question

To become certified, EHR products must be inspected for their ______.

answer

security capabilities, functionality, interoperability All Listed

question

A physician practice is beginning phase three of an EHR implementation process. Which of the following would be most likely to occur during this phase?

answer

The practice hires some additional staff to help with implementation

question

Which of the following is not part of readiness assessment during the EHR implementation process?

answer

Identifying future goals

question

Which of the following is the acronym for a network that enables the electronic sharing of patient information at a regional level?

answer

RHIO

question

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?

answer

Perform reference checks on the vendor

question

The vendor selection group should be composed of which type of personnel?

answer

Clinical, Office, Administrative All answers listed

question

Which of the following refers to the ways EHR must be used to support patient care and specific ways that quality of care must be measured?

answer

Meaningful use

question

During the EHR implementation process, an office evaluates the existing skills of its clinicians and staff during the _______.

answer

readiness assessment

question

A practice provides a diabetic patient with print outs related to diet and exercise. Which of the eight core EHR capabilities is being described?

answer

Patient support

question

Which of the following statement(s) is true about DOQ-IT?

answer

Physician practices can freely access it online, It was developed by Medicare's Quality Improvement Organizations, It is to assist in the planning and implementation of EHR systems All answers listed

question

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?

answer

Regional Extension Center

question

Select the federal government office that oversees the Medicare and Medicaid programs.

answer

CMS

question

Which of the following organizations offers a free brochure on selecting the right EMR vendor?

answer

HIMSS

question

The average implementation for a sole practitioner takes how long?

answer

12 to 18 months

question

Which of the following EHR benefits is an example of improved clinical decision supporting evidence?

answer

A physician reviews treatment protocols for hypertension

question

Which of the following statements about implementing a new EHR in a health care practice is true?

answer

Successful EHR implementation is measured by how effectively it supports the activities of each user

question

A Regional Health Information Organization is most similar to a ______.

answer

Sub-Network Organization

question

Why might a medical office choose an SAAS model as a way to implement a fully functional EHR?

answer

To reduce start up costs associated with an EHR

question

The network of Veteran's Administration facilities is an example of a ______.

answer

SNO

question

Which of the following is considered a special topic area within the Health IT Adoption Toolbox?

answer

Electronic prescribing

question

A practice must complete all of the following activities within the implementation phase of an EHR except ______.

answer

develop the EHR vision

question

The final expectations of the health care practice's staff regarding the EHR are defined in which of the following documents?

answer

Functional requirements

question

According to a 2009 National Ambulatory Care Study, how many physicians were using a fully functional EHR?

answer

6.9%

question

A significant portion of patient adverse events are the result of which of the following?

answer

Miscommunications

question

Meaningful use standards are specified by the ________.

answer

Health Information Technology for Economic and Clinical Health Act

question

Which of the following is/are true about the difference between CCHIT and CHiT?

answer

CCHIT is free and open to the public, but CHiT is not

question

Choose the statement that does not reflect a characteristic of an EMR.

answer

It conforms to nationally recognized interoperability standards

question

Once a practice has performed its readiness assessment for EHR implementation, its next step in the process is to _______.

answer

develop a project plan

question

In 2009, _______ created payment incentives for implementing a fully functional EHR.

answer

HITECH

question

Which of the following statements about EHR implementation is correct?

answer

Smaller physician offices are less likely to implement a fully functional EHR system

question

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?

answer

Improved coordination of care

question

Which of the following is responsible for certifying EHR products to make sure they meet the required criteria for use?

answer

CCHIT

question

Which of the following groups benefit from an effective EHR system?

answer

Providers, Patients, Researchers All answers listed

question

Which of the following best defines interoperability?

answer

The ability of different systems to communicate and share information with one another

question

The ability to connect a patient to a medical device and have their vital signs transmitted to the provider's office would be an example of which of the following?

answer

Telemonitoring

question

Which of the following is an example of a standards organization?

answer

Health Level Seven (HL7)

question

A data repository would include which of the following information?

