RN 502 EXAM 2
7. What are the key tenants of the Triple Aim for Health Care? (Select all that apply.) a. Better care for individuals b. Better health for populations c. Better working conditions for nurses d. Reduction of per capita costs
a. Better care for individuals b. Better health for populations d. Reduction of per capita costs
7. Which social and political challenges impact public health informatics? (Select all that apply.) a. The limits of federal authority b. The evolution of public health primarily as state and local functions c. The lack of resources to implement health IT d. The presence of standards to implement health IT e. The lack of network infrastructure
a. The limits of federal authority b. The evolution of public health primarily as state and local functions
9. Which statement is true of PHRs? a. They have been used in paper form for many years, and electronic versions offer the same functionality. b. They were a new idea when proposed in the 1990s and are a now a well-established technology. c. Approximately 35% of the US population currently has one. d. They have been used in paper form for many years, but electronic versions offer new functionality.
d. They have been used in paper form for many years, but electronic versions offer new functionality.
6. The culture of the patient-clinician partnership always includes a. requirements found in the Patient Protection and Affordable Care Act. b. guided discovery. c. involvement of technology specialists and social media activists. d. ePatients and clinicians working in collaboration toward shared goals.
d. ePatients and clinicians working in collaboration toward shared goals.
7. Open shift management a. refers to a theory of peer-based leadership in which no single person is in charge. b. forecasts openings in the schedule using predictive models. c. refers to a form of scheduling expediency in which staff qualifications are not considered when making scheduling assignments. d. is a form of web-based self-scheduling.
d. is a form of web-based self-scheduling.
5. The maxim "Doctors know best" a. is one of the tenets of participatory medicine. b. is a hallmark of integrated care. c. is the tagline for Health 2.0 websites such as WebMD. d. is the paradigm for a paternalistic care model.
d. is the paradigm for a paternalistic care model.
8. The goal of __________________ has been to increase the transparency of medical documentation, by touting the benefits of such transparency. a. HIPAA b. the Hospital Consumer Assessment of Healthcare Providers and Systems c. the Society for Participatory Medicine d. the OpenNotes Project
d. the OpenNotes Project
5. Healthcare providers should friend patients only if a. they have been their patients for at least 5 years. b. the patients ask them to be a friend. c. the patients have a chronic disease. d. they understand their social media policy at work.
d. they understand their social media policy at work.
6. Which tools are examples of CDS? (Select all that apply.) a. An order set b. A reminder c. A phone call d. An infobutton e. An expert system
a. An order set b. A reminder d. An infobutton e. An expert system
1. What are the main types of PHRs? a. Tethered, untethered, stand-alone, and networked b. Integrated, tethered, untethered, and stand-apart c. Tethered, de-tethered, stand-apart, and stand-together d. USB-based, web-based, and patient portals
a. Tethered, untethered, stand-alone, and networked
4. Which would be considered a niche application? a. Computerized provider order entry (CPOE) b. Laboratory information system (LIS) c. Clinical decision support system (CDSS) d. Surgical information system (SIS)
d. Surgical information system (SIS)
2. What are the two overarching types of telehealth technologies? a. Live and real time b. Web-based and synchronous c. Asynchronous and videoconferencing d. Synchronous and asynchronous
d. Synchronous and asynchronous
8. Blueprint Version 2.0 updates public health surveillance activities for the 21st century. Which methods exemplify these activities? (Select all that apply.) a. Analysis of population data to describe disease characteristics and risk factors b. Analysis of electronic health record data c. Biomonitoring and environmental monitoring d. Analysis of individual data to describe disease characteristics and risk factors e. Birth and death certificate reporting to states
a. Analysis of population data to describe disease characteristics and risk factors b. Analysis of electronic health record data c. Biomonitoring and environmental monitoring d. Analysis of individual data to describe disease characteristics and risk factors
6. The first use of telehealth was documented in a. 1897. b. 1935. c. 1999. d. 2002.
a. 1897.
