1. RHIA Professional Review Guide Ch. 13 (Health Statistics and Research) & Ch. 14 (Quality Performance and Improvement) KALEY GALBREATH, BERKLEY MOSS, DEIDRE BELL, CARRIE GUINN, HANANE KANDOUSSI, KAILA WHITE, & LISA BROWN

2. Sandy Beach Hospital reports 1,652 discharges for September. This infection control report documents 21 nosocomial infections and 27 community-acquired infections for the same month. What is the community-acquired infection rate?  A. 1.3  B. 1.4 C. 1.6 D. 2.9

3. If there are 150,000 medical record and the Health Information Department receives 3,545 requests for medical records in a wee, what percentage of the records are requested weekly?  A. 2.4%  B. 3.5%  C. 4.6%  D. 5.1%

4. Pain Level: 1- None 2- Minimal 5- Severe 3- Moderate These data are best described as:  A. discrete  B. continuous  C. nominal  D. ordinal 4- Heavy

5. Organizations collect statistics to increase their knowledge of a specified population. The knowledge does not come automatically – it is developed in the following sequence:  A. data, facts, information, knowledge  B. data, information, facts, knowledge  C. facts, data, information, knowledge  D. facts, information, data, knowledge

6. 1 2 4 3 1Median What is wrong with this median? 3 2 4 2 8  A. nothing. It is correct  B. the numbers must be in sequential order before determining the median  C. you cannot determine the median on such a small number if data points  D. you cannot determine the median on an even number of data points

7. Which measure of central tendency would be most affected by Malloy’s extremely long LOS?  A. variance  B. median  C. mean  D. mode Patient LOS Ben1 Emma3 Bryan4 Mallory29 Taylor2 Matt3 Aiden2 Trevor4 Tyler 2

8. Pasadena Bay Hospital reports an average LOS in February of 3.7 days with a standard deviation of 20. This tells us that…  A. most patients had an LOS of 3-4 days  B. there was a small variation in LOS  C. patients at Pasadena Bay stay longer than average  D. there was a large variation in LOS

9. How many deliveries occurred?  A. 50  B. 57  C. 60  D. 67 Single Births Vaginal40 C-Section0 Twin Births Vaginal12 (6 sets) C-Section8 (4 sets) Intermediate Fetal Deaths Vaginal5 C-Section0 Late Fetal Deaths Vaginal2 C-Section0

10. The patient census at midnight is 67. 2 patients were admitted in the morning; 1 died two hours later, the other was transferred to another facility that same afternoon. The inpatient service days will be…  A. 65  B. 67  C. 68  D. 69

11. Bayside Hospital has 275 adult beds, 30 pediatric beds, and 40 bassinets. In a nonleap year, inpatient service days were 75,860 for adults, 7,100 for pediatrics, and 11,800 for newborns. What was the average daily census for the year?  A. 227  B. 208  C. 207  D. 259

12. A patient admitted January 24 and discharged February 9 has a length of stay of…  A. 16 days  B. 15 days  C. 17 days  D. 14 days

13. Royal Palm Hospital has 500 beds and 55 bassinets. In February of a nonleap year, they reported the following Inpatient Service Days adult and pediatric12,345 newborn553 Discharges adult and pediatric1,351 newborn77 Discharge Days adult and pediatric9,457 newborn231  C. 79.6%  D. 80.5% What was the percentage of occupancy for adults and pediatrics in February?  A. 84.8%  B. 88.2%

14.  A. 6.8 days  B. 7 days  C. 9 days  D. 9.1 days Royal Palm Hospital has 500 beds and 55 bassinets. In February of a nonleap year, they reported the following Inpatient Service Days adult and pediatric12,345 newborn553 Discharges adult and pediatric1,351 newborn77 Discharge Days adult and pediatric9,457 newborn231 What is average LOS in February?

15. Seacrest Hospital has 200 beds and 20 bassinets. There was a sudden spurt in the birth rate in the town in November. The hospital set up 5 additional bassinets for the entire month. Total bed count days for Seacrest in a nonleap year would be…  A. 73,000  B. 80,300  C. 80,450  D. 80,455

16. William was pronounced DOA. The hospital pathologist performed an autopsy on his body. This statistical event would be counted in the…  A. net death rate  B. gross death rate  C. net autopsy rate  D. hospital autopsy rate

17. The best form/graph for demonstrating trends over time would be…  A. frequency polygon  B. line graph  C. pie chart  D. histogram