answer

Patient identifiers, Problem lists, Medications all answeres listed

question

An office that is implementing an EHR might hire a(n) _______ to temporarily extend the expertise of its current staff.

answer

consultant

question

Which of the following activities begin once the vendor contract is signed?

answer

Implementation activities

question

Which of the following features of an EHR system is not intended for patient use?

answer

Alerts

question

A basic EHR is not capable of doing which of the following?

answer

Highlighting out-of-range test levels

question

All of the following would be considered an incentive for a practice to switch to a fully electronic EHR except:

answer

Low cost in implementing a system

question

Why would a small primary care practice participate in a DOQ-IT program?

answer

To learn more about implementing an EHR

question

Which of the following technologies is being developed so the patient can be seen anywhere in the world and the provider can have immediate access to their health information records?

answer

Smart card

question

Stratis Health in Minnesota is an example of which type of organization?

answer

QIO (Quality Improvement Organization)

question

Which of the following statements about the RFP is correct?

answer

It should be sent to a small number of potential EHR vendors.

question

To assure that the EHR selection task group has met its obligation to fully investigate the EHR product and the EHR product vendor, which of the following should be done before a final decision is made?

answer

Scripted product demonstration

question

Which of the following procedures would be the best process to follow when a charting error has been discovered in the EHR?

answer

Make the correction in an addendum

question

Based on The Joint Commission Standard and Performance Elements for Signatures, how may authentication of a signature be verified?

answer

Through an electronic signature, Through written initials, Through a computer key All answers listed

question

An example of a technical safeguard that protects the privacy and security of protected health information would be which of the following?

answer

Encrypting data when it is transmitted electronically

question

Which of the following would not be considered a benefit of a structured data field within an EHR?

answer

It captures the exact words of a patient

question

Medications and Insurance are most likely examples of the names of which of the followng EHR features?

answer

Tabs

question

What is an authentification protocol in relation to an EHR system?

answer

The steps a system takes to verify the identity of a user

question

Which type of health record standard varies depending on the state in which the practice is located?

answer

Licensure

question

An EHR user who typically uses Microsoft Windows programs _______.

answer

will find the basic screen format of an EHR system familiar

question

In which type of record format would SOAP notes most likely be found?

answer

Problem-oriented record

question

Which of the following statements about the use of abbreviations is correct?

answer

_Using medical abbreviations can save time. _ Medical offices may develop their own abbreviations for common practices. _When used incorrectly, abbreviations can harm a patient. All answers listed are correct

question

All of the following are examples of human-computer interface devices except:

answer

databases

question

An _________ records all actions within an EHR that are related to electronic health information.

answer

audit log

question

All of the following are examples of credible resources for building an EHR data dictionary abbreviations list except:

answer

The Federal Abbreviations Standard

question

What is the primary purpose of a patient health record?

answer

To provide documented evidence of care

question

Which of the following statements best follow the guidelines regarding EHR signatures?

answer

Only the originator of an entry should apply the signature to their entry

question

To move within one section of a patient's record to another within an EHR, a user would use a _________.

answer

tab

question

Which of the following is an example of narrative text within an EHR?

answer

Exam notes

question

Which of the following is considered the most robust standard vocabulary that is currently available for use in an EHR system?

answer

SNOMED-CT

question

Which of the following data sets may be used by employers to compare managed care plans?

answer

HEDIS

question

A physician can view a trend in a patient's health history by using which of the following EHR features?

answer

Flow sheets

question

An EHR system would likely use ______ to record laboratory results

answer

LOINC

question

What does the "A" in SOAP notes stand for?

answer

Assessment

question

All of the following are examples of administrative data except

answer

Patient's medication list

question

A practice wants to include a wireless network as part of its EHR system. The practice should consider which of the following?

answer

Wireless systems may interfere with some medical devices

question

The Conditions of Participation is an example of a(n) ________ standard

answer

certification

question

Which of the following abbreviations are acceptable to use in charting?

answer

0.5 mg

question

What is a patient's CAT scan an example of when it is part of an EHR?

