HIT 130 Final Exam - Vlab Assignments
Duplicates & overlays can lead to the following cost issues
- time for chart consolidation/correction - incorrect claims - duplicate diagnostic tests.
Drchrono
registering a patient
What criteria does drchrono use to create a warning that a duplicate patient may exist in the MPI
same SSN, same first and last name, same DOB
In a queue list, if the EC column shows the number 2, what does that indicate
the number of entities or patients associated with the task.
Information or demographics describe particular data for a patient (name, DOB, address, SSN) or object (company name, part number) are called
traits
When reviewing match weights, yellow highlighting indicates
a match is possible
When reviewing match weights, green highlighting indicates
a match is probable.
Clicking on the Last Name column heading -sorts the patient list by the patient's Last Name
and it toggles from ascending to descending order
Appt. profiles allow you to speed up the registration process by allowing you to create preset appt. data. Which of the following items can be preset on an appt. profile
appt. color to appear on schedule, duration of the visit, reason for visit, consent forms to be signed by patient.
Refer to the patient portal dashboard. Which of the following are displayed in the dashboard information
appts., health profile, doctors, billing.
Drchrono
authentication, sign, and lock
Drchrono quizzes
for my Vlab assignemnts (chrono)
Which of the following security concerns might you have with failed login attempts
fraud & abuse, unauthorized access, education & training needs
The Audit Log Report can be "filtered" or customized to include a specific patient name, user name, log type or date range. How does the user apply their preferences
entering the desired parameters and clicking "Update Filter"
As applied in this activity, what is an entity
Patient
Duplicate medical records
Patient is assigned to more than one medical record.
Which of the following is not one of the required order types for computerized physician entry (CPOE) in the meaningful use report
Physical therapy (Medication, lab, and radiology are required)
Still in the Live Claims Feed area, look to the second row of options near top of drchrono window. First, click the "down arrow" within the Billing status field. Uncheck "All Statuses" & check "Settled". Click in white area to close the box. Now click blue "Update Filter" on right of Live Claims Feed options.
Pick the option that best describes what you have just done: filtered drchrono so that only settled billing claims are displayed.
Same day appts. will be approved by the physician, nurse or secretary only
TRUE
Review that available data elements collected on the Surgery Pre-Op Preview Template. Which of the following may be collected with this template
blood type, screen in the last 72 hrs., UA findings, Hgb & HCT, Chem 7 Profile, EKG findings, CXR findings, Medical/Cardiology clearance
Can patients utilize their iPad or iPhone to access the patient portal
yes
In the patient portal application, is it possible to email your health summary to someone else
yes
Each Friday you review the patient list to check for missing data elements. You notice that the patients seen on Wednesday of that week all are flagged for valid insurance. What does this mean
you are missing data that is needed in order to bill the patient's insurance.
Duplicates & overlays can lead to the following safety issues
- injury - illness - duplicate diagnostic tests - allergic reaction - incorrect bloody type reactions
recommended solutions for duplicates & overlays
- patient smart cards - algorithms - biometrics
benefits of duplicate prevention
- reduced costs to maintain records - regulatory compliance - improved patient care - patient satisfaction - fraud detection
What type of data must be entered in the EHR for the Meaningful Use Core Objectives
Structured Data
What high level info. can you see directly on the Doctor Chrono Dashboard
- appointments - medical billing - messages - open appt. slots - usage.
Return to the Dashboard by hovering on "Schedule" in the upper left hand corner of your drchrono screen, then select "Dashboard." What type(s) of info. can you determine from the Dashboard
- Claims received - claims in process - claims requiring action.
Overlays
2 different records identified as same patient.
The CPOE Meaningful Use standards require for more than ______ percent to be created by the EP during the EHR reporting period
30%
How many total "Premium Text/Voice Messages" are allowed at the student (Education) usage level
400
By viewing the Message section of the dr. chrono Dashboard, you can readily see if there are any outstanding messages regarding lab result and referrals
True
Structured data is another term for what
Coded data
What information must be entered for the onpatient access to be enabled for patients
DOB, Cell phone number, SSN
Additional demographic info., such as SSN, DOB, sex and address can be found/edited under the
Demographics tab.
