Chapter 1

What distinguishes an EMR from an EHR?

An EMR is available only to one healthcare facility, while and EHR is available to multiple healthcare facilities

The abbreviations EHR and EMR can be interchangeably used because they represent the same type of electronic record True False

False

The acronym HCD refers to ___

Healthcare Delivery System

Sunrise Hospital has implemented a new EHR system and can now share patient information with family practitioners affiliated with the hospital. Now family practitioners can receive timely laboratory information form the hospital which helps them make better diagnostic and treatment decisions and monitor patient care. Based on this information, which level of interoperability is most likely achieved?

Level 3

What is the US federal body that recommends policies, procedures, protocols, and standards fro interoperability?

Office of the National Coordinator for Health Information Technology

Electronic health records (EHRs) are interactive and can share information among multiple healthcare providers True False

True

A ____ is a standardized method of communication between two computers

computer protocol

Which of the following is NOT true about. interoperability? a. with interoperability, it is possible to improve communication among healthcare providers, and thus improve patient care b. interoperability is designed specifically for healthcare c. healthcare organizations cannot exchange information without interoperability d. interoperability is what makes an EHR successful

interoperability is designed specifically for healthcare

After the implementation of the EHR, on call doctors at Grace Hospital were able to access patient information from home and provide the necessary instructions faster. This benefit illustrates A. improved documentation B. streamlined and rapid communication C. immediate access to patient information D. streamlined and rapid communication and immediate access to patient information

streamlined and rapid communication and immediate access to patient information

Interoperability is ______

the ability of one computer system to communicate with another system

Syntactic interoperability means the following: a. the meaning of data cannot be interpreted, there is a common data format between the two systems, the two systems have a common technical foundation b. the meaning of the data cannot be interpreted c. there is a common data format between the two systems d. the two systems have a common technical foundation

the meaning of data cannot be interpreted, there is a common format between the two systems, the two systems have a common technical foundation

The Office of the National Coordinator of Health Information (ONC) was created as a part of the Department of Health and Human Services (HHS) as a result of the American Recovery and Reinvestment Act of 2009 (ARRA). What is the role of the ONC?

to improve healthcare in the United States through better use of information technology and information

There are three stages of meaningful use. Stage 1 has already been implemented in many facilities and includes:

use of certified EHR for e-prescribing, to submit clinical quality measures, and for electronic exchange of information

Which of the following are standards in healthcare: a. DICOM b. LOINC c. IEEE d. DICOM, LOINC, and IEEE

DICOM, LOINC, and IEEE

The individual data sources that inform and populate the collected patient information of the global EHR are ____

EMRs

Consider this scenario: Dr. Smith is visiting a patient in her office. Prior to the visit, Dr. Smith is able to access the patient's prior history, notes, laboratory data, and allergies electronically. Then, she enters notes and a new medication prescription for the patient in the computer. Finally, Dr. Smith asks the patient to verify his preferred pharmacy and tells the patient that he does not need the prescription hard copy. The prescription is sent electronically to the pharmacy. What system is the physician practice using?

Electronic Health Record

What do an EMR and an EHR have in common?

Electronic data entry, storage, and access to patient's health information

Healthcare providers that did not implement and EHR system by 2014 were assessed fines by the US federal government True False

False

A healthcare facility is in the process of implementing a new electronic health record system. One of the goals is to achieve exchange of clinical and administrative data with two other hospitals owned by the same organization. What standard(s) should the EHR comply with to achieve that goal?

HL7

The most common communication protocol used in healthcare today is ____

Health Level Seven International

What is the most common communication protocol?

Health Level Seven International

What is an EHR that continues to develop over the lifelong course of care?

Longitudinal

_____ is a set of standards, services, and policies that makes it possible to securely exchange health information over the Internet

Nationwide Health Information Network

The ONC has funded the Nationwide Health Information (NwHIN) for the secure exchange of health information over the internet True False

True

The S&I Framework is a forum of healthcare providers and stakeholders True False

True

The higher the level of interoperability, the greater the capability for interoperation True False

True

The savings of implementing an EHR system will inevitably pay off the initial investment True False

True

The term meaningful use refers to ____

a set of standards for using EHRs defined by CMS

A longitudinal health record has the following characteristics: a. is not static, meaning that it changes over the course of patient care b. all of the answers are correct c. contains documentation from multiple healthcare providers and encounters d. stores patient information over a period of time, typically for as patient receives care

all of the answers are correct

The difference between and RHIT and an RHIA is ___

an RHIA completes a Bachelor's degree and an RHIT completes an Associate's degree

The difference between level 2 and level 3 interoperability is a. at level 2 interoperability the data format is common; at level 3 the data meaning is shared b. at level 2 there is semantic interoperability; at level 3 there is syntactic interoperability c. level 3 is a higher level of interoperability d. at level 2 interoperability the data format is common; at level 3 the data meaning is shared and level 3 is a higher level of interoperability

at level 2 interoperability the data format is common; at level 3 the data meaning is shared and level 3 is a higher level of interoperability

How can a provider be eligible for financial incentives upon adopting a new EHR system?

by implementing meaningful use of a certified EHR

One way the government encouraged implementation of EHRs sooner rather than later was ____

by reducing reimbursement rate gradually for physicians who had not adopted an EHR system starting in 2015

Growth of EHRs has created new opportunities for:

certified healthcare technology specialists, IT professionals, health information management professionals

