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EPIC CLN251/252 ACTUAL MIDTERM PROCTORED EXAM
/ EPIC CLN251/252 EXAM PROCTORED REAL EXAM 70
QUESTIONS AND CORRECT ANSWERS|AGRADE
Which master file controls the default login department? - CORRECT ANSWER >>> User (EMP) A multiple related table is: - CORRECT ANSWER >>> The information in the items in the table are all related to each other. What record must be created in order for a person to log in to Epic? **- CORRECT ANSWER
** User (EMP) What record must be created for a person or resource that meets certain clinical criteria? - CORRECT ANSWER >>> Provider (SER) What criteria might be met for a user who is also a provider? **- CORRECT ANSWER ** Schedulable Clinically documents in patient charts Authorizes Refers to/from What record can be created to ease setup and maintenance for groups of users with similar job roles and set up needs? - CORRECT ANSWER >>> User Template (EMP) What record controls the layout and ground rules of Hyperspace? **- CORRECT ANSWER ** Role (E2R)
Which records control access to activities and functionality in Epic? **- CORRECT ANSWER
** Security Class (ECL) Which three types of security class should be assigned to every user? - CORRECT ANSWER >>> In Basket Reporting Workbench Shared Which type of security class should be assigned to every user of clinical tools? - CORRECT ANSWER >>> EpicCare Which type of security class should be assigned to every user or clinical tools in an inpatient/hospital setting? - CORRECT ANSWER >>> Inpatient Which type(s) of security class might be assigned to clinical users of specialty modules? - CORRECT ANSWER >>> Application classes as necessary (e.g. Stork, Beacon) Which items in the user record have unique values that can't be set in a user template? - CORRECT ANSWER >>> Login department User ID Password Link to provider Link to user template Which records control options within activities? - CORRECT ANSWER >>> Profile (LPR) Which options within activities are controlled by profiles? - CORRECT ANSWER >>> Chart Review tabs
Dr. Simon Stitches is an authorizing meds and orders provider. What record do you need to edit?
- CORRECT ANSWER >>> Provider Record Dr. Simon Stitches works at Precision Incision Surgical Associates where they log in to Epic and has appointments with patients. What records do you need to build/edit? **- CORRECT ANSWER
** User Record (login department) Provider Record (schedulable department) Dr. Simon Stitches needs to access tools to help admitted patients at Heal University Medical Center. What record do you need to build/edit? - CORRECT ANSWER >>> Inpatient Security Class Dr. Simon Stitches wants to see a list of scheduled appointments and admitted patients when logged in. What record do you need to build/edit? - CORRECT ANSWER >>> Role Dr. Simon Stitches wants to see a list of surgically-relevant reports in Summary and Chart Review. What record do you need to build/edit? - CORRECT ANSWER >>> Profile Dr. Simon Stitches wants a new Workflow Conductor report that includes a section of presurgery instructions. What records do you need to build/edit? - CORRECT ANSWER >>> Print Group Report Profile Dr. Simon Stitches wants a specific navigator for procedure tasks like ordering, documenting and charging only when they are performing a surgery. What records do you need to build/edit? - CORRECT ANSWER >>> Navigator Section Navigator Topic Navigator Template Workflow Engine Rule
Profile What is the minimum number of EpicCare Security classes you need for one MD, one RN, and one LPN? - CORRECT ANSWER >>> 3. (One EpicCare security class for the MD's, one for the RN's and one for the LPN.) What is the minimum number of roles you need for one MD, one RN, and one LPN? - CORRECT ANSWER >>> 3. (The two doctors have different options under the Epic and More menus, the RN's have different options from the LPN.) In addition to the profile set at System Definitions, what is the minimum number of profiles you need for the three nurses working in the same department? - CORRECT ANSWER >>> 1. (Since they all see the same Chart Review tabs and reports, they can share a profile record.) There are 10 technicians and 15 nurses who will need to LOG IN. What master file is being described? - CORRECT ANSWER >>> User (EMP) For ED (ASAP) care, all of the technicians should BE ABLE TO room a patient, transfer a patient within the ED, and change an ED patient's status. The nurses should BE ABLE TO do those tasks, plus use the ED Navigator. What master file is being described? - CORRECT ANSWER >>> Security class (ECL) For Inpatient care, the nurses also need ACCESS to flowsheets, the MAR, the Summary activity, and Order Entry for ED patients. The technicians only need ACCESS to Summary. What master file is being described? - CORRECT ANSWER >>> Security class (ECL) Although these technicians check in patients, they don't do CLINICAL DOCUMENTAION, nor are they ACCREDITED. The nurses are all registered nurses, so they do clinical documentation and whenever their name appears on any documentation in Epic, it should end with "RN." What master file is being described? - CORRECT ANSWER >>> Provider (SER)