answer

Imaged data

question

A provider orders a chest x-ray based on his examination findings. What record purpose is associated with this order?

answer

Provide support for clinical decisions

question

When viewing a patient record in an EHR system, how will the user know if data has been changed?

answer

The user will see a "modified" notation associated with any changes.

question

An automated log-off within an EHR system is an example of which of the following?

answer

Technical safeguard

question

Select an example of a unique single data point within an EHR data dictionary from the following.

answer

oral temperature chief complaint marital status All answers listed

question

A(n) _______ record organizes information by each type of recording.

answer

integrated

question

Which of the following physical controls is frequently overlooked when a practice moves to an EHR system?

answer

How to secure and dispose of hard-copy documents

question

A type of HIPAA safeguard that requires security training within a facility is known as a(n) _________ safeguard.

answer

administrative

question

The Joint Commission list tells health care providers not to use the abbreviation _____, but to instead write _______.

answer

QOD, every other day

question

In cases where patient care is questioned, the patient health record will provide legal protection to which of the following parties?

answer

Organizations Patients Practitioners All answers listed

question

The Joint Commission provides what kind of standards?

answer

Accreditation

question

A practice that is implementing an EHR system should review ______ laws before deciding on which type of electronic signature to include.

answer

state

question

What is the name for a federally funded program that provides health care assistance to the elderly?

answer

Medicare

question

Which of the following is the term for a defined area where an EHR user enters a specific piece of information?

answer

data field

question

Which of the following was the first ANSI-approved standard within the health care industry?

answer

EHR-S

question

Typically, the most difficult aspect of adjusting to a new EHR for clinical and office staff is which of the following?

answer

Locating information in the EHR

question

Which of the following data sets is intended to reflect that the most relevant data in a patient's record is transmitted from one health care provider to another?

answer

CCR

question

Assigning a unique name or number as way to identify and track a user's identity and preventing unauthorized users from retrieving electronic health information is an example of which of the following?

answer

Access control

question

Which of the following statements about a legal source legend is correct?

answer

-Its components constitute a patient's legal health record. - It is necessary for practices who are using hybrid records. -It should be updated as needed to remain accurate. -All answers listed are correct

question

Which of the following data would most likely be in an unstructured data field?

answer

Quote from the patient defining the problem

question

Where is the most common location of a wall-mounted computer workstation within a health care practice?

answer

Examination rooms

question

NOC, NIC, and NANDA are all used with what type of standards?

answer

Nursing

question

Which of the following is not an example of an accepted documentation practice for a patient health record?

answer

All incorrect information must be deleted from the record when discovered

question

A patient "feels queasy, especially when standing up quickly." This is an example of which SOAP format component?

answer

S

question

A medical office that is in the process of implementing an EHR system should be aware that which of the following standard documentation practices will be different than what they were previously accustomed to when moved to the EHR environment?

answer

Guidelines for correcting errors

question

Dr. Krandel wants to implement an EHR system. The practice has limited funds to expend for this project. Which of the following architectures would require a lesser initial outlay?

answer

Software-as-a-service model

question

One example of the MU EHR certification criteria is for the system to perform drug-drug and drug-allergy interaction checks. Which of the following is an example of a testing criteria related to this goal?

answer

Ensuring that the system provided contraindication information at the point of care

question

Which of the following statements about accreditation standards is correct?

answer

Compliance with them is voluntary.

question

Which of the following is not true of an SaaS model?

answer

The vendor owns the patient data documented by the clinicians and office staff.

question

The standards published by the American College of Obstetricians and Gynecologists is an example of which of the following?

answer

Specialty practice guidelines

question

A document keyed by a medical transcriptionist is introduced into a patient's clinical record. Which of the following statements regarding this information is correct?

answer

The practitioner who dictated the information must authenticate the transcribed entry.

question

Which of the following technical security controls require users to take certain steps before it will accept their login?

answer

Authentication protocols

question

When would a patient need to receive an Advance Beneficiary Notice (ABN)?

