Integrated Electronic Health Records Chapters 9 & 10
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Hometown Internal Medicine was recently fined $100,000 for overbilling. Since this is conserved an adverse action against the office, which data bank does this need to be reported to?
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the Healthcare Integrity and Protection Data Bank (HIPDB).
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The administrator of the Meaningful Use program is:
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CMS
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Meaningful Use requires that each patient, upon request, must be provided with a summary of test results, problem list, medication list, and medication allergies. This core objective is the:
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ability to provide an electronic copy of health information
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The presence of many conditions which pose a threat to public health must be submitted in accordance with applicable law. The ability to do so electronically would satisfy which menu objective?
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syndromatic surveillance
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Greensburg Medical Center provides each patient with written documentation that details the signs, symptoms, current treatment options, and other pertinent information about their condition(s). This satisfies which menu objective?
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patient education
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Dr. Ingram saw 1457 patients in the first quarter of 2011. He kept an up-to-date problem list on 898 of them. On what percentage of patients did Dr. Ingram meet meaningful use of the EHR related to use of a problem list?
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62 percent
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A/an ______________________ includes reminders and alerts, diagnostic and therapeutic guidance and links to expert resources.
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Clinical decision support
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Some managed care plans encourage the use of clinical decision support (CDS) functionality by:
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offering monetary incentives for care providers who utilize CDS
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A report that is run on demand is created:
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as it is needed
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In a medical office, a standard report that would be run to show how much each patient owes is the:
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patient balances report
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A/an ___________________ report shows a summary but no details.
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aggregate
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Danielle ran a report of congestive heart failure patients. The report includes the patients' medical record numbers, age, admission and discharge dates, and attending physician. What type of report is this?
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detail
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Michelle has just come across state statistics regarding the average length of stay in acute, short term hospitals for appendectomy patients. She runs a report of patients having undergone an appendectomy in the past year at her hospital so she can compare her hospital's average length of stay to that of other hospitals in the state. What is Michelle doing?
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benchmarking
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A local newspaper reporter has contacted your office requesting the total number of patients in the practice who have a diagnosis of Lyme disease, broken into the following age ranges: newborn to 18 years old, 19 to 50 years old, and 51 and older, and by zip code. To answer this inquiry, the office manager will:
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run a custom report
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Patti Wolfe, a coding supervisor at the local hospital, is auditing the quality of ICD-10-CM coding. She may start by running a ____________ index to scan for obvious inaccuracies.
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disease
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Robyn Malone needs to determine the total number of patients assigned to each care provider for a report to Blue Shield. She will run a _________________ index.
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physician (provider)
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Some care providers enter into an agreement with managed care plans whereby the provider agrees to provide medical services to plan enrollees at a pre-negotiated rate. The providers are considered to be:
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in-network
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The chronological listing of all newborns at a hospital is known as a _____________.
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registry
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On October 18, an accident occurred on the local interstate highway. Fifteen patients were brought to the local hospital's emergency department with injuries ranging from minor to life-threatening. These 15 patients would be found in the ______________ registry.
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trauma
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Public health agencies have a particular interest in the administration of vaccinations. This information is kept in a/an ___________________ registry.
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immunization
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A voluntary, pay-for-performance incentive program which care providers can participate in through the federal government is the:
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Physician Quality Reporting Initiative
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Reporting cases of fraud and abuse must be made to the:
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Healthcare Integrity and Protection Data Bank
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The process of ensuring a care provider has the proper qualifications to practice medicine before granting him privileges, contracting with him as part of a managed care plan, or hiring him in a medical practice is:
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credentialing
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______________ objectives, such as registries, lists, and drug interactions, are additional functions that allow for greater use of EHR functionality.
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menu objectives
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In Stage 1 of the Meaningful Use menu objectives, hospitals needed to incorporate _____ of the 10 menu objectives in order to be eligible for incentive grants.
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five
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Dr. Rodriguez prefers to monitor his practice's compliance with Meaningful Use requirements. He can do this quickly and easily by using a
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dashboard
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A clinical system, application, or process that helps health professionals make decisions that enhance patient care is known as ______________________.
