, Solution manual for Essentials of Health
Information Management Principles and Practices,
5th Edition Mary Jo Bowie
Notes
1- The file is chapter after chapter.
2- We have shown you 10 pages.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many new
editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
Solution and Answer Guide
BOWIE, ESSENTIALS OF HEALTH INFORMATION MANAGEMENT , 5E, 9780357624258, CHAPTER 1: HEALTH CARE
DELIVERY SYSTEMS
TABLE OF CONTENTS
Exercises ............................................................................................................................................1
Exercise 1-1 History of Medicine and Health Care Delivery in the United States .................................... 1
Exercise 1-2 Continuum of Care................................................................................................................ 2
Exercise 1-3 Health Care Facility Ownership ............................................................................................ 2
Exercise 1-4 Health Care Facility ............................................................................................................... 3
Exercise 1-5 Licensure, Regulation, and Accreditation ............................................................................. 4
End of Chapter Review Solutions ........................................................................................................4
True/False ................................................................................................................................................. 4
Multiple Choice ......................................................................................................................................... 5
Fill-in-the-Blank ......................................................................................................................................... 7
Short Answer............................................................................................................................................. 8
EXERCISES
EXERCISE 1-1 HISTORY OF MEDICINE AND HEALTH CARE DELIVERY IN THE UNITED STATES
Short Answer: Identify the significant act established in each year for the purpose listed.
1. 1946-provided federal grants to modernize hospitals.
Answer: Hill-Burton Act
2. 1982-established the first Medicare Prospective Payment System.
Answer: Tax Equity and Fiscal Responsibility Act
3. 1986-established the National Practitioner Data Bank.
Answer: Health Care Quality Improvement Act
4. 1996-mandated administrative simplification regulations that govern health care information.
Answer: Health Insurance Portability and Accountability Act
5. 2003-provided Medicare recipients with prescription drug savings.
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
Answer: Medicare Prescription Drug, Improvement, and Modernization Act
6. 2006-established financial incentives for healthcare professionals that participate in a voluntary
quality reporting program.
Answer: Tax Relief and Health Care Act
7. 2009-authorized an expenditure of $1.5 billion for grants for projects including the acquisition of
health information technology systems.
Answer: American Recovery and Reinvestment Act
8. 2015-established the Merit-Based Incentive Payment System.
Answer: Medicare Access and CHIP Reauthorization Act
EXERCISE 1-2 CONTINUUM OF CARE
True/False:
1. Primary care services include patient immunizations and education.
Answer: T
2. Secondary care services include a patient being seen by a specialist because of angina.
Answer: T
3. Stabilization services are provided by a tertiary care facility to ensure that no material deterioration
of a patient’s medical condition occurs during the transfer to another facility.
Answer: T
4. Tertiary care services include a patient’s annual history and physical.
Answer: F
5. The continuum of care contains two levels.
Answer: F
EXERCISE 1-3 HEALTH CARE FACILITY OWNERSHIP
Fill-in-the-Blank:
1. A hospital that is affiliated with a medical school is called a ________.
Answer: teaching hospital
2. A physician who has completed an internship and is engaged in a program of training designed to
increase his or her knowledge of the clinical disciplines to prepare for a practice of specialty is called
a(n) ________.
Answer: resident
3. A hospital that is privately owned and distributes excess income to shareholders and owners is
________.
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 2
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
Answer: for-profit
4. Public hospitals represent about 25 percent of all health care facilities in the United States and are
also known as ________.
Answer: government supported
5. A not-for-profit hospital run by a religious or volunteer organization is known as a ________.
Answer: voluntary hospital
EXERCISE 1-4 HEALTH CARE FACILITY
Short Answer: Identify the medical specialty for each description.
1. Diagnosis and treatment of skin disorders.
Answer: Dermatology
2. Management of pregnancy from prenatal to puerperium.
Answer: Obstetrics
3. Diagnosis and treatment of eye disorder.
Answer: Ophthalmology
4. Surgical management of diseases with the chest
Answer: Thoracis surgery
5. Diagnosis and treatment of musculoskeletal disease/injury
Answer: Orthopedics
6. Diagnosis and treatment of diseases of the nervous system
Answer: Neurology
7. Diagnosis and treatment of behavioral health diseases
Answer: Psychiatry
Short Answer II: Identify the committee described.
