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 All of these

B Too challenging in terms of privacy and security

C Too cumbersome

D Too expensive

Question #2

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

A 70%

B 80%

C 90%

D 50%

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 Public health

C Patient-generated data

D Clinical decision support

Question #4

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

A HIO

B CHIN

C HIE

D IDN

Question #5

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

A CHINs

B HIE

C HITECH

D HIO

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 patient education centers.

C Meaningful Use networks.

D SQL reporting services.

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 Health Level-7

B Systemized Nomenclature of Medicine – Clinical Terms

C Clinical Document Architecture

D Continuity of Care Document

Question #8

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

A educational domains.

B functionality.

C medication management.

D disease surveillance.

Question #9

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 #10

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

A Identification of the designated record set by the facility

B Appropriate authorization process

C Identification of the legal record by the facility

D All of these

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 Release of information audits

C Patient portal

D Master Patient Index

Question #12

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

A Blue Shield

B Blue Cross

C Medicare

D Medicaid

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 encoding.

D artificial intelligence.

Question #15

Meaningful Use compliance is intended to result in:

A decreased transparency for clinical providers.

B standardized research data on pharmaceutical usage.

C decreased population health outcomes.

D better clinical 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 interoperability.

C updating software.

D data mining.

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 Live record

B Concurrent record

C Hybrid record

D Electronic record

Question #19

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

A Incomplete documentation has been submitted.

B All of these

C The patient is readmitted.

D It is needed for risk management review.

Question #20

By definition, a legal health record is:

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

B any medical record in a facility regardless of designation.

C only an EHR record.

D none of these.

Question #21

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

A Reimbursement

B Clinical

C Insurance

D Administrative

Question #22

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

A paper

B hybrid

C electronic

D ePaper

Question #23

How often is maintenance performed on the MPI?

A Continuously

B Bi-weekly

C Monthly

D Bi-annually

Question #24

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

A cloud services.

B none of these.

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 Centralized

B Systemized

C Decentralized

D Localized

Question #26

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

A An EHR to keep track of each patient encounter

B A record of each patient divided into individual encounters

C An index card with each patient’s contact information

D A file cabinet for storing patient records

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 Fee-for-value

B Meaningful fee

C Wellness fee

D Fee-for-service

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 Fee-for-service

C Meaningful fee structure

D Fee-for-value

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 health information exchange.

B Meaningful Use.

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 Healthcare plan administrator

B Provider

C Patient

D Primary care physician

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 analysis.

C data application.

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 scheduling.

B data marketing.

C data collection.

D data analysis.

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 database systems.

B management systems.

C legacy systems.

D information systems.

Question #35

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

A computer background.

B healthcare knowledge.

C programming education.

D networking skills.

Question #36

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

A Sharing uniform data from the same information vendor

B Sunsetting a pharmacy inventory application

C Installation of a stand-alone encoder

D Integrating legacy systems with new EHR systems

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 technical support.

B updating software.

C data mining.

D interoperability.

Question #38

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

A Planning for the project

B Executing the project

C Closing the project

D Monitoring and controlling the project

Question #39

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

A imaging.

B digitized format.

C EMR.

D scanning.

Question #40

A simple definition of an EHR is that it:

A offers limited functionality.

B captures more in-depth information.

C provides a digital record of the traditional chart.

D does not meet certification requirements of HITECH.

Question #41

A key advantage of using EHRs over paper is that:

A EHRs are less expensive.

B EHRs take less time for the physician to access.

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

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

Question #42

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

A insurance company.

B guarantor.

C care giver.

D attorney.

Question #43

Healthcare professional refers to:

A a third-party payer.

B HIM personnel.

C a doctor.

D a nurse, medical assistant, or other technician.

Question #44

The health record is the source document that:

A is not protected from legal proceedings.

B is not used by other ancillary personnel.

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

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 Physician’s Association

B American College of Surgeons

C American Medical Association

D American Medical Education Association

Question #46

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

A New York Hospital.

B Pennsylvania Hospital.

C Boston Hospital.

D Plymouth Hospital.

Question #47

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

A Benjamin Franklin.

B Thomas Jefferson.

C Andrew Jackson.

D George Washington.

Question #48

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

A TEFRA.

B OBRA.

C ARRA.

D HIPAA.

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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