Week 3 Quiz

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Question #1

Which of the following elements of interoperability include the support of validity, reliability, and usability of health information?

A Financial and clinical incentives

B Standards to support implementation and certification

C Adoption and optimization of EHR and HIE services

D Privacy and Security

Question #2

The ONC Health IT Standards committee has identified how many outcomes for interoperability?

A 5

B 4

C 3

D 2

Question #3

Which of the following is responsible for coordinating the activities that establish standards for health IT?

A ONC

B CMS

C ITT

D HIT

Question #4

Using hospital mandatory reporting of infectious diseases through an online system is representative of what type of use, in which health information exchanges can improve healthcare?

A Public health

B Patient-generated data

C Clinical decision support

D Disease registry

Question #5

A key way in which health information exchange can improve care includes which of the following?

A Medication reconciliation within the facility pharmacy

B A vendor-based exchange for principal diagnosis

C A timely clinical document architecture

D An accurate continuity of care document

Question #6

Which exchange organization provides services only in a smaller region, usually a metropolitan area?

A IDN

B CHIN

C HIE

D HIO

Question #7

The organizations that provide the infrastructure and services allowing for the movement of health-related data between nonaffiliated stakeholders based on nationally established guidelines are known as:

A health information exchanges.

B patient education centers.

C SQL reporting services.

D Meaningful Use networks.

Question #8

Which of the following is an example of electronic exchange that may meet the Meaningful Use criteria for electronic exchange of data?

A Fax

B CD

C Email

D Flash drives

Question #9

Meaningful Use Stage 1 allowed certified EHRs to store patient data through either ICD-9 or which system?

A ICD-10-CM

B SNOMED

C HCPCS

D LOINC

Question #10

Which of the following is used for coding the data input from a medical encounter and is a part of the EHR requirement under Meaningful Use Stage 2?

A HL-7

B CCR

C SNOMED

D CCA

Question #11

Which standard represents the standard for the actual health record and is an SML-based document that has been selected as acceptable under Meaningful Use?

A Clinical Document Architecture

B Continuity of Care Document

C Systemized Nomenclature of Medicine – Clinical Terms

D Health Level-7

Question #12

Using public health, clinical outcomes, or consumer health to organize standards is an example of:

A disease surveillance.

B functionality.

C medication management.

D educational domains.

Question #13

Which of the following is NOT included in the organization of the ONC Health IT standards?

A Administrative policy

B Clinical quality

C Privacy and security

D Clinical operations

Question #14

Which of the following represents a HIPAA reporting capability as it relates to release of information?

A Outstanding invoices by quarter

B Accounting of disclosures

C Annual profit/loss statement

D Quarterly income by pages of request

Question #15

Which of the following statistical information on release of information must be available upon request?

A All of these

B Number of requests fulfilled

C Number of valid requests

D Number of breaches in disclosure

Question #16

Release of information software that has interoperability with which system makes the logging requests and releases much more efficient?

A Grouping

B Computer-assisted coding

C Master Patient Index

D Encoding

Question #17

Which of the following is NOT collected through the UHDDS abstracting process?

A Patient satisfaction

B Discharge date

C Principal diagnosis code

D Date of procedure

Question #18

The ability of a computer to understand what is written in an EHR or to understand human speech is known as:

A natural language processing.

B computer-assisted coding.

C encoding.

D artificial intelligence.

Question #19

A computer application that shows the following prompts is characteristic of a:
Enter Keyword – Cholelithiasis
With cholecystitis?
With obstruction?
Including the common bile duct?

A book-based encoder.

B logic-based encoder.

C logic-based grouper.

D none of these.

Question #20

Kathy is utilizing a computer-based application to assign CPT codes to outpatient cases in which she answers a series of prompts based on the documentation available in the record. This system is called a(n):

A encoder.

B abstracting.

C computer-assisted coding.

D grouper.

Question #21

Patient access to tools and alert systems that may help them monitor and assess their own health should be accomplished under which stage of Meaningful Use?

A Stage 4

B Stage 1

C Stage 3

D Stage 2

Question #22

The electronic transmission of discharge summaries from an acute care facility to a long-term care facility should be accomplished under which stage of Meaningful Use?

A Stage 4

B Stage 3

C Stage 1

D Stage 2

Question #23

Which of the following statements is consistent with Stage 3 of Meaningful Use?

A Advanced clinical outcomes through improved measurement and patient-directed exchanges

B Improved outcomes through coordination of elements and structures

C The capture and sharing of data by the electronic health record and health information exchanges

D None of these

Question #24

Which of the following would NOT be included in the stages of Meaningful Use?

A Decreased privacy concerns due to patient portals

B Improved patient outcomes at discharge as a result of better data capture

C The capture and sharing of patient BMI between the EHR and a health exchange

D Decreased mortality rates through improved measurements

Question #25

Meaningful Use compliance is intended to result in:

A decreased transparency for clinical providers.

B standardized research data on pharmaceutical usage.

C better clinical outcomes.

D decreased population health outcomes.

