CHTS-PW Exam Study Guide
interoperability
Ability of different information technology systems to communicate, exchange data and use information
What legislation was passed in 2009 that is considered to be a driver for increased use of information technology in health care?
American Recovery and Reinvestment Act
ICD9CM
An example of a system that groups similar or related diseases
Minute Clinic
An example of an "emerging site of care"
CPOE Computerized Physician Order Entry
Application that could be used by a nurse to order a consultation
The correct order of the OSI model layers, from top to bottom
Application, Presentation, Session, Transport, Network, Data Link, Physical.
Clinical informaticians could use information technology to _______.
Assess information needs of patients Refine clinical processes Customize order-entry systems
The type of Long Term Care organization that typically provides an apartment or room and includes personal care, meals and housekeeping is
Assisted Living Facility
The 4 core principles of medical ethics
Autonomy, beneficence, justice, non-maleficence
Which term means enlarged heart?
Cardiomegaly
Which of the following describes a decision by an organization choosing to go "best of breed"?
Chooses the best components from several vendors
HCPCS
Code set for identifying medical supplies and products
NDC
Code set for reporting retail pharmacy transactions
CPT
Coding system used in outpatient settings for reporting Physician services and procedures
The acronyms BA, BAA, and CE are most closely related to which healthcare issue?
Compliance with HIPAA rules
SNOMED
Comprehensive terminology used with electronic Health records to encode medical information
firewall
Computer systems that provide a security barrier to the EHR
eRx Electronic Prescribing
Computer technology that allows physicians and other providers to transmit prescriptions to pharmacists
You were once diagnosed with a sexually transmitted disease and do not want your physician to share the information with your employer. This is an example of
Confidentiality
metadata
Data about data
messaging standards
Data exchange standards that support the accurate sharing of data
E-prescribing
Defined in the meaningful use criteria as the ability to send an accurate and understandable prescription directly to a pharmacy
Which CPOE function is considered advanced functionality?
Drug-drug interaction checks
Which electronic record encapsulates a record of medical care provided in a single health care organization, i.e., intra-organizational?
Electronic Medical Record (EMR)
Which of the following is a supporting technology for health information management department systems?
Electronic document management system
EMR
Electronic health information within one organization
PMR, Personal Medical Record
Electronic health records controlled by the patient, allowing them to coordinate lifelong health information
Which of the following is an advantage of electronic health records compared to paper records?
Electronic records allow for fine-tuned control of access permissions, potentially putting patients in control of their health information.
CDS, Clinical Decision Support
Electronic triggers, alerts and suggested protocols for decision making
Because it is part of our day-to-day existence, our own cultural beliefs, values, and assumptions are most obvious to us.
FALSE
The traditional view of culture as a "closed, coherent system of meaning and action in which an individual always participates " still holds true today.
FALSE
IFR
Federal rules sent out for comments prior to finalizing
CCHIT
First group recognized by the federal government for certifying electronic health records
AHRQ
Funding agency supporting HIT
Which of the following is a patient monitoring application?
Glucometers
Which CMS program assesses patient satisfaction with hospital care?
HCAPHS
Which of the following security management system standards is specific to the health care sector?
HIPAA Security Rule
Which governmental effort related to electronic health records (EHRs) addresses the meaningful use of interoperable health information technology and qualified EHRs?
Health Information Technology for Economic and Clinical Health Act (HITECH)
A patient is admitted to the hospital for appendicitis and has an appendectomy. Which of the following would be used to report the diagnosis and procedure?
ICD9CM
The Domain Naming System maps a(n) ____ to a domain name.
IP Address
Resistance to change can be overcome by:
Identifying champions Alleviating fears Collaborating to solve problems
One of the projects shaping the future directions for clinical decision support systems is the meaningful use requirement that must be met to qualify for incentive payments. Which of the following is the requirement for Stage 1 meaningful use for eligible professionals?
Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule
What is NOT something typically found in a RFP?
Institution's financial statement
Which term means pertaining to between the atria?
Interatrial
HITECH
Legislation that established financial incentives to healthcare providers who demonstrate meaningful use of technology
ARRA
Legislation that provides guidance and support for implementation of electronic health records
HITECH
Legislation that supports Health IT
dataset
List of data elements with uniform definitions
Which of the following programming languages was developed specifically for healthcare applications?
MUMPS
A nurse practitioner typically requires what degree?
Master's Degree
SNOMED
Most comprehensive clinical terminology designed to capture clinical information in the EHR
NANDA
Nursing terminology for documenting nursing diagnoses
NIC
Nursing terminology for documenting therapies for the nursing diagnoses
Which of the following agencies is responsible for oversight of the HITECH initiatives to promote meaningful use of electronic health records?