The Levels of Conceptual Interoperability Model (LCM) do NOT include: a. definiton interoperabliity b. technical interoperability c. conceptual interoperability d. pragmatic interoperability

definition interoperability

All of the following are eligible providers for Medicaid EHR incentive program EXCEPT: a. dentists b. doctors of optometry c. doctors of osteopathy d. nurse practitioners

doctors of optometry

All of the following are eligible providers for Medicare EHR incentive program EXCEPT: a. family practitioner doctors b. doctors of psychiatry c. chiropractors d. doctors of podiatry

doctors of psychiatry

The ARRA and HITEC Act encouraged many IT vendors to start designing EHRs for various types of facilities, such as hospitals, physicians office, dentist, etc. While this was a positive trend, new issues were created relating to: a. great variability of EHRs but limited knowledge in selecting the right one b. minimal availability of competent staff to lead the transition from paper files c. lack of support in implementation d. great variability of EHRs but limited knowledge in selecting the right one, minimal availability of competent staff to lead the transition from paper files, and lack of support in implementation

great variability of EHRs but limited knowledge in selecting the right one, minimal availability of competent staff to lead the transition from paper files, and lack of support in implementation

All of the following are HIT Pro specialities EXCEPT: a. trainer b. workflow redesign specialist c. implementation manager d. health information technician

health information technician

Mike, a patient suffering from a blood coagulation disorder is on coumadin, In order to keep the condition under control, Mike has to do blood tests on a weekly basis. The doctor receives the results two-three days after the test, sort out the abnormal results, and then calls patients, such as Mike to adjust the dose of the medication accordingly. Upon the implementation of the EHR, lab results are incorporated in the patients' electronic records right away. They physicians' office receives an alert about the abnormal findings thus creating an opportunity for better monitoring of patient status and care. This is an illustration of: a. immediate access to patient information, streamlined communication, and improved documentation b. immediate access to patient information c. streamlined communication d. improved documentation

immediate access to patient information, streamlined communication, and improved documentation

The overall purpose of electronic health records is to a. improve patient outcomes b. improve quality of healthcare delivery c. improve access to health information across the world d. improve patient outcomes, improve quality of healthcare delivery, and improve access to health information across the world

improve patient outcomes, improve quality of healthcare delivery, and improve access to health information across the world

Which of the following are benefits of EHRs: a. improved access to patient information b. faster communication among providers c. improved documentation of care d. improved access to patient information, faster communication among providers, improved documentation care

improved access to patient information, faster communication among providers, improved documentation care

After the implementation of the EHR at Sunrise Hospital, Ms. Jones, RN is able to view physicians orders instantly and proceed with patient care as ordered. This is an example of an EHR benefit, specifically ______

improved speed of communication

Health care delivery systems implementing an EHR need to address privacy and security concerns by: a. providing unlimited access to the patient record b. installing secure firewalls c. implementing policies that establish access controls d. installing secure firewalls and implementing policies that establish access controls

installing firewalls and implementing policies that establish access controls

The HITECH Act of 2009 marks a significant achievement for healthcare because a. it established a National Health Information Technology Research Center b. it allocated billions of dollars for health information technology c. it provided incentives for physicians and hospitals to implement electronic health records d. it established a National Health Information Technology Research Center, it allocated billions of dollars for health information technology, it provided incentives for physicians and hospitals to implement electronic health records

it established a National Health Information Technology Research Center, it allocated billions of dollars for health information technology, it provided incentives for physicians and hospitals to implement electronic health records

Interoperability can occur at all levels except which level?

level 0

EHRs have multiple benefits but they also have challenges associated with them related to all BUT: a. hight costs b. significant change in daily operations c. limited availability of EHR software options d. privacy and security

limited availability of EHR software options

Which of the following statements regarding meaningful use is NOT true: a. meaningful use criteria are to be implemented in all facilities at the same time b. meaningful use criteria govern the use of EHR c. the purpose of meaningful use criteria is to enhance data capture and sharing, and improve health outcomes d. meaningful use criteria will be implemented in stages and area aligned with financial incentives

meaningful use criteria are to be implemented in all facilities at the same time

Semantic interoperability means all EXCEPT: a. syntactic interoperability has already been achieved b. the meaning of the data can be shared between the two systems c. the information shared can be interpreted d. patient outcomes from both systems can be compared

patient outcomes form both systems can be compared

The term electronic health records means the following: a. patient's health information can be shared among multiple healthcare providers b. patient's health information can be accessed electronically by the facility that generates it c. the medical information of a patient is stored in an electronic format d. patient's health information can be shared among multiple healthcare providers, patient's health information can be accessed electronically by the facility that generates it, the medical information of a patient is stored in an electronic health record

patient's health information can be shared among multiple healthcare providers, patient's health information can be accessed electronically by the facility that generates it, the medical information of a patient is stored in an electronic format

The term electronic medical record means the following: a. patient's health information is recorded electronically by multiple members of the care team b. patient's health information is found in a single electronic file that can be accessed within a health care facility c. patient's health information is available electronically d. patient's health information is recorded electronically by multiple members of the care team, found in a single electronic file that can be accessed within a health care facility, and is available electronically

patient's health information is recorded electronically by multiple members of the care team, found in a single electronic file that can be accessed within a health care facility, and is available electronically

Which of the following is NOT a provider benefit of the EHR? a. patients can be more informed on past procedures or allergies, thus helping physicians make more informed decisions b. documentation can be more complete c. patients can monitor their own health goals d. documentation can be more accurate

patients can monitor their own health goals

The challenges of EHRs present opportunities for health information professionals in many areas, especially ____

privacy, security, and training

Which of the following types of information are NOT included in the EHR? a. financial information b. security information c. support information d. clinical information

security information