8. Concerned with quality care provided to patients
Answer: Quality management committee
9. Acts on reports and recommendations from medical staff committees
Answer: Executive committee
10. Reviews preoperative and pathologic diagnoses to determine the necessity of surgery
Answer: Tissue review committee
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 3
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
11. Serves as liaison between the governing body and administration
Answer: Joint conference committee
12. Meets to discuss ethical issues and problems
Answer: Ethics committee
EXERCISE 1-5 LICENSURE, REGULATION, AND ACCREDITATION
Matching: Enter a 1 if the abbreviation represents an accrediting agency and a 2 if it represents a
regulatory agency.
1. AAAHC Answer: 1
2. AOA Answer: 1
3. CARF Answer: 1
4. CMS Answer: 2
5. CDC Answer: 2
Short Answer: Enter the meaning of each abbreviation.
6. AAAHC Answer: Accreditation Association for Ambulatory Health Care
7. AOA Answer: American Osteopathic Association
8. CARF Answer: Commission of Accreditation of Rehabilitation Facilities
9. CMS Answer: Centers for Medicare and Medicaid Services
10. NCQA Answer: National Committee for Quality Assurance
END OF CHAPTER REVIEW SOLUTIONS
TRUE/FALSE
1. Administrative simplification regulations that govern privacy, security, and electronic transactions
standards for health care information were mandated by the Health Insurance Portability and
Accountability Act.
Answer: T
2. Anton van Leeuwenhoek established the germ theory of disease.
Answer: F
3. Diagnosis-related groups required hospitals to be reimbursed a per diem amount.
Answer: F
4. Hippocrates was the first physician to consider medicine a science and art separate from the
practice of religion.
Answer: T
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 4
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
5. Medicare, also known as Title 19, was established to provide comprehensive health care for people
65 years of age or older, certain younger people with disabilities, and people with End-Stage Renal
Disease.
Answer: F
6. The American Medical Association was established in 1901 as a national organization of state and
local associations.
Answer: F
7. The AMA developed the Minimum Standard for Hospitals to outline the protocol for on-site
inspections of hospitals.
Answer: F
8. The Centers for Medicare & Medicaid Services (CMS) was previously known as the Health Care
Financing Administration.
Answer: T
9. The primary purpose of The Joint Commission is to provide voluntary accreditation.
Answer: T
10. Tertiary care centers include services such as neurosurgery, radiation oncology, and pediatric
surgery.
Answer: T
MULTIPLE CHOICE
11. Which is a characteristic of a governing board?
a. It is also known as the medical staff.
b. Its membership is represented by professionals from the community.
c. It is responsible for administering care to patients.
d. It reports directly to the medical staff and administration.
Answer: b
12. A patient is seen in the emergency department with glass in her eye. The attending emergency
department physician feels it is necessary for the patient to be seen by a specialist. The specialist
that most likely would see the patient would be from
a. anesthesiology.
b. dermatology.
c. ophthalmology.
d. urology.
Answer: c
13. The medical staff committee that reviews and verifies medical staff application data is the
a. credentials committee.
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 5
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
b. infection control committee.
c. joint conference committee.
d. tissue review committee.
Answer: a
14. Which of the following is a function of the admitting department?
a. Register inpatients and outpatients.
b. Provide patients with names of individuals who will sign an advance directive.
c. Obtain patient signature for surgical consents.
d. Document admission orders in the patient record.
Answer: a
15. Someone who is responsible for working with case managers of insurance companies to determine
the appropriateness of admissions is employed in which hospital department?
a. Admitting
b. Community relations
c. Nursing
d. Utilization management
Answer: d
16. Health information management services include which of the following?
a. Patient billing
b. Coding and abstracting
c. Patient registration
d. Discharge planning
Answer: b
17. The assembly and analysis of discharged patient records is called
a. abstracting.
b. document conversion.
c. image processing.
d. incomplete-record processing.