9. The eight-stage EMR model requires which of the following to have been implemented by the end of Stage 3? (Select all that apply.) a. A basic CDS system b. A PACS available outside Radiology c. Closed-loop medication administration d. A full radiology-picture archiving and communication system e. Major ancillary systems including Laboratory, Radiology, and Pharmacy
a. A basic CDS system b. A PACS available outside Radiology e. Major ancillary systems including Laboratory, Radiology, and Pharmacy
10. Immunization information systems are used to record at least some of the immunizations for about 75% of children in the United States. Which benefits are provided by the use of these systems? (Select all that apply.) a. A high return on investment b. The ability to provide consolidated immunization histories to avoid over- or under-vaccinating c. The ability to improve vaccination rates by integrating data across the country d. Integration across nations e. Cutting by 50% the updating of vaccine schedules
a. A high return on investment b. The ability to provide consolidated immunization histories to avoid over- or under-vaccinating c. The ability to improve vaccination rates by integrating data across the country
6. Which statement is true regarding the continuity of care record (CCR)? a. By describing the exact format of the information to be exchanged, it allows for syntactically interoperable records. b. It is an HTML-based extract of the health record that automatically encrypts and decrypts data that is sent and received using WPA2. c. It is a tab-delimited extract of the health record that can be viewed on simple spreadsheet software. d. It was the first effort, in 1989, by a set of healthcare facilities in the United States to create a digital language in order to share medical records and histories.
a. By describing the exact format of the information to be exchanged, it allows for syntactically interoperable records.
11. The general attitude of consumers toward health information technology is positive. Which items are perceived EHR benefits for the consumer? (Select all that apply.) a. Collaborative interaction between patients and providers b. Security and privacy of personal information c. Timely access to personal health information d. Online access to educational materials e. Customized care through reminders
a. Collaborative interaction between patients and providers c. Timely access to personal health information d. Online access to educational materials e. Customized care through reminders
8. Which issues are considered impediments to a fully functional electronic health record (EHR) system? (Select all that apply.) a. Cost b. Standardization c. Care coordination d. Organizational culture e. Privacy and confidentiality f. Education
a. Cost b. Standardization d. Organizational culture e. Privacy and confidentiality
10. What are the advantages of telehealth for patients? (Select all that apply.) a. Decreased travel time or distance and removal of travel barriers b. Ease of reimbursement for costs c. Immediate access to care d. Early detection of disease processes or health issues e. Ownership of healthcare and feelings of empowerment
a. Decreased travel time or distance and removal of travel barriers c. Immediate access to care d. Early detection of disease processes or health issues e. Ownership of healthcare and feelings of empowerment
13. What are the advantages of telehealth for patients? (Select all that apply.) a. Decreased travel time or distance and removal of travel barriers b. Ease of reimbursement for costs c. Immediate access to care d. Early detection of disease processes or health issues e. Ownership of healthcare and feelings of empowerment
a. Decreased travel time or distance and removal of travel barriers c. Immediate access to care d. Early detection of disease processes or health issues e. Ownership of healthcare and feelings of empowerment
2. What are the two important purposes of the OASIS dataset? a. Determine payment and measure quality and outcomes b. Determine payment and standardize data c. Determine the time of visits and measure quality and outcomes d. Determine efficiency and measure quality and outcomes
a. Determine payment and measure quality and outcomes
10. What are the core values of nurses who work in home health and community-based systems? (Select all that apply.) a. Embrace interprofessional collaboration b. Involve patients and families in care and decision making c. Schedule home visits and travel to begin and end each work day on time d. Provide patient-centered care
a. Embrace interprofessional collaboration b. Involve patients and families in care and decision making d. Provide patient-centered care
4. The emergence of social media such as Facebook, Twitter, and Instagram marked the turn toward a. Health 2.0. b. Health 3.0. c. Web 3.0. d. Medicine 2.0.
a. Health 2.0.
10. The university hospital is getting ready to implement computerized provider order entry and some decision support capabilities to include drug-drug and drug-allergy alerts. Which actions should the implementation team take to increase user acceptance of the system? (Select all that apply.) a. Involve users early in the design, testing, and implementation of the system b. Conduct a quantitative research study to provide deeper insight into CPOE issues c. Design the new system to support communication and workflow d. Educate clinicians on how to use the system features e. Plan for continuous safety monitoring
a. Involve users early in the design, testing, and implementation of the system c. Design the new system to support communication and workflow d. Educate clinicians on how to use the system features e. Plan for continuous safety monitoring
5. Which of the following tools will the standardized hospice dataset probably contain? (Select all that apply.) a. National Data Set for Hospice b. Family Evaluations of Care c. Survey of Team Attitudes and Relationships d. Survey of Missed Nursing Care
a. National Data Set for Hospice b. Family Evaluations of Care c. Survey of Team Attitudes and Relationships
10. Which of the following practices are included in the CDS Five Rights? (Select all that apply.) a. Providing the right information b. Providing to the right person c. Providing at the right point in the workflow d. Providing the right reference information e. Using the right intervention format
a. Providing the right information b. Providing to the right person c. Providing at the right point in the workflow e. Using the right intervention format
2. Public health differs from clinical practice in important ways. Which statement reflects the differences? a. Public health is focused on the prevention and health of populations before they are ill. b. Public health is focused on one individual at a time to ensure the best possible outcome. c. The health of a community is measured by the use of sophisticated technologies like MRIs. outcome.
