Introduction to health care Mid-term

Which federal agency monitors healthy precautions for international travelers?

Who has the primary responsibility to guide the direction of the hospital?

PT's address, current complaints and symptoms , past medical, personal/family history is listed

The problem list is part of which of the following?

Which of the following is an example of a federally run hospital?

Specialized type of progress note provides detailed treatment action steps?

Which of the following statements is true about registered nursed (RNs)?

Which of the following is a nonprofit, nongovernmental organization?

A patients gender, phone number, address, next of kin are all part of what?

Which of the following is a tool used to track paper-based records?

Which service diagnoses and treats patients who have acute and/or chronic lung disorders?

In a paper-based system, health records are organized in a standardized order know as what?

The ambulatory surgery record contains information most similar to which of the following?

Which of the following laws created the HITECH act?

What type of facility offers palliative care for end of life care.?

Which of the following is an example of a primary purpose of the health record?

Reviewing a health record for missing signatures and missing medical reports is called what?

The acronym IDS refers to what?

Which healthcare professional assists physicians in clinical assessments and patient education?

One of the advantages of a DMS is that it can do what?

Where will you find clinical decision support?

Which of the following medical practitioner is not considered a generalist?

Which of the following would NOT be found in a physical exam?

The overall goal of documentation standard is?

What manages cost, quality, and access to services?

Nursing documentation within the health record will be what?

What feature of the filing folder helps locate misfiles within the paper-based filing system?

Which type of health record contains pt documentation in a setting of care to stabilize the Pt

Which of the following is a risk of copying and pasting?

Which of the following is an example of an individual user?

Two patient's records were filed together by mistake. this is an example of what?

A patient history questionnaires, problem list, diagnostic test results are part of what?

The paper health record has been scanned and is now available digitally. what is this known for

A growth and development record may be found in what type of record?

What type of health records may contain family and caregiver input?

Which of the following is an example of primary purpose of the health record?

Which of the following best describes Medicaid?

Which department does the HIM department interact to perform audits and monitor outcomes?

The forms design committee does what?

A organization the utilized health record to prove or disprove efficacy of healthcare treatment

Which of the following is the surgical specialty?

How are amendment's handled in the EHR?

Which group focuses solely on accreditation of rehabilitation program and services?

what microfilm format is inefficient when patient shave multiple admissions on microfilm?

An attending physician requests the advice of a second physician is known as what?

When defining its legal health record, the provider organization must do which of the following

Until the World War II, where was most healthcare provided?

What electronic record allows paper-based health records to be incorporated into the Pts EHR?

Which healthcare provider utilizes ultrasound, computed tomography, or MRIs?

Hospitals that participate in the medicare and Medicaid programs much follow what?

Written or spoken permission to proceed with care is classified as what?

A Pts registration forms, care plan, and discharge documentation is what type of health record

What type of speech recognition is used when the physician edits the document?

Which of the following is NOT an example of an administrative support service?

General documentation guidelines apply to what?

Which of the following reports provides information on tissue removed during a procedure?

Which of the following is controlled by patients?

Which of the following is an example of an institutional user of the health record?

Paper based storage system conserves floor space by eliminating all bu one or two aisles?

The subjective, objective, assessment, plan (SOAP) method came fro the what?

Health departments use the health record to monitor outbreaks of diseases, which type is this?

Health departments use the health record to monitor outbreaks of diseases?

Version control of documents int he EHR?

What enables the entry 101011963 to be displayed as 10/10/1963?