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Clinical decision support
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Reports that are built into the software system and do not require any modifications, for instance a payment analysis report, are what kind of reports?
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standard reports
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A report which would show how much money each provider generates for the practice is a provider ___________________ summary.
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revenue.
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You are interested in running a report which just gives totals, or aggregates, rather than information about individual patients or providers; what type of report is this?
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Summary
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The factors that vary from one patient to the next, for example diagnosis codes, procedure codes, age, are known as ___________________.
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variables
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The office manager of Greensburg Medical Center has received a request from the state public health department for a report of patients between the ages of 13 and 25 who are smokers, sorted by zip code. To find this information, the office manager will run a ____________ report.
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custom
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What is the name of the index which includes of listing of all patients ever seen in a hospital?
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master patient (person) index
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In a hospital, a ____________ registry is maintained daily and includes all inpatients who have left the hospital at the conclusion of their stay.
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discharge
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Many electronic health record programs submit registry information directly to the Center for Medicare and Medicaid Services (CMS) as part of which initiative?
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Physician Quality Reporting Initiative (PQRI)
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Hometown Internal Medicine was recently fined $100,000 for overbilling. Since this is conserved an adverse action against the office, which data bank does this need to be reported to?
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The action must be reported to the Healthcare Integrity and Protection Data Bank (HIPDB).
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The PCMH encourages
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the patient and his/her family to be involved in the patient's care.
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The field that focuses on capture, retrieval, storage, and use of health information is:
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health information
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A medical office or other healthcare facility that does not have a health information professional on staff may seek expertise in record-keeping procedures and the legal health record from the:
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EHR service provider
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Which of the following statements is true about a paper record?
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paper records are often illegible
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When planning for a conversion to the electronic health record, administrative members of the staff should expect that:
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the conversion will take more time than expected
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As part of Greensburg Medical Center's electronic record, patients can access their own health record via the Internet and can e-mail the office with questions, when necessary. This functionality is called a/an:
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patient portal
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Which of the following statements is true about a personal health record (PHR)?
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it is maintained by the patient (or legal guardian)
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If a patient and his care provider conduct a conference call to discuss the patient's high blood pressure, they are engaging in _______________.
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telehealth
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The Patient Centered Medical Home (PCMH) model was developed by the ________________.
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American College of Family Practitioners
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Diagnostic and treatment protocols that are based on proven research and practice are known as:
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evidence-based medicine
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Computers and devices that are physically close together are connected by a:
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Local Area Network
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A ________________ is a security method that prevents unauthorized access into or out of the network.
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firewall
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A ____________________ is a security feature that plays a role in the advancement of EHR use by encrypting data sent via the Internet and verifies the identity of authorized users through use of a User ID and password.
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Virtual Private Network
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In a ___________ environment, the physician's office or hospital has the advantage of unlimited processing and storage capacity.
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cloud
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The management of the automated processes that focuses on structure of data, interoperability, design of input and output tools, and security is known as health __________________.
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informatics
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A good practice for healthcare consumers is to document their own health information, for instance the medications currently being taken, medication allergies, dates and names of surgeries they've had, etc. In fact, many insurance companies offer their patients the ability to document their healthcare online. What are these records known as?
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personal health records
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Dr. Brown, a radiologist is able to view x-ray images from home rather than having to go into the hospital to do so. What kind of computer technology allows Dr. Brown to do that?
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Picture Archiving and Communication Systems (PACS)
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The Patient Centric Medical Home (PCMH) model and managed care insurance plans encourage patients to have a primary care physician who is referred to as the __________________ to reduce redundancy and overutilization of medical services.
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gatekeeper
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_________________ make it possible for care providers to make and receive phone calls, browse the Internet, take still pictures or video and store telephone numbers and appointments.
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Smartphones
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The mobile technology that allows access to the Internet without use of cables is known as what?
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Wi-Fi
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When an encrypted message is sent, it must be ___________ before the receiver is able to read it.
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decrypted