HIT 130 Final Exam - Vlab Assignments

Duplicates & overlays can lead to the following cost issues

- time for chart consolidation/correction - incorrect claims - duplicate diagnostic tests.

Drchrono

registering a patient

What criteria does drchrono use to create a warning that a duplicate patient may exist in the MPI

same SSN, same first and last name, same DOB

In a queue list, if the EC column shows the number 2, what does that indicate

the number of entities or patients associated with the task.

Information or demographics describe particular data for a patient (name, DOB, address, SSN) or object (company name, part number) are called

traits

When reviewing match weights, yellow highlighting indicates

a match is possible

When reviewing match weights, green highlighting indicates

a match is probable.

Clicking on the Last Name column heading -sorts the patient list by the patient's Last Name

and it toggles from ascending to descending order

Appt. profiles allow you to speed up the registration process by allowing you to create preset appt. data. Which of the following items can be preset on an appt. profile

appt. color to appear on schedule, duration of the visit, reason for visit, consent forms to be signed by patient.

Refer to the patient portal dashboard. Which of the following are displayed in the dashboard information

appts., health profile, doctors, billing.

Drchrono

authentication, sign, and lock

Drchrono quizzes

for my Vlab assignemnts (chrono)

Which of the following security concerns might you have with failed login attempts

fraud & abuse, unauthorized access, education & training needs

The Audit Log Report can be "filtered" or customized to include a specific patient name, user name, log type or date range. How does the user apply their preferences

entering the desired parameters and clicking "Update Filter"

As applied in this activity, what is an entity

Patient

Duplicate medical records

Patient is assigned to more than one medical record.

Which of the following is not one of the required order types for computerized physician entry (CPOE) in the meaningful use report

Physical therapy (Medication, lab, and radiology are required)

Still in the Live Claims Feed area, look to the second row of options near top of drchrono window. First, click the "down arrow" within the Billing status field. Uncheck "All Statuses" & check "Settled". Click in white area to close the box. Now click blue "Update Filter" on right of Live Claims Feed options.

Pick the option that best describes what you have just done: filtered drchrono so that only settled billing claims are displayed.

Same day appts. will be approved by the physician, nurse or secretary only

TRUE

Review that available data elements collected on the Surgery Pre-Op Preview Template. Which of the following may be collected with this template

blood type, screen in the last 72 hrs., UA findings, Hgb & HCT, Chem 7 Profile, EKG findings, CXR findings, Medical/Cardiology clearance

Can patients utilize their iPad or iPhone to access the patient portal

yes

In the patient portal application, is it possible to email your health summary to someone else

yes

Each Friday you review the patient list to check for missing data elements. You notice that the patients seen on Wednesday of that week all are flagged for valid insurance. What does this mean

you are missing data that is needed in order to bill the patient's insurance.

Duplicates & overlays can lead to the following safety issues

- injury - illness - duplicate diagnostic tests - allergic reaction - incorrect bloody type reactions

recommended solutions for duplicates & overlays

- patient smart cards - algorithms - biometrics

benefits of duplicate prevention

- reduced costs to maintain records - regulatory compliance - improved patient care - patient satisfaction - fraud detection

What type of data must be entered in the EHR for the Meaningful Use Core Objectives

Structured Data

What high level info. can you see directly on the Doctor Chrono Dashboard

- appointments - medical billing - messages - open appt. slots - usage.

Return to the Dashboard by hovering on "Schedule" in the upper left hand corner of your drchrono screen, then select "Dashboard." What type(s) of info. can you determine from the Dashboard

- Claims received - claims in process - claims requiring action.

Overlays

2 different records identified as same patient.

The CPOE Meaningful Use standards require for more than ______ percent to be created by the EP during the EHR reporting period

30%

How many total "Premium Text/Voice Messages" are allowed at the student (Education) usage level

400

By viewing the Message section of the dr. chrono Dashboard, you can readily see if there are any outstanding messages regarding lab result and referrals

True

Structured data is another term for what

Coded data

What information must be entered for the onpatient access to be enabled for patients

DOB, Cell phone number, SSN

Additional demographic info., such as SSN, DOB, sex and address can be found/edited under the

Demographics tab.

