Medical Assisting: EHR

Module 3: Arrange the steps of the medication reconciliation process in the correct order.

Compare the medications on the two lists - Step 3 Communicate the new list to appropriate caregivers and to the patient - Step 5 Make clinical decisions based on the comparison - Step 4 Develop a list of current medications- Step 1 Develop a list of medications to be prescribed - Step 2

Module 2: Which of the following are important considerations in an adult learning environment? Choose all that apply.

Select one or more: a. At the elbow support b. The background and culture of learners c. Differing schedules d. Knowledge of technology - Select All

Module 4: A computer can be infected by a virus by which of the following? Choose all that apply.

Select one or more: a. E-mail b. CD-ROM c. Web download d. Flash drive -Select all

Module 3: Which of the following should be done when setting up a patient portal to ensure it meets the needs of all patients? Choose all that apply.

Select one or more: a. Ensure the portal page loads quickly b. Offer the portal in multiple languages c. Ensure that the portal is easy to navigate d. Ensure that the portal is mobile friendly -Select All

Module 2: EHR training should be an ongoing process because of which of the following reasons? Choose all that apply.

Select one or more: a. Organizations are often changing EHR vendors b. Employees will change jobs -Correct c. Software is continually updating -Correct d. Employee turnover -Correct

Module 1: Which of the following are examples of problems that prevent the achievement of semantic interoperability? Select all that apply.

Select one or more: a. Words that are too general to convey a specific meaning b. Different words that have the same meaning c. Inconsistencies in the level at which things are described d. Same words that have different meanings - Select All

Module 1: Which organization was established as part of an effort to achieve recognition for the medical transcription profession?

Select one: a. AHDI -Correct b. AHIMA c. CMS d. NCQA

Module 4: Threats to the security of electrical information include which of the following?

Select one: a. Actions of individuals b. Environmental hazards c. Network problems d. All of the above -Correct

Module 2: Which of the following identify the three styles of learning?

Select one: a. Affective, cognitive, psychomotor b. Auditory, psychomotor, and visual c. Visual, affective, and cognitive d. Visual, auditory, and kinesthetic -Correct

Module 3: ________ is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions.

Select one: a. Alerts b. Medication reconciliation -Correct c. Reminders d. E-prescribing

Module 4: An ________ is a list that is associated with a file, directory or object that lists who has access to it and what access they have.

Select one: a. Authorization b. Authentication c. Access Control List -Correct d. Accessibility

Module 4: ______ is who or what is allowed access to a particular resource and what level of access they are allowed.

Select one: a. Authorization -Wrong b. Access Control c. Accessibility d. Authentication

Module 4: ________ provides proof that a certain action has taken place or that something/someone is what they claim to be.

Select one: a. Availability b. Confidentiality c. Integrity d. Nonrepudiation -Correct

Module 4: ____________ is making sure that only authorized individuals have access to information.

Select one: a. Availability b. Confidentiality -Correct c. Nonrepudiation d. Integrity

Module 5: Running a production report would give you information on which of the following?

Select one: a. Average Length of Stay b. Patient Experience c. Revenue -Correct d. Patient Occupancy

Module 1: Which organization was the first accrediting body for home and community-based healthcare organizations in the United States?

Select one: a. CHAP -Correct b. NCQA c. AAHAC d. AHIMA

Module 3: Reminders and alerts are two main forms of _______.

Select one: a. CPOE b. EHR c. CDSS-Correct d. POC

Module 3: Which of the following sections of the encounter form should you refer to for information on a patient's vital signs?

Select one: a. Chief complaint b. Orders c. Assessment d. Physical Examination-Correct

Module 4: __________ means that the data on a system is the same as the data from the original source. It has not been altered.

Select one: a. Confidentiality b. Nonrepudiation c. Availability d. Integrity -Correct

Module 2: Terminating a user account for an employee who no longer works at a health facility is an example of which of the following?

Select one: a. Configuration Management b. Software Maintenance c. Operation Maintenance -Correct

Module 1: What standard is used for the electronic exchange of laboratory results and clinical observations?

Select one: a. DICOM b. LOINC - Correct c. RxNorm d. SNOMED-CT

Module 2: Operating maintenance includes which of the following?

Select one: a. Disabling former employee accounts b. "Sanitizing" all equipment that once stored data before their disposal c. Archiving old data files d. All of the above -Correct

Module 5: Which of the following can be used to generate data to provide early detection and warnings for public health agencies?

Select one: a. Electronic case reporting b. Electronic lab reporting c. Immunization information systems d. Syndromic surveillance reporting -Correct

Module 3: Which of the following is a benefit of e-Prescribing?

