Emailing
What is CDI?
Clinical Documentation Improvement
Barcodes may be used to improve?
patient safety
___occurs when a person knowingly and unreasonably interferes with the exchange or use of electronic health information?
health information blocking
T/F an interdisciplinary charting system can be used by any healthcare professional to collect,store patient assessments, progress notes, and care plans?
true
locks on computer doors are what type of security control?
physical control
What does the S in SOAP stand for?
Subjective
Using COW or WOW will help improve?
documentation
The stimulus package of 2009 is officially known as?
American Recovery and Reinvestment Act (AARA)
T/F when developed for data extraction, any data entered in a coded field can easily be searched, retrieved, aggregated and summarized for easy interpretation in a standard report
true
locks on doors fall into which of the following: physical safeguards, administrative or technical safeguards
physical safeguards
What does the O stand for in SOAP?
Objective
The benefit of using a personal computer over dumb terminal is that?
processing is performed on the PC
Aggregating and reporting of data from a coded field within the EHR
Data mining
T/F document management systems are the same as an EHR?
false
under HIPPA a healthcare provider can disclose PHI without patient authorization for?
TPO
What does the A and P stand for in SOAP?
assessment, plan
A home health agency has installed a ____ where they store forms, policies, and other employee resources
intranet
meaningful use has transitioned into the _____
MIPS
an example of unstructured data in a patient record is _______
physician progress notes
willful neglect of PHI that is uncorrected is subject to what HIPPA penalty?
$50,000-1.5million/violation
What are the 4 parts of data integrity?
complete data, accurate, consistent, up-to-date
Technology provides data that _____patient care?
improves
what was created to assist primary healthcare providers in adopting ehr?
Regional extension center
which of the following would be considered discrete data? medication dosage, operative report, nursing notes
medication dosage
a user name and password is an example of ?
One-factor authentication