Question #26

The ability of the nurse practitioner to view laboratory values online from the order entry application while making the appropriate pharmaceutical inventory available for reference is an example of:

A updating software.

B interoperability.

C technical support.

D data mining.

Question #27

Which measures were designed to change both healthcare delivery and payment to a more efficient model?

A American Recovery and Reinvestment Act

B HITECH

C All of these

D Affordable Care Act

Question #28

Which of the following is a driving force in the high cost of healthcare in the United States?

A New laws and regulations

B Changes in Medicare/Medicaid rules

C The electronic health record

D Poor health outcomes

Question #29

Which of the following steps is necessary for a paper record but NOT for an electronic health record?

A Assembly

B Signature

C Review

D Filing

Question #30

Manual signatures are almost obsolete with the advent of new technology. A signature provided through an EHR is called a(n):

A no signature required on EHRs.

B eSignature.

C iSignature.

D wet signature.

Question #31

A transcriptionist who is using an EHR would typically look for what type(s) of error(s)? (Choose all that apply)

A Incomplete or missing documentation

B Words that voice technology may not recognize

C Misdiagnoses or malpractice

D Incorrect billing codes

Question #32

The traditional role of the medical transcriptionist has changed with use of EHRs and they are now considered to be a(n) _____ as opposed to a typist.

A editor

B clerk

C reader

D stenographer

Question #33

A patient was admitted to the hospital for an emergency appendectomy. The EMS responders hand off initial information about the patient’s vitals to go in her health record. The nurse then updates and adds further information after an initial battery of tests. The doctor then includes pre-operative and post-operative reports. At this point in the healthcare process, what is the health record called?

A Hybrid record

B Concurrent record

C Live record

D Electronic record

Question #34

Why may a paper record need to be retrieved from the file room?

A It is needed for risk management review.

B Incomplete documentation has been submitted.

C All of these

D The patient is readmitted.

Question #35

By definition, a legal health record is:

A any medical record in a facility regardless of designation.

B none of these.

C one that a facility would present in response to a subpoena.

D only an EHR record.

Question #36

Facilitating and coordinating process improvement initiatives is part of what HIM job?

A Data integrity coordinator

B Supervisor of coding

C Compliance officer

D Privacy officer

Question #37

A data integrity coordinator is a nontraditional role in HIM. What task(s) might that person be required to do?

A Provide resolution to the EMPI duplicate records, overlays, and documentation errors

B All of these

C Develop reports to audit, track, trend, and resolve duplicate records

D Maintain the integrity of the facility and the EMPI

Question #38

When a patient is registered for admission to the healthcare facility, a notice is given to him/her regarding certain rights; that notice is called the:

A Patient’s Bill of Rights.

B Healthcare Bill of Rights.

C Notice of Privacy Practices.

D Bill of Rights.

Question #39

Disaster planning was initially required under which act of Congress?

A Health Insurance Portability and Accountability Act of 1996

B The Affordable Care Act of 2010

C Employee Health Care Protection Act of 2013

D Medical Care Act of 1965

Question #40

A medical recordkeeping system that uses both paper and electronic content is known as a(n) ______ system.

A paper

B electronic

C ePaper

D hybrid

Question #41

How often is maintenance performed on the MPI?

A Bi-weekly

B Continuously

C Bi-annually

D Monthly

Question #42

How often should a patient’s administrative data be updated after his/her first visit?

A Administrative data should be updated annually during a review process.

B The data are never changed.

C Administrative data should be updated every other year during a review process.

D Administrative data should be reviewed on every visit and updated immediately if there is a change.

Question #43

When a new patient is seen at a facility, what unique identifier is assigned for the encounter?

A Data element

B Medical record number

C Master patient index

D Registration number

Question #44

What is the retention period for the Master Patient (Person) Index?

A 20–30 years

B 1–5 years

C 10–15 years

D There is no retention period. It’s permanent.

Question #45

A patient is admitted with symptoms of fever and abdominal pain. These presenting symptoms are an example of what type of data?

A Diagnosis data

B Demographic data

C Administrative data

D Clinical data

Question #46

Several different types of data are gathered during the registration process. Administrative data include all of the following EXCEPT:

A diagnosis.

B full name.

C phone number.

D insurance name.

Question #47

One of the ways that disaster recovery might be supported for a smaller facility is by using:

A cloud services.

B tape backup.

C paper records.

D none of these.

Question #48

A patient arrives at a hospital to have a pre-operative consultation with an ENT. The information mailed to the patient stated that the patient should report to the registration department on arrival before going to the department of otolaryngology. This is an example of what type of registration process?

A Localized

B Centralized

C Decentralized

D Systemized

Question #49

Every healthcare facility that treats patients must keep which of the following?

A A file cabinet for storing patient records

B An index card with each patient’s contact information

C An EHR to keep track of each patient encounter

D A record of each patient divided into individual encounters

Question #50

The term concurrent analysis is also known as:

A patient analysis.

B quantitative analysis.

C reviewing the record after the patient is discharged.

D business analysis.

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