RHIT Organizational Management and Leadership 4 — Questions and Answers
Question 1: A HIM director delegates coding audit responsibilities to a lead coder. However, if audit errors occur and cause compliance issues, who retains ultimate accountability?
- The lead coder who performed the audits
- The HIM director who delegated the task (Correct answer)
- The compliance officer
- The CFO
Correct answer: The HIM director who delegated the task
While tasks can be delegated, accountability for outcomes remains with the manager who delegated the responsibility.
Question 2: A hospital is implementing a new EHR system. Which change management model recommends creating urgency, building a guiding coalition, and anchoring changes in the culture?
- Lewin's Three-Step Model
- Kotter's 8-Step Change Model (Correct answer)
- ADKAR Model
- Prosci Change Model
Correct answer: Kotter's 8-Step Change Model
Kotter's 8-Step Change Model includes steps such as creating urgency, forming a powerful coalition, and anchoring changes in organizational culture.
Question 3: A HIM manager is determining how many FTEs are needed to process 500 records per day if each employee can process 50 records per day. How many FTEs are required?
- 8 FTEs
- 10 FTEs (Correct answer)
- 12 FTEs
- 15 FTEs
Correct answer: 10 FTEs
Dividing 500 records per day by 50 records per FTE per day equals 10 FTEs needed to meet the workload.
Question 4: Which process involves systematically comparing an organization's HIM performance metrics against industry benchmarks or best practices from leading organizations?
- Benchmarking (Correct answer)
- Gap analysis
- SWOT analysis
- Root cause analysis
Correct answer: Benchmarking
Benchmarking compares an organization's performance against external standards or best practices from high-performing peers.
Question 5: A HIM department uses a capital budget to purchase a new chart scanning system for $80,000. What distinguishes a capital budget from an operational budget?
- Capital budgets cover salaries; operational budgets cover equipment
- Capital budgets are for major long-term assets; operational budgets cover day-to-day expenses (Correct answer)
- Capital budgets require board approval; operational budgets do not
- Capital budgets are set annually; operational budgets are set monthly
Correct answer: Capital budgets are for major long-term assets; operational budgets cover day-to-day expenses
Capital budgets fund major long-term investments like equipment or facilities, while operational budgets cover recurring day-to-day expenses like supplies and salaries.
Question 6: Which communication style involves clearly expressing one's own needs and rights while also respecting the needs and rights of others, making it ideal for managing workplace conflict?
- Passive communication
- Aggressive communication
- Assertive communication (Correct answer)
- Passive-aggressive communication
Correct answer: Assertive communication
Assertive communication is direct and honest while remaining respectful of others, making it the most effective style for resolving workplace conflicts.
Question 7: A new HIM manager inherits a team that has been working together for two years with established norms and high productivity. According to Tuckman's model, this team is likely in which stage?
- Forming
- Storming
- Norming
- Performing (Correct answer)
Correct answer: Performing
In Tuckman's model, the Performing stage is characterized by established norms, high cohesion, and peak productivity.
RHIT Organizational Management and Leadership 4
A HIM director delegates coding audit responsibilities to a lead coder.
However, if audit errors occur and cause compliance issues, who retains ultimate accountability?