Staff Bylaws

Answer

Trauma Registry

Question 5

A quantitative analysis of a health record focuses on:

Accepted Answer

The presence or absence of required reports or signatures.

Answer

The medical necessity and justification for the services provided.

Answer

The legibility and clarity of the physician's handwriting.

Answer

The patient's satisfaction with the care they received.

Question 6

The principle of data integrity that ensures data is recorded at the time of the event or observation is known as:

Accepted Answer

Contemporaneousness

Answer

Legibility

Answer

Accuracy

Answer

Attribution