a. Public health is focused on the prevention and health of populations before they are ill.
8. When using the online billing and payment tool, which functions directly benefit the patient? (Select all that apply.) a. Self-management of open accounts b. Ability to pay outstanding balances c. Gives providers a dashboard to view critical clinical and financial information d. Secure communication on a 24/7 basis with the business office e. Ability to update address or demographic changes f. Automate the provider's day as much as possible
a. Self-management of open accounts b. Ability to pay outstanding balances d. Secure communication on a 24/7 basis with the business office e. Ability to update address or demographic changes
7. As EHR adoption expands to include data from multiple healthcare entities, more opportunities for error exist. Which process can affect data integrity? a. System failure b. Data analysis c. Data downloading d. Data mining
a. System failure
8. What are the primary goals for using EHRs in home health and related community-based systems? (Select all that apply.) a. To provide an effective and efficient method for tracking cost and related billing b. To capture clinicians' documentation that supported interaction with patients at the point-of-care c. To support clinical decision making and quality of care by presenting best practices and evidence-based practice options d. To improve communication e. To teach patients how to use technology
a. To provide an effective and efficient method for tracking cost and related billing b. To capture clinicians' documentation that supported interaction with patients at the point-of-care c. To support clinical decision making and quality of care by presenting best practices and evidence-based practice options d. To improve communication
11. Why is it important for software used by nurses who work for home health and related community-based systems to be based on a standardized terminology? (Select all that apply.) a. To support evidence-based practice b. To generate reports needed to monitor care, improve the quality of services, and track costs c. To improve patient understanding of their medical records d. To improve communication among care providers at multiple locations e. To describe and quantify practice for clinicians, managers, administrators, and third-party reviewers
a. To support evidence-based practice b. To generate reports needed to monitor care, improve the quality of services, and track costs d. To improve communication among care providers at multiple locations e. To describe and quantify practice for clinicians, managers, administrators, and third-party reviewers
12. eHealth literacy for consumers includes which elements? (Select all that apply.) a. Visual literacy b. Computer literacy c. Financial literacy d. Business modeling literacy e. Information literacy f. Digital literacy
a. Visual literacy b. Computer literacy e. Information literacy f. Digital literacy
9. eHealth literacy for consumers includes which elements? (Select all that apply.) a. Visual literacy b. Computer literacy c. Financial literacy d. Business modeling literacy e. Information literacy f. Digital literacy
a. Visual literacy b. Computer literacy e. Information literacy f. Digital literacy
1. A financial information system (FIS) includes a. accounts receivable management, accounts payable management, and fiscal reporting management. b. clinical systems management, accounts receivable management, and fiscal reporting management. c. accounts payable management, accounts receivable management, and clinical systems management. d. fiscal reporting management, accounts payable management, and clinical systems management.
a. accounts receivable management, accounts payable management, and fiscal reporting management.
3. You are asked to justify the creation of the first public health informatics (PHI) program in your jurisdiction by emphasizing its actual benefits. One such benefit is that a. current PHI can enhance public health surveillance such as identifying clusters of diseases. b. privacy and security issues are avoided because public health informatics data are de- identified at the community level. c. interoperability already exists for public health IT. d. standards already exist for PHI.
a. current PHI can enhance public health surveillance such as identifying clusters of diseases.
7. One trend that is influencing healthcare reform is a. disruptive technology. b. Hospital Consumer Assessment of Healthcare Providers and Systems. c. Veterans Health Information System and Technology Architecture Implementation. d. Everett Rogers's theory of diffusion of innovation.
a. disruptive technology.
