Environmental Forces in HIT
HIPAA, signed into law in 1996, was designed primarily to
a. Make health insurance more affordable
b. Simplify administrative processes
c. Protect the security and confidentiality of personal health information
d. All of the above
D - HIPAA was designed to to all of these things.
Health care data and health care information are synonymous and can be used interchangeably.
True or False?
False
Which type of information system is used to manage personnel, finances, materials, supplies, or equipment?
a. Administrative information system
b. Ancillary information system
c. Clinical information system
d. Revenue cycle system
a. Administrative information system
The population health efforts most health systems and ACOs are undertaking are aimed at providing better preventive and medical care for the entire population in a specific geographic area.
True
False
False
Which of the following organizations provides market analysis reports and listings of vendors that provide EHR systems?
a. HIMSS
b. AMIA
c. KLAS
d. None of the above
c. KLAS
Which entity was charged with providing leadership for the development and nationwide implementation of an interoperable health information technology infrastructure?
a. ONC
b. CMS
c. IOM
d. None of the above
A. ONC
5. Which of the following best defines continuum of care?
a. Services provided for a specific condition for a specific period of time
b. Tracks patients over time through a comprehensive array of health services
c. Improves health outcomes within defined communities
d. None of the above
b. Tracks patients over time through a comprehensive array of health services
In the 1960s and 70s, health care executives invested primarily in administrative and financial systems. (True/False)
True
Value-based care is a solution to which of the following problems?
a. Rising health costs
b. Duplication of services
c. Clinical inefficiency
d. All of the above
D. All of the Above
All of the following are examples of technical infrastructure except:
a. Hardware requirements
b. Disaster recovery
c. Security
d. Software upgrades
d. Software upgrades
6. Which of