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A patient e-mails her provider about a sudden onset of angina. How should this information be handled for a practice that is using a certified EHR? a. The e-mail should be printed and added to the patient's health record. b. The provider should update the patient's problem list with this information. c. The e-mail is an example of virtual care and therefore does not require documentation. d. The Joint Commission does not endorse the use of e-mail for the provision of care. - ANSWERS-b. The provider should update the patient's problem list with this information. Which of the following criteria for patient demographic information includes details on the patient's height and weight? a. The Joint Commission b. Federal government Stage 1 Meaningful Use Objectives c. AAAHC Handbook d. HIPAA - ANSWERS-a. The Joint Commission When would a patient need to receive an Advance Beneficiary Notice (ABN)? a. When it is known that Medicare will not cover a particular service
b. When it is known that Medicare may consider a procedure unnecessary c. When the patient is newly enrolled in Medicare and unsure of coverage d. When the patient is not the primary subscriber to the payment plan
- ANSWERS-b. When it is known that Medicare may consider a procedure unnecessary What document(s) provide Medicare patients with notice that Medicare's financial responsibilities might be limited? a. Assignment of Benefits b. Notice of Exclusions from Medicare Benefits c. Advance Beneficiary Notice (ABN) d. A and B e. B and C f. A and C - ANSWERS-e. B and C The current preferred classification system for accurately reflecting diagnoses and procedures for the provision of clinical care is which of the following? a. ICD- 9 - CM b. CPT- 4 c. SNOMED-CT d. ICD- 10 - CM - ANSWERS-c. SNOMED-CT RxNorm and NDC are both examples of standards.
d. When the patient's prior health care treatment record arrives - ANSWERS-a. When the patient contacts the health care provider A patient no longer suffers from rhinitis. How would this information be noted within a certified EHR system? a. It would be removed from the patient's problem list. b. It would be marked as resolved in the patient's problem list. c. It would trigger an automatic statement noting the patient is on no medication. d. All answers listed - ANSWERS-b. It would be marked as resolved in the patient's problem list. In most cases, the patient's is the starting point for an MPI search. a. record number b. last name c. provider name d. date of birth - ANSWERS-a. record number Which of the following EHR benefits is an example of improved clinical decision supporting evidence? A) The system creates a drug alert for a potential medication interaction. B) A physician reviews treatment protocols for hypertension. C) The physician creates a SOAP note while examining the patient.
D) The patient enters symptom information into her record - ANSWERS-B. A physician reviews treatment protocols for hypertension. Which of the following is an example of a standards organization? A) Health Level Seven (HL7) B) Data Repository C) Medical Group Management Association D) Continuity of Care Record (CCR) - ANSWERS-A) Health Level Seven (HL7) A practice has narrowed down their EHR vendor selection to one candidate. It would be prudent for the project team to do which of the following next? A) Perform reference checks on the vendor B) Sign a contract to secure the EHR vendor's services C) Begin EHR training sessions with the clinical and office staff D)Determine how the practice staff feels about switching to a paperless system - ANSWERS-A) Perform reference checks on the vendor Why would a small primary care practice participate in a DOQ-IT program? A) To avoid paying federal penalties B) To receive discounts on EHR products C) To learn more about implementing an EHR
D) Highlighting out-of-range test levels - ANSWERS-D)Highlighting out-of-range test levels Which of the following statements about the RFP is correct? A) It should be sent to a small number of potential EHR vendors. B) It should be send to a wide variety of EHR vendors. C) It should be sent to one EHR vendor. D) None of the above - ANSWERS-A) It should be sent to a small number of potential EHR vendors Which of the following statements about implementing a new EHR in a health care practice is true? A) The office manager is the key decision maker in selecting an EHR vendor. B) Practices with three physicians or less do not need to implement an EHR system. C) Patient representatives should be included in the vendor selection process. D) Implementing an EHR requires a cultural change in an office. - ANSWERS-D) Implementing an EHR requires a cultural change in an office Why might a medical office choose an SAAS model as a way to implement a fully functional EHR? A) To maintain ownership of the EHR system B) To increase its profits by charging leasing fees to other practices
C) To maintain the security of its patient records D) To reduce start up costs associated with an EHR - ANSWERS- D)To reduce start up costs associated with an EHR A significant portion of patient adverse events are the result of which of the following? A) Equipment failures B) Miscommunications C) Faulty EHR functions D) Physician errors - ANSWERS-B) Miscommunications Which of the following organizations offers a free brochure on selecting the right EMR vendor? A) CCHIT B) CHIT C)HIMSS D)MEDQIC - ANSWERS-C)HIMSS One benefit of an EHR is the ability to send a drug order to a pharmacy electronically. This is an example of which type of benefit? A) Decreased cost of care B) Improved coordination of care C)Increased staff productivity D)Improved clinical decision making - ANSWERS-B) Improved coordination of care
A) office manager B) IT director C) consultant D) lawyer - ANSWERS-C) consultant Which of the following features of an EHR system is not intended for patient use? A) Alerts B) Telemonitors C) Smart cards D) Reminders - ANSWERS-A) Alerts All of the following would be considered an incentive for a practice to switch to a fully electronic EHR except: A) Low cost in implementing a system B)Controlling national health care costs C)Minimizing treatment errors D)All of these are incentives - ANSWERS-A)Low cost in implementing a system Stratis Health in Minnesota is an example of which type of organization? A) EHR Roadmappers B) QIO (Quality Improvement Organization) C) This is a proposed organization, but not functional at this time.
