Electronic Health Records test chapter 1

27. All of the following are eligible providers for Medicaid EHR incentive program EXCEPT: a. Nurse practitioners. b. Doctors of optometry. c. Dentists. d. Doctors of osteopathy.

b. Doctors of optometry.

26. All of the following are eligible providers for Medicare EHR incentive program EXCEPT: a. Family practitioner doctors. b. Doctors of podiatry. c. Doctors of psychiatry. d. Chiropractors.

c. Doctors of psychiatry.

9. Interoperability is: a. The ability to view an EMR from multiple computers. b. A computer's capability to capture patient information from multiple users. c. A characteristic of electronic medical records. d. The ability of a computer system to communicate with another computer system.

d. The ability of a computer system to communicate with another computer system.

42. All of the following are HIT Pro specialties EXCEPT: a. Health information technician. b. Trainer. c. Implementation manager. d. Workflow redesign specialist.

a. Health information technician.

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

a. Interoperability is designed specifically for healthcare.

10. Interoperability can occur at all levels EXCEPT the following level: a. Level 0 b. Level 1 c. Level 2 d. Level 3

a. Level 0

38. Which of the following is true about EHRs? a. The savings will inevitably pay off the initial investment b. Costs incurred can be recovered very quickly c. Productivity generally decreases following the implementation of an EHR d. While privacy and security are beneficial to a successful EHR system, they rarely present concerns during implementation

a. The savings will inevitably pay off the initial investment

22. The Office of the National Coordinator for Health Information Technology (ONC )was created as 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 ONC? a. To improve healthcare in the United States through better use of information technology and information. b. To improve healthcare in the United States through better oncology care. c. To implement electronic health records in all facilities. d. To improve healthcare quality and reduce costs.

a. To improve healthcare in the United States through better use of information technology and information.

29. The term "meaningful use" refers to: a. Using the EHR in a way that is meaningful for the healthcare facility. b. A set of standards for using EHRs, defined by CMS. c. A set of standards for using EHRs, defined by HL7. d. Using the EHR at level 2 of interoperability.

b. A set of standards for using EHRs, defined by CMS.

3. Which of the following statements best distinguishes an EMR from an EHR? a. An EMR stores patient information electronically, while an EHR enables access to the patient's information electronically. b. An EMR is available only to one healthcare facility, while an EHR is available to multiple healthcare facilities. c. An EHR has the capability to store more patient information than an EMR. d. An EHR is more secure than an EMR.

b. An EMR is available only to one healthcare facility, while an EHR is available to multiple healthcare facilities.

17. The Levels of Conceptual Interoperability Model (LCIM) do NOT include: a. Pragmatic interoperability. b. Definition interoperability. c. Technical interoperability. d. Conceptual interoperability.

b. Definition interoperability.

19. the most common communication protocol used in healthcare today is: a. Consolidated Health Informatics (CHI). b. Health Level Seven International (HL7). c. Digital Imaging and Communication in Medicine (DICOM). d. Logical Observation Identifiers Names and Codes (LOINC).

b. Health Level Seven International (HL7).

6. The acronym HCD refers to: a. Health Care Data b. Healthcare Delivery System c. Healthcare Computerized Data d. None of the answers are correct

b. Healthcare Delivery System

43. The difference between an RHIT and an RHIA is: a. An RHIT is a specialist in the technical aspects of the system and an RHIA is a specialist in the administrative aspects of the system. b. An RHIT completes a Bachelor's Degree, and an RHIA completes an Associate's Degree. c. An RHIA completes a Bachelor's Degree and an RHIT completes an Associate's Degree. d. An RHIA is certified by HIMSS and an RHIT is certified by AHIMA.

c. An RHIA completes a Bachelor's Degree and an RHIT completes an Associate's Degree.

25. How can a provider be eligible for financial incentives upon adopting a new EHR system? a. By showing proof of EHR implementation. b. By adopting a certified EHR. c. By implementing "meaningful use" of a certified EHR. d. By implementing a reporting system from the EHR directly to Medicare.

c. By implementing "meaningful use" of a certified EHR.

28. one way the government encouraged implementation of EHRs sooner rather than later was: a. By providing 78.4 million dollars in incentives. b. By providing financial incentives under the HIT Research Center (HITRC). c. By reducing reimbursement rate gradually for physicians who had not adopted an EHR, starting in 2015. d. By standardizing EHR software systems.

c. By reducing reimbursement rate gradually for physicians who had not adopted an EHR, starting in 2015.