answer

When it is known that Medicare may consider a procedure unnecessary

question

A patient remembers "feeling itchy" after he used a prescription topical cream and discusses this reaction with his dermatologist. A certified EHR should include this information on which of the following?

answer

Allergy/adverse reaction list

question

The scheduling software includes information about which of the following?

answer

A physician's vacation dates . Time allotments for follow-up visits . Office hours for practitioners . All answers listed

question

Which of the following may result from a MPI search that results in a close match?

answer

Same name but a different date of birth Slight differences in spelling of a name Same name and birth data but a different address All answers listed

question

According to the CCHIT, a certified EHR must be able to record if a condition is worsening. This would be an example of which of the following?

answer

Recording the chronicity of a condition

question

Which of the following criteria for patient demographic information includes details on the patient's height and weight?

answer

The Joint Commission

question

A patient no longer suffers from rhinitis. How would this information be noted within a certified EHR system?

answer

It would be marked as resolved in the patient's problem list.

question

The person who is primarily responsible for creating and maintaining accurate problem lists is which of the following?

answer

The health care provider

question

Which of the following applications facilitates the creation of a longitudinal patient record?

answer

MPI

question

What information is needed to query a patient index to determine if a patient has been seen at the practice in the past?

answer

Name

question

A document that describes a person's wishes related to their medical care during a life threatening situation is known as a _________.

answer

living will

question

Which of the following permits a third-party payer to send payment directly to the health care provider?

answer

Assignment of Benefits form

question

Which of the following describes a "new" patient within the patient management process?

answer

A patient with no prior existing treatment records

question

The current preferred classification system for accurately reflecting diagnoses and procedures for the provision of clinical care is which of the following?

answer

SNOMED-CT

question

A new patient contacts a health care practice for an appointment. At what point is it necessary to query the master patient index about this patient?

answer

It is important to query the MPI in case prior treatment information exists

question

At minimum, the EHR must contain which of the following to comply with HIPAA?

answer

A signed signature section of the Notice of Privacy Practices

question

Janice is a new patient who has scheduled a physical examination. Approximately how long will Janice's office visit take?

answer

45-60 minutes

question

Which of the following statements about an advance directive is not correct?

answer

Advance directive documents must be included as part of a patient's record.

question

When should summary lists be updated?

answer

- The patient could review prior to the visit - The practitioner can update during the visit and at the conclusion of the visit - When practitioner and patient interact via telephone conversation or e-mail All answers listed

question

Which of the following gives another person the right to make health care decisions for an individual patient?

answer

Durable power of attorney

question

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?

answer

The provider should update the patient's problem list with this information

question

A physician who treats a patient without that person's consent may be accused of ______.

answer

battery

question

A medical assistant searched the MPI and cannot find an exact match for an existing patient. The next step would be to:

answer

look for a close match

question

Which of the following capabilities related to the problem list can be demonstrated by a CCHIT "certified" ambulatory EHR project?

answer

The ability to maintain the onset date of the problem

question

Which of the following individuals is mainly responsible for overseeing patient management functions?

answer

Medical assistant

question

In which of the following scenarios would an authorization for release (disclosure) of information need to be signed?

answer

Patient wants their records sent to a family member.

question

Where would a patient's history of hypertension be found within a certified EHR?

answer

Problem list

question

A un-emancipated minor is required to supply all of the following demographic information except:

answer

Name of third-party payer

question

The EHR system does not need to document which of the following?

answer

Patient appointments Patient no-shows Cancellations None of the above

question

Which of the following procedures would require a signed consent?

answer

Removing a mole from the patient's back

question

In most cases, the patient's ______ is the starting point for an MPI search.

answer

record number

question

Where does the patient management workflow process begin?

answer

When the patient contacts the health care provider

question

A Notice of Privacy Practices should include which of the following information:

answer

-Information on how patient information is disclosed by a practice -Details on the patients' rights and responsibilities related to their records -Contact information for the health care practice All answers listed

question

Which of the following statements about a general consent for treatment is correct?