________ has the same fields for recording information. - CORRECT ANSWER >>> Items The specific answers if an "item" are called ________. - CORRECT ANSWER >>> Values Shift+F5 - CORRECT ANSWER >>> Displays help text for an item Equal sign (=) - CORRECT ANSWER >>> Opens the most recently accessed record Page Up - CORRECT ANSWER >>> Goes to preceding screen in a record "Opt" - CORRECT ANSWER >>> Jumps to initial main menu Shift+F7 - CORRECT ANSWER >>> Exits the record from any screen Question mark (?) - CORRECT ANSWER >>> Display a list of records in this master file Home, F8 - CORRECT ANSWER >>> How do you search down (from screen to screen) in a record based on the ID of an item or text on a screen? Home, F9 - CORRECT ANSWER >>> How do you display information about the item the cursor is on, such as the master file INI and item number? Which type of security class does every clinical user need? - CORRECT ANSWER >>> EpicCare security class
Which record can control details within activities, such as the reports or chart review tabs, an end user sees? - CORRECT ANSWER >>> Profile (LPR) record Which type of record controls the layout of Hyperspace and determines some ground rules for the behavior of Hyperspace? - CORRECT ANSWER >>> The role record (E2R) Which three types of security classes does every user need? - CORRECT ANSWER >>> Shared In Basket Reporting Workbench Which type of record will enable a resident to log in to Epic? - CORRECT ANSWER >>> User record Which type of record should you create to give a group of residents the same role, security, and profile settings? - CORRECT ANSWER >>> Linkable user template True/False: The Proxy Provider Information screen controls whether your provider is able to sign orders. - CORRECT ANSWER >>> False. Access to signing orders is controlled by security classes. In a Workflow Engine Rule, what is the relationship between conditions and directives? - CORRECT ANSWER >>> Conditions are "if..." statements that evaluate properties. If the system matches on properties for a condition, directives, or "then..." statements, are carried out. Dr. Josephs is a new physician who will be seeing patients in both clinic and hospital settings. Which types of security will they need to have access to the proper functionality for their work? Choose all answers that apply. a. EpicCare
c. role (E2R) d. security class (ECL) - CORRECT ANSWER >>> A. Profile (LPR) True/False You're working in the Category List Maintenance activity and see this message: "Release Range: All Categories". This means that the category list is an Epic controlled system list and is uneditable. - CORRECT ANSWER >>> True. Your organization has a category list in your production environment with values that are no longer used. Does Epic recommend deleting or deactivating those values? **- CORRECT ANSWER
** Deactivate values in a production environment. Deleting values in a production environment will erase any historical use of that value. Which of the following are required to access a list in the Category List Maintenance activity? Choose all that apply. a. Screen number in text where the item is located b. The INI of the master file where the category list is located c. All the synonyms that will be used to access the options on the list d. The Item number of the field where that list will appear to end users. **- CORRECT ANSWER ** B and D. You need the INI and item number. A ________ is a defined set of possible values for a particular item. **- CORRECT ANSWER ** Category List Category lists are used in the system for these purposes: - CORRECT ANSWER >>> 1. Standardization of responses for reporting
- Typing time is reduced since you can select from category lists by completion matching 3. Triggering other functionality in the system (for selected values)
Each individual choice on the category list is called a _________. **- CORRECT ANSWER
** Category Value Examples of Category Values: - CORRECT ANSWER >>> Number Title Synonym Abbreviation Chronicles is: - CORRECT ANSWER >>> Epic's database management system In the filing cabinet analogy, A giant filing cabinet is: - CORRECT ANSWER >>> Chronicles All of the data that your staff and clinicians enter in the system is stored in: - CORRECT ANSWER >>> Chronicles Information in Chronicles is organized into: - CORRECT ANSWER >>> Master Files Each ______________ stores all the data about one type of thing. **- CORRECT ANSWER ** Master File In the filing cabinet analogy, the drawers in the filing cabinet represents: **- CORRECT ANSWER ** Master Files A master file's __________ is a three-character initial. - CORRECT ANSWER >>> INI the Patient master file's INI is: - CORRECT ANSWER >>> EPT
True/False The