HIT Chapter 2 Review Quiz
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which of the following is a secondary purpose of the health record?
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To generate a report to be used in performance improvement
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Which of the following is an institutional user of the health record?
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Goverment policy maker
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How do patient care managers & support staff use the data documented in the health record
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To evaluate the performance of individual patient care providers & to determine the effectiveness of the services provided
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Which of the definitions below best describes the concept of confidentiality?
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The expectation that personal information shared by an individual with a healthcare provider during the course of care will be used only for its intended purposes.
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Which of the following statements does not pertain to paper-based health records?
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They have a built-in access control mechanism
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Which of the following is an advantage offered by computer-based clinical decision support tools?
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They give physicans instant access to pharmaceutical formularlies, referral databases, & reference literature. They review structured electronic data & alert practitioners to out-of-range lab values or dangerous trends. They recall relevant diagnostic criteria & treatment options on the basis of data in the health record & thus support physicians as they consider diagnostic & treatment alternatives
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The hospital where I work is transitioning to the EHR. In the meantime, we have part of the health record electronic & part is still paper. This concept is known as?
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Hybrid record
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Critique this statement. Data & information means the same thing.
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This is a false statement as data is raw facts & figures & information is data converted into a meaningful format.
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Which of the following statements does not pertain to EHR's?
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EHR's are filed in paper folders.
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Which of the following is a secondary purpose of the health record?
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Support for research
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Use of the health record by a clinician to facilitate quality patient care is considered?
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Primary purpose of the health record
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Use of the health records to monitor bioterrorism activity is considered?
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A secondary purpose of the health record
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How do accreditation organizations use the health record?
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To determine whether standards of care are being met
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How do research organizations use the health record?
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To examine results of experimental protocols
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Attorneys for healthcare organizations use the health record to?
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protect the legal intersts of the facility & its healthcare providers
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Our record has all of the lab filed together, all of the progress note filed together, & so on. What format are we using?
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Source oriented health record
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Inaccurate data recorded in the health record could?
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*Compromise quality patient care *Contribute to incorrect assumputions of policy makers *Invalidate research findings
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The term used to describe expected data values is?
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Data precision
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Protections of healthcare information from damage, loss, & unauthorized alteration is also known as?
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Security
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Since we implemented a new technology, we have eliminated lost orders & problems with legibility. What technology are we using?
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Computerized physician/provider order entry
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The paper-based health record format that organized all forms in chronological order is known as?
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The integrated-health record
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Critique this statement. The health record documents services provided by allied health professionals & the patients family.
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This is a true statement? This is a false statement as the health record documents the care provided by healthcare professionals?
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An individuals right to control access to his/her personal information is known as?
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Privacy
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When all required data elements are included in the health record, the quality characteristic for is met?
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Data comprehensiveness
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Critique this statement. Pateint care managers are individual users of health records.
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This is a true statement.
