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 challenging in terms of privacy and security

B All of these

C Too cumbersome

D Too expensive

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 Patient-generated data

D Public health

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 HITECH

D HIE

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 health information exchanges.

B Meaningful Use networks.

C SQL reporting services.

D patient education centers.

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 Systemized Nomenclature of Medicine – Clinical Terms

B Clinical Document Architecture

C Health Level-7

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 functionality.

C disease surveillance.

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 Administrative policy

C Privacy and security

D Clinical operations

Question #10

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

A All of these

B Appropriate authorization process

C Identification of the legal record by the facility

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 All of these

B Master Patient Index

C Release of information audits

D Patient portal

Question #12

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

A Medicaid

B Medicare

C Blue Cross

D Blue Shield

Question #13

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

A Principal diagnosis code

B Date of procedure

C Patient satisfaction

D Discharge date

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 encoding.

D artificial intelligence.

Question #15

Meaningful Use compliance is intended to result in:

A standardized research data on pharmaceutical usage.

B better clinical outcomes.

C decreased population health outcomes.

D decreased transparency for clinical providers.

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 data mining.

B updating software.

C technical support.

D interoperability.

Question #17

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 Affordable Care Act

D All of these

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 Hybrid record

B Live record

C Electronic record

D Concurrent record

Question #19

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

A The patient is readmitted.

B Incomplete documentation has been submitted.

C All of these

D It is needed for risk management review.

Question #20

By definition, a legal health record is:

A none of these.

B any medical record in a facility regardless of designation.

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

D only an EHR record.

Question #21

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

A Administrative

B Reimbursement

C Clinical

D Insurance

Question #22

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

A paper

B electronic

C hybrid

D ePaper

Question #23

How often is maintenance performed on the MPI?

A Bi-annually

B Monthly

C Continuously

D Bi-weekly

Question #24

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

A paper records.

B cloud services.

C none of these.

D tape backup.

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 Systemized

B Decentralized

C Centralized

D Localized

Question #26

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 #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 Meaningful fee

B Fee-for-value

C Fee-for-service

D Wellness fee

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 Wellness fee

B Meaningful fee structure

C Fee-for-value

D Fee-for-service

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 population health management.

B Meaningful Use.

C integrated delivery networks.

D health information exchange.

Question #30

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

A Primary care physician

B Provider

C Patient

D Healthcare plan administrator

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 data collection.

B business intelligence.

C data analysis.

D data application.

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 analysis.

B data marketing.

C data scheduling.

D data collection.

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 analysis.

B data abstracting.

C data mining.

D data entry.

Question #34

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

A management systems.

B database systems.

C information systems.

D legacy systems.

Question #35

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

A computer background.

B networking skills.

C programming education.

D healthcare knowledge.

Question #36

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

A Installation of a stand-alone encoder

B Integrating legacy systems with new EHR systems

C Sunsetting a pharmacy inventory application

D Sharing uniform data from the same information vendor

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 interoperability.

C data mining.

D technical support.

Question #38

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

A Planning for the project

B Closing the project

C Monitoring and controlling the project

D Executing the project

Question #39

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

A digitized format.

B scanning.

C imaging.

D EMR.

Question #40

A simple definition of an EHR is that it:

A offers limited functionality.

B does not meet certification requirements of HITECH.

C provides a digital record of the traditional chart.

D captures more in-depth information.

Question #41

A key advantage of using EHRs over paper is that:

A EHRs take less time for the physician to access.

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

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 used by other ancillary personnel.

B only documents the health status of the patient.

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

D is not protected from legal proceedings.

Question #45

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

A American Physician’s Association

B American College of Surgeons

C American Medical Education 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 New York Hospital.

D Pennsylvania Hospital.

Question #47

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

A Andrew Jackson.

B Benjamin Franklin.

C Thomas Jefferson.

D George Washington.

Question #48

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

A HIPAA.

B ARRA.

C TEFRA.

D OBRA.

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 Title XVII of the Social Security Act of 1935.

B Conditions of Participation (CoP).

C Professional Standards Review Organizations (PSROs).

D Prospective Pay System (PPS).

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