answer

Individual office policy determines the use of a general consent for treatment.

question

RxNorm and NDC are both examples of _________ standards.

answer

vocabulary

question

A patient index that can be shared across all the service components is called what?

answer

Enterprise master patient/person index (EMPI)

question

How is structured data from a data depository used?

answer

.It is transmitted electronically to another health care provider. . It is downloaded into a reporting system for quality management. . It is transmitted to the patient's personal health record. . All answers listed

question

When maintaining EHR summary lists, the office workflow process must be _______.

answer

collaborative

question

What document(s) provide Medicare patients with notice that Medicare's financial responsibilities might be limited?

answer

-Notice of Exclusions from Medicare Benefits -Advance Beneficiary Notice (ABN

question

Which of the following statements about current EHR systems is incorrect?

answer

EHR systems are capable of displaying and reading narrative text.

question

Which of the following best describes when a treatment plan is generated?

answer

During and/or after a visit with the provider

question

A well-designed EHR system will have which of the following abilities?

answer

-Facilitates the review of the existing patient data - Captures new patient data -Facilitates the modification/updating of patient data by authorized health care practitioners All answers listed

question

Interoperability between LOINC terminology standard and an EHR assist in establishing what type of data exchange?

answer

Lab results

question

Which of the following statements about the Continuity of Care Record (CCR) is correct?

answer

It is intended to be transmitted directly between providers. It is a standard set of patient data. It facilitates direct communication of important patient information. All answers listed

question

Which of the following statement(s) is/are true regarding the requirements of the Joint Commission (2011)?

answer

The Joint Commission leaves the actual specification of the content required in an assessment to each accredited health care organization. The Joint Commission requires the organization to define in writing the data and information gathered during assessment and reassessment.

question

Which of the following statements about an ambulatory EHR product is true?

answer

An EHR product must be flexible to enable a health care provider to define the specific data content it needs.

question

Which of the following is true about the ONC-ATCB Meaningful Use certification criteria when compared to the CCHIT Ambulatory Care Certification Criteria?

answer

The ONC-ATCB criteria requires more specific information on smoking status

question

A physician will use a(n) ________ to document the outcomes of a therapy.

answer

treatment note

question

Where within a SOAP-formatted treatment note in an EHR system would the physician document a patient's treatment?

answer

The "P" section

question

Which of the following questions should the treatment plan and treatment notes answer?

answer

What action steps will be taken to address the patient's problem(s) What service(s) were provided What procedure(s) were performed All answers listed

question

Dr. Pollen has ordered a PET scan for her patient which will occur at an imaging center in another location. How will the report detailing the results of this diagnostic test be captured within an EHR system?

answer

Via a scan of the results report and a manual update of the EHR order

question

Which of the following is the best definition of "chief complaint"?

answer

The patient's main reason for the office visit

question

Dr. Kimble is documenting a patient exam at the point of care using a template. Which of the following best describes the process for developing a treatment plan for the patient?

answer

Dr. Kimble creates a treatment plan as one of the items in the existing template.

question

What is the purpose of the examination protocol that is typically followed by physicians, nurse practitioners, and other general health care providers?

answer

To determine underlying causes of the chief complaint

question

A health care provider is most likely to find which of the following in her daily task list within an EHR system?

answer

A patient appointment

question

Which of the following health care providers typically begins a patient assessment with a referral diagnosis?

answer

Physical therapist

question

When would a health care practitioner use free-text within an EHR?

answer

When it is important to present the patient's own words verbatim

question

Per the ONC-ATCB Meaningful Use Criteria, an EHR system must be able to transmit all of the following clinical patient information to another provider except ________.

answer

digital images of the patient's x-rays

question

Which of the following individuals within a medical office is least likely to act on an "open" order?

answer

A physician

question

The AAAHC (2011) specifies that entries in a patient record made at the time of an examination or assessment include which of the following?

answer

Chief complaint

question

A medical office would use a PMS to support which of the following functions?