Select one: a. Eliminates faxes, phone calls, and call-backs to pharmacies b. Increases patient convenience and compliance c. Suggests brand to generic substitutions d. All of the above -Correct

Module 4: _____ is the process that transforms an un-enciphered message into an enciphered message.

Select one: a. Encryption -Correct b. Ciphering c. Hashing d. Scrambling

Module 4: What is not an example of a biometric access control?

Select one: a. Fingerprint identification b. Facial scan c. Retinal scan d. Passcode -Correct

Module 1: Which of the following is NOT an example of a Content Standard?

Select one: a. HL7 b. DICOM c. XML d. ELINCS -Correct

Module 2: There has recently been a software update to the EHR system which will result in some changes in how certain information is to be entered. How should you ensure that staff are made aware of these changes?

Select one: a. Have all affected staff take a test b. Have one staff member inform the other members of the team c. Create an informative brochure and leave it in the staff room d. Have all affected staff attend a training session -Correct

Module 5: Which of the following should you use to generate data about patient immunization records?

Select one: a. Immunization information systems -Correct b. Electronic case reporting c. Syndromic surveillance reporting d. Public health registries

Module 5: As per meaningful use requirements, which of the following are now electronically communicated with public health authorities?

Select one: a. Immunizations b. Syndromic surveillance c. Reportable lab results d. All of the above -Correct

Module 3: Which definition is incorrect?

Select one: a. Integration is the process of connecting various subsystems into the larger system, ensuring that subsystems function together as a whole. b. Interface is a point of interaction between components. c. An interface engine routes data through a centralized location. d. Point-to-point interfacing involves connecting systems end to end, as if in a chain, so that each connects to no more than two others. -Correct

Module 1: Which organization accredits and certifies healthcare organizations and programs in the United States?

Select one: a. Joint Commission -Correct b. NCQA c. AHIMA d. CMS

Module 1: A HIO, does which of the following?

Select one: a. Makes relevant healthcare information available where and when it is needed b. Potentially reduces healthcare costs by eliminating the duplication of services c. Increases the quality of care d. All of the above - Correct

Module 3: Which statement is true of an interface engine?

Select one: a. More separate connectivity points than point-to-point b. More flexible and scalable than point-to-point c. Easier to install and maintain than point-to-point d. Both b and c - Correct

Module 3: It is beyond the scope of work for which of the following to document clinical information in a patient's medical record?

Select one: a. Nurse b. Provider c. Clinical Medical Assistant d. Administrative Medical Assistant -Correct

Module 2: Disabling remote file sharing and remote printing is an example of which of the following?

Select one: a. Operating Maintenance b. Configuration Management -Correct c. Software Maintenance

Module 5: Quality and safety issues can often be linked back to which of the following?

Select one: a. Poor documentation b. Inaccurate data c. Insufficient communication between providers d. All of the above -Correct

Module 4: In ___________ it is completely up to the owner of the object who has access to it and what access they have.

Select one: a. Privileges b. Discretionary Access Control -Correct c. Mandatory Access Control d. Role Based Access Control

Module 5: Certified EHR technology is a requirement for complying with which of the following categories?

Select one: a. Quality b. Improvement Activities c. Promoting Interoperability -Correct d. Cost

Module 5: Examples of Quality Improvement Projects include which of the following?

Select one: a. Redesigning the information flow in a laboratory b. Eliminating duplicate or unnecessary tests c. Reducing the time for patient intake d. All of the above -Correct

Module 1: Which of the following is an example of a vocabulary standard?

Select one: a. SNOMED-CT -Correct b. MCPDP c. XML d. NiCOM

Module 2: Which of the following is NOT an example of a piece of hardware?

Select one: a. Scanner b. Firewall - Correct c. Server d. Keyboard

Module 2: EHR technology is able to integrate with which of the following?

Select one: a. Tablet b. Camera c. Scanner d. All of the above - Correct

Module 5: Which of the following EHR elements is required in the Promoting Interoperability performance category?

Select one: a. Telehealth -Wrong b. e-Prescribing c. Electronic messaging -Wrong d. Data mining

Module 3: __________ charting or documentation, reduces or eliminates the time between the visit and documenting in the record which increases the likelihood that the documentation is accurate, detailed, and complete.

Select one: a. Template b. CPOE c. CDSS d. POC -Correct

Module 3: __________ minimize the time required for clinicians to order routine and guideline-driven tests and medications.

Select one: a. Templates b. Code sets c. POC d. Order sets -Correct

Module 3: The best way to enter structured data into the EHR system is to use which of the following?

Select one: a. Templates -Correct b. Voice recognition software c. Transcription d. Scanner

Module 3: Data entry templates help to ensure what?

Select one: a. That erroneous entries are avoided b. That data is entered accurately and consistently c. That critical information is not missed d. All of the above -Correct

Module 1: HIE can be best described as:

Select one: a. The act of sharing information b. The system which facilitates the exchange c. Both - Correct d. Neither

Module 3: Which of the following would generate a real-time alert message in the EHR system?