5. The migration of informatics and telehealth toward uHealth means a. ecosystems of interoperable technologies and services organized to meet global patients' needs in a ubiquitous manner. b. an approach toward underground installation of fiber optics and cable networks organized to meet global patients' needs in a ubiquitous manner. c. conversion to a consumer-driven global healthcare model with localized implementation. d. a sharp reduction in university programs for training healthcare providers to meet global patients' needs.
a. ecosystems of interoperable technologies and services organized to meet global patients' needs in a ubiquitous manner.
9. Informatics opportunities for reportable conditions include (Select all that apply.) a. enabling the use of computable logic to define where and how reports should be sent. b. automation of patient education from electronic health records. c. automation of information extraction from electronic health records. d. improving standardization of message structure and content for reporting. e. creating public health information systems to receive case reports.
a. enabling the use of computable logic to define where and how reports should be sent. c. automation of information extraction from electronic health records. d. improving standardization of message structure and content for reporting. e. creating public health information systems to receive case reports.
9. The Omaha System consists of components that capture (Select all that apply.) a. evaluation data. b. cost data. c. assessment data. d. service delivery/activity data.
a. evaluation data. c. assessment data. d. service delivery/activity data
10. Social media policies should contain (Select all that apply.) a. guidance on acceptable behavior. b. methods for handling unacceptable behavior. c. a prohibition on using social media within the office environment. d. penalties for misuse. e. a statement to promote ethical behavior.
a. guidance on acceptable behavior. b. methods for handling unacceptable behavior. e. a statement to promote ethical behavior.
10. Supply charge capture is a process that (Select all that apply.) a. helps make sure patients are charged for supplies used in the patient's care. b. helps to manage and inventory supplies. c. accounts for pharmaceutical supplies based on federal requirements. d. closely links the supply chain to the revenue management system. e. makes use of point-of-use technology to capture charges when supplies are used.
a. helps make sure patients are charged for supplies used in the patient's care. d. closely links the supply chain to the revenue management system. e. makes use of point-of-use technology to capture charges when supplies are used.
2. Financial reporting is a vital part of decision making in healthcare organizations. Which report would be used to show a snapshot of the bottom line? a. Balance sheet or statement of financial position b. Cash flow statements c. Assets, liabilities, and equity d. Income statement or statement of operations
d. Income statement or statement of operations
10. The Health Information Portability and Accountability Act (HIPAA) requires that (Select all that apply.) a. individuals be granted access to their healthcare records upon request. b. healthcare providers keep an audit trail of access to an individual's record. c. Congress update the privacy and security measures required for health records annually. d. healthcare providers must be able to electronically exchange health records by 2016. e. healthcare providers must be able to electronically exchange lab data by 2016.
a. individuals be granted access to their healthcare records upon request. b. healthcare providers keep an audit trail of access to an individual's record.
3. Return on investment (ROI) in financial information systems (FISs) is challenging because a. patient accounting is considered an intangible asset. b. FIS systems are very complex. c. FISs often lose money due to complexity. d. staff requires substantial training, which is very costly.
a. patient accounting is considered an intangible asset.
1. An ePatient is best described as one who a. seeks health information from various sources and uses the information for decision making with health providers. b. manages health decisions, uses the internet, and uses biosensors. c. collaborates with the health provider, has a chronic illness, and writes blogs. d. makes all decisions, prepares for doctor visits, and gathers data points.
a. seeks health information from various sources and uses the information for decision making with health providers.
8. Social media tools include (Select all that apply.) a. social networks and microblogging. b. wikis and blogs. c. desktop computers. d. video and picture sharing.
a. social networks and microblogging. b. wikis and blogs. d. video and picture sharing.
9. The supply chain in healthcare includes (Select all that apply.) a. transportation of supplies. b. storage of supplies. c. management of supplies. d. prediction of supplies used. e. marketing of new pharmaceuticals or procedures.
a. transportation of supplies. b. storage of supplies. c. management of supplies.
4. The most commonly used functions of personal health records are a. viewing test results and medication refills. b. reading patient education materials and renewing medication prescriptions. c. entering data (such as self-measured glucose and blood pressure) and medical condition review. d. online appointment scheduling and reading clinical notes.
a. viewing test results and medication refills.