records that are created based on user documentation are called dynamic. These master files are generally related to storing patient data, so they are constantly growing. - CORRECT ANSWER >>> True. True/False The records that are built by builders are considered static. These master files can change over time but are usually modified and managed by builders (also called administrators). - CORRECT ANSWER >>> True. True/False Master file records cannot link, or network, to one another. - CORRECT ANSWER >>> False. They can link/network to one another. A multiple response item is when: - CORRECT ANSWER >>> You see the first line (line 0) is a count of how many values are in the item and the remaining lines (lines 1 and beyond) are the values with the data you need for the item. Items have numbers associated with them as unique identifiers as well a name to help you understand the purpose of the item. Explain how to identify them: **- CORRECT ANSWER
** The first items of this record specify the ID (item .1) and the name (item .2) of this user. After that, there are many other items. While other item numbers may differ across master files, the .1 is always the ID and the .2 is always the record name. Epic allow users to review information via: - CORRECT ANSWER >>> Reports ** EPT True/False The records that are created based on user documentation are called dynamic. These master files are generally related to storing patient data, so they are constantly growing. - CORRECT ANSWER >>> True. True/False The records that are built by builders are considered static. These master files can change over time but are usually modified and managed by builders (also called administrators). - CORRECT ANSWER >>> True. True/False Master file records cannot link, or network, to one another. - CORRECT ANSWER >>> False. They can link/network to one another. A multiple response item is when: - CORRECT ANSWER >>> You see the first line (line 0) is a count of how many values are in the item and the remaining lines (lines 1 and beyond) are the values with the data you need for the item. Items have numbers associated with them as unique identifiers as well a name to help you understand the purpose of the item. Explain how to identify them: - CORRECT ANSWER >>> The first items of this record specify the ID (item .1) and the name (item .2) of this user. After that, there are many other items. While other item numbers may differ across master files, the .1 is always the ID and the .2 is always the record name. Epic allow users to review information via: - CORRECT ANSWER >>> Reports Reports: - CORRECT ANSWER >>> Provide the user with information that helps them stay informed about a patient.
Reports are comprised of one or more ____________________. - CORRECT ANSWER >>> Print Groups Print groups (LPG) determine: - CORRECT ANSWER >>> what information displays and how that information is formatted. ____________________ get their information from Chronicles by looking at specific items and the values that are stored in those items. - CORRECT ANSWER >>> Print Groups in Basket messages, as print-outs for prescriptions, for read-only sections in navigators are examples of: - CORRECT ANSWER >>> Reports Each record in the _______________ master file links to, or is networked to, one or more records in the ________________ master file. - CORRECT ANSWER >>> Report (LRP), Print Group (LPG) True/False Print group records are shared. - CORRECT ANSWER >>> True. When customizing a report, you have two options: - CORRECT ANSWER >>> 1. Edit the print groups that make up an existing report
- Create a new report (possibly by duplicating an existing one) and make it available to a group of users Can be used by many different people and in many different activities. - CORRECT ANSWER >>> Shared Report records
Do Profile records configure options within activities? - CORRECT ANSWER >>> Yes _______________ determine how the activity looks, behaves, and what options are available within that activity. - CORRECT ANSWER >>> Profiles Profiles can be linked at ___________ different levels in the profile hierarchy - CORRECT ANSWER >>> 6. What are the 6 different levels in the profile Hierarchy? - CORRECT ANSWER >>> 1. User/User Template (EMP)
- EpicCare Security Class (ECL)
- Department (DEP)
- Revenue Location (EAF)
- Service Area (EAF)
- EMR System Definitions (EAF) First level of the Profile Hierarchy is: - CORRECT ANSWER >>> User/User Template: For profile settings common to a specialized group of users. (MOST SPECIFIC) Second level of the Profile Hierarchy is: - CORRECT ANSWER >>> EpicCare Security Class: For profile settings common to people with the same job duties or scope of practice, like all ambulatory physicians or all pharmacy technicians Third level of the Profile Hierarchy is: - CORRECT ANSWER >>> Department: For profile settings common to people who have different job duties but who work in the same department.