Answer: d
18. The CPT coding book is published annually by the AMA to assign what type(s) of code?
a. Diagnostic
b. Diagnostic and procedure
c. Procedures and durable medical equipment
d. Procedures and services
Answer: d
19. A hospital committee that is responsible for analyzing trends of accidents and establishing priorities
for dealing with high-risk areas is
a. disaster control.
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 6
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
b. risk management.
c. safety management.
d. utilization review.
Answer: b
20. United States health care delivery has been impacted by which of the following?
a. Decreasing health care costs
b. Absence of medical necessity requirements
c. Review of appropriateness of admissions
d. Lack of quality and effective treatments
Answer: c
FILL-IN-THE-BLANK
21. The private, not-for-profit organization established to assess and report on the quality of managed
care plans is called the _________.
Answer: National Committee for Quality Assurance.
22. In the last decade health care consumers are more educated in regards to their health and are now
seeking health care with higher _________.
Answer: quality
23. The implementation of standards for sanitation, ventilation, hygiene, and nutrition occurred during
_________ medicine.
Answer: modern
24. An oath that was adopted as an expression of early medical ethics is known as the _________.
Answer: Hippocratic Oath
25. The Vaccine for Children Program established free immunizations for all children in low income
families in _________.
Answer: 1993
26. French physicists Pierre and Marie Curie, in 1898, discovered that radium provided a powerful
weapon against _________.
Answer: cancer
27. The medical specialty that diagnoses and treats disorders of the genitourinary system and the
adrenal gland is _________.
Answer: urology
28. Services that include preventative and acute care and are provided by a general practitioner are
known as _________services.
Answer: primary care
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 7
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
29. A hospital that is privately owned and whose excess income is distributed to shareholders and
owners is a _________ hospital.
Answer: for-profit
30. The medical specialty that diagnoses and treats female reproductive and urinary system disorders is
_________.
Answer: gynecology
SHORT ANSWER
31. Define the term multidisciplinary as it relates to hospital committees, and list at least three hospital
committees.
Answer: A hospital multidisciplinary committee consists of representation from hospital
departments and the medical staff. Various hospital committees include disaster control, drug
utilization review (or pharmacy and therapeutics), education, finance, forms, and risk management.
32. Describe the uses of diagnosis and procedure indexes.
Answer: Diagnosis and procedure indexes are computer-generated printouts, sequenced by code
number, that contain patient information. The indexes are used to retrieve records for quality
management and other purposes.
33. Compare the terms electronic signature and digital signature.
Answer: An electronic signature describes all technology options available that can be used to sign a
document. A digital signature is a type of electronic signature that uses public key cryptography to
attach an alphanumeric ID to a document that is unique to the document and to the person signing
the document
34. Describe three contract services that a health information department would use.
Answer: Services that a HIM department may contract out include:
Cancer registry: Certified tumor registrars (CTRs) organize and assess cancer registry programs,
assist in the preparation of an annual report, and perform the following technical functions: cancer
case abstracting, patient care evaluation and research studies, follow-up for survival analysis,
management of cancer data collection, and survey preparation/compliance with ACS standards.
Coding: Credentialed coding staff provide outsourced coding support (e.g., for facilities experiencing
coding staff shortages), perform coding compliance audits to determine accuracy of codes and to
ensure that Office of Inspector General (OIG) guidelines are met, review chargemasters for accuracy,
and conduct APC & DRG validation studies (to determine accuracy of APC and DRG assignment).
Document conversion: Specialty companies convert paper-based documents and data to computer-
based patient record (CPR) format using scanning technology to automate data entry, publish
records on the Internet, manage messaging systems, and provide storage solutions (including
providing immediate access to information).
Master patient index duplication review: Companies use software to identify, correct, and
eliminate duplicate MPI records, increasing patient identification accuracy and patient care safety.
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 8
website, in whole or in part.