18. The statistics for a 300 bed hospital for 1 year were 20,932 discharges with 136,651 discharge days and 3,699 consultations preformed. What was the consultation rate for the year?  A. 16.5%  B. 17.0%  C. 17.7%  D. 18.0%

19. A distribution is said to be positively skewed when the mean is…  A. bimodal  B. multimodal  C. shifted to the left  D. shifted to the right

20. A fetal death occurring during the 21 st week of pregnancy, weighing 1,000 g is considered to be a(n)  A. early fetal death  B. preterm neonate  C. intermediate fetal death  D. late fetal death

21. The ability to obtain the same results from different studies using different methodologies and different populations is  A. reliability  B. Validity  C. confidence  D. specificity

22. What process assists a health care facility in continuously looking at the ways that problems develop and seeking ways to prevent problems from happening in the future?  A. risk management  B. quality control  C. utilization management  D. performance improvement

23. The Recovery Audit Contractor (RAC) program was developed to identify and reduce improper payments for…  A. Medicaid claims  B. Medicare claims  C. both B and D  D. collections for over payments

24. Clinical privileges are granted to a physician for an interval specified in the medical staff bylaws, but no longer than…  A. 6 months  B. 1 year  C. 2 years  D. 3 years

25. The person or group that is overall responsible and accountable for maintaining the quality and safety of patient care is the…  A. Chief Nursing Officer (CNO)  B. Board of Directors (BOD) or governing body  C. Chief Executive Officer (CEO)  D. Quality Improvement Director

26. The improvement process of comparing the collection and coding of POA indicators at your facility with those of comparable departments of superior performance of other health care facilities is referred to as  A. focused review  B. benchmarking  C. peer review  D. occurrence screening

27. With the passage of Medicare (Title XVIII of the Social Security Act) in 1965, which of the following functions became mandatory?  A. quality improvement  B. risk management  C. quality assessment  D. utilization review

28. Which feature distinguishes Nominal Group Technique (NGT) from brainstorming?  A. NGT can be accomplished my mail  B. NGT uses a visual devise like a flipchart to keep track of responses  C. NGT draws responses from a large group of people  D. NGT determines the importance of responses through a rating system

29. The Utilization Review Coordinator reviews inpatient records at regular intervals to justify necessity and appropriateness of care to warrant further hospitalization. Which of the following utilization review activities is being preformed?  A. admission review  B. preadmission  C. retrospective review  D. continued stay review

30. What quality improvement (QI) tool uses criteria to weigh different alternatives? This display would assist in viewing all relevant information at the same time.  A. the PDSA method  B. a decision matrix  C. a flowchart  D. a customer satisfaction survey

31. Surgical case review includes all the following EXCEPT  A. determination of clinical justification based on clinical indication in cases where no tissue has been removed  B. cases with elements missing in the preoperative anesthesia consultation  C. cases where there is a significant discrepancy between preoperative, postoperative, and pathological diagnosis  D. Cases with serious surgical complication or surgical mortalities

32. In quality review activities, departments are directed to focus on clinical processes that are…  A. high volume  B. high risk  C. problem prone  D. all of the above

33. The HIM department frequently experiences a backlog in loose report files. A QI team is assembled to identify the outcome variables and the major or root causes. What visual QI tool is helpful to report the findings?  A. PDCA method  B. run chart  C. fishbone (cause and effect) diagram  D. scatter diagram

34. A histogram in a valuable tool for presenting…  A. the solution to a problem  B. priorities in problem solving  C. a frequency distribution with continuous-interval data  D. the root cause of a problem

35. Which quality management theorist focused on zero defects as the goal of performance improvement efforts?  A. Kaizen  B. Crosby  C. Peters  D. Deming

36. Which of the following processes is mandatory for health care facilities?  A. accreditation  B. certification  C. AHA registration  D. licensure

37. The type of indicator about the placement and number of fire extinguishers would be a(n)  A. process  B. outcome  C. structure  D. regulation

38. You are determining the sample size for a quality study. Which of the following factors should you consider first?  A. cost  B. personnel  C. size of the target population  D. confidentiality of the record

39. The primary advantage of concurrent quality data collection is that…  A. multiple chart reviews eliminate collector bias  B. chart completion issues can be remedied properly  C. practitioners receive immediate feedback about patient processes and outcomes  D. staffing is decreased

40. An accreditation agency counterpart to the JC for managed care organizations is the…  A. AHRQ  B. AHCPR  C. IOM  D. NCQA

41. Storyboards are a method used in health care that…  A. graphically display a performance improvement project continued  B. serve as a documentation format in patient records  C. serve as a teaching tool for customers and staff  D. both A and C