Select one: a. The clinical assistant entering a patient's vital signs in to the EHR b. The provider reviewing a patient's history c. A provider ordering a duplicate lab test -Correct d. None of the above

Module 2: Which of the following statements is TRUE about a provider-hosted EHR.

Select one: a. The system is accessed over a local area network -Correct b. The system is cloud-based c. Utilizes the ASP model d. The system is maintained by the EHR vendor

Module 5: Which of the following is true regarding CQMs?

Select one: a. They are typically expressed as a numerator and a denominator. b. They gauge and track the quality of health care services to help find areas that need improvement. c. They are built on evidenced-based, professional guidelines. d. All of the above -Correct

Module 2: When configuring EHR software, which of the following should you NOT do?

Select one: a. Uninstall any software applications that are not essential to running the practice b. Accept default standards -Correct c. Disable remote file sharing d. Disable remote printing

Module 3: You are training a provider on how to enter clinical data into the EHR system and they express their concern about missing relevant data elements. Which of the following should you advise them to do?

Select one: a. Use a progress note template-Correct b. Cut and paste the data to be entered c. Record their notes on paper and scan them into the system d. Dictate their notes to be entered later when they have more time

Module 5: Bonus points in the Quality category of MIPS can be earned by doing which of the following?

Select one: a. Using a certified EHR Technology b. Electronically calculating CQMs c. Submitting quality measure reports electronically d. All of the above -Correct e. None of the above

Module 3: As per CMS, how many days after a patient has been discharged from an inpatient setting, must the EHR chart be signed and dated by a provider?

Select one: a. Within 24 hours b. As soon as the patient is discharged c. Before the patient returns for a visit d. Within 30 days -Correct

Module 5: EHRs provide reporting efficiency and consistency by doing which of the following?

Select one: a. by electronically extracting and transmitting data captured during normal care and documentation b. by using structured, routine reports that are customized to support analysis and decision making related to recurring situations c. by simplifying the process of identifying population trends to avoid the need to physically count patients that fit into certain categories d. All of the above -Correct

Module 3: The e-Prescribing component of an EHR includes an alert function that notifies the prescribing healthcare provider of which of the following?

Select one: a. drug to drug interactions b. drug to food interactions c. patient allergies to medications d. all of the above -Correct

Module 3: CPOE has increased patient safety by ensuring that orders are _____________.

Select one: a. legible -Correct b. written c. current d. accurate

Module 5: The reporting functions of an electronic health record provide critical tools for improving which of the following?

Select one: a. quality of care b. patient safety c. efficiency d. All of the above -Correct

Module 3: Adverse events within the EHR system are usually detected by _________.

Select one: a. reminders b. staff c. the provider d. alerts-Correct

Module 1: Match the statement to the most applicable form of HIE.

The ability for providers to find and/or request information on a patient from other providers. Answer 1: Query-based Exchange The ability to send and receive secure information electronically between care providers to support coordinated care. Answer 2: Directed Exchange The ability for patients to aggregate and control the use of their health information among providers. Answer 3: Consumer Mediated Exchange

Module 1: HIE and interoperability are terms that are often used interchangeably.

True/False: False

Module 1: Structured data includes textual notes, such as clinical narratives and other types of documents.

True/False: False

Module 2: EHR software vendors are responsible for troubleshooting all performance issues.

True/False: False

Module 3: Scanning a document is one way to enter structured data into an EHR system.

True/False: False

Module 4: Anti-virus products do not require regular updates from the vendor.

True/False: False

Module 4: Contingency plans should be put in writing while an incident develops.

True/False: False

Module 4: It is common practice to permit network access to devices that are brought into the practice by visitors.

True/False: False

Module 5: EHRs only allow for clinical reporting.

True/False: False

Module 1: A RHIO is an HIO that provides services in a given region.

True/False: True

Module 1: A centralized EHR brings patient data together from all sources into a single physical record.

True/False: True

Module 1: Accepted universal standards for data entry, currently do not exist.

True/False: True

Module 1: Direct is an example of a transport standard.

True/False: True

Module 1: EHRs provide each user with their own user name and password which allows their activity to be tracked and monitored when they are using the system.

True/False: True

Module 1: Electronic Health Records are certified by the ONC.

True/False: True

Module 1: For a system to be considered interoperable, information must be not only exchanged, but also understood.

True/False: True

Module 1: HIE can only be achieved when data is standardized.

True/False: True

Module 1: Inappropriately citing the HIPAA Privacy Rule as a reason not to share information is an example of information blocking.

True/False: True

Module 1: Information blocking can be reported to the Department of Health and Human Services.

