RHIA Domain 3 Exam Prep Questions
and Answers
d. Uncertain due to existence of confounding variables
In this situation there are too many changes occurring at the same time to determine
what is improving the nursing staffing satisfaction scores. Any one item could be the
reason for the improvement. To evaluate the impact of the electronic health record
(EHR) nursing documentation component, a benefits realization study should have been
utilized. This would have studied the impact of the EHR component before and after
implementation (Amatayakul 2017, 106). - ANS-A hospital is undergoing a major
reconstruction project and a new director of nursing has been hired. At the same time,
the nursing documentation component of the EHR has been implemented. The fact that
nursing staff satisfaction scores have risen is:
a. A result of anecdotal benefits of EHR
b. A result of qualitative benefits of EHR
c. A result of reconfiguration of the nursing units
d. Uncertain due to existence of confounding variables
b. The readmission rates are equal.
The first step in statistical hypothesis testing is defining the null and alternative
hypotheses. The null hypothesis is the status quo. In this example the readmission rates
are equal would be the null hypothesis showing no relationship between the two
hospitals (White 2016a, 65). - ANS-If a health plan analyst wanted to determine if the
readmission rates for two hospitals were statistically different, what is the null
hypothesis?
a. The readmission rates are not equal.
b. The readmission rates are equal.
c. The readmission rate for one hospital is larger than the other.
d. The readmission rate for one hospital is smaller than the other.
c. Federated—inconsistent databases
The Federated—inconsistent databases—model for HIE includes multiple enterprises
agreeing to connect and share specific information in a point-to-point manner
,(Amatayakul 2017, 417-418). - ANS-What architectural model of health information
exchange allows participants to access data in point-to-point exchange?
a. Consolidated
b. Federated—consistent databases
c. Federated—inconsistent databases
d. Switch
c. Name, gender, address, and date of birth
A master patient index (MPI) is an index of known patients within a single organization
whose visits are linked together by a single identifier, typically the medical records
number. Some recommended core data elements for the MPI are: name, address,
gender, date of birth, and many others. Accession number, revenue code, and charge
code are not recommended core data elements for the MPI (Reynolds and Sharp 2016,
130). - ANS-Which of the following lists represents recommended core data elements
for the master patient index?
a. Date of birth, revenue code, accession number, and address
b. Name, address, revenue code, and accession number
c. Name, gender, address, and date of birth
d. Gender, address, accession number, and charge code
a. Use case analysis
A use case analysis is a technique that describes an interaction between a user and a
system. A use case diagram displays the relationship among actors and use cases. The
two main components of a use case diagram are use cases and actors. An actor
represents a user or another system that will interact with the system being modeled. A
use case is an external view of the system that represents some action the user might
perform in order to complete a task (Oachs 2016, 824-825). - ANS-A technique that
describes an interaction between a user and a system is called a(n):
a. Use case analysis
b. RHIO
c. Test case
d. Use description
b. Information structures and processes
Consumer health informatics is a field devoted to informatics from multiple consumer or
patient views and includes patient-focused informatics, health literacy, and consumer
education, with a focus on information structures and processes that empower
, consumers to manage their own health (AMIA 2015; Sandefer 2016b, 425). - ANS-
Consumer informatics is focused on ________
a. Consumer activation
b. Information structures and processes
c. Personalized medicine
d. Engagement
c. 5%
The gross death rate is the proportion of all hospital discharges that ended in death. It is
the basic indicator of mortality in a healthcare facility.
The gross death rate is calculated by dividing the total number of deaths occurring in a
given time period by the total number of discharges, including deaths, for the same time
period: 25/500 = 0.05 × 100 = 5% (Palkie 2016b, 296). - ANS-Community Memorial
Hospital had 25 inpatient deaths, including newborns, during the month of June. The
hospital had a total of 500 discharges for the same period, including deaths of adults,
children, and newborns. The hospital's gross death rate for the month of June was:
a. 0.05%
b. 2%
c. 5%
d. 20%
a. Structured data
If an EHR is to provide clinical decision support it requires two things: structured data
and a clinical data repository (Sandefer 2016a, 364). - ANS-For an EHR to provide
robust clinical decision support, what critical element must be present?
a. Structured data
b. Internet connection
c. Physician portal
d. Standard vocabulary
a. The practice does not have the up-front capital or IT staff needed to purchase and
implement a system from a health information systems vendor.