In drchrono, select "Audit Log" under the main term menu item "Clinical." You should see an audit report indicating the date, time, patient, user, type and action of a patient record. Which of the following is a file provided to the user in the audit log report

Details

Drchrono

EHR Dashboard

Navigating Drchrono

EHR schedule

After having selected a patient from the Patient List, certain demographic info. such as first name, last name, email and cell number can be found/edited under the _____ tab

Important

In reviewing the Patient List you see two patients with similar names and DOB. As you investigate these records, you verify that they are the same patient. What is you next step

Inactivate the patient record that you don't want anymore.

Go to the Meaningful Use page from HealthIT.gov to review the info. regarding the transition of the EHR incentive program. Select all of the following that apply

MIPS refer to Merit-based Incentive Payment System. It consolidates multiple programs into one program to improve quality care. Meaningful Use Medicare EHR incentive program is now part of MIPS. Physician Quality Reporting Program is NOT part of MIPS. Value Based Payment Modifier is now part of MIPS. MIPS was introduced via the Medicare Access and CHIP reauthorization act.

What is the title of the home screen (in ARGO)

My Queues

For it to be useful in the EHR environment, free-text requires the use of what software

Natural Language Processing

A new patient by the name of Robert Stafford calls the office and would like to schedule an appt., in the Schedule Appointment menu, which option would you choose to create his appt.

New Patient

A patient brings you a copy of the advance directive and wants you to include it in his or her record. You can scan and upload the .pdf file into drchrono

TRUE

What is the "default tab" on the Account Settings page

Profile Tab

Open slots on the provider schedule should be filled, rather than frozen or closed, to prevent additional appts. From being scheduled

TRUE

When a core requirement has not been met, how does drchrono alert the user to this finding

Red "Not Met" Alert in Result column

What is the appt. type made within 15 working days or 21 calendar days

Routine Care

During registration, what are some Common Duplicate Patient Triggers

Same SSN, same First and Last Name, and same DOB.

Overlay task sent to the queue when

Same identifier is used in 1 organization for 2 different people.

New patients can be added into drchrono primarily via which two Menu selections

Schedule, Patients

Trained staff will often perform which of the following schedule duties

Scheduling new and return appts., Medical record tracking, Rescheduling appts. from the Wait List, Mailing new patient letters, Reminder calls to patients, Follow-up or no-show appts., Rescheduling of bumped appts.

Which of the following data collection items is set to "On" within the template

Surgical/preoperative Note, Insert Patient Info, NPO after 12am.

When completing a patient merge task you need to carefully review which column, as it contains the demographics that will be retained after the merge

Surviving Traits

I confirm that my drchrono Student Account is set-up; the information has been entered under my Profile Tab and my General Tab; and that I have successfully loaded the sample data

True

What actions, in order, did you accomplish in Part 4 of the Navigating the drchrono EHR - Schedule activity

added new patient info., filled out appt. fields, fixed an alert by adding demographic info.

In this activity, to add a patient's appt. into our officed schedule, we _______

clicked a specific day/time within the Calendar to open the Appointment window.

Navigating Drchrono

clinical

After viewing a completed note, when a clinician selects Sign & lock and clicks OK, this means that the

clinician has prepared, completed, signed & locked the clinical note for the healthcare encounter.

Available calendar view in drchrono includes

daily, weekly, monthly, exam rooms, and doctor.

What type of info. is found in the insurance folder for drchrono

demographic and financial info.

You have a new provider in the group treating patients with drug and/or alcohol abuse. She would like you to create a convenient way to communicate with and/or meet with such patients. What tool in drchrono would you use to do this

patient group

Navigating drchrono

patients

Link task sent to the queue when

records from 2 locations may be for same person.

When would a link be appropriate

when the records are the same person, but different sources.

Merge task sent to the queue

when names & other demographic info. match

When reviewing match weights, what does red highlighting indicate

when a match is not probable.