answer

To schedule a procedure with a health care provider

question

Which of the following accreditation organization requires that the treatment plans and therapeutic services provided to the patient be documented in the ambulatory patient record?

answer

AAAHC NCQA The Joint Commission All answers listed

question

A patient's primary care physician informs the patient that he needs to see a dermatologist. Which of the following information must "travel" from the primary care provider setting to the dermatology setting?

answer

A referral letter A continuity of care record A continuity of care document All answers listed

question

ONC-ATCB Certification Criteriafor ambulatory EHRs requires which of the following vital signs must be recorded by the EHR at minimum?

answer

Patient's height Patient's blood pressure Patient's weight All answers listed

question

Roger Hoode receives a clinical summary from his primary care provider at the conclusion of his office visit. What is this patient least likely to find contained in the summary?

answer

Details about his co-payment amount

question

A patient is sent by his primary care physician to a cardiologist. How does the cardiologist, who is using a certified EHR, initially learn about this patient's condition?

answer

The cardiologist reviews the patient's continuity of care record for information.

question

Which of the following components of an EHR product are the least customizable?

answer

Documentation of orders

question

A physician has created an order for a patient within an EHR system. What happens as the next step in this process?

answer

The physician electronically signs the order.

question

One feature of a certified EHR is that it can generate patient reminders for follow-up care. To accomplish this, the system would need to pull data elements from which of the following?

answer

Problem list Medication list Medication allergy list All answers listed

question

Which of the following is not an example of electronic data interchange (EDI)?

answer

voice mail

question

Which of the following is the most efficient way of adding the results of diagnostic test to the EHR?

answer

Electronic feed from a test instrument

question

Per the ONC-ATCB Meaningful Use Criteria, at minimum the EHR system must be able to provide all of the following patient-specific education resources except:

answer

information about how to contact other patients with the same condition

question

Which of the following individuals may be involved in the collaborative development of a patient's treatment plan?

answer

Patient Provider Patient's representative All answers listed

question

In order to create a graphic display, an EHR system requires which of the following?

answer

numerical data

question

Based on the ONC-ATCB Certification Criteria for Ambulatory EHRs, at minimum an EHR must be able to provide order entry for which of the following?

answer

Medications Laboratory tests Radiology All answers listed

question

Typical workflow registration activities include each of the following except:

answer

Notification of drugs that require refills

question

During the typical workflow of a general examination visit, when are the patient's vital signs taken?

answer

After stating the reason for the visit

question

To create a growth chart for a six-year-old patient, the EHR would be most likely to pull data from which of the following locations within the EHR?

answer

Vital signs template

question

At which point during the workflow of a patient examination are the treatment orders generated?

answer

Immediately following the decision on diagnosis

question

A EHR feature that allows an authorized user to compare two or more drug lists is called medication _____.

answer

reconciliation

question

Which of the following is the best way to improve the completeness of a procedure note within an EHR system?

answer

Use a template

question

When implemented by an EHR system, which of the following ONC-ATCB Meaningful Use Criteria most directly affects the patient?

answer

The ability of the EHR to create discharge instructions

question

The AAAHC specifies that entries in the EHR patient record at the time of assessment must include all of the following except:

answer

Signatures of involved healthcare professionals

question

To support the treatment plan, the EHR system must be capable of which of the following?

answer

Transmitting orders specified in the treatment plan to the appropriate health care practitioner

question

The steps a health care provider intends to follow to address a patient's problem must be identified in which of the following?

answer

Treatment plan

question

One benefit of using an EHR is the availability of ______ which help the practitioner document an assessment at the point of care

answer

templates

question

Before a primary care doctor decides whether a patient needs an additional diagnostic test to rule out a condition, he or she needs information from the ______.

answer

assessment

question

Which of the following items is least likely to appear on a treatment plan?

answer

Demographic information

question

Which of the following EHR features might help the parent or caregiver of a pediatric patient feel reassured that their child is developing normally?

answer

Growth chart

question

While providing patient history details, the patient tells the nurse that she does not smoke. What would the nurse do with this information based on CCHIT criteria within an EHR system?