D) EHR Toolkit International - ANSWERS-B)QIO (Quality Improvement Organization A health care practice that wants to implement a fully functional EHR might find technical assistance and information regarding best practices from which of the following? A) Regional Health Information Organizations B) Regional Extension Center C) Sub-Network Organization D) National Health Information Network - ANSWERS-B) Regional Extension Center In 2009, created payment incentives for implementing a fully functional EHR. A) HITECH B) ONC C) HHS D) HIPAA - ANSWERS-A) HITECH Which of the following is not part of readiness assessment during the EHR implementation process? A) Determining IT staffing B) Reviewing clinician skills C) Gauging staff attitudes D) Identifying future goals - ANSWERS-D) Identifying future goals
D)NHIN - ANSWERS-B)RHIO
Which of the following statements about EHR implementation is correct? A) Smaller physician offices are less likely to implement a fully functional EHR system. B) Over half of physician offices in the nation currently have fully functional EHR systems. C) Most physicians do not see the value of spending resources on a fully functional EHR system. D) Providers must be part of a hospital network to implement an electronic health record system. - ANSWERS-A)Smaller physician offices are less likely to implement a fully functional EHR system A Regional Health Information Organization is most similar to a . A) National Health Information Network B) Sub-Network Organization C) Health Information Exchange D) Regional Extension Center - ANSWERS-B) Sub-Network Organization Correct An example of a technical safeguard that protects the privacy and security of protected health information would be which of the following? A) Placing a privacy screen around a computer monitor
B) Encrypting data when it is transmitted electronically C) Ensuring clinical and office staff do not write down their log-in information D) Locking personal computers to desktops to deter theft - ANSWERS-B) Encrypting data when it is transmitted electronically The Conditions of Participation is an example of a(n) standard A) certification B) accreditation C) licensure D) legal - ANSWERS-A) certification A(n) record organizes information by each type of recording a. integrated b. source-oriented c. problem-oriented d. SOAP - ANSWERS-a. integrated Which of the following statements best follow the guidelines regarding EHR signatures? a. Only the originator of an entry should apply the signature to their entry. b. It is acceptable to have someone else apply their signature to your entry as long as they agree with your entry.
When viewing a patient record in an EHR system, how will the user know if data has been changed? a. The user will not know if original data has been changed. b. The user will see a "modified" notation associated with any changes. c. The user will see a log that includes date/time/user information for anyone accessing the record. d. The user will need to turn on the "track changes" feature in order to see any modifications. - ANSWERS-b. The user will see a "modified" notation associated with any changes. Which of the following would not be considered a benefit of a structured data field within an EHR? a. It requires fewer keystrokes to enter information b. It captures the exact words of a patient c. It helps ensure consistency of data d. It makes it possible to produce reports electronically - ANSWERS- b. It captures the exact words of a patient A type of HIPAA safeguard that requires security training within a facility is known as a(n) safeguard. a. administrative b. technical c. privacy d. physical - ANSWERS-a. administrative
Which of the following procedures would be the best process to follow when a charting error has been discovered in the EHR? a. Delete the file and reenter all the information. b. Make the correction in an addendum. c. Add a paper notation with the correction and cross-reference the paper note in the chart. d. It cannot be changed after the fact and remains as is. - ANSWERS- b. Make the correction in an addendum. What is a patient's CAT scan an example of when it is part of an EHR? a. Structured data b. Data field c. Imaged data d. Narrative text - ANSWERS-c. Imaged data In cases where patient care is questioned, the patient health record will provide legal protection to which of the following parties? a. Organizations b. Patients c. Practitioners d. All answers listed - ANSWERS-d. All answers listed Which of the following is an example of narrative text within an EHR?
b. The vendor owns the servers, database software, and application software. c. The vendor owns the patient data documented by the clinicians and office staff. d. The practice requires a secured T1 line and Internet Provider Service to use the EHR. - ANSWERS-c. The vendor owns the patient data documented by the clinicians and office staff. In which type of record format would SOAP notes most likely be found?a. Source-oriented record b. Integrated record c. Problem-oriented record d. Progress notes - ANSWERS-c. Problem-oriented record Which of the following technical security controls require users to take certain steps before it will accept their login? a. Data encryption protocols b. Authentication protocols c. User- and role-based access controls d. Audit trails - ANSWERS-b. Authentication protocols All of the following are examples of human-computer interface devices except: a. laptop computers b. PDAs c. databases
d. tablets - ANSWERS-c. databases Which of the following statements about accreditation standards is correct? a. They are developed by states. b. Compliance with them is voluntary. c. Compliance is tied to reimbursement. d. All answers listed - ANSWERS-b. Compliance with them is voluntary. A practice wants to include a wireless network as part of its EHR system. The practice should consider which of the following? a. Wireless networks are less reliable than wired networks. b. Wireless systems may interfere with some medical devices. c. Wireless user devices are expensive to replace d. All answers listed - ANSWERS-b. Wireless systems may interfere with some medical devices Based on The Joint Commission Standard and Performance Elements for Signatures, how may authentication of a signature be verified? Through an electronic signature b. Through written initials c. Through a computer key d. All answers listed - ANSWERS-d. All answers listed
