CHTS-PW Exam Study Guide

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interoperability

Ability of different information technology systems to communicate, exchange data and use information

What legislation was passed in 2009 that is considered to be a driver for increased use of information technology in health care?

American Recovery and Reinvestment Act

ICD9CM

An example of a system that groups similar or related diseases

Minute Clinic

An example of an "emerging site of care"

CPOE Computerized Physician Order Entry

Application that could be used by a nurse to order a consultation

The correct order of the OSI model layers, from top to bottom

Application, Presentation, Session, Transport, Network, Data Link, Physical.

Clinical informaticians could use information technology to _______.

Assess information needs of patients Refine clinical processes Customize order-entry systems

The type of Long Term Care organization that typically provides an apartment or room and includes personal care, meals and housekeeping is

Assisted Living Facility

The 4 core principles of medical ethics

Autonomy, beneficence, justice, non-maleficence

Which term means enlarged heart?

Cardiomegaly

Which of the following describes a decision by an organization choosing to go "best of breed"?

Chooses the best components from several vendors

HCPCS

Code set for identifying medical supplies and products

NDC

Code set for reporting retail pharmacy transactions

CPT

Coding system used in outpatient settings for reporting Physician services and procedures

The acronyms BA, BAA, and CE are most closely related to which healthcare issue?

Compliance with HIPAA rules

SNOMED

Comprehensive terminology used with electronic Health records to encode medical information

firewall

Computer systems that provide a security barrier to the EHR

eRx Electronic Prescribing

Computer technology that allows physicians and other providers to transmit prescriptions to pharmacists

You were once diagnosed with a sexually transmitted disease and do not want your physician to share the information with your employer. This is an example of

Confidentiality

metadata

Data about data

messaging standards

Data exchange standards that support the accurate sharing of data

E-prescribing

Defined in the meaningful use criteria as the ability to send an accurate and understandable prescription directly to a pharmacy

Which CPOE function is considered advanced functionality?

Drug-drug interaction checks

Which electronic record encapsulates a record of medical care provided in a single health care organization, i.e., intra-organizational?

Electronic Medical Record (EMR)

Which of the following is a supporting technology for health information management department systems?

Electronic document management system

EMR

Electronic health information within one organization

PMR, Personal Medical Record

Electronic health records controlled by the patient, allowing them to coordinate lifelong health information

Which of the following is an advantage of electronic health records compared to paper records?

Electronic records allow for fine-tuned control of access permissions, potentially putting patients in control of their health information.

CDS, Clinical Decision Support

Electronic triggers, alerts and suggested protocols for decision making

Because it is part of our day-to-day existence, our own cultural beliefs, values, and assumptions are most obvious to us.

FALSE

The traditional view of culture as a "closed, coherent system of meaning and action in which an individual always participates " still holds true today.

FALSE

IFR

Federal rules sent out for comments prior to finalizing

CCHIT

First group recognized by the federal government for certifying electronic health records

AHRQ

Funding agency supporting HIT

Which of the following is a patient monitoring application?

Glucometers

Which CMS program assesses patient satisfaction with hospital care?

HCAPHS

Which of the following security management system standards is specific to the health care sector?

HIPAA Security Rule

Which governmental effort related to electronic health records (EHRs) addresses the meaningful use of interoperable health information technology and qualified EHRs?

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

A patient is admitted to the hospital for appendicitis and has an appendectomy. Which of the following would be used to report the diagnosis and procedure?

ICD9CM

The Domain Naming System maps a(n) ____ to a domain name.

IP Address

Resistance to change can be overcome by:

Identifying champions Alleviating fears Collaborating to solve problems

One of the projects shaping the future directions for clinical decision support systems is the meaningful use requirement that must be met to qualify for incentive payments. Which of the following is the requirement for Stage 1 meaningful use for eligible professionals?

Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule

What is NOT something typically found in a RFP?

Institution's financial statement

Which term means pertaining to between the atria?

Interatrial

HITECH

Legislation that established financial incentives to healthcare providers who demonstrate meaningful use of technology

ARRA

Legislation that provides guidance and support for implementation of electronic health records

HITECH

Legislation that supports Health IT

dataset

List of data elements with uniform definitions

Which of the following programming languages was developed specifically for healthcare applications?

MUMPS

A nurse practitioner typically requires what degree?

Master's Degree

SNOMED

Most comprehensive clinical terminology designed to capture clinical information in the EHR

NANDA

Nursing terminology for documenting nursing diagnoses

NIC

Nursing terminology for documenting therapies for the nursing diagnoses

Which of the following agencies is responsible for oversight of the HITECH initiatives to promote meaningful use of electronic health records?

