Exam (elaborations)
RHIA Exam Prep Questions with Answers A+ Graded
- Course
- Institution
RHIA Exam Prep Questions with Answers A+ Graded
[Show more]
Seller
Follow
Victorious23
Reviews received
Content preview
RHIA Exam Prep Questions withAnswers A+ Graded
Source-Oriented Health Record - -Documents organized into sections
according to the provider's and departments that provide treatment (lab
together, rad. together, clinical notes together)
-Problem-Oriented Health Record - -Divided into four parts: database,
problem list, initial plan, progress notes (SOAP)
-SOAP what does S stand for? - -Subjective (patient's point of view)
-SOAP what does O stand for? - -Objective (what the practitioner finds)
-SOAP what does A stand for? - -Assessment (combine subjective and
objective to make a conclusion)
-SOAP what does P stand for? - -Plan (approach to be taken to resolve
patient's problem
-Integrated Health Records - -Documentation from various sources
organized in strict chronological or reverse chronological order
-Advantage of Integrated Health Record? - -Easy to follow course of
diagnosis and treatment
-Disadvantage of Integrated Health Record? - -Difficult to compare similar
information (ex. lab results or oncology information)
-When should H&P be documented in record? - -Within 24 hours of
admission
-When should Operative Report be documented in record? - -Immediately
following surgery
-When should Verbal Orders be cosigned? - -Within 24 hours
-When should Discharge Summary be documented? - -Immediately after
discharge of patient
-Qualitative Analysis - -Review of record to ensure that standards are met
and determine the adequacy of entries documenting the quality of care
, -Quantitative Analysis - -A review of health record to determine its
completeness and accuracy
-Data Accuracy - -Data are the correct values and are valid
-Data Accessibility - -Data items are easily obtainable and legal to collect
-Data Comprehensiveness - -All required data items included AND entire
scope of data is collected and intentional limitations documented
-Data Consistency - -Value of data is reliable and consistent across
applications
-Data Currency - -Data is up to date, if it is outdated it must have been up
to date at the time it was presented
-Data Definition - -Clear definitions provided so users know what data
means, each data element should have clear meaning and accepted values
-Data Granularity - -The attributes and values of data should be defined at
the correct level of detail
-Data Precision - -Data values should be just large enough to support the
application or process and acceptable values or ranges must be defined
-Data Relevance - -The data are meaningful to the performance of the
process or application for which they are collected
-Data Timeliness - -Determined by how the data are being used and their
context
-Minimum Data Set (MDS) purpose? - -Promote comparability and
compatibility of data by using standard data items with uniform definitions
-Uniform Hospital Discharge Data Set (UHDDS) - -Uniform collection of data
on inpatients
-Uniform Ambulatory Core Data Set (UACDS) - -Improve ability to compare
data in ambulatory care settings
-Minimum Data Set (MDS) for Long-Term Care (LTC) and Resident
Assessment Instrument (RAI) - -Comprehensive functional assessment of
long-term care patients
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now