ONC
REC, Regional Extension Center
Offers technical assistance, guidance, and information on best practices to support and accelerate meaningful use
AHIMA
Organization that began in 1928 and today is dedicated to improving the quality of healthcare data
CE, Covered Entity
Organization that must comply with HIPAA rules
HL7
Organization that works to establish technical standards for EHRs
Which of the following is an example of two-factor authentication?
Password you must change every 6 months and Smart card with RFID chip
A physician is reviewing digital images from a patient's CT scan at her home office. What systems need to be integrated for this to occur?
Picture Archiving and Communication System and Radiology Information System
All of the following are examples of HIT Systems used in an IP setting except:
Practice Management System (PMS)
Which is a reason for slow acceptance of the electronic health record (EHR) by the public?
Privacy concerns
medication reconciliation
Process of checking medication list at time of transfer
encryption
Process that makes data unintelligible
Medical Error
Providing a user with too much unfocused data can actually increase
"Meaningful Use" requirements with HIE implications include all the following except:
Report laboratory results to public health agencies
The five "rights" of medication administration are:
Right patient, right drug, right time, right dose, right route
HIPAA
Rule that protects the privacy of individually identifiable Health information
Identify the comprehensive controlled terminology that is published in numerous languages and used all over the world designed to capture information in the EHR.
SNOMED CT
terminology
Set of terms that represent a system of concepts
Which of the following organs is NOT part of the cardiovascular system
Spleen
DICOM
Standards that facilitate the exchange of images and diagnostic information
ANSI ASCX12
Standards that support the exchange of administrative data such as insurance clams
CPOE Computerized Physician Order Entry
System that allows provider to enter orders for laboratory tests or medications
People in the US pay more for healthcare services (e.g., hospital admissions, physician office visits) than any other Western country
TRUE
The NHIN is a network that allows information to flow from one place to another in a very secure and protected manner.
TRUE
An encryption algorithm is an example of what type of safeguard in the HIPAA Security Rule?
Technical
What is the biggest difference between Counselors, MSW's, Psychologist, and Psychiatrist
The Ability to prescribe medication
Empirium
The description of the physician's office environment
An electronic record of patient health information containing care received in all health facilities" is the definition of
an Electronic Health Record
Omission
is an error that occurs because an action is not taken.
Clinical decision support
is an example of an expert system used in healthcare
In order to promote the adoption of the EHR, a provision of the HITECH Act
provided incentives for organizations to use electronic health record systems in a meaningful way.
In the word therm/o/meter, -meter is a
suffix
Which is NOT a characteristic of the HITECH Act?
- HITECH Act initially rewards institutions for switching to EHRs. - Starting in 2015, HITECH imposes penalties for noncompliance.
Unintended consequences of technological change include
- Outcome measures may not be positive - Even though the technology may be good, the implementation may be flawed, and lead to adverse events - Changes in workflow may not improve overall system efficiency
Bed Management System
A dashboard approach to identifying available beds in a facility
Vanilla
A framework for an electronic system that could be customized by each organization
vocabulary
A list of words with their meanings
CDC, Center for Disease Control
A major public health agency
Which regulation will have highest precedence in enforcing the HIPAA Privacy Rule?
A state-level regulation is more stringent than the federal law
MRN
A unique identifier frequently assigned when a patient enters a hospital
In the recommended reading by Ash, Berg, & Coeira (2004) when a "U.K. hospital supplanted the telephoning of results by laboratory staff with installation of a results-reporting system in an emergency department and on the medical admissions ward, the results were devastating: ''The results from 1,443/3,228 (45%) of urgent requests from accident and emergency and 529/ 1836 (29%) from the admissions ward were never accessed via the ward terminal. . . . In up to 43/1,443 (3%) of the accident and emergency test results that were never looked at, the findings might have led to an immediate change in patient management." Why did this happen?
The designers of the system did not understand the normal workflow and did not sufficiently plan for the change that doctors had to retrieve their own results from the system
Observations
The history and physical taken by the physician
Diseases
The patient is diagnosed with pneumonia caused due to an organism called Streptococcus pneumoniae
Syndromes
The physician notes that the patient has a cough, fever, chills, and is bringing up productive expectoration when she coughs
ADT
The system where patient transfers and discharges are tracked
An Admission-Discharge-Transfer system would fall under which major category of an information system?
Transaction Processing System
Which medical terminology word part provides the general meaning of the word?
Word Root
Is any type of nurse allowed to prescribe medication?
Yes, a nurse practioner
