Chapter 7-11 EHR Final Exam

In the field "Primary Language", English appears in the field. This is known as a ___________ value.

default

The management of the automated processes that focuses on structure of data, interoperability, design of input and output tools, and security is known as health

informatics

the chronological listing of all newborns at a hospital is known as a

registry

A good practice for healthcare consumers is to document their own health information, for instance, the medications currently being taken, medication allergies, dates and names of surgeries they've had, etc. In fact, many insurance companies offer their patients the ability to document their healthcare online. What are these records known as

Personal Health records, or (PHR)

three pieces of equipment that make a care providers work more convenient, efficient, and timely

Personal digital assistant Smartphones tablet computers

A voluntary, pay-for-performance incentive program which care providers can participate in through the federal government is the:

Physician Quality Reporting Initiative

Dr. Brown, a radiologist is able to view x-ray images from home rather than having to go into the hospital to do so. What kind of computer technology allows Dr. Brown to do so

Picture Archiving and Communications systems (PACS)

Lisa Haver is a patient of Dr. Randolph's. You have just opened today's mail and opened a letter from Ms. Haver's attorney because she is involved in a lawsuit regarding an auto accident. What will you do?

look for a signed authorization in the envelope that authorizes the office to release Lisa Haver's records to the attorney

Greenway Medical Center uses a priority ranking system for their internal e-mail. The fact that the holiday luncheon will be held on December 6, 2017 would be a __________ priority email.

low

Datasets that provide structure and are the building blocks for parts of the health record are known as ____________ files.

master

What is the name of the index that includes a listing of all patients ever seen in a hospital

master patient (person) index, or MPI

objectives, such as registries, lists, and drug interactions, are additional functions that allow for greater use of EHR functionality

menu

The quality of a digital image is known as the

resolution

James Philips has asked that certain personnel within the office be prohibited from seeing his health information. How will this record be flagged in Prime Suite

restricted access

a report that would show how much money each provider generates for the practice is a provider ______ summary

revenue

A hard copy document such as an insurance card may be converted to digital format for inclusion in a patient's health record. The process of converting the document from paper format to digital format is known as

scanning

why would setting up too many alert flags be counterproductive

setting up to many can be difficult remember the meaning of the alert, it becomes the rule rather than the exception and therefore is ignored

when an encrypted message is sent, it must be ________ before the receiver is able to read it

decrypted

Danielle ran a report of congestive heart failure patients. The report includes the patients' medical record numbers, age, admission and discharge dates, and attending physician. What type of report is this?

detail

In order for the healthcare facility to know what to do in case of a situation that interrupts access to the EHR, a written blank should be in place

disaster recovery plan

In a hospital, a _________registry is maintained daily and includes all inpatients who have left the hospital at the conclusion of their stay

discharge

Patti Wolfe, a coding supervisor at the local hospital, is auditing the quality of ICD-10-CM coding. She may start by running a ____________ index to scan for obvious inaccuracies.

disease

what is the name of the technology used to scan images and then convert them to a format that is readable by the computer

optical character recognition

which entity administers the Meaningful Use program

CMS

Master files are blank that provide structure and are the building blocks for parts of a provider's chart notes

datasets

Some states have a Health Information blank, funded through the ONC, which allows the sharing of health information for continuity of care purposes

Exchange

An employee at Memorial Medical Practice released the diagnosis of a patient to the patient's spouse without an authorization. This is known as a/an _________________________.

breach of confidentiality

Instant access to information is available through a public series of networks. What is this network commonly called

Internet

Dr. Rodriquez prefers to monitor his practices compliance with Meaningful Use requirements. He can do this quickly and easily by using Prime Suite's ___________ capability.

dashboard

computers and devices that are physically close together are connected by a

Local area network

which of the following passwords would be considered most secure

Record**58

Make it possible for care providers to make and receive phone calls , browse the internet, take still pictures or videos, and store telephone numbers and appointments

smartphones

Reasons care providers have been reluctant to adopt electronic health records

Paper seemed easier and more efficient too expensive uncooperative staff new training

Emails or faxes that are sent and arrive at the wrong location constitute a privacy

breach

The field that focuses on capture, retrieval, storage, and use of health information is

health information

A functionality of an EHR or other software that allows the user to assign an electric "to-do" list to themselves or other employees is known as the

task list

the mobile technology that allows access to the internet without use of cables is known as what

wifi

Reporting cases of fraud and abuse must be made to the:

Healthcare Integrity and Protection Data Bank

A/an_________ function includes reminders and alerts, diagnostic and therapeutic guidance, and links to expert resources

clinical decision support

In stage 1 of the Meaningful Use menu objectives, hospitals, needed to incorporate ________ of the 10 menu objectives in order to be eligible for incentive grants.

5

Dr. Ingram saw 1457 patients in the first quarter of 2017.He kept an up-to-date problem list on 898 of them. On what percentage of patients did Dr. Ingram meet meaningful use of the EHR related to use of a problem list?

62 percent

which of the following may result in the need to deploy the disaster recovery plan

A computer hacker has gained access to the database and corrupt files have been found.

The Patient Centered Medical Home (PCMH) model was developed by the

American Academy of Family Practitioners

Michelle has just discovered state statistics regarding the average length of stay in acute, short term hospitals for appendectomy patients. She runs a report of patients having undergone an appendectomy in the past year at her hospital so she can compare her hospital's average length of stay to that of other hospitals in the state. What is Michelle doing

Benchmarking

Which of the following statements is true about a personal health record (PHR)

it is maintained by the patient (or legal guardian)

A medical office or other healthcare facility that does not have a health information professional on staff may seek expertise in record keeping procedures and the legal health record from the

EHR service provider

The law that strengthened HIPAA privacy and security regulations was

Health Information Technology for Economic and Clinical Health ACT (HITECH)

which of the following is an independent, nonprofit organization with the mission " To lead healthcare transformation through the effective use of health information technology

Health Information and Management Systems Society

Many offices use an internal, secure environment to communicate important information to their employees. This is known as a/an?