3. When did formalized home health and community-based systems originate in the United States? a. 1776 b. 1800s c. 1965 d. 2001
b. 1800s
9. What defines the "Google generation"? a. A person who was born after about 1989 b. A person who desires immediate access to information and is internet savvy c. A person who uses simplified search engines rather than site-specific searches d. A person who is an ePatient
b. A person who desires immediate access to information and is internet savvy
3. Which system is recommended as a method to address patient safety and reduce errors that occur during the actual administration of medicines? a. Computerized provider order entry (CPOE) b. Barcode medication administration (BCMA) c. Electronic medication administration record (eMAR) d. Electronic prescribing (ePrescribing)
b. Barcode medication administration (BCMA)
4. What technology has been described as the next frontier for home health and related community-based systems? a. EHR b. CDS c. EMR d. BCMA
b. CDS
8. Why are expert diagnostic decision support systems not integrated into clinical settings? (Select all that apply.) a. They have not been shown to be comparable to the performance of human experts. b. Clinicians generally must go out of their routine workflows to use the systems, and these systems generally require time-consuming data entry. c. There are limited financial incentives to use such systems. d. The systems have been found to be detrimental to patient care. e. The software has been shown to be insecure.
b. Clinicians generally must go out of their routine workflows to use the systems, and these systems generally require time-consuming data entry. c. There are limited financial incentives to use such systems.
4. Which is an example of apomediation? a. Healthcare providers tell patients not to use Facebook for healthcare advice. b. Healthcare providers direct patients to high-quality information on the web. c. Healthcare providers state that only their web portal should be used by patients. d. Healthcare providers direct patients to websites in which they have a financial interest.
b. Healthcare providers direct patients to high-quality information on the web.
11. NIFTE has suggested guidelines for which content areas related to telehealth? (Select all that apply.) a. Certification programs b. Human resources c. Organizational readiness d. Technology and equipment e. Conflict-zone telemedicine
b. Human resources c. Organizational readiness d. Technology and equipment
8. NIFTE has suggested guidelines for which content areas related to telehealth? (Select all that apply.) a. Certification programs b. Human resources c. Organizational readiness d. Technology and equipment e. Conflict-zone telemedicine
b. Human resources c. Organizational readiness d. Technology and equipment
7. Why is CDS important for healthcare institutions? (Select all that apply.) a. It can reduce the need for registered nurses. b. It can help reduce medical errors. c. It is a required element of Meaningful Use regulations. d. It can help improve care value. e. It can slow the growth in use of facilities to manageable levels.
b. It can help reduce medical errors. c. It is a required element of Meaningful Use regulations. d. It can help improve care value.
9. Which of the following are challenges or barriers to CDS adoption? (Select all that apply.) a. Lack of evidence of CDS effectiveness b. Misaligned financial incentives c. Inadequate EHR adoption d. Lack of widely adopted standards for CDS e. Concerns over "cookbook medicine"
b. Misaligned financial incentives c. Inadequate EHR adoption d. Lack of widely adopted standards for CDS e. Concerns over "cookbook medicine"
6. Public health could benefit from improved technical architectures in the future. Which of these is not a likely technology architecture for building the future of public health? a. Service-oriented architecture (SOA) b. Software as a service (SaaS) c. Open source methods such as OpenELIS or OpenMRS d. Mobile devices such as the iPhone
d. Mobile devices such as the iPhone
2. The Health Information Management Systems Society (HIMSS) developed an EMR adoption model that includes eight stages toward creating a paperless patient record environment. All application capabilities within each stage must be operational before the next stage can be achieved. Your organization has implemented systems for Stages 1 and 2. Which system should your organization consider as Stage 3 adoption? a. Computerized provider order entry (CPOE) and clinical decision support b. Nursing/clinical documentation (flow sheets) and clinical decision support c. Closed-loop medication administration d. Physician-structured documentation and clinical decision support
b. Nursing/clinical documentation (flow sheets) and clinical decision support
8. Which statement is true of Meaningful Use? a. Healthcare facilities needed to meet Stage 3 requirements by October 2015 to maintain accreditation. b. They are a set of criteria created by the ONC to determine eligibility for financial incentives for health information technology adoption and use. c. Meaningful Use criteria were created by Congress to delineate the appropriate uses of health data for research purposes. d. The term refers to the ratio of actual usefulness that patients experience with medical devices prescribed for them compared to their theoretical usefulness.
b. They are a set of criteria created by the ONC to determine eligibility for financial incentives for health information technology adoption and use.
