Final Quiz 8.1a (RHIT)

Recommend an information system that can be used to increase the quality of documentation and improve reimbursement. CDI EHR ROI Encoder and grouper

CDI Clinical Documentation Improvement

I have been asked to select the messaging standard that will be used for our new PACS. My recommendation is: ANSI Accredited Standards Committee X12N MEDCIN United Medical Language System Digital Imaging and Communications in Medicine

Digital Imaging and Communications in Medicine Digital Imaging Communications in Medicine (DICOM) is the standard used to share medical images such as those in a PACS. United Medical Language System compiles multiple vocabularies, ANSI Accredited Standards Committee X12N is used for billing and other business functions. MEDCIN is a terminology used in the health record.

You have been asked how to handle versioning of documents in the document management system. Your response should be Delete the first version and retain the second. Do not allow edits to the information system. Display both versions side by side. Display the second version, but identify that a previous version exists.

Display the second version, but identify that a previous version exists.

You have been given a list of data elements that need to be added to the database that you are creating. You notice, that one of the data elements is the patient's full name. Determine how to modify the data element in order to improve search capabilities. Utilize a drop down box field. Change the settings. Normalize the data element Identify the table's primary key.

Normalize the data element Normalization would be required to break the field into last name, first name and middle initial (or name) so that the user can better search

The EHR system selection committee evaluated three systems on a scale of 1-3 with a score of 3 being the best. The priority is ranked on a scale of 1-3 with 3 being the highest. Based on the evaluation above, which of the following systems should be purchased? either System A or System C System A System B System C

System B

You have been asked to establish guidelines on screen design that will be used in all of your information system projects. Identify a standard that should be included. Use red and green to flag key data. The screen should read right to left. Eliminate all hyperlinks. The screen should read from bottom to top.

The screen should read right to left

Recommend a Web 2.0 technology for someone who wants to share their battle with cancer. an extranet a chat room web pages a blog

a blog

Maria has received a request to update a patient's address. Identify the best information to perform this update. admission-discharge-transfer system clinical decision support system executive information system laboratory information system

admission-discharge-transfer system

Identify the speech recognition system where the staff dictates and then the editing of the dictation is done by editors. back-end speech recognition front-end speech recognition hidden Markov model key-word spotting

back-end speech recognition --- Front-end speech recognition is where the physician dictates and edits the document.

The health care facility has decided to purchase all of their information systems from Vendor A so that the information systems will be integrated. This system selection strategy is known as best of fit. go-live. best of breed. interfaced.

best of fit

Identify the data elements that is a foreign key in the patient table. address billing number health record number last name

billing number

The information system strategic plan should be based on the the preferences of the employees proposed law business strategic plan works with the current technology

business strategic plan While all of these should be considered when selecting an information systemm it should be based on the business strategic plan so that it can help meet the business plan.

The patient has been on medication X for several years. A physician ordered medication Y. The information system immediately sends the physician a message that says that medication Y is contraindicated due to medication X. The technology being used is EHR order entry/results reporting point-of-care system clinical decision support system

clinical decision support system

Your job is to teach patients to use the patient portal. Your specialization is privacy. standards development. HIM management. consumer health informatics.

consumer health informatics. Consumer health informatics includes PHRs, health literacy, and patient portals. Standards development is a role where the standards are designed, researched, and tested. HIM management is a generic term under which all HIM related responsibilities fall.

You are interested in performing some data analysis on patients with cardiac problems. You have downloaded the data that you need on the cardiology patients from the data warehouse into a smaller database that you can work with. You are using a(n) specialized data warehouse. executive information system. clinical data repository. data mart.

data mart.

Identify the component of the database design where you will find the structures in the database, the types of records stored, and the fields used. data dictionary database management database design specification data model

data model

You need a report that includes only Medicare patients. Identify the operation that enables you to generate this report. grouping sorting filtering calculations

filtering

The health care facility has used Internet technology in order to establish an area restricted to employees where policies and procedures, forms, and more can be stored. This is a(n) extranet. health information exchange. portal. intranet.

intranet.