Intranet

Dr. Henderson's office has been installing and EHR system over the past few months. On January 2, 2018, the staff will begin using the new system for all patients seen on that date and going forward. Using the system for the first time is referred to as "going

Live"

Greensburg Medical Center provides each patient with written documentation that details the signs, symptoms, current treatment options, and other pertinent information about their condition(s). This satisfies which menu objective?

Patient education

As part of Greensburg Medical Center's electronic record, patients can access their own health record via the Internet and can e-mail the office with questions, when necessary. This functionality is called a/an:

Patient portal

HIPAA defines a patient's name, social security number, employer, or medical record/account numbers that tie information to a particular person as

Protected Health information

How is a correction made in electronic health records?

The incorrect entry is corrected and the original entry is hidden from view but is still retrievable

A ____________ is a security feature that plays a role in the advancement of EHR use by encrypting data sent via the internet and verifies the identity of authorized users through the use of a User ID and password

Virtual Private Network

Meaningful Use requires that each patient, upon request, must be provided with a summary of test results, problem list, medication list, and medication allergies. This core objective is the

ability to provide an electronic copy of health information

You are the office manager of Greensburg Medical Center. You have received a letter from one of your patients, Ida Healthway, asking to know the names of all employees and care providers who have accessed her EHR within the last year, since she believes someone has been spreading information about her in the community. You will provide Ms. Healthway with this information, which is known as:

accounting of information disclosure

A/an_____ report shows a summary but no details

aggregate

A report that is run on demand is created

as it is needed

Nancy Jackson is the office manager of a medical practice. Each month she reviews a report that shows which staff members viewed, edited, or deleted data on a random selection of patient's records, and whether or not the access or the actions taken were justified. Nancy is performing which function?

auditing

Dr. Handley prefers to see the Facesheet of her patients in a particular order. Dr. Adams prefers to see his in another order. The software used in their office allows each provider to view screens in a different way. This is known as:

customization

A clinical system, application, or process that helps health professionals make decisions that enhance patient care is known as

clinical decision support (CDS)

In a ________ environment , the physician's office or hospital has the advantage of unlimited processing and storage capacity

cloud

CPT, which is used to code procedures in an office, is an example of a/an _____________.

code set

A staff member who monitors existing and new regulations and is the "go-to" person should an incident occur is known as the _____________________.

compliance officer

Keeping health information to oneself is known as protecting

confidentiality

The process of ensuring a care provider has the proper qualifications to practice medicine before granting him privileges, contracting with him as part of a managed care plan, or hiring him in a medical practice is

credentialing

When correcting written documentation in a paper record, it is necessary to

cross out the incorrect information with one line, enter the correct information, and date and initial the correction

A local newspaper reporter has contacted your office requesting the total number of patients in the practice who have a diagnosis of Lyme Disease, broken into three age ranges-- newborn to 18 years old, 19-50 years old , and 51 and older-- and grouped by zip code. To answer this inquiry, the office manager will run which type of report.

custom

Diagnostic and treatment protocols that are based on proven research and practice are known as

evidence- based medicine

A ________is a security method that prevents unauthorized access into or out of the network

firewall

Blocking access to a facility's computer systems by unauthorized users is accomplished through the use of

firewalls

Jeannie Clark has requested to be put on a payment plan for her outstanding balance. She came to the office today and while registering her, the healthcare professional saw a dialogue box which alerted her not to collect a late fee. This reminder is known as a ______________.

flag

Some EHR software includes a method to remind staff to perform certain tasks, for example, to issue a clinical alert or to collect a copay. In Prime Suite, the reminder is made in the form of a _____ that appears as an alert

flag

The Patient Centered Medical home (PCMH) model and managed care insurance plans encourage patients to have a primary care physician who is referred to as the __________ to reduce redundancy and overutilization of medical services

gatekeeper

Public health agencies have a particular interest in the administration of vaccinations. This information is kept in a/an ________ registry

immunization

Some care providers enter into an agreement with managed care plans whereby the provider agrees to provide medical services to plan enrollees at a pre-negotiated rate. The providers are considered to be:

in-network

Some managed care plans encourage the use of clinical decision support (CDS) functionality by:

offering monetary incentives for care providers who utilize CDS

Which of the following statements is true about a paper record

paper records are often illegible

In a medical office, a standard report that would be run to show how much each patient owes is the

patient balances report

Robyn Malone needs to determine the total number of patients assigned to each care provider for a report to Blue Shield. She will run a _________________ index.

physician (provider)

the presence of many conditions that pose a threat to public health must be submitted in accordance with applicable law. The ability to do so electronically would satisfy which menu objective

syndromatic surveillance

John Roberts has a heart condition. A home health nurse visits him monthly and performs EKG, the recording of which is sent to Dr. Stephens office via telephone connection. This is an example of

telemedicine

Preformatted documents built into the practice management and electronic health record software are known as:

templates

when planning for a conversion to the electronic health record, administrative members of the staff should expect that

the conversation will take more time than expected

Which of the following is not included in a Notice of Privacy Practices

the name of the individual to whom a record was released

On October 18, an accident occurred on the local interstate highway. Fifteen patients were brought to the local hospital's emergency department with injuries ranging from minor to life-threatening. These 15 patients would be found in the ______________ registry.

trauma

Each person who has the ability to access a computer software system, for instance, Prime Suite, is set up within the software and assigned a/an blank, which is typically based on the person's name

user ID