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 Standards to support implementation and certification

D Financial and clinical incentives

Question #2

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

A 4

B 2

C 5

D 3

Question #3

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

A CMS

B HIT

C ONC

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 Disease registry

C Public health

D Clinical decision support

Question #5

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

A A timely clinical document architecture

B A vendor-based exchange for principal diagnosis

C Medication reconciliation within the facility pharmacy

D An accurate continuity of care document

Question #6

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

A HIO

B IDN

C CHIN

D HIE

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 Meaningful Use networks.

C health information exchanges.

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 LOINC

B ICD-10-CM

C HCPCS

D SNOMED

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 CCA

B HL-7

C CCR

D SNOMED

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 Health Level-7

D Systemized Nomenclature of Medicine – Clinical Terms

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 Privacy and security

B Clinical operations

C Clinical quality

D Administrative policy

Question #14

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

A Accounting of disclosures

B Quarterly income by pages of request

C Outstanding invoices by quarter

D Annual profit/loss statement

Question #15

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

A Number of breaches in disclosure

B Number of valid requests

C Number of requests fulfilled

D All of these

Question #16

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

A Master Patient Index

B Grouping

C Encoding

D Computer-assisted coding

Question #17

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 #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 artificial intelligence.

C computer-assisted coding.

D encoding.

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 grouper.

C logic-based encoder.

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 abstracting.

B computer-assisted coding.

C grouper.

D encoder.

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 2

C Stage 3

D Stage 1

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 1

B Stage 4

C Stage 3

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 None of these

C Improved outcomes through coordination of elements and structures

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

Question #24

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

A Decreased mortality rates through improved measurements

B Decreased privacy concerns due to patient portals

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 better clinical outcomes.

B decreased population health outcomes.

C decreased transparency for clinical providers.

D standardized research data on pharmaceutical usage.

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 data mining.

B interoperability.

C updating software.

D technical support.

Question #27

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

A Affordable Care Act

B American Recovery and Reinvestment Act

C All of these

D HITECH

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 New laws and regulations

C Changes in Medicare/Medicaid rules

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 Signature

B Review

C Filing

D Assembly

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 eSignature.

C no signature required on EHRs.

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 Words that voice technology may not recognize

B Misdiagnoses or malpractice

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 stenographer

B clerk

C reader

D editor

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 Electronic record

B Live record

C Hybrid record

D Concurrent record

Question #34

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

A Incomplete documentation has been submitted.

B The patient is readmitted.

C It is needed for risk management review.

D All of these

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

D none of these.

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 Maintain the integrity of the facility and the EMPI

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

C All of these

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

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 Healthcare Bill of Rights.

B Notice of Privacy Practices.

C Bill of Rights.

D Patient’s Bill of Rights.

Question #39

Disaster planning was initially required under which act of Congress?

A The Affordable Care Act of 2010

B Medical Care Act of 1965

C Employee Health Care Protection Act of 2013

D Health Insurance Portability and Accountability Act of 1996

Question #40

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

A ePaper

B hybrid

C electronic

D paper

Question #41

How often is maintenance performed on the MPI?

A Bi-annually

B Continuously

C Monthly

D Bi-weekly

Question #42

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

A The data are never changed.

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

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

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

Question #43

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

A Registration number

B Data element

C Master patient index

D Medical record number

Question #44

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

A 10–15 years

B 20–30 years

C 1–5 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 Clinical data

B Administrative data

C Diagnosis 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 insurance name.

C diagnosis.

D full name.

Question #47

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

A tape backup.

B cloud services.

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 Centralized

B Systemized

C Localized

D Decentralized

Question #49

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

A A record of each patient divided into individual encounters

B An EHR to keep track of each patient encounter

C A file cabinet for storing patient records

D An index card with each patient’s contact information

Question #50

The term concurrent analysis is also known as:

A reviewing the record after the patient is discharged.

B quantitative analysis.

C business analysis.

D patient analysis.

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