Chapter 12

A patient portal allows for _____. a.Access to the patient's personal clinical data such as lab test results b.The ability to research disease processes c.The ability to research alternative medical treatments for major illnesses or diseases d.Access to records of all family members

a. Access to the patient's personal clinical data such as lab test results

The increase of electronic health record adoption was fueled by the ___________. a.American Recovery and Reinvestment Act b.Health Insurance Portability and Accountability Act c.Medicare Access and CHIP Reauthorization Act d.Patient Protection and Affordable Care Act

a. American Recovery and Reinvestment Act

The process of extracting and analyzing large volumes of information is done when working with a _____. a.Clinical data repository b.Object-oriented database c.Data set d.Decision support system

a. Clinical data repository

___________ is a tool used for extracting data from a database. a.Data mining b.Back-end speech recognition c.Point-of-care charting d.Data abstraction

a. Data mining

Identify the second stage of transforming raw data into meaningful analytics. a.Data provisioning b.Data capture c.Data analysis d.Data mapping

a. Data provisioning

Recommend an information system that would allow a healthcare organization to pull together operational and clinical information in order to uncover a problem with readmissions. a.Executive information system b.Decision support system c.Clinical decision support system d.Electronic health record system

a. Executive information system

The data standard used for lab tests is _____. a.Logical Observations Identifiers Names and Codes b.Clinical Document Architecture c.Continuity Care Record d.Digital Imaging and Communications in Medicine

a. Logical Observations Identifiers Names and Codes

Identify a disadvantage of this health information exchange. a.Overload of communication and data from the patient's perspective b.Increased patient safety c.Reduction in paperwork for both the provider and the system d.Improved population health

a. Overload of communication and data from the patient's perspective

An HIM role to create policies and design workflows for accepting and managing patient-generated health information is called _____. a.Patient information coordinator b.Patient portal representative c.PHR liaison d.Consumer advocate

a. Patient information coordinator

Data from a wearable monitor, such as an exercise-tracking device, is an example of _____. a.Patient-generated health data b.Device-generated health data c.Wearable-generated health data d.Patient to provider health data

a. Patient-generated health data

For HIE and data analytics, _______________. a.Structured data has many advantages b.Unstructured data has many advantages c.Decreased use of mobile devices has many advantages d.Decreased use of patient portals has many advantages

a. Structured data has many advantages

"What happened?" is answered by _______ analytics. a.Prescriptive b.Descriptive c.Diagnostic d.Predictive

b. Descriptive

An eHealth exchange is a _____________. a.Local HIE b.Nationwide HIE c.Nationwide portal development model d.National telehealth initiative

b. Nationwide HIE

Dr. Smyth, an emergency department (ED) physician practicing in California, is using an HIE to get information on a patient who is having a medical emergency while on vacation in California. The patient lives in New York. Dr. Smyth is seeking information on past surgeries, allergies, and the chronic conditions of the patient. The type of HIE that can provide this type of information is known as _____. a.Directed b.Query-based c.Consumer-mediated d.Patient portal

b. Query-based

The clinical data ___________ is a central database that focuses on clinical information. a.Warehouse b.Repository c.Record d.Depository

b. Repository

The _________ reports outcomes measures. a.Dashboard b.Scorecard c.Benchmark d.Quality metric

b. Scorecard

A _______ accepts data patients' select from external sources, which is then stored on their computer. a.Merged PHR b.Standalone PHR c.Secure PHR d.Tethered PHR

b. Standalone PHR

The use of a dropdown list to select a patient's diagnosis is an example of _________. a.Discretionary data b.Structured data c.Non discrete data d.Unstructured data

b. Structured data

The problem being solved with the use of DSS is typically _______. a.Repetitive b.Unstructured c.Routine d.Structured

b. Unstructured

The ability to schedule appointments is an example of a patient portal feature having a(n)_______. a.Billing orientation b.Patient care orientation c.Administrative orientation d.Provider orientation

c. Administrative orientation

Editors correct misrecognitions after the physician completes dictation when _______ is used. a.Front-end speech recognition technology b.Natural language understanding technology c.Back-end speech recognition technology d.Natural language processing technology

c. Back-end speech recognition technology

______________ is a vital component of both health information exchange and patient identity. a.The coordination of data standards by the federal government b.Data integrity c.Data governance d.Interoperability

c. Data governance

An example of a transport standard is _____. a.CDA b.DICOM c.HTTP d.LONIC

c. HTTP

Mary Rodriguez has a family history of diabetes. Mary is currently experiencing increased thirst and fatigue. After researching the signs and symptoms of diabetes on the internet, Mary makes an appointment with her personal physician to discuss this and to have a blood glucose test. Mary's actions and behavior exhibit _____. a.Data analysis b.Use of key indicator(s) c.Health literacy d.Telehealth

c. Health literacy

Poor health literacy can _______________. a.Lead to an increase in an individual seeking medical care b.Improve the use of the Internet as a healthcare resource for information c.Impact how an individual engages with the healthcare system including clinical staff d.Improve patient compliance with clinical directions

c. Impact how an individual engages with the healthcare system including clinical staff