ONC

REC, Regional Extension Center

Offers technical assistance, guidance, and information on best practices to support and accelerate meaningful use

AHIMA

Organization that began in 1928 and today is dedicated to improving the quality of healthcare data

CE, Covered Entity

Organization that must comply with HIPAA rules

HL7

Organization that works to establish technical standards for EHRs

Which of the following is an example of two-factor authentication?

Password you must change every 6 months and Smart card with RFID chip

A physician is reviewing digital images from a patient's CT scan at her home office. What systems need to be integrated for this to occur?

Picture Archiving and Communication System and Radiology Information System

All of the following are examples of HIT Systems used in an IP setting except:

Practice Management System (PMS)

Which is a reason for slow acceptance of the electronic health record (EHR) by the public?

Privacy concerns

medication reconciliation

Process of checking medication list at time of transfer

encryption

Process that makes data unintelligible

Medical Error

Providing a user with too much unfocused data can actually increase

"Meaningful Use" requirements with HIE implications include all the following except:

Report laboratory results to public health agencies

The five "rights" of medication administration are:

Right patient, right drug, right time, right dose, right route

HIPAA

Rule that protects the privacy of individually identifiable Health information

Identify the comprehensive controlled terminology that is published in numerous languages and used all over the world designed to capture information in the EHR.

SNOMED CT

terminology

Set of terms that represent a system of concepts

Which of the following organs is NOT part of the cardiovascular system

Spleen

DICOM

Standards that facilitate the exchange of images and diagnostic information

ANSI ASCX12

Standards that support the exchange of administrative data such as insurance clams

CPOE Computerized Physician Order Entry

System that allows provider to enter orders for laboratory tests or medications

People in the US pay more for healthcare services (e.g., hospital admissions, physician office visits) than any other Western country

TRUE

The NHIN is a network that allows information to flow from one place to another in a very secure and protected manner.

TRUE

An encryption algorithm is an example of what type of safeguard in the HIPAA Security Rule?

Technical

What is the biggest difference between Counselors, MSW's, Psychologist, and Psychiatrist

The Ability to prescribe medication

Empirium

The description of the physician's office environment

An electronic record of patient health information containing care received in all health facilities" is the definition of

an Electronic Health Record

Omission

is an error that occurs because an action is not taken.

Clinical decision support

is an example of an expert system used in healthcare

In order to promote the adoption of the EHR, a provision of the HITECH Act

provided incentives for organizations to use electronic health record systems in a meaningful way.

In the word therm/o/meter, -meter is a

suffix

Which is NOT a characteristic of the HITECH Act?

- HITECH Act initially rewards institutions for switching to EHRs. - Starting in 2015, HITECH imposes penalties for noncompliance.

Unintended consequences of technological change include

- Outcome measures may not be positive - Even though the technology may be good, the implementation may be flawed, and lead to adverse events - Changes in workflow may not improve overall system efficiency

Bed Management System

A dashboard approach to identifying available beds in a facility

Vanilla

A framework for an electronic system that could be customized by each organization

vocabulary

A list of words with their meanings

CDC, Center for Disease Control

A major public health agency

Which regulation will have highest precedence in enforcing the HIPAA Privacy Rule?

A state-level regulation is more stringent than the federal law

MRN

A unique identifier frequently assigned when a patient enters a hospital

In the recommended reading by Ash, Berg, & Coeira (2004) when a "U.K. hospital supplanted the telephoning of results by laboratory staff with installation of a results-reporting system in an emergency department and on the medical admissions ward, the results were devastating: ''The results from 1,443/3,228 (45%) of urgent requests from accident and emergency and 529/ 1836 (29%) from the admissions ward were never accessed via the ward terminal. . . . In up to 43/1,443 (3%) of the accident and emergency test results that were never looked at, the findings might have led to an immediate change in patient management." Why did this happen?

The designers of the system did not understand the normal workflow and did not sufficiently plan for the change that doctors had to retrieve their own results from the system

Observations

The history and physical taken by the physician

Diseases

The patient is diagnosed with pneumonia caused due to an organism called Streptococcus pneumoniae

Syndromes

The physician notes that the patient has a cough, fever, chills, and is bringing up productive expectoration when she coughs

ADT

The system where patient transfers and discharges are tracked

An Admission-Discharge-Transfer system would fall under which major category of an information system?

Transaction Processing System

Which medical terminology word part provides the general meaning of the word?

Word Root

Is any type of nurse allowed to prescribe medication?

Yes, a nurse practioner


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