Information Management Principles and Practices,
5th Edition Mary Jo Bowie
Notes
1- The file is chapter after chapter.
2- We have shown you 10 pages.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many new
editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
Solution and Answer Guide
BOWIE, ESSENTIALS OF HEALTH INFORMATION MANAGEMENT , 5E, 9780357624258, CHAPTER 1: HEALTH CARE
DELIVERY SYSTEMS
TABLE OF CONTENTS
Exercises ............................................................................................................................................1
Exercise 1-1 History of Medicine and Health Care Delivery in the United States .................................... 1
Exercise 1-2 Continuum of Care................................................................................................................ 2
Exercise 1-3 Health Care Facility Ownership ............................................................................................ 2
Exercise 1-4 Health Care Facility ............................................................................................................... 3
Exercise 1-5 Licensure, Regulation, and Accreditation ............................................................................. 4
End of Chapter Review Solutions ........................................................................................................4
True/False ................................................................................................................................................. 4
Multiple Choice ......................................................................................................................................... 5
Fill-in-the-Blank ......................................................................................................................................... 7
Short Answer............................................................................................................................................. 8
EXERCISES
EXERCISE 1-1 HISTORY OF MEDICINE AND HEALTH CARE DELIVERY IN THE UNITED STATES
Short Answer: Identify the significant act established in each year for the purpose listed.
1. 1946-provided federal grants to modernize hospitals.
Answer: Hill-Burton Act
2. 1982-established the first Medicare Prospective Payment System.
Answer: Tax Equity and Fiscal Responsibility Act
3. 1986-established the National Practitioner Data Bank.
Answer: Health Care Quality Improvement Act
4. 1996-mandated administrative simplification regulations that govern health care information.
Answer: Health Insurance Portability and Accountability Act
5. 2003-provided Medicare recipients with prescription drug savings.
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
Answer: Medicare Prescription Drug, Improvement, and Modernization Act
6. 2006-established financial incentives for healthcare professionals that participate in a voluntary
quality reporting program.
Answer: Tax Relief and Health Care Act
7. 2009-authorized an expenditure of $1.5 billion for grants for projects including the acquisition of
health information technology systems.
Answer: American Recovery and Reinvestment Act
8. 2015-established the Merit-Based Incentive Payment System.
Answer: Medicare Access and CHIP Reauthorization Act
EXERCISE 1-2 CONTINUUM OF CARE
True/False:
1. Primary care services include patient immunizations and education.
Answer: T
2. Secondary care services include a patient being seen by a specialist because of angina.
Answer: T
3. Stabilization services are provided by a tertiary care facility to ensure that no material deterioration
of a patient’s medical condition occurs during the transfer to another facility.
Answer: T
4. Tertiary care services include a patient’s annual history and physical.
Answer: F
5. The continuum of care contains two levels.
Answer: F
EXERCISE 1-3 HEALTH CARE FACILITY OWNERSHIP
Fill-in-the-Blank:
1. A hospital that is affiliated with a medical school is called a ________.
Answer: teaching hospital
2. A physician who has completed an internship and is engaged in a program of training designed to
increase his or her knowledge of the clinical disciplines to prepare for a practice of specialty is called
a(n) ________.
Answer: resident
3. A hospital that is privately owned and distributes excess income to shareholders and owners is
________.
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 2
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
Answer: for-profit
4. Public hospitals represent about 25 percent of all health care facilities in the United States and are
also known as ________.
Answer: government supported
5. A not-for-profit hospital run by a religious or volunteer organization is known as a ________.
Answer: voluntary hospital
EXERCISE 1-4 HEALTH CARE FACILITY
Short Answer: Identify the medical specialty for each description.
1. Diagnosis and treatment of skin disorders.
Answer: Dermatology
2. Management of pregnancy from prenatal to puerperium.
Answer: Obstetrics
3. Diagnosis and treatment of eye disorder.
Answer: Ophthalmology
4. Surgical management of diseases with the chest
Answer: Thoracis surgery
5. Diagnosis and treatment of musculoskeletal disease/injury
Answer: Orthopedics
6. Diagnosis and treatment of diseases of the nervous system
Answer: Neurology
7. Diagnosis and treatment of behavioral health diseases
Answer: Psychiatry
Short Answer II: Identify the committee described.
