EHR
A barrier to sharing protected health information with public health agencies is confusion about how ____________ interacts with and supports the exchange of electronic health information.
HIPAA
Medical transcriptionists (healthcare documentation specialists) have many skills that translate well to scribe work but would need to learn ______________ documentation. a) point-of-care b) unstructured c) speech-recognition d) none of the above
a) point-of-care
The use of medical scribes has increased as a way to: a) relieve the doctor of the burden of documentation. b) allow for more patient/physician interaction. c) increase physician productivity and boost revenues. d) all of the above
d) all of the above
Tips to avoid EHR errors (according to North Bay Business Journal) include: a) Don't ignore, override, or disable alerts, warnings, reminders, and embedded practice guidelines. b) Be aware that the use of templates may compromise accurate documentation, so make sure your documentation accurately describes the patient's condition. c) Don't let the computer become a communication barrier between doctor and patient. d) all of the above d) All of the above
d) all of the above
One benefit of electronic health records is the large amount of clinical _________ that can be "mined" (and anonymized) for health research.
data
One barrier to patient access to PHRs is the medical ____________ that should perhaps be replaced with everyday language in clinical documentation.
jargon
EHRs have a ways to go to incorporate the standardization and technological maturity needed for ___________ medicine.
precision
One reason for poor usability of many EHRs is that meaningful-use deadlines have pressured healthcare providers to purchase and implement EHR systems without taking time to pressure system vendors to come up with a good ________-centered design before a purchase proceeds.
user
Medical transcriptionists (healthcare documentation specialists) have ____________ knowledge that assures them a role in EHR documentation.
???? vast??
T/F Large hospitals are less likely to have a comprehensive EHR system in place than are small hospitals and physician offices.
False
T/F Meaningful-use objectives were to be met in five stages over five years.
False
T/F Personal medical records are less valuable to hackers than personal financial records.
False
T/F The provider should avoid introducing the scribe to the patient.
False
T/F The scribe cannot help the provider navigate the EHR.
False
MACRA is an acronym for _____________________. (Type below what MACRA stands for.)
Medicare Access and CHIP Reauthorization Act
T/F "Meaningful Use" sets specific objectives that eligible professionals and hospitals must achieve to qualify for Centers for Medicare & Medicaid Services (CMS) Incentive Programs.
True
T/F EHR meaningful-use standards require providers to exchange data across different platforms that may not be entirely secure.
True
T/F Scribes in the exam room may cause patients to be less honest and forthcoming with pertinent information.
True
T/F Stage 2 meaningful-use objectives include establishing a patient portal for patients to access data and communicate directly with physicians online.
True
According to the Kaiser Health News article in the last slide (read the article by clicking the link), one issue that makes EHRs especially challenging in emergency rooms is that "__________ communication is key" given the ER's "culture and pace."
Verbal
Bidirectional exchange of medical data between patient and institutional EHR is hindered by physician/institution reluctance to allow patients to __________ their medical records: a) read b) amend c) share d) destroy
b) amend
The form of speech recognition technology (SRT) that best meets the meaningful-use requirement for rapid information sharing is: a) back-end b) front-end c) natural language processing d) audio
b) front-end
An EHR system that combines partial dictation with ____________ could improve comprehensive capture of patient information. a) narratives b) templates c) speech recognition d) all of the above
b) templates
Some healthcare analysts worry that increased use of scribes is a workaround that kicks the can down the road as far as making _________ systems more effective and interoperable at the point of care. a) SRT b) MT c) EHR d) all of the above
c) EHR
What are key differences between an EMR, EHR, and PHR? a) The EMR is managed by the patient; the EHR is used within a clinician's office; and the PHR is intended for communication beyond the clinician's office. b) The EMR is intended for communication beyond the clinician's office; the EHR is managed by the patient; and the PHR is the digital version of a patient's chart within the clinician's office. c) The EMR is the digital version of a patient's chart within the clinician's office; the EHR is designed to go beyond the originating clinician's office; and the PHR
c) The EMR is the digital version of a patient's chart within the clinician's office; the EHR is designed to go beyond the originating clinician's office; and the PHR
The drive for patient-controlled data has followed a trend towards __________ in healthcare. a) technology b) networks c) consumerism d) privacy
c) consumerism
Natural language processing (NLP) is being developed to broaden SRT's ability beyond extracting only ___________ text. a) contextual b) unstructured c) structured d) narrative
c) structured
According to Mandl, reasons for pursuing patient-controlled data include: a) Patients may be the best vehicle for making data available to their clinicians and family. b) Bidirectional data exchange with patients could become a conerstone of the medical record. c) Patients can identify and correct errors in the medical record. d) All of the above
d) All of the above
Potential problems with EHR systems include: (Scroll to see all choices.) a) Copy-and-paste errors, incorrect box checks, shortcuts, incomplete information b) Usability, interoperability, and patient safety issues c) Privacy, security, and legal issues d) All of the above
d) All of the above
NLP will help capture patient-care details that have previously been buried in the record, unavailable for ________ EHR searches and only found with time-consuming manual, retrospective chart reviews. a) immediate b) point-of-care c) real-time d) all of the above
d) all of the above
To prevent EHR disruptions, HIPAA (Health Insurance Portability and Accountability Act) requires hospitals to have a contingency plan in place that includes: (Scroll to see all choices.) a) a data backup plan b) a disaster recovery plan c) an emergency mode operations plan d) all of the above
d) all of the above
With the proliferation of personal health-tracking apps, physicians are having to: a) sort through large amounts of data to make a clinical decision. b) determine what they are professionally, ethically, and legally responsible for in the patient's medical record. c) accommodate the "sea change from hospital-based portals to patient-based personal health repositories." d) all of the above
d) all of the above
One challenge in EHR adoption is that many physicians and other providers prefer ______________ over template-driven clinical documentation. a) data b) codes c) intake d) dictation
d) dictation
EHR ___________ refers to providers' ability to exchange patient-care data across different EHR systems, or platforms. a) integrity b) input c) management d) interoperability
d) interoperability
A drawback of front-end SRT is that the dictator is required to ______________ the text, which has traditionally been done by transcriptionists (healthcare documentation specialists).
edit
A drawback of the patient ________ that hospitals and clinics offer patients for electronic access to their records is that it is read-only (unidirectional), and patients cannot add to their records.
portals
One concern is that EHRs are still not designed with patient __________ as a priority.
safety
It is difficult to access one's complete personal health record in part because most are "___________" PHRs that are limited to a single health system.
tethered