A preliminary step prior to issuing a formal RFP, which allows the health care facility to narrow down the field of potential vendors for procurement of a new hospital-wide computer system, would be to initiate contract negotiations. issue a request for information (RFI) to potential vendors. create a Gantt chart to monitor project progress. select the system to be purchased.

issue a request for information (RFI) to potential vendors

To enter the results of a urinalysis into the information system, you would use a(n) order entry/results reporting information system. radiology information system. pharmacy information system. laboratory information system.

laboratory information system.

As director of Health Information Services, you are negotiating a contract to purchase a new computerized dictation system that will be used across three satellite ambulatory clinics. Identify the clause in the contract that will allow you to utilize the dictation system in all three locations. delivery terms scope and term of warranties price and payment terms license

license

The database being implemented must be able to store video, images, and audio. Identify the best database for this purpose. network object oriented relational hierarchical

object oriented The object-oriented database is designed to store objects that include video, audio, and images.

Identify the relationship that the diagram provided demonstrates. one to many many to many one and only one one to one

one to one This entity relationship diagram shows a one-to-one relationship as a physician has only one service. In other words, a physician is a cardiologist or a gynecologist not both

The patient's blood pressure is automatically being recorded. This is an example of a nursing information system medication information system patient monitoring system patient registration

patient monitoring system

Documentation of the care provided at the bedside is known as electronic medical record. electronic health record. point-of-care systems. document management system.

point-of-care systems The point-of-care system allows documentation in the EHR to be done at the patient's bedside.

A component of the EHR that reports communicable disease is known as patient provider portal. population health. health information exchange. clinical decision support system.

population health Population health strives to improve the health of the population through mandatory reporting including that of communicable diseases and monitoring health outcomes. Health information exchange shares information with other health care providers for patient care. Clinical decision support systems are used to help physicians diagnose patients. --- The patient provider portal allows the patient to access health information and other resources online.

A survey of the patients at your healthcare facility has found that they want access to test results and the ability to schedule appointments online. Because of this, we have decided to implement a(n): intranet single sign-on portal personal health record

portal A patient portal allows a patient to view test results, communicate with a provider, schedule appointments, and more.

Installation of a new document management system is scheduled for the HIM department. The department director calls a meeting of the HIM supervisors to coordinate plans for training the HIM staff. Identify key factors that must be taken into consideration as part of the training preparation process. presentation, content, and scheduling to accommodate all employee shifts collecting the results of the RFP responses and vendor selection process used during the selection process the total storage capacity and price of the new information system scheduling training times and locations for all physicians and hospital personnel who will use the system

presentation, content, and scheduling to accommodate all employee shifts

You have had a problem with duplicate medical record numbers in your health care facility's MPI. Now you are joining a health information exchange, so you will need to clean up your database and prevent the duplicates from happening again. If you want to find near matches as well as identical matches in your MPI, you should implement a(n) _________ algorithm. fuzzy probabilistic integrity deterministic

probabilistic

The HIM supervisor is evaluating software that would utilize electronic logging and monitoring of requests for copies of patient information and develop an accounting of disclosure. This is the functionality of the _________ information system. record completion release of information/disclosure management transcription record location/tracking

release of information/disclosure management The release of information/disclosure management software would track authorizations received, authorizations pending, and what was sent to complete the authorizations

The health care facility has implemented an application that allows patients to support each other. The information system is personal health record. continuity care document. portal. social media.

social media.

The decision was made to drop bills in three days not four. The change must be applied in the: report writer. request for proposal. tables. system settings.

system settings.

The patient's heart is being monitored while he is at home. This is known as telehealth. mobile device. electronic health record. radio frequency identification.

telehealth

In explaining the benefits of a document management system, you include: structured data entry. workflow. free text. natural language processing.

workflow

You have been asked to identify and display the existing record processing workflow with the paper record. After you finish this, you will redesign the process and display the new process. Recommend the appropriate tool to use. data mapping policy and procedure data dictionary workflow diagram

workflow diagram