Which of the following best describes the most important function of health record?
Which of the following best describes the most important function of the health record? Storing patient care documentation. The number of patients discharged has increased 175% over the past year.
Which of the following him tasks is eliminated by the electronic health record system?
Which of the following HIM tasks is eliminated by the electronic health record system? Reviewing the health record for missing signatures, missing medical reports, and ensuring that all documents belong in the health record is an example of what type of analysis?
What type of information is provided given by the patient in a health record?
The health record must include the following data elements: Patient identification, consents for treatment, advance directives, problem list, diagnoses, clinical history, diagnostic test results, treatments and outcomes, conclusions and follow-up requirements.
Which of the following are included in a list of institutional users of the health record?
Institutional users covers Health care delivery organizations, Third-party payers, medical review organizations, research organizations, educational organizations, accrediting organizations, government licensing agencies, and policymaking bodies.
What is the most important function of the health record?
The health record is the principal repository (storage place) for data and information about the healthcare services provided to an individual patient. It documents the who, what, when, where, why, and how of patient care.
Which of the following contains the physicians findings based on an examination of the patient?
Medical history. Contains the physician’s findings based on an examination of the patient? Physical exam.
What is the function of a consultation report?
The consultation report is used to convey findings and opinions of a healthcare provider other than the patient’s primary physician. The consultant assesses the patient’s current condition and needs and then suggests or confirms a treatment plan.
What is the general name for Medicare standards impacting healthcare organizations?
Terms in this set (21) What is the general name for Medicare standards impacting healthcare organizations? Conditions of Participation. What is the primary accreditation organization for facilities that treat individuals who have functional disabilities?
How long should the MPI be retained?
Acute care medical records and master patient index (MPI) will be retained as follows: Adult patients: No less than 10 years following most recent discharge.
What are the four purposes of medical records?
It tells the patient’s “story”: the presenting problem and the treatment received; Helps to plan and evaluate a patient’s treatment; Creates a permanent record for the patient’s future care; Builds a database to evaluate the effectiveness of treatment that may be useful for research and education.
Who owns the patient’s medical records?
Although the medical record contains patient information, the physical documents belong to the physician. Indeed, the medical record is a tool created by the physician to support patient care and is an asset of the practice.
Which type of database is most commonly used in healthcare?
There are different types of databases, but the type most commonly used in healthcare is the OLTP (online transaction processing) database.
Which step comes first in the accreditation process?
Steps to Accreditation
- Step 1: Subscription. Applicant programs will subscribe as the first step to the accreditation process.
- Step 2: Self-Assessment and Application.
- Step 3: On-Site Assessment.
- Step 4: Committee Review and Commission Decision.
- Step 5: Accreditation and Maintenance.
Who are the primary users of the health record?
Healthcare providers are the primary users of the health record. Health records are used to manage the healthcare facility and healthcare industry. Individual Users are users that depend on the health record in order to complete their job.
Which of the following contains a list maintained in diagnosis code number order of patients discharged from a facility during a particular time period?
Health information managment
|Which of the following contains a list maintained in diagnosis code number order of patients discharged from a facility during a particular time period?||Disease index|