True/False: True

Module 1: It is standard practice for EHRs to utilize a security feature that will lock your access to the EHR after a certain number of minutes of inactivity.

True/False: True

Module 1: Privacy and Security Standards relate to authentication, access control, and transmission security.

True/False: True

Module 1: The HL7 standard allows for the seamless exchange of clinical and administrative data between various systems.

True/False: True

Module 1: The Merit Based Incentive Program (MIPS), requires healthcare facilities to use certified health IT.

True/False: True

Module 1: The NHIN is a network that allows information to flow from one place to another in a very secure and protected manner.

True/False: True

Module 1: The use of certified health IT products facilitates interoperability between systems that adhere to the same standards.

True/False: True

Module 1: To achieve health information interoperability, common standards need to be adopted and used by all parties.

True/False: True

Module 1: Using CEHRT, ensures that the software meets standards for basic functionality, interoperability, and security.

True/False: True

Module 2: A super user is a clinician or staff member who is given extra training so that they can help other people in the facility use the system.

True/False: True

Module 2: Backup data must be stored according to HIPAA regulatory requirements.

True/False: True

Module 2: Benchmarking is a process of evaluating metrics or best practices from other organizations.

True/False: True

Module 2: Computers and any other devices, such as copying machines, that have had data stored on them are "sanitized" before disposal.

True/False: True

Module 2: Mirrored backup systems are a form of server redundancy.

True/False: True

Module 2: Most software applications will require a periodic update to keep them secure and to add features.

True/False: True

Module 2: Smaller practices, typically utilize a hosted EHR solution.

True/False: True

Module 2: Software consists of computer programs and any of their accompanying data which tell the computer what to do and how to behave.

True/False: True

Module 2: The SaaS service model is when a vendor delivers an identical EHR platform to multiple customers simultaneously.

True/False: True

Module 2: Workflow is the sequence of physical and mental tasks performed by various people within and between work environments.

True/False: True

Module 3: A concern of CDSS is that they can cause "alert fatigue" among providers.

True/False: True

Module 3: An advantage of EHR systems is that patient data is collected at the point of care.

True/False: True

Module 3: Data entry templates are important tools in ensuring the quality and efficiency of data capture and collection.

True/False: True

Module 3: In the EHR, a medication list records information about the drugs a patient is currently receiving, or has received and their prescribed doses.

True/False: True

Module 3: Performing medication reconciliation at transitions of care is a Joint Commission National Patient Safety goal.

True/False: True

Module 3: Problem lists facilitate continuity of patient care by providing a comprehensive and accessible list of patient problems in one place.

True/False: True

Module 3: System integration is the combining of the various subsystems into one larger system and ensuring that the subsystems function together as a whole.

True/False: True

Module 3: Templates and populated drop-down menus for documenting care, help to reduce the number of incomplete patient records and allow for standardization.

True/False: True

Module 4: A firewall can take the form of a software product or a hardware device.

True/False: True

Module 4: A password is an example of authentication.

True/False: True

Module 4: Access controls and access logs can help to prevent or detect security data breaches.

True/False: True

Module 4: Applications such as instant messaging should not be installed onto the server of a medical practice.

True/False: True

Module 4: Large practices that use a local area network (LAN) should consider a hardware firewall.

True/False: True

Module 4: Mobile devices that cannot support encryption should not be used.

True/False: True

Module 4: Physical protection of a server that contains PHI should be focused on preventing unauthorized individuals from accessing the server.

True/False: True

Module 4: Proactive auditing can serve as a deterrent to unauthorized access of PHI.

True/False: True

Module 4: Risk analysis is an on-going process.

True/False: True

Module 4: Separation of duties is important to keep in mind when providing access to users.

True/False: True

Module 4: When a wireless router is used, it must be set up to operate only in encrypted mode.

True/False: True

Module 4: When setting up access, users should only be given the minimal amount they need to perform their job duties.

True/False: True

Module 5: A query in the EHR can be run to identify patient charts with missing elements.

True/False: True

Module 5: An example of syndromic surveillance would be reporting on every single admission and discharge for inpatient, emergency, and urgent care.

True/False: True

Module 5: CMS requires the use of updated eCQMs for all its quality programs.

True/False: True

Module 5: EHRs aid in the reporting process by electronically extracting and transmitting data captured during normal care and documentation.

True/False: True

Module 5: The Advanced Alternative Payment Model requires participants to use certified EHR technology.

True/False: True

Module 5: The Performing Interoperability performance category reflects how well clinicians use EHR technology.

True/False: True

Module 5: The majority of the data used to monitor public health originates from the delivery of clinical care.

True/False: True

Module 5: eCQMs that have been adopted for submission in CMS programs, are updated by CMS each year.

True/False: True