In an application service provider (ASP) model, there is much less upfront capital outlay
and fewer IT staff required in-house. In fact, the ASP acquisition strategy may be
considered essentially a financing model (Amatayakul 2016, 402). - ANS-Assume you
are the manager of a 10-physician group primary care practice. The physicians are
and Answers
d. Uncertain due to existence of confounding variables
In this situation there are too many changes occurring at the same time to determine
what is improving the nursing staffing satisfaction scores. Any one item could be the
reason for the improvement. To evaluate the impact of the electronic health record
(EHR) nursing documentation component, a benefits realization study should have been
utilized. This would have studied the impact of the EHR component before and after
implementation (Amatayakul 2017, 106). - ANS-A hospital is undergoing a major
reconstruction project and a new director of nursing has been hired. At the same time,
the nursing documentation component of the EHR has been implemented. The fact that
nursing staff satisfaction scores have risen is:
a. A result of anecdotal benefits of EHR
b. A result of qualitative benefits of EHR
c. A result of reconfiguration of the nursing units
d. Uncertain due to existence of confounding variables
b. The readmission rates are equal.
The first step in statistical hypothesis testing is defining the null and alternative
hypotheses. The null hypothesis is the status quo. In this example the readmission rates
are equal would be the null hypothesis showing no relationship between the two
hospitals (White 2016a, 65). - ANS-If a health plan analyst wanted to determine if the
readmission rates for two hospitals were statistically different, what is the null
hypothesis?
a. The readmission rates are not equal.
b. The readmission rates are equal.
c. The readmission rate for one hospital is larger than the other.
d. The readmission rate for one hospital is smaller than the other.
c. Federated—inconsistent databases
The Federated—inconsistent databases—model for HIE includes multiple enterprises
agreeing to connect and share specific information in a point-to-point manner
,(Amatayakul 2017, 417-418). - ANS-What architectural model of health information
exchange allows participants to access data in point-to-point exchange?
a. Consolidated
b. Federated—consistent databases
c. Federated—inconsistent databases
d. Switch
c. Name, gender, address, and date of birth
A master patient index (MPI) is an index of known patients within a single organization
whose visits are linked together by a single identifier, typically the medical records
number. Some recommended core data elements for the MPI are: name, address,
gender, date of birth, and many others. Accession number, revenue code, and charge
code are not recommended core data elements for the MPI (Reynolds and Sharp 2016,
130). - ANS-Which of the following lists represents recommended core data elements
for the master patient index?
a. Date of birth, revenue code, accession number, and address
b. Name, address, revenue code, and accession number
c. Name, gender, address, and date of birth
d. Gender, address, accession number, and charge code
a. Use case analysis
A use case analysis is a technique that describes an interaction between a user and a
system. A use case diagram displays the relationship among actors and use cases. The
two main components of a use case diagram are use cases and actors. An actor
represents a user or another system that will interact with the system being modeled. A
use case is an external view of the system that represents some action the user might
perform in order to complete a task (Oachs 2016, 824-825). - ANS-A technique that
describes an interaction between a user and a system is called a(n):
a. Use case analysis
b. RHIO
c. Test case
d. Use description
b. Information structures and processes
Consumer health informatics is a field devoted to informatics from multiple consumer or
patient views and includes patient-focused informatics, health literacy, and consumer
education, with a focus on information structures and processes that empower
, consumers to manage their own health (AMIA 2015; Sandefer 2016b, 425). - ANS-
Consumer informatics is focused on ________
a. Consumer activation
b. Information structures and processes
c. Personalized medicine
d. Engagement
c. 5%
The gross death rate is the proportion of all hospital discharges that ended in death. It is
the basic indicator of mortality in a healthcare facility.
The gross death rate is calculated by dividing the total number of deaths occurring in a
given time period by the total number of discharges, including deaths, for the same time
period: 25/500 = 0.05 × 100 = 5% (Palkie 2016b, 296). - ANS-Community Memorial
Hospital had 25 inpatient deaths, including newborns, during the month of June. The
hospital had a total of 500 discharges for the same period, including deaths of adults,
children, and newborns. The hospital's gross death rate for the month of June was:
a. 0.05%
b. 2%
c. 5%
d. 20%
a. Structured data
If an EHR is to provide clinical decision support it requires two things: structured data
and a clinical data repository (Sandefer 2016a, 364). - ANS-For an EHR to provide
robust clinical decision support, what critical element must be present?
a. Structured data
b. Internet connection
c. Physician portal
d. Standard vocabulary
a. The practice does not have the up-front capital or IT staff needed to purchase and
implement a system from a health information systems vendor.
In an application service provider (ASP) model, there is much less upfront capital outlay
and fewer IT staff required in-house. In fact, the ASP acquisition strategy may be
considered essentially a financing model (Amatayakul 2016, 402). - ANS-Assume you
are the manager of a 10-physician group primary care practice. The physicians are