5. 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 pHealth Care Datahysician practice using? a. Electronic Medical Record b. Electronic Mail c. Electronic Health Record d. Computerized Health Record

c. Electronic Health Record

4. Which of the following do an EMR and an EHR have in common? a. Electronic sharing of information among all patient's healthcare providers b. Electronic sharing of the information with the patient. c. Electronic data entry, storage, and access to patient's health information. d. None of the above.

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

33. After the implementation of the EHR at Sunrise Hospital, Ms. Jones, RN is able to view physician's orders instantly and proceed with the patient care as ordered. This is an example of an EHR benefit, specifically _________. a. Improved documentation b. Improved coordination c. Improved speed of communication d. Improved interoperability

c. Improved speed of communication

13. Sunrise Hospital has implemented a new EHR system and can now share patient information with the family practitioners affiliated with the hospital. Now family practitioners can receive timely laboratory information from 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? a. Level 1 b. Level 2 c. Level 3 d. Level 4

c. Level 3

37. EHRs have multiple benefits but they also have challenges associated with them related to all BUT: a. High costs. b. Privacy and security. c. Limited availability of EHR software options. d. Significant change in daily operations.

c. Limited availability of EHR software options.

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

c. Meaningful use criteria are to be implemented in all facilities at the same time.

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

c. Patient outcomes from both systems can be compared.

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

c. Patients can monitor their own health goals

8. Which of the following types of information are NOT included in the EHR? a. Clinical information b. Support information c. Security information d. Financial information

c. Security information

11. Which of the following is true about the levels of interoperability? a. The higher the level, the bigger the communication infrastructure. b. The higher the level, the greater the amount of data transmitted. c. The higher the level, the greater the capability for interoperation. d. The level does not matter, as long as the data format is standard.

c. The higher the level, the greater the capability for interoperation.

30. There are three stages of meaningful use. Stage 1 has already been implemented in many facilities and includes all EXCEPT: a. Use of certified EHR for e-prescribing. b. Use of certified EHR for electronic exchange of information. c. Use of certified EHR for improving health outcomes. d. Use of certified EHR to submit clinical quality measures.

c. Use of certified EHR for improving health outcomes.

18. A computer protocol is: a. A standardized technical program. b. A protocol that computers need to follow when transmitting information. c. A protocol specified by the healthcare facility regarding computer use. d. A standardized method of communication between two computers.

d. A standardized method of communication between two computers.

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

d. All of the above

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

d. All of the above

14. Syntactic interoperability means the following: a. There is a common data format between the two systems. b. The two systems have a common technical foundation. c. The meaning of the data cannot be interpreted. d. All of the answers are correct

d. All of the answers are correct

20. Which of the following are standards used in healthcare: a. LOINC b. DICOM c. IEEE d. All of the answers are correct

d. All of the answers are correct

24. The HITECH Act of 2009 marks a significant achievement for healthcare because: a. It allocated billions of dollars for health information technology. b. It provided incentives for physicians and hospitals to implement electronic health records. c. It established a National Health Information Technology Research Center. d. All of the answers are correct

d. All of the answers are correct

32. 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. All of the answers are correct

d. All of the answers are correct

35. 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, sorts 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. The 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. Improved documentation. b. Streamlined communication. c. Immediate access to patient information. d. All of the answers are correct

d. All of the answers are correct

40. The ARRA and HITECH Act encouraged many IT vendors to start designing EHRs for various types of facilities, such as hospitals, physicians' offices, dentists, 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. All of the answers are correct

d. All of the answers are correct

41. Growth of EHRs has created new opportunities for: a. Health information management professionals. b. Certified healthcare technology specialists. c. IT professionals. d. All of the answers are correct

d. All of the answers are correct

45. The overall purpose of electronic health records is to: a. Improve patient outcomes. c. Improve access to health information across the world. b. Improve quality of healthcare delivery. d. All of the answers are correct

d. All of the answers are correct

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

d. All of the answers are correct

44. The challenges of EHRs present opportunities for health information professionals in many areas, especially: a. Privacy and security. b. Training. c. Cost reduction. d. Both A and B

d. Both A and B

12. 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. Both A and C are correct

d. Both A and C are correct

34. 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. Both, B and C

d. Both, B and C

39. 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. Doing both, B and C

d. Doing both, B and C

21. 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? a. IEEE b. LOINC, DICOM c. DICOM d. HL7

d. HL7

23. ______________ is a set of standards, services, and policies that makes it possible to securely exchange health information over the Internet. a. Office of the National Coordinator for Health Information Technology (ONC) b. Institute of Electrical and Electronics Engineers 1073 (IEEE 1073) c. American Recovery and Reinvestment Act (ARRA) d. Nationwide Health Information Network (NwHIN)

d. Nationwide Health Information Network (NwHIN)