Forth level of the Profile Hierarchy is: - CORRECT ANSWER >>> Revenue Location: For profile settings common to everyone who works in a particular hospital or clinic, regardless of job duties. Fifth level of the Profile Hierarchy is: - CORRECT ANSWER >>> Service Area: For profile settings common to everyone who works in a particular billing region, regardless of job duties. Sixth level of the Profile Hierarchy is: - CORRECT ANSWER >>> EMR System Definitions: For global profile settings that apply to every clinical user in your system unless overridden at a more specific level. (LEAST SPECIFIC) True/False All applications use all six levels of the hierarchy - CORRECT ANSWER >>> False. The ______________________ tells us how the system identifies which profiles are impacting a user and the order in which the system evaluates those profiles. - CORRECT ANSWER >>> Profile Hierarchy The system searches a __________ profile hierarchy to determine which settings (values) they should have. - CORRECT ANSWER >>> User's Because every profile contains the same items, the values defined in more specific profiles will take precedence over values from more general levels. This collection of values is known as a _________________________. - CORRECT ANSWER >>> Compiled Profile Based on what you know about compiling profiles, what do you think is the most efficient level to start profile build and why? - CORRECT ANSWER >>> The most general level in the hierarchy to make settings that will apply to the most people. Then build the exceptions to those settings at more specific levels in the hierarchy.
Settings that can be configured in a Profile: Reports: - CORRECT ANSWER >>> 1. Schedule reports
- Available reports in the Patient Lists, as well as the columns a user can select when creating a new My List
- Chart Review reports for each type of encounter and each type of order 4. Synopsis Views Settings that can be configured in a Profile: Orders-related settings: - CORRECT ANSWER >>> 1. Orders preference lists
- Default order mode, such as verbal
- Whether the system tries to have the ordering and/or authorizing provider appear by default when you place an order
- Which order types require an associated diagnosis
- What validation extensions are checked when signing an order (to check for duplicates, make sure that an admitted patient has a hospital account, etc.) Settings that can be configured in a Profile: Vitals: - CORRECT ANSWER >>> Units of measure used when displaying a patient's height or weight. Settings that can be configured in a Profile: Signing a visit: - CORRECT ANSWER >>> What information must be charted before an encounter can be closed. Settings that can be configured in a Profile: Flowsheets: - CORRECT ANSWER >>> Default buttons and preference list items. Settings that can be configured in a Profile:
Navigators: - CORRECT ANSWER >>> Which navigators you see when you log in to Hyperspace (these settings may be overridden by Workflow Engine rules) Settings that can be configured in a Profile: Workflow Engine Rules: - CORRECT ANSWER >>> A Workflow Engine rule is a set of conditions that will change a patient workspace based on certain conditions. In the profile hierarchy, the three levels that identify "where" a user works incorporates levels from another hierarchy called: - CORRECT ANSWER >>> The Facility Structure. Facility structure: - CORRECT ANSWER >>> Is a linked hierarchy of Chronicles records that represent different aspects of your enterprise: units/departments, hospitals, clinics, and business entities. Facility Structure - General to Specific - CORRECT ANSWER >>> Facility>Service Area>Location>Department>Room>Bed Many of the records in the facility structure are stored in one master file ______. - CORRECT ANSWER >>> EAF Facility Structure: The term ________ to mean your entire enterprise or organization. There is only one facility. Record #1 in the ________________ master file is the facility record. **- CORRECT ANSWER
** Facility (EAF) Facility Structure:
- Represent the accounts receivable and/or business entities of your organization.