Tracking a _______ can help detect problems and identify opportunities for performance improvement. a.Baseline b.Best practice criterion c.Key indicator d.Benchmark

c. Key indicator

Telehealth can be used to _____. a.Send prescriptions b.Integrate PHR to a paper-based health record c.Monitor chronic conditions d.Send secure messages to a physician

c. Monitor chronic conditions

An interactive decision tool to be used by a patient or individual is a design element of a ___________. a.Health information exchange (HIE) b.Personal health record (PHR) c.Patient portal d.Telehealth

c. Patient portal

Max Fields receives an email alert to check his MyRecord account. When Max checks this account, he has a notification from his doctor to schedule his annual physical. This type of encounter is via the use of a __________. a.HIE b.CDSS c.Patient portal d.EIS

c. Patient portal

If consumers were looking to interact and receive support from others with similar diseases via electronic means, the appropriate tool is _____. a.Mobile medical app b.Patient portal c.Social media d.Tethered personal health record

c. Social media

Recommend a data visualization tool is used to organize quantitative data. a.Diagram b.Graphs c.Tables d.Text

c. Tables

A barrier to the patient or consumer adoption of telehealth is _________. a.Cost b.Access c.The ability to use urgent care d.The use of mobile devices

c. The ability to use urgent care

All definitions of HIE mention the following: a.The capacity exists for the exchange of information to maintain the meaning of the information being exchanged b.The capacity exists for different information systems and software applications to receive data c.The capacity exists for different information systems and software applications to exchange data d.The capacity exists for different information systems and software applications to send data

c. The capacity exists for different information systems and software applications to exchange data

____________ in order to maintain patient identity data integrity. a.The data must be accurately normalized b.The data must be accurately coded c.The data must be accurately entered d.The data must be accurately exchanged

c. The data must be accurately entered

Consumer health informatics is ______. a.Part of HIE b.Part of eHealth c.A focused only on a PHR d.A division under health informatics

d. A division under health informatics

The element(s) that can improve consumer access to healthcare is _____. a.Data standardization for code sets, vocabulary, and terminologies. b.The use of decision-support electronic systems in organizations. c.The use of patient portals, dashboards, and scorecards in organizations d.Access to and the use of mobile devices with healthcare apps, telehealth, and patient portals

d. Access to and the use of mobile devices with healthcare apps, telehealth, and patient portals

The role of the HIM professional in HIE includes _____. a.The development of data transport guidelines b.The IT design of a patient portal c.Health insurance portability d.Data stewardship, governance, and integrity

d. Data stewardship, governance, and integrity

Identify the true statement about health literacy. a.Health literacy addresses solely the ability to read and understand the EHR b.Health literacy is a leading barrier to access to healthcare c.Health literacy is not an issue for those with a high reading level d.Health literacy include reading, listening, analytical and decision-making skills.

d. Health literacy include reading, listening, analytical and decision-making skills.

Sharing the contents of a PHR with providers creates an opportunity to ____________. a.Establishing a secure combined record b.Ensure privacy of the contents c.Create a single legal medical record d.Improve patient safety

d. Improve patient safety

A smart phone app that analyzes and interprets blood pressure readings to detect irregularities is a _________, according to FDA guidance. a.Personal health monitor b.Medical product c.Mobile device d.Medical device

d. Medical device

The eHealth Exchange is a _______________ of exchange partners. a.Worldwide community b.Regional community c.Local community d.Nationwide community

d. Nationwide community

A _______ can assist a provider in obtaining a health record on a patient who is visiting from another state, resulting in more informed decisions about the care of the patient. a.Provider-mediated exchange b.Data exchange c.Consumer-mediated exchange d.Query-based exchange

d. Query-based exchange

The ONC's goal of advancing secure and interoperable health information requires _______. a.Collecting data from a variety of sources such as mobile devices b.Analyzing data from federal, state and local agencies c.Using information to improve individual and community health d.Sharing information among individuals, providers and the community

d. Sharing information among individuals, providers and the community

A way for individuals to connect and engage with others for information or support for a disease is __________. a.Health information exchange (HIE) b.Personal health record (PHR) c.Patient portal d.Social media

d. Social media

When exchanging information about a patient's problem, a ________ would be used. a.Content and structure standard b.Transport standard c.Services standard d.Terminology standard

d. Terminology standard

Critique the following statement: A PHR is the same as or a form of an EHR. a.This is a true statement. b.This is a false statement as the PHR is controlled by the healthcare organization and the EHR is controlled by the patient. c.This is a false statement as PHRs are open to the public for health literacy. d.This is a false statement as the EHR is controlled by the healthcare organization and the PHR is controlled by the patient.

d. This is a false statement as the EHR is controlled by the healthcare organization and the PHR is controlled by the patient.

___________ is a possible outcome of point-of-care charting. a.Discretionary or non-discretionary data b.Structured data only c.Unstructured data only d.Unstructured or structured data

d. Unstructured or structured data

A vital part of HIE processes is ____________. a.patient portal design b.education on benefits of telehealth c.increasing consumer health literacy d.data standard adoption

d. data standard adoption