Which of the following is NOT a factor to consider when developing a record retention program?

A. legal requirements as determined by statute of limitations

B. record usage in the facility determined by health care provider activity

C. reimbursement guidelines

D. cost of space to maintain paper records

Answer: C

When implementing the electronic health record, what is the technical security standard that requires unique user identification, emergency access procedures, automatic log-off, and encryption and decryption of data?

A. audit control

B. person or entity authentication

C. transmission security

D. access control

Answer: D

Which of the following is a major management challenge in the storage and retention of electronic health record systems?

A. Following state and federal laws and accreditation requirements when developing retention and destruction policies.

B. Keeping technology updated in order to retrieve data.

C. Ensuring that health information can be retrieved in a timely manner.

D. All of the above are challenges.

Answer: D

A 16-year-old female delivers a stillborn infant in Mercy Hospital. The clinical documentation on the stillborn infant would

A. be filed in a health record created for the infant.

B. be filed in the mother's record.

C. be retained in a separate file in the administrative offices.

D. not be retained in hospital records.

Answer: B

University Hospital, a 900-bed tertiary health care organization, is undergoing an information systems development. What system would best meet its needs?

A. application service provider model

B. clinical workstation

C. IBM Medical Information Systems Program 

D. legacy system

Answer: A

The Director of the HIM Department is explaining incentives to physicians for entering their clinical documentation in the electronic health record. Which of the following would be the key advantage in using this type of data entry?

A. Enhanced databases will provide information for improved clinical care.

B. Training will be offered by the hospital.

C. Those physicians not in compliance will be denied admitting privileges.

D. Multiple users will not have access to the same information simultaneously.

Answer: A