83.

Informatics contributes in healthcare by: a) Reducing human involvement in patient care b)

Solely focusing on technological implementation c) Supporting evidence-based practice and
enhancing communication d) Standardizing all hospital procedures

84. The primary purpose of decision-support software in healthcare is to: a) Replace clinical
decision-making b) Aid in organizing information for care and administrative decisions c)
Reduce hospital staffing d) Eliminate patient consultations

85. Which technological advancement in 2002 was recommended to improve healthcare safety?
a) Electronic Medical Records b) HIPAA implementation c) JCAHO's recommendation of
clinical information systems d) National Health Information Coordinator establishment

87. Which of the primary purpose (PMTY)? (Likely refers to MPI) a) To store patient b) To
uniquely identify and locate patient medical information c) To track hospital d) To manage
patient

88. What potential challenges regarding duplication are associated with the implementation of
EHR? a) Increased storage b) Difficulty c) Inconsistencies in practice d) All of the above

89. In the context of EHR review, DO NOT: a) Determine b) Identify existing Weaknesses c)
Implement d) Impress

(There seems to be some text related to coding systems before question 100, but not a clearly
numbered question.)

100. What is a potential benefit of EHR in terms of healthcare provider communication? a)

Reduced need for communication between providers b) Improved sharing of patient data
between attending practitioners c) Increased reliance on verbal orders d) Mandatory in-person
meetings for all patient cases

101. How might an EHR system impact the release of information for medico-legal purposes? a)
It would make such releases impossible b) It could potentially make information more
readily accessible c) It would require all requests to be made in person d) It would have no
impact on information release

102. What is a potential challenge in EHR implementation related to environmental factors? a)

Excessive sunlight affecting computer screens b) Noise pollution from computer fans c)
Electrical wiring and supply of electricity d) Increased plant growth near computer stations

103. How insurance processing Beato: a) It would make unnecessary b) It could facilitate more
accurate quality checks c) It would require more electronic entries d) It would have no impact

104. What is a key consideration for policies for EHR use regarding? a) Ensuring all are
automatic b) Restricting information only c) Defining how information is used within the
system d) Mandating verbal communication of information
105. How might an EHR education and training be affected? a) It would eliminate the need for
education b) It could require additional training for computer skills and system use c) It
would only affect administration training d) It would have no impact on education and training

106. What potential benefit does EHR offer in terms of public health? a) Elimination of all
public health requirements b) More timely and accurate reporting of disease outbreaks c)
Reduced need for epidemiology d) Increased paperwork for public health officials

(There is some unnumbered text and instructions before question 109.)

109. What is one of the key purposes of the SOAP format in medical documentation? a) To
organize patient information b) To provide a systematic approach for organizing patient
information c) focus indicates prescribed d) Programs

110. Which of the following is NOT a key principle of documentation according to the AHIMA
Association? a) Characteristics b) Financial Reimbursement c) Permission d) Scoring Principle
on Documentation Characteristics of high-quality documentation be Accurate and highly detailed
Accessible, accurate, and auditable e) Subjective and personalized f) Opened only when
significant changes occur

111. In the context of medical records, what does contemporaneous documentation mean? a)
Documentation completed at the end of each week b) Documentation done at the same time as
or soon after the event c) Documentation reviewed by multiple healthcare providers d)
Documentation stored in electronic format

112. Which of the following is a key point of Principle 4 on Protection Systems? a) Maximizing
its accessibility b) Ensuring data security and confidentiality c) Promoting data sharing across
healthcare Facilities d) Implementing daily data backups

113. When did the preparation of medical records begin? a) 18th century b) 19th century c) 20th
century d) 21st century

114. What technological advancement led to a significant change in medical record keeping? a)
Introduction of stethoscopes b) Development of X-ray machines c) Introduction of typewriters,
Dictaphones and computers d) Invention of the microscope

115. Who is considered the "Father of Problem-Oriented Medical Record"? a) Dr. William Osler
b) Dr. Lawrence Weed c) Dr. Jonas Salk d) Dr. Alexander Fleming

116. What does the acronym 'SOAP' stand for in medical documentation? a) Subjective,
Objective, Assessment, Plan b) Symptoms, Observations, Analysis, Prescription c) Standard,
Organized, Accurate, Precise d) Summary, Overview, Action, Prognosis

118. how long should typically be retained? a) years b) 10 years c) years (Note: Options are
unclear in the original text)
119. What is the primary purpose of a Master Patient Index (MPI)? a) To track hospital
inventory b) To identify and locate patient medical information c) To manage staff schedules
d) To calculate patient billing

120. Which of the following is NOT a recommended method for destroying paper-based medical
records? a) Shredding b) Incinerating c) Recycling d) Purging

121. What should be done before destroying medical records after the retention period? a) Obtain
written permission from each patient b) Transfer all records to a national database c) Publish an
advertisement in regional and national newspapers d) Convert all paper records to electronic
format

122. What key information is typically included in the documentation of a patient encounter? a)
of the b) name and date c) Patient's educational background d) Primary care provider

123. What is the purpose of maintaining approved medical abbreviations and acronyms? a) To
save space in medical records b) To ensure consistency and prevent misinterpretation c) To
test medical staff's knowledge d) To comply with international standards

124. Which of the following is NOT a function of the Medical Record Department? a) Assigning
unique medical records b) Ensuring completeness of medical records c) Prescribing
medications to patients d) Preparing statistical reports for the health department

125. What action should be taken If an amendment is needed in a medical record? a) Use
correction fluid to cover the mistake b) Cross out the error with a single line c) Rewrite the entire
record without acknowledging the change d) Rewrite by the physician, specifying the reason
and signing

126. A hospital is transitioning from paper-based to electronic medical records. Which of the
following is the most critical consideration in this process? a) Reducing paper waste b)
Increasing storage capacity c) Ensuring data integrity and security during transfer d)
Improving typing speed of medical staff

(There is some unnumbered text and potentially an incomplete question 127 on page 6.)

128. A patient claims that information in their medical record is incorrect. What is the most
appropriate course of action for the healthcare provider? a) Immediately delete the corrected b)
Review the information, and if an error is confirmed, amend the record while maintaining
the original entry c) Ignore the patient's claim to maintain record integrity d) Create a new
record and discard the old one

129. How might the implementation of artificial Intelligence in medical records management
impact the role of human medical record professionals? a) It will completely replace human
professionals b) It may shift focus from data entry to data analysis and quality control c) It
will have no impact on human roles d) It will increase the need for manual data entry
130. A research study requires access to de-identified patient data from medical records. Which
of the following best describes the ethical considerations in this scenario? a. There are no ethical
concerns as long as the data is de-identified b. Patient consent is always required, even for de-
identified data c. The potential benefits of the research must be weighed against privacy
risks, even with de-identified data d. De-identified data should never be used for research
purposes

(There is unnumbered text and some potentially incomplete questions or notes on page 7,
including question 170.)

170. In the context of medical records, what does the 'A' in SOAP stand for: a) Action b) Advice
c) Assessment d) Analysis