4. What is the most important element for operationalizing and ensuring telehealth acceptance by providers? a. Cost of telehealth technology b. Training c. Location of equipment d. Transmission speed
b. Training
6. A vendor master file is a. a list of federally approved pharmaceutical companies. b. a list of suppliers used by the organization. c. a list of criteria for supplier compliance. d. a list of EHR vendors.
b. a list of suppliers used by the organization.
5. The public health supply chain needs to evolve to an information ecology approach. This would involve a. standardizing public health supplies and suppliers. b. being partners with others to receive, reuse, and republish data. c. allowing public health departments to exclude data sharing to protect patient privacy. d. allowing public health departments to include data sharing to protect patient privacy.
b. being partners with others to receive, reuse, and republish data.
4. Public health systems have implemented vocabulary and messaging standards, are used to make public health decisions in a clinical setting, and provide data for public health policy. One of the best examples of a public health system that does all of these is a. the linkage of local electronic health records in the 50 states to public health reporting databases. b. immunization information systems. c. geographical informatics systems for reporting environmental issues. d. direct lab reporting of conditions and diseases such as lead poisoning.
b. immunization information systems.
5. Materials management in the healthcare environment involves all of the following EXCEPT a. inventory control of supplies and equipment. b. logistics management and pipelines. c. the operational management of items used in the delivery of patient care. d. the storage of pharmaceuticals.
b. logistics management and pipelines.
7. Legal and regulatory issues directly impacting telehealth practice for healthcare providers include (Select all that apply.) a. technology. b. malpractice. c. licensure. d. credentialing. e. reimbursement. f. broadband.
b. malpractice. c. licensure. d. credentialing. e. reimbursement.
2. The Kaiser Permanente PHR mobile app lets users do all of the following EXCEPT a. schedule and cancel appointments. b. participate in telemedicine. c. refill a prescription. d. access lab results.
b. participate in telemedicine.
9. Using social media tools for research purposes helps (Select all that apply.) a. create new business cases for former "orphan" diseases. b. recruit patients. c. identify new variables to study. d. provide insight into the patient's experience. e. promote data-sharing and communication within a disease population.
b. recruit patients. c. identify new variables to study. d. provide insight into the patient's experience. e. promote data-sharing and communication within a disease population.
3. A quantified selfer is best described as one who a. graphs data. b. tracks personal metrics. c. records lab values. d. uses a sleep diary.
b. tracks personal metrics.
3. A healthcare system has implemented a functionality where patients who are overdue or almost due for a mammogram are sent letters notifying them to schedule a mammogram based on available data and current clinical care guidelines. Which type of CDS system is this? a. This is not a CDS. b. A personal health record system c. A reminder system d. An alerting system
c. A reminder system
4. Which statement is not part of the Ten Commandments of CDS? a. Speed is everything. b. Fit into the user's workflow. c. Alerting is the most effective approach to CDS. d. Ask for additional information only when you really need it.
c. Alerting is the most effective approach to CDS.
5. A university hospital wants to implement a closed-loop medication management system. Current systems include registration, computerized provider order entry, electronic medication administration record, laboratory, radiology, and pharmacy. Which system is needed to complete the loop? a. Clinical documentation b. Clinical decision support system c. Barcoding system d. Electronic prescribing
c. Barcoding system
1. Which government organization manages the largest telehealth program in the United States as of this writing? a. Department of Defense b. NASA c. Department of Veterans Affairs d. Office for the Advancement of Telehealth
c. Department of Veterans Affairs
10. What defines Health 2.0? (Select all that apply.) a. Updated versions of old health information b. Marketing health products based on the patient's internet preferences c. Health-related mobile applications d. Mobile health-monitoring devices e. Web-based content f. Social networks
c. Health-related mobile applications e. Web-based content f. Social networks
7. SERMO for MDs and ANA's NurseSpace are two examples of what kind of social media structure? a. Advocacy Group-Consumer b. Consumer-Consumer c. Provider-Consumer d. Provider-Provider
d. Provider-Provider
1. Why have most clinical decision support (CDS) systems not shown to significantly impact patient outcomes in clinical trials, despite the fact that a majority of systems have been shown to significantly improve care processes? a. CDS systems have not been evaluated in clinical trials. b. Very few studies have assessed the impact of CDS systems on patient outcomes. c. Many CDS system evaluation trials are underpowered to detect changes in care outcomes. d. CDS systems have been implemented and evaluated in too many diverse institutions.
c. Many CDS system evaluation trials are underpowered to detect changes in care outcomes.
