Exam 2

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Question #1

Which of the following rationales illustrates why providers do not want patient data kept in a central database?

A Too expensive

B Too cumbersome

C Too challenging in terms of privacy and security

D All of these

Question #2

Approximately what percentage of all healthcare reimbursement continues to be based on fee-for-service?

A 80%

B 90%

C 50%

D 70%

Question #3

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 Disease registry

B Clinical decision support

C Public health

D Patient-generated data

Question #4

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

A HIO

B IDN

C CHIN

D HIE

Question #5

Which early health information exchanges in the 1990s were all unsuccessful?

A HIO

B CHINs

C HIE

D HITECH

Question #6

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 SQL reporting services.

B patient education centers.

C health information exchanges.

D Meaningful Use networks.

Question #7

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 Health Level-7

C Systemized Nomenclature of Medicine – Clinical Terms

D Continuity of Care Document

Question #8

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

A medication management.

B disease surveillance.

C functionality.

D educational domains.

Question #9

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

A Clinical quality

B Clinical operations

C Administrative policy

D Privacy and security

Question #10

Which of the following affects the appropriate release of information via a patient portal?

A Identification of the legal record by the facility

B Appropriate authorization process

C All of these

D Identification of the designated record set by the facility

Question #11

Patients can obtain personal health information from their health record by request and by download from a secure server through the use of what technology, a requirement of Meaningful Use?

A Release of information audits

B All of these

C Patient portal

D Master Patient Index

Question #12

Which of the following is a federal third-party payer?

A Medicaid

B Blue Shield

C Blue Cross

D Medicare

Question #13

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

A Date of procedure

B Discharge date

C Patient satisfaction

D Principal diagnosis code

Question #14

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 artificial intelligence.

D encoding.

Question #15

Meaningful Use compliance is intended to result in:

A standardized research data on pharmaceutical usage.

B decreased transparency for clinical providers.

C better clinical outcomes.

D decreased population health outcomes.

Question #16

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 technical support.

B data mining.

C updating software.

D interoperability.

Question #17

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

A All of these

B Affordable Care Act

C American Recovery and Reinvestment Act

D HITECH

Question #18

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 Concurrent record

B Live record

C Hybrid record

D Electronic record

Question #19

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 The patient is readmitted.

D All of these

Question #20

By definition, a legal health record is:

A any medical record in a facility regardless of designation.

B only an EHR record.

C none of these.

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

Question #21

Which part of the hospital revenue cycle is coding a part of?

A Insurance

B Administrative

C Reimbursement

D Clinical

Question #22

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

A hybrid

B ePaper

C paper

D electronic

Question #23

How often is maintenance performed on the MPI?

A Monthly

B Bi-weekly

C Continuously

D Bi-annually

Question #24

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

A none of these.

B cloud services.

C tape backup.

D paper records.

Question #25

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 Decentralized

C Systemized

D Centralized

Question #26

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

A A file cabinet for storing patient records

B An EHR to keep track of each patient encounter

C A record of each patient divided into individual encounters

D An index card with each patient’s contact information

Question #27

Also known as “pay for performance,” what reimbursement method rewards clinicians for better patient health outcomes, such as preventative programs to lower blood pressure, and penalizes them for medical errors?

A Wellness fee

B Meaningful fee

C Fee-for-service

D Fee-for-value

Question #28

Charging a set fee for an office visit, a vaccination encounter by the nursing staff, or a telephone consultation would be an example of what type of healthcare reimbursement?

A Fee-for-service

B Fee-for-value

C Wellness fee

D Meaningful fee structure

Question #29

Efficiently integrating HIT and health information exchange into facilities, providing better continuity of care to patients, positioning healthcare strategically for changes in reimbursement, and competing at a higher level on quality and costs of healthcare all represent goals of:

A Meaningful Use.

B health information exchange.

C population health management.

D integrated delivery networks.

Question #30

Under the concept of Meaningful Use, who should be at the center of the healthcare system?

A Primary care physician

B Healthcare plan administrator

C Patient

D Provider

Question #31

A general term that includes the application, infrastructure and tools, and best practices that enable access to analysis of information to improve and optimize decisions and performance is:

A business intelligence.

B data application.

C data analysis.

D data collection.

Question #32

The creation of patient reminders for colonoscopy appointments based on identified trends in diagnoses and occurrence of colon cancer is a result of:

A data collection.

B data analysis.

C data scheduling.

D data marketing.

Question #33

Searching for and extracting a large amount of data for the purpose of turning them into useful information through data analysis is called:

A data abstracting.

B data entry.

C data mining.

D data analysis.

Question #34

Prior computer or business systems that are sometimes kept partially in use during new system upgrades are called:

A management systems.

B legacy systems.

C information systems.

D database systems.

Question #35

A common barrier to employment of information technicians in healthcare is limited:

A programming education.

B networking skills.

C computer background.

D healthcare knowledge.

Question #36

What type of project most often requires a custom interface and programming?

A Sunsetting a pharmacy inventory application

B Integrating legacy systems with new EHR systems

C Sharing uniform data from the same information vendor

D Installation of a stand-alone encoder

Question #37

The ability of a 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 data mining.

C technical support.

D interoperability.

Question #38

A project “goes live” during which step in the project management process?

A Closing the project

B Monitoring and controlling the project

C Planning for the project

D Executing the project

Question #39

The keeping of health records in electronic format is known as:

A scanning.

B digitized format.

C imaging.

D EMR.

Question #40

A simple definition of an EHR is that it:

A does not meet certification requirements of HITECH.

B provides a digital record of the traditional chart.

C offers limited functionality.

D captures more in-depth information.

Question #41

A key advantage of using EHRs over paper is that:

A EHRs can be used simultaneously by more than one provider.

B EHRs take less time for the physician to access.

C EHRs do not have to be as secure as the paper record.

D EHRs are less expensive.

Question #42

A third-party payer is often referred to as a(n):

A attorney.

B care giver.

C insurance company.

D guarantor.

Question #43

Healthcare professional refers to:

A a third-party payer.

B HIM personnel.

C a nurse, medical assistant, or other technician.

D a doctor.

Question #44

The health record is the source document that:

A is not protected from legal proceedings.

B serves as a means of communication among the healthcare team.

C is not used by other ancillary personnel.

D only documents the health status of the patient.

Question #45

This professional organization was formed in 1847 with the primary goal of ensuring quality medical education:

A American College of Surgeons

B American Medical Education Association

C American Physician’s Association

D American Medical Association

Question #46

The first hospital in the United States, founded in 1751, was:

A Plymouth Hospital.

B Boston Hospital.

C Pennsylvania Hospital.

D New York Hospital.

Question #47

The first hospital in the United States was founded by Dr. Thomas Bond and:

A Benjamin Franklin.

B George Washington.

C Andrew Jackson.

D Thomas Jefferson.

Question #48

The act that required Peer Review Organizations (PROs) to report substandard care to licensing agencies is:

A TEFRA.

B OBRA.

C HIPAA.

D ARRA.

Question #49

In order be eligible to receive Medicare and Medicaid reimbursement for healthcare services, hospitals and physicians must comply with the set of regulations known as:

A Professional Standards Review Organizations (PSROs).

B Conditions of Participation (CoP).

C Prospective Pay System (PPS).

D Title XVII of the Social Security Act of 1935.

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