EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024
HIM 101 Final Exam Questions and
Answers | 100% Pass
HIMs most important functions - Answer✔✔-storage and retrieval of patient
information. Additional functions managed: Research and statistics, Cancer and/or
trauma registries, and Birth certificate completion
Critical support services managed by HIM - Answer✔✔-Record processing,
Monitoring of record completion, transcription, release of patient information, clinical
coding, abstracting, and clinical data analysis
HIM functions are: - Answer✔✔-information centered and involves ensuring
information quality, security, and availability.
What dictates how the specific functions are carried out? - Answer✔✔-The medium in
which the information is stored.
What is the goal of the health record system? - Answer✔✔-To ensure that accurate
information is available to authorized users to support quality patient care.
What is record reconciliation? - Answer✔✔-Hybrid System, upon patient discharge,
receipt of the health record is checked with a discharge list for completeness.
What are the most fundamental responsibilities of most HIM departments? -
Answer✔✔-storage and retrieval, record processing, record completion, transcription,
release of information (ROI), and clinical coding
1/72
, EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024
What is the most important index used by the HIM department? What is it? What is its
function? - Answer✔✔-Master Patient Index (MPI) and is the permanent record of
every patient ever seen in the healthcare entity. The MPI functions as the primary guide
to locating pertinent demographic data about the patient and his or her health record
number. It is the initial point of documentation of the health record
What is an Enterprise Master Patient index (EMPI)? - Answer✔✔-references all
patients in two or more facilities (ie integrated healthcare delivery system or health
information exchange (HIE).
What can function as a MPI? - Answer✔✔-Often the patient registration system aka
registration, admission, discharge, and transfer system (R-ADT) functions as the MPI
What are the benefits of an electronic system? - Answer✔✔-ability to access data by
more than one individual at a time, edit checks can be applied against specific fields in
the database to better ensure data accuracy, can be easily cross-referenced (when a
patient has used more than one name during hospital or clinic visits), permits the use of
several search techniques for locating an existing patient's information.
When searching for a patient's record, what data elements can be used? -
Answer✔✔-medical record or billing number, date of birth, or social security number.
Maintenance - To ensure the integrity of the MPI, several quality control mechanisms
are essential and include: - Answer✔✔-Quality - MPI prone to errors: misspellings,
incorrect demographic data, transposition of numbers, and typographical errors are a
few. Can cause treatment errors, billing problems and distorting data analysis of the
organization's patient population.
2/72
, EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024
Duplicate, Overlay, and Overlap Medical Record Number Issues - Patient info not found
upon admission and new record created; Or patient matched with wrong health record
What is overlay? - Answer✔✔-A patient is assigned another patient's medical record
number comingling the medical information of both patient's resulting in problems in
identifying what medical information belongs to which patient
What is overlap? - Answer✔✔-When more than one medical record number exists for
the same patient within an enterprise at different facilities or in different databases.
Often occur in organization with multiple facilities or can occur in the health information
exchanges. Frequently problem arises when there are facility or organization mergers
and an enterprise master person/patient index (EMPI) is created
Strategies for MPI Integrity - Answer✔✔-Integrity must be maintained in order to
avoid patient safety, customer service, risk management, legal and other issues. MPI
cleanup process - uses matching algorithms to identify and fix these problems. 3 types:
are often part of the MPI application: a DETERMINISTIC algorithm requires an exact
match of combined data elements such as name, birth date, sex, and social security
number. PROBABILISTIC algorithm is base on complex mathematical formulas that
analyze facility specific MPI data to determine precisely matched weight probabilities for
attribute values of various data elements. RULES-BASED algorithm assigns weights,
for significant values, to particular data elements and later uses these weights in the
comparison of one record to another.
The management of high-quality, error free MPI requires constant maintenance that
includes:
3/72
, EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024
What is first line of defense? - Answer✔✔-oversight, evaluation, and correction of
errors.
Prevention of problems should be the front line of defense. Communication back to the
department responsible for the errors is key to providing awareness of the importance of
the MPI and identifying opportunities for training and workflow issues.
HIE - Answer✔✔-Health Information Exchange= the sharing of health information
electronically among two or more entities and also an organization that provides
services to accomplish this information exchange.
What is the purpose of an HIE organization? - Answer✔✔-to increase the availability
of health information to authorized stakeholders in order to improve quality and safety of
healthcare delivery across the continuum.
How do they ensure the integrity of patient identity in health information exchange -
Answer✔✔-Standardization of health information exchange practices is paramount.
Paper based identification systems patient ID:
Serial numbering System - Answer✔✔-Patient receives a unique numerical identifier
for each encounter or admission to a healthcare facility. Disadvantage: information
about the patient's care and treatment is filed in separate health records and at separate
locations. retrieval more difficult. inefficient.
Unit numbering system - Answer✔✔-most commonly used in large facilities. Patient
receives a unique number on his first admission and the same number is used for
subsequent encounters. Method most commonly used as the unique identifier in the
EHR environment.
4/72
