Question 1

Clinical decision-making systems can assist in the patient care process by all of the following EXCEPT:

Accepted Answer

Clinical decision-making systems may provide information on drug interactions, generic drug ordering, and possible side effects from drug usage. However, they cannot ensure patient compliance, which relies heavily on patient education and communication with healthcare providers. Therefore, clinical decision-making systems cannot assist in patient care by enhancing patient compliance.

Question 2

The goal of HITECH to encourage health care entities to achieve meaningful use is to:

Accepted Answer

HITECH (Health Information Technology for Economic and Clinical Health) Act, enacted in 2009, aims to promote the adoption and meaningful use of electronic health records (EHRs) by healthcare providers. The ultimate goal of this act is to improve the quality of patient care, secure patient health information, and save time and money for healthcare entities. Therefore, the best choice is D, which encompasses all the goals of HITECH.

Question 3

Which entity fosters collaboration of the public sector and private sector through the "Connecting for Health" initiative to improve patient care by promoting standards for electronic medical information?

Accepted Answer

The Markle Foundation fosters collaboration between the public and private sectors through its "Connecting for Health" initiative, which promotes standards for electronic medical information to improve patient care. The other entities listed (Institute of Medicine, National Committee on Vital and Health Statistics, Consolidated Health Informatics) may also be involved in healthcare and informatics, but they do not specifically lead the "Connecting for Health" initiative.

Question 4

Which is a career opportunity for HIM professionals in information technology?

Accepted Answer

HIM professionals can find career opportunities in various areas of information technology, including project management, where they can oversee health information systems projects; design and development, where they can contribute to the creation of new healthcare IT solutions; and marketing and sales, where they can leverage their expertise to promote health information products and services.

Question 5

HL7 is working to develop standards that will aid the exchange of electronic data in and among health care organizations by assuring __________ among computer systems.

Accepted Answer

HL7 standards are designed to ensure interoperability among computer systems, which means the ability for different systems to communicate and exchange data with each other. This helps to improve the efficiency and accuracy of health care information exchange. Analysis, indexing, and timeliness may also be important factors for effective health care data management, but they are not the primary focus of HL7 standards.

Question 6

Sapphire Medical Center is ready to implement an EHR system. Currently its clinical laboratory and radiology department have an electronic system that is well established and interfaces very well. What may be Sapphire Medical Center's biggest obstacle?

Accepted Answer

The biggest obstacle for Sapphire Medical Center could be the interoperability of the new EHR system with the current clinical laboratory and radiology department EHR system. While these systems are currently well-established and interfaced very well, there is a risk that the new EHR system may not be compatible with these systems, leading to issues with data transfer and patient care. Training new users and securing patient information are also important considerations, but in this case, interoperability may present the biggest challenge. Obtaining the EHR license is not mentioned as an obstacle, so it is not a viable answer.

Question 7

Interoperability means :

Accepted Answer

Interoperability refers to the ability of different systems or applications to communicate with each other and exchange data. In the context of healthcare, it means that different electronic health records (EHR) systems can share patient information with each other, even if they were developed by different vendors or run on different hardware or software.

Question 8

Which of the following technologies is approved by HIMSS for EHR use?

Accepted Answer

All of the options listed (CPOE, bedside terminals, handheld computers) are approved by HIMSS for EHR use.

Question 9

The American Recovery and Reinvestment Act of 2009 (ARRA) funded legislation to encourage all health care entities to meet meaningful use standards in computerized health care records; this part of the legislation is also known as:

Accepted Answer

The part of the legislation that funded incentives for meeting meaningful use standards in computerized health care records is known as the Health Information Technology for Economic and Clinical Health (HITECH) Act.

Question 10

Sam, the HIM Director at Providence Hospital, suspects that some of his employees have been viewing patient files that they are not authorized to view. What can Sam do to investigate?

Accepted Answer

Performing an audit trail can track all employee access to patient records and provide evidence of any unauthorized access. It is the most effective way to investigate the suspicion. Encrypting passwords and blocking access may help prevent unauthorized access in the future, but do not address the current situation. Interviewing employees may also help gather information, but may not lead to a confession and is not as reliable as an audit trail.

Question 11

Heritage Hospital's health information department uses EHR for its laboratory department, but uses paper health records for the emergency department. This hospital is currently using a _____ Medical Record System.

Accepted Answer

The description given indicates that Heritage Hospital is using a hybrid medical record system, as it uses electronic health records for the laboratory department and paper records for the emergency department.

Question 12

The HIMSS definition of an electronic health record includes:

Accepted Answer

The HIMSS definition of an electronic health record includes all of the above criteria: providing decision-making capabilities, collecting data, and being real-time and at the point of care. Therefore, the correct answer is D, all of the above.

Question 13

Why is the use of bar codes important in an electronic health record environment?

Accepted Answer

Bar codes help increase productivity by eliminating the need for manual data entry, which can be time-consuming and error-prone. By scanning bar codes, data can be entered quickly and accurately into the electronic health record. This reduces errors, as well as promoting uniformity of electronic reports since data is standardized through the use of bar codes. Therefore, all of the above choices are correct.

Question 14

Which goal of the ONC includes unified public health surveillance architectures and accelerated research and dissemination of evidence?

Accepted Answer

The goal of improving population health includes developing unified public health surveillance architectures and accelerating research and dissemination of evidence to inform public health initiatives.

Question 15

A process that tracks the activity of users in the system, storing what the user accessed and when the user accessed it, is:

Accepted Answer

A process that tracks user activity and records it in a log is known as an audit trail. This log can be used to monitor user behavior, detect unauthorized access, and investigate security incidents. Therefore, the best answer is C - Audit trail. The other options (Integrity, Scanning, and Digitized) are not related to the process of tracking user activity in a system.

Question 16

An organization that stores patient records electronically for which an affiliated health care entity treating a patient can gain access is called:

Accepted Answer

The acronym HIE stands for Health Information Exchange, which is an organization that stores patient records electronically for which an affiliated health care entity treating a patient can gain access. HIEs aim to improve the sharing of patient information among healthcare providers, with the ultimate goal of improving patient care coordination and outcomes. CPOE (Computerized Physician Order Entry) is a system that allows healthcare providers to enter medical orders electronically, while EDMS (Electronic Document Management System) is a software solution for organizing, storing, and managing electronic documents in healthcare. CDA (Clinical Document Architecture) is a standard for the exchange of clinical documents between healthcare providers.

Question 17

Health Level Seven (HL7) is a:

Accepted Answer

HL7 is a standards development organization whose domain is clinical and administrative data. It develops standards for the exchange, integration, sharing, and retrieval of electronic health information. Therefore, option D is the correct answer. Options A, B, and C are incorrect as they do not accurately describe HL7.

Question 18

The ONC's strategic plan has how many goals?

Accepted Answer

The ONC's strategic plan has four goals, which are to promote health IT as a tool to improve health and healthcare, advance secure and interoperable health information exchange, strengthen healthcare delivery and community health through the use of health IT, and foster research, innovation, and the development of a health IT workforce.

Question 19

The following are examples of security measures EXCEPT:

Accepted Answer

"e-PHI" is not a security measure, but rather refers to electronic protected health information. The other choices - encryption, password administration, and locked cabinets - are all examples of security measures to protect sensitive information.

Question 20

The greatest obstacle to convert to an EHR system is:

Accepted Answer

The start-up costs of implementing an EHR system can be a significant obstacle for healthcare providers, as it may require a large investment of both time and money. The other options may also present challenges, but they are generally not as significant as the cost factor.

Quiz 3: Electronic Health Records