8. Concerned with quality care provided to patients
Answer: Quality management committee
9. Acts on reports and recommendations from medical staff committees
Answer: Executive committee
10. Reviews preoperative and pathologic diagnoses to determine the necessity of surgery
Answer: Tissue review committee
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 3
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
11. Serves as liaison between the governing body and administration
Answer: Joint conference committee
12. Meets to discuss ethical issues and problems
Answer: Ethics committee
EXERCISE 1-5 LICENSURE, REGULATION, AND ACCREDITATION
Matching: Enter a 1 if the abbreviation represents an accrediting agency and a 2 if it represents a
regulatory agency.
1. AAAHC Answer: 1
2. AOA Answer: 1
3. CARF Answer: 1
4. CMS Answer: 2
5. CDC Answer: 2
Short Answer: Enter the meaning of each abbreviation.
6. AAAHC Answer: Accreditation Association for Ambulatory Health Care
7. AOA Answer: American Osteopathic Association
8. CARF Answer: Commission of Accreditation of Rehabilitation Facilities
9. CMS Answer: Centers for Medicare and Medicaid Services
10. NCQA Answer: National Committee for Quality Assurance
END OF CHAPTER REVIEW SOLUTIONS
TRUE/FALSE
1. Administrative simplification regulations that govern privacy, security, and electronic transactions
standards for health care information were mandated by the Health Insurance Portability and
Accountability Act.
Answer: T
2. Anton van Leeuwenhoek established the germ theory of disease.
Answer: F
3. Diagnosis-related groups required hospitals to be reimbursed a per diem amount.
Answer: F
4. Hippocrates was the first physician to consider medicine a science and art separate from the
practice of religion.
Answer: T
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 4
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
5. Medicare, also known as Title 19, was established to provide comprehensive health care for people
65 years of age or older, certain younger people with disabilities, and people with End-Stage Renal
Disease.
Answer: F
6. The American Medical Association was established in 1901 as a national organization of state and
local associations.
Answer: F
7. The AMA developed the Minimum Standard for Hospitals to outline the protocol for on-site
inspections of hospitals.
Answer: F
8. The Centers for Medicare & Medicaid Services (CMS) was previously known as the Health Care
Financing Administration.
Answer: T
9. The primary purpose of The Joint Commission is to provide voluntary accreditation.
Answer: T
10. Tertiary care centers include services such as neurosurgery, radiation oncology, and pediatric
surgery.
Answer: T
MULTIPLE CHOICE
11. Which is a characteristic of a governing board?
a. It is also known as the medical staff.
b. Its membership is represented by professionals from the community.
c. It is responsible for administering care to patients.
d. It reports directly to the medical staff and administration.
Answer: b
12. A patient is seen in the emergency department with glass in her eye. The attending emergency
department physician feels it is necessary for the patient to be seen by a specialist. The specialist
that most likely would see the patient would be from
a. anesthesiology.
b. dermatology.
c. ophthalmology.
d. urology.
Answer: c
13. The medical staff committee that reviews and verifies medical staff application data is the
a. credentials committee.
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 5
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
b. infection control committee.
c. joint conference committee.
d. tissue review committee.
Answer: a
14. Which of the following is a function of the admitting department?
a. Register inpatients and outpatients.
b. Provide patients with names of individuals who will sign an advance directive.
c. Obtain patient signature for surgical consents.
d. Document admission orders in the patient record.
Answer: a
15. Someone who is responsible for working with case managers of insurance companies to determine
the appropriateness of admissions is employed in which hospital department?
a. Admitting
b. Community relations
c. Nursing
d. Utilization management
Answer: d
16. Health information management services include which of the following?
a. Patient billing
b. Coding and abstracting
c. Patient registration
d. Discharge planning
Answer: b
17. The assembly and analysis of discharged patient records is called
a. abstracting.
b. document conversion.
c. image processing.
d. incomplete-record processing.