In drchrono, select "Audit Log" under the main term menu item "Clinical." You should see an audit report indicating the date, time, patient, user, type and action of a patient record. Which of the following is a file provided to the user in the audit log report
Details
Drchrono
EHR Dashboard
Navigating Drchrono
EHR schedule
After having selected a patient from the Patient List, certain demographic info. such as first name, last name, email and cell number can be found/edited under the _____ tab
Important
In reviewing the Patient List you see two patients with similar names and DOB. As you investigate these records, you verify that they are the same patient. What is you next step
Inactivate the patient record that you don't want anymore.
Go to the Meaningful Use page from HealthIT.gov to review the info. regarding the transition of the EHR incentive program. Select all of the following that apply
MIPS refer to Merit-based Incentive Payment System. It consolidates multiple programs into one program to improve quality care. Meaningful Use Medicare EHR incentive program is now part of MIPS. Physician Quality Reporting Program is NOT part of MIPS. Value Based Payment Modifier is now part of MIPS. MIPS was introduced via the Medicare Access and CHIP reauthorization act.
What is the title of the home screen (in ARGO)
My Queues
For it to be useful in the EHR environment, free-text requires the use of what software
Natural Language Processing
A new patient by the name of Robert Stafford calls the office and would like to schedule an appt., in the Schedule Appointment menu, which option would you choose to create his appt.
New Patient
A patient brings you a copy of the advance directive and wants you to include it in his or her record. You can scan and upload the .pdf file into drchrono
TRUE
What is the "default tab" on the Account Settings page
Profile Tab
Open slots on the provider schedule should be filled, rather than frozen or closed, to prevent additional appts. From being scheduled
TRUE
When a core requirement has not been met, how does drchrono alert the user to this finding
Red "Not Met" Alert in Result column
What is the appt. type made within 15 working days or 21 calendar days
Routine Care
During registration, what are some Common Duplicate Patient Triggers
Same SSN, same First and Last Name, and same DOB.
Overlay task sent to the queue when
Same identifier is used in 1 organization for 2 different people.
New patients can be added into drchrono primarily via which two Menu selections
Schedule, Patients
Trained staff will often perform which of the following schedule duties
Scheduling new and return appts., Medical record tracking, Rescheduling appts. from the Wait List, Mailing new patient letters, Reminder calls to patients, Follow-up or no-show appts., Rescheduling of bumped appts.
Which of the following data collection items is set to "On" within the template
Surgical/preoperative Note, Insert Patient Info, NPO after 12am.
When completing a patient merge task you need to carefully review which column, as it contains the demographics that will be retained after the merge
Surviving Traits
I confirm that my drchrono Student Account is set-up; the information has been entered under my Profile Tab and my General Tab; and that I have successfully loaded the sample data
True
What actions, in order, did you accomplish in Part 4 of the Navigating the drchrono EHR - Schedule activity
added new patient info., filled out appt. fields, fixed an alert by adding demographic info.
In this activity, to add a patient's appt. into our officed schedule, we _______
clicked a specific day/time within the Calendar to open the Appointment window.
Navigating Drchrono
clinical
After viewing a completed note, when a clinician selects Sign & lock and clicks OK, this means that the
clinician has prepared, completed, signed & locked the clinical note for the healthcare encounter.
Available calendar view in drchrono includes
daily, weekly, monthly, exam rooms, and doctor.
What type of info. is found in the insurance folder for drchrono
demographic and financial info.
You have a new provider in the group treating patients with drug and/or alcohol abuse. She would like you to create a convenient way to communicate with and/or meet with such patients. What tool in drchrono would you use to do this
patient group
Navigating drchrono
patients
Link task sent to the queue when
records from 2 locations may be for same person.
When would a link be appropriate
when the records are the same person, but different sources.
Merge task sent to the queue
when names & other demographic info. match
When reviewing match weights, what does red highlighting indicate
when a match is not probable.