answer

Specify an absence of smoking within the patient history

question

A health care provider who enters assessment data using a template in the EHR is also doing which of the following?

answer

Creating a visit note Documenting at the point of care Providing evidence of care All answers listed

question

When creating an order for a patient procedure within an EHR template, a health care provider needs to enter the _____.

answer

order details

question

Which of the following provides standard names for both branded and generic medications?

answer

RxNorm

question

Which of the following statements about drug reference information is correct?

answer

It must be updated frequently

question

Which of the following does a patient need in order to access a patient portal?

answer

Correct URL Password Patient identifier All answers listed

question

Which of the following are ways in which the EHR can address some of the root causes of medical errors?

answer

-Pick lists guide the selection of the specific medication and appropriate dosing. -The practitioner can click on drug reference information. -Electronic communications prevents misreading of handwritten orders. . All answers listed

question

Which of the following situations would not require documentation in the patient health record?

answer

A patient searches the Internet for information on high blood pressure.

question

A health care provider's office that uses an EHR system needs to provide a patient with the results of his HIV test. The patient has signed an authorization to receive general communications via e-mail. Based on this information, how should the office proceed?

answer

Send the patient an alert via e-mail to contact the provider's office

question

Which of the following methods of providing care to patients may not be reimbursable by a third party payer?

answer

Communicating with a patient using text messaging

question

Which of the following would initiate the creation of a prescription within an EHR?

answer

A patient calls to request a refill A patient visits her primary care physician A patient contacts his doctor via a patient portal All answers listed

question

Which of the following would be considered a benefit of an EHR's ability to maintain an active medication list on each patient?

answer

It helps keep track of the drugs a patient has taken over time, providing for longitudinal care.

question

A drug prescription order would not include which of the following?

answer

Insurance identification

question

In order for an EHR system to generate a drug alert, it requires which of the following data?

answer

Patient demographic and clinical information Drug reference information Decision rules built into the system All answers listed

question

Springfield Medical Practice encourages its male patients who are over age 50 to have an annual prostate exam. How does this office use its EHR system to notify individual patients about this type of preventive care?

answer

Match its patient records with these parameters and send a reminder to appropriate patients

question

Who owns the PHR?

answer

The patient

question

Which of the following situations would most likely trigger an EHR system to generate a follow-up testing reminder?

answer

The patient has finished his first course of the blood thinner Coumadin (warfarin).

question

What does a drug-formulary check within an EHR accomplish?

answer

It checks to see if a drug is on a preferred drug list.

question

A physician uses free-text to enter a drug prescription within an EHR system. This will result in which of the following?

answer

The EHR will not perform a formulary check against this uncoded drug.

question

A patient authorization form that allows a health care provider to communicate with patients using e-mail or text messages would most likely include which of the following?

answer

Details on the risks of electronic communication

question

A health care provider receives a text message from a patient. What format should the provider use to respond to the patient?

answer

Whatever the patient prefers

question

A health care provider uses an EHR system to order baby aspirin for a patient with heart disease. The physician needs to include all of the following information except the ______ to complete this order within the system.

answer

number of refills

question

CCHIT Ambulatory Certification Criteria stipulates which of the following?

answer

The EHR system must differentiate patient annotations from other content within the patient health record.

question

Which of the following is not a requirement of an EHR system?

answer

The system must be able to document that the patient understands patient-specific instructions.

question

A patient may use a patient portal to accomplish all of the following except:

answer

change a test result

question

Which of the following distinguishes an alert from a reminder?

answer

An alert is normally intended for the provider.

question

In addition to identifying prescription drugs that have been prescribed for a patient, an EHR system must also be able to identify the dispensation of which of the following according to the CCHIT Ambulatory EHR Certification Criteria?

answer

Sample drugs

question

Which of the following statements about documenting patient communications in the EHR is incorrect?

answer

EHR systems use the same method to document all patient communications

question

Which of the following is not an example of the format for an NDC number?

