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RHIA Exam Prep Domain 3 with Accurate Solutions

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RHIA Exam Prep Domain 3 with Accurate Solutions

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RHIA Exam Prep Domain 3 with
Accurate Solutions

A request for proposal (RFP) serves two important purposes: it solidifies the planning
information and healthcare entity requirements into a single document, and it:
a. Allows one vendor an advantage over the other potential vendors
b. Delineates the entity's system requirements in such a way that a vendor is selected
without review of the entire RFP pool
c. Enables the healthcare entity to make decisions quickly
d. Provides valuable insights into the vendors operations and products and levels the
playing field in terms of asking all the vendors the same questions - ANS-d. Provides
valuable insights into the vendors operations and products and levels the playing field in
terms of asking all the vendors the same questions

A possible justification for building an information system in-house rather than
purchasing one from a vendor is that:
a. It is cheaper to buy than to build
b. The facility has development teams they do not want to give up
c. Integration of systems will be easier
d. Vendor products are not comprehensive enough - ANS-b. The facility has
development teams they do not want to give up

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% - ANS-c. 5%

In which of the following phases of systems selection and implementation would the
process of running a mock query to assess the functionality of a database be
performed?
a. Initial study
b. Design
c. Testing
d. Operation - ANS-c. Testing

You want to graph the average length of stay by sex and service for the month of April.
Which graphic tool would you use?

,a. Bar graph
b. Histogram
c. Line graph
d. Pie chart - ANS-a. Bar graph

In the data warehouse, the patient's last name and first name are entered into separate
fields. This is an example of what?
a. Query
b. Normalization
c. Key field
d. "Slicing and dicing" - ANS-b. Normalization

If an analyst is studying the wait times at a clinic and the only list of patients available is
on hard copy, which sampling technique is the easiest to use?
a. Survey sampling
b. Systematic sampling
c. Cluster sampling
d. Stratified sampling - ANS-b. Systematic sampling

To reduce the effect of a server crash in an EHR environment, it is advisable to:
a. Set up redundant systems
b. Have a storage area network
c. Store data in RAID
d. Have an inventory of all systems - ANS-a. Set up redundant systems

In assessing the quality of care given to patients with diabetes mellitus, the quality team
collects data regarding blood sugar levels on admission and on discharge. This data is
called a(n):
a. Indicator
b. Measurement
c. Assessment
d. Outcome - ANS-a. Indicator

By querying the healthcare entity data, you find that patients admitted on a weekend
have a mean length of stay that is 1.3 days longer than patients who are admitted
Monday through Friday. This method of finding information is called:
a. Structuring query language
b. Data mining
c. Multidimensional data structuring
d. Satisficing - ANS-b. Data mining

A health information professional is preparing statistical information about the third-party
payers that reimburse care in the facility. She finds the following information: Medicare
reimburses 46 percent; Medicaid reimburses 13 percent; Blue Cross reimburses 21
percent; workers' compensation reimburses 1 percent; commercial plans reimburse 15

, percent; and other payers or self-payers reimburse 4 percent. What is the best graphic
tool to use to display this data?
a. Histogram
b. Pie chart
c. Line graph
d. Table - ANS-b. Pie chart

During an influenza outbreak, a nursing home reports 25 new cases of influenza in a
given month. These 25 cases represent 30 percent of the nursing home's population.
This rate represents the:
a. Distribution
b. Frequency
c. Incidence
d. Prevalence - ANS-c. Incidence

The researcher's informed consent form stated that the patients' information would be
anonymous. Later, in the application form for Institutional Review Board (IRB) approval,
the researcher described a coding system to track respondents and nonrespondents.
The IRB returned the application to the researcher with the stipulation that the informed
consent must be changed. What raised the red flag?
a. The description of the use of a coding system to track respondents and
nonrespondents
b. The application form for the IRB approval
c. The researcher's informed consent form
d. The description of the use of a coding system to track respondents - ANS-a. The
description of the use of a coding system to track respondents and nonrespondents

The user needs a list of all of the patients that were diagnosed a cerebral infarction or a
cerebral hemorrhage. This is an example of a situation in which what type of search
should be used?
a. Structured query language
b. Wildcard search
c. Truncation
d. Boolean search - ANS-d. Boolean search

In carrying out the strategic plan for health IT, the step that describes what is needed to
achieve the plan's goals is:
a. Environmental scan
b. Project plan
c. Requirements analysis
d. Risk analysis - ANS-c. Requirements analysis

What type of data display tool is used to display discrete categories?
a. Bar graph
b. Histogram
c. Pie chart

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