1. Which payer is the largest for home health services? a. Private insurance b. Patients and families in the form of self-pay c. Medicare d. Medicaid
c. Medicare
6. As the United States moves toward the implementation of an interoperable EHR, which statement about the future "ownership" of the patient record is appropriate? a. The electronic medical record will be the property of the service institution. b. Provider access to the electronic record would not require consumer consent. c. Ownership may be driven by who has control and access to the data. d. Consumers will control and own the record.
c. Ownership may be driven by who has control and access to the data.
3. Which group is allowed to share personal health information on social media sites? a. Providers who monitor the social media site b. Healthcare providers on the site c. Patients/consumers d. Hospital registration clerks
c. Patients/consumers
5. Which incentive has the strongest potential to spur the nationwide adoption of advanced CDS? a. Freely available CDS knowledge in a machine-executable form b. Significant government funding for research efforts to share CDS c. Shift of healthcare payment from a fee-for-service model to approaches rewarding the delivery of better quality and outcomes at lower cost d. Meaningful Use Stage 1 requirements related to CDS
c. Shift of healthcare payment from a fee-for-service model to approaches rewarding the delivery of better quality and outcomes at lower cost
2. Who is most likely to seek health information from social network sites? a. Individuals about to undergo surgery b. Those seeking reviews and information about prescription drugs c. Those living with chronic conditions d. Individuals learning about friends' diseases or medical conditions
c. Those living with chronic conditions
4. The supply item master is a. an electronic history of all transactions. b. an electronic pricing list of all supplies and services. c. a list of all items available to order in the organization. d. a list of vendors who supply items to the organization.
c. a list of all items available to order in the organization.
7. The "digital divide" refers to a. higher adoption and use of information technologies among individuals from ethnic minorities, of lower socioeconomic status, and of older age. b. the gap between the current security of PHRs and the security needed for PHRs to become more prevalent. c. lower adoption and use of information technologies among individuals from ethnic minorities, of lower socioeconomic status, and of older age. d. the difference between rates of overall cellphone ownership and "smartphone" ownership.
c. lower adoption and use of information technologies among individuals from ethnic minorities, of lower socioeconomic status, and of older age.
1. A case manager wants to communicate with her clients on a regular basis by sending short messages that encourage health promotion tips. The tool best suited for this task is a. Facebook. b. e-mail. c. microblogging. d. Second Life.
c. microblogging.
3. Secure PHR messaging refers to the capacity to a. send messages between healthcare providers within a single EHR. b. send messages between healthcare providers across healthcare systems. c. send messages from patients to providers via a tethered PHR. d. send messages from patients to providers via a stand-alone PHR.
c. send messages from patients to providers via a tethered PHR.
3. The development of telemedicine and telehealth across state lines has been most hampered by a. low levels of patient trust. b. the STEP Act. c. the need to obtain licenses to practice in each state in the network. d. HIPAA.
c. the need to obtain licenses to practice in each state in the network.
5. The Office of the National Coordinator for Health Information Technology (ONC) is best described as a. a federal entity charged with increasing public awareness of the value of health information technology. b. the principal federal entity charged with promoting nationwide sales of advanced health information technology. c. the principal federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information. d. a federal agency that regulates the contents and functions of health information technologies, including PHRs.
c. the principal federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information.
1. All of the following are core functions of public health except a. assessment. b. policy development. c. treatment. d. assurance.
c. treatment.
6. In the future, social media in healthcare is likely to be a. nothing at all. It has gone too far already. b. minimally used only by "geeks." c. widely used and deeply integrated. d. static, as people return to in-person and lower-technology means of communication.
c. widely used and deeply integrated.
1. Which description best defines the electronic health record (EHR)? a. An electronic version of the traditional paper record created and used by the healthcare provider b. An electronic stand-alone database implemented and used in hospitals c. An electronic version of a patient's medical record used in the clinical setting d. An electronic record of patient health information created by encounters across multiple settings
d. An electronic record of patient health information created by encounters across multiple settings
2. Which of these best describes participatory medicine? a. Integrated care model b. Authoritative care model c. Community care model d. Cooperative care model
d. Cooperative care model
2. Which group would have a financial incentive to implement CDS? a. A community hospital b. An inner-city clinic c. A national insurer d. Depends on CDS and healthcare payment model
d. Depends on CDS and healthcare payment model