answer

990913-444-5

question

What does a health care provider's office that uses an EHR system need in order to associate the correct incoming communication with the correct patient health record?

answer

A patient identifier

question

When a physician tries to order a medication for a patient, the EHR system issues an alert. Which of the following supplies the knowledge base that underlies this system function?

answer

Multum

question

A health care provider who is ordering a medication for a patient requires which of the following patient-specific data in order to select the correct medication?

answer

Patient's age

question

Currently, patient reminders are mainly sent to patients by which of the following methods?

answer

Mail

question

In order to receive Medicare and Medicaid incentive funding, a health care provider needs to meet all of the following Objectives for Eligible Professionals except:

answer

Provide patients with access to all portions of the EHR system

question

Which of the following examples would cause a medication alert or reminder to be triggered within an EHR system?

answer

A possible unfavorable drug interaction A dosage outside the desirable range A free-text medication is entered All answers listed

question

Some health care providers are concerned that which of the following methods of communicating with patients may lead to misinterpretation of the intended meaning?

answer

Text messages

question

Which of the following statements about a patient's communication to a physician's office by e-mail is incorrect?

answer

They need to be scanned into the EHR system.

question

What does the abbreviation PRN mean?

answer

as needed

question

From the perspective of the medical office staff, EHR-generated reminders are beneficial because they help them achieve which of the following goals?

answer

Remember and meet deadlines Manage their time more efficiently Help provide efficient customer service All answers listed

question

Per the Stage 1 Meaningful Use Criteria, what is the timeframe for providing patients with timely electronic access to their health information?

answer

Within four business days

question

An EHR system can identify criteria for a patient's wellness services based on which of the following types of clinical data?

answer

Patient's current medications

question

Popular use of the Internet by consumers in the United States has led to which of the following?

answer

An expectation that patients will have immediate access to information

question

According to the IOM report, which of the following is the most likely type of error to occur within a health care setting?

answer

A patient receives the wrong drug or an incorrect dose of a drug

question

Peter Roberts leaves a voice mail message on the nurse's line to ask a question about his medication. Knowing this office has an EHR system, what is the first step in the process of handling this patient communication?

answer

The patient is identified in the master patient index.

question

An EHR system has generated a medication alert. This leaves the health care provider with which of the following options?

answer

The provider may still prescribe the drug as long as he or she supplies a rationale.

question

The Institute of Medicine report To Err Is Human: Building a Safer Health System stated that making medical errors ranks where as the leading cause of death among Americans?

answer

Eighth

question

Which of the following features of an EHR system is most likely to improve patient drug compliance?

answer

Reminders

question

How is a fax message sent by a patient to a health care office that uses an EHR system added to the patient health record in most cases?

answer

Via scanning of the printed fax document

question

Another term for order format and details is an order _____.

answer

sentence

question

At which point in the drug ordering process does the EHR system compare drug order details against system rules?

answer

Before the provider signs the processing order

question

Which of the following is an example of a standard vocabulary for medications?

answer

NDC RxNorm Multum All answers listed

question

An EHR system is least likely to send a patient about a reminder for which of the following?

answer

To review the results of an x-ray

question

In most cases, drugs prescribed to ambulatory care patients are administered by which of the following individuals?

answer

Patients

question

An EHR system e-mail template that is used to respond to patients must include which of the following?

answer

Confidentiality notice Consistent signature format Patient identifier All answers listed

question

A certified EHR system would be least likely to solve which of the following causes of medication errors?

answer

Miscommunication of drug orders

question

The AAAHC standards state that significant medical advice given to a patient must be documented under which of the following circumstances?

answer

When provided by after-hours telephone information When provided by triage telephone information When given to a patient by telephone All answers listed

question

At present, the least common way for the majority of U.S. health care providers to communicate with patients is which of the following?

answer

Text message

question

Dr. Brown is ordering a prescription for Celebrex using an EHR system. As part of this process, Dr. Brown might use drug reference information for which of the following information?

answer

To find out the normal dose ranges for a specific drug

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