Answer: d
18. The CPT coding book is published annually by the AMA to assign what type(s) of code?
a. Diagnostic
b. Diagnostic and procedure
c. Procedures and durable medical equipment
d. Procedures and services
Answer: d
19. A hospital committee that is responsible for analyzing trends of accidents and establishing priorities
for dealing with high-risk areas is
a. disaster control.
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 6
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
b. risk management.
c. safety management.
d. utilization review.
Answer: b
20. United States health care delivery has been impacted by which of the following?
a. Decreasing health care costs
b. Absence of medical necessity requirements
c. Review of appropriateness of admissions
d. Lack of quality and effective treatments
Answer: c
FILL-IN-THE-BLANK
21. The private, not-for-profit organization established to assess and report on the quality of managed
care plans is called the _________.
Answer: National Committee for Quality Assurance.
22. In the last decade health care consumers are more educated in regards to their health and are now
seeking health care with higher _________.
Answer: quality
23. The implementation of standards for sanitation, ventilation, hygiene, and nutrition occurred during
_________ medicine.
Answer: modern
24. An oath that was adopted as an expression of early medical ethics is known as the _________.
Answer: Hippocratic Oath
25. The Vaccine for Children Program established free immunizations for all children in low income
families in _________.
Answer: 1993
26. French physicists Pierre and Marie Curie, in 1898, discovered that radium provided a powerful
weapon against _________.
Answer: cancer
27. The medical specialty that diagnoses and treats disorders of the genitourinary system and the
adrenal gland is _________.
Answer: urology
28. Services that include preventative and acute care and are provided by a general practitioner are
known as _________services.
Answer: primary care
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 7
website, in whole or in part.
, Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
29. A hospital that is privately owned and whose excess income is distributed to shareholders and
owners is a _________ hospital.
Answer: for-profit
30. The medical specialty that diagnoses and treats female reproductive and urinary system disorders is
_________.
Answer: gynecology
SHORT ANSWER
31. Define the term multidisciplinary as it relates to hospital committees, and list at least three hospital
committees.
Answer: A hospital multidisciplinary committee consists of representation from hospital
departments and the medical staff. Various hospital committees include disaster control, drug
utilization review (or pharmacy and therapeutics), education, finance, forms, and risk management.
32. Describe the uses of diagnosis and procedure indexes.
Answer: Diagnosis and procedure indexes are computer-generated printouts, sequenced by code
number, that contain patient information. The indexes are used to retrieve records for quality
management and other purposes.
33. Compare the terms electronic signature and digital signature.
Answer: An electronic signature describes all technology options available that can be used to sign a
document. A digital signature is a type of electronic signature that uses public key cryptography to
attach an alphanumeric ID to a document that is unique to the document and to the person signing
the document
34. Describe three contract services that a health information department would use.
Answer: Services that a HIM department may contract out include:
Cancer registry: Certified tumor registrars (CTRs) organize and assess cancer registry programs,
assist in the preparation of an annual report, and perform the following technical functions: cancer
case abstracting, patient care evaluation and research studies, follow-up for survival analysis,
management of cancer data collection, and survey preparation/compliance with ACS standards.
Coding: Credentialed coding staff provide outsourced coding support (e.g., for facilities experiencing
coding staff shortages), perform coding compliance audits to determine accuracy of codes and to
ensure that Office of Inspector General (OIG) guidelines are met, review chargemasters for accuracy,
and conduct APC & DRG validation studies (to determine accuracy of APC and DRG assignment).
Document conversion: Specialty companies convert paper-based documents and data to computer-
based patient record (CPR) format using scanning technology to automate data entry, publish
records on the Internet, manage messaging systems, and provide storage solutions (including
providing immediate access to information).
Master patient index duplication review: Companies use software to identify, correct, and
eliminate duplicate MPI records, increasing patient identification accuracy and patient care safety.
© 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 8
website, in whole or in part.
