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 Adoption and optimization of EHR and HIE services

B Privacy and Security

C Financial and clinical incentives

D Standards to support implementation and certification

Question #2

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

A 4

B 5

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 HIT

C CMS

D ITT

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 Patient-generated data

B Public health

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 A vendor-based exchange for principal diagnosis

B Medication reconciliation within the facility pharmacy

C An accurate continuity of care document

D A timely clinical document architecture

Question #6

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

A CHIN

B IDN

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 patient education centers.

B health information exchanges.

C Meaningful Use networks.

D SQL reporting services.

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 CD

B Fax

C Flash drives

D Email

Question #9

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

A SNOMED

B HCPCS

C ICD-10-CM

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 SNOMED

B HL-7

C CCR

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 Systemized Nomenclature of Medicine – Clinical Terms

B Clinical Document Architecture

C Continuity of Care Document

D Health Level-7

Question #12

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

A functionality.

B educational domains.

C disease surveillance.

D medication management.

Question #13

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

A Clinical operations

B Privacy and security

C Administrative policy

D Clinical quality

Question #14

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

A Annual profit/loss statement

B Accounting of disclosures

C Outstanding invoices by quarter

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 Number of requests fulfilled

B All of these

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 Encoding

B Computer-assisted coding

C Master Patient Index

D Grouping

Question #17

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

A Principal diagnosis code

B Discharge date

C Patient satisfaction

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 encoding.

B natural language processing.

C artificial intelligence.

D computer-assisted coding.

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 logic-based encoder.

B logic-based grouper.

C none of these.

D book-based encoder.

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 computer-assisted coding.

B abstracting.

C encoder.

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 1

B Stage 2

C Stage 3

D Stage 4

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 1

C Stage 3

D Stage 2

Question #23

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

A None of these

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

C Improved outcomes through coordination of elements and structures

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

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 Decreased mortality rates through improved measurements

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

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

Question #25

Meaningful Use compliance is intended to result in:

A decreased transparency for clinical providers.

B better clinical outcomes.

C standardized research data on pharmaceutical usage.

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 data mining.

D technical support.

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 Affordable Care Act

C HITECH

D All of these

Question #28

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

A The electronic health record

B Poor health outcomes

C New laws and regulations

D Changes in Medicare/Medicaid rules

Question #29

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

A Filing

B Signature

C Assembly

D Review

Question #30

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

A iSignature.

B no signature required on EHRs.

C wet signature.

D eSignature.

Question #31

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

A Misdiagnoses or malpractice

B Words that voice technology may not recognize

C Incorrect billing codes

D Incomplete or missing documentation

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 clerk

B editor

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 Live record

C Concurrent 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 All of these

C Incomplete documentation has been submitted.

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 only an EHR record.

C none of these.

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

Question #36

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

A Compliance officer

B Supervisor of coding

C Data integrity coordinator

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 All of these

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

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 Bill of Rights.

B Notice of Privacy Practices.

C Healthcare Bill of Rights.

D Patient’s Bill of Rights.

Question #39

Disaster planning was initially required under which act of Congress?

A Medical Care Act of 1965

B Health Insurance Portability and Accountability Act of 1996

C The Affordable Care Act of 2010

D Employee Health Care Protection Act of 2013

Question #40

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

A ePaper

B hybrid

C paper

D electronic

Question #41

How often is maintenance performed on the MPI?

A Bi-annually

B Continuously

C Bi-weekly

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 every other year during a review process.

B The data are never changed.

C Administrative data should be updated annually 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 Medical record number

B Data element

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 There is no retention period. It’s permanent.

C 10–15 years

D 1–5 years

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 Clinical data

C Administrative data

D Demographic data

Question #46

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

A phone number.

B full name.

C diagnosis.

D insurance name.

Question #47

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 #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 Centralized

B Systemized

C Localized

D Decentralized

Question #49

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

A An index card with each patient’s contact information

B A file cabinet for storing patient records

C A record of each patient divided into individual encounters

D An EHR to keep track of each patient encounter

Question #50

The term concurrent analysis is also known as:

A quantitative analysis.

B patient analysis.

C business analysis.

D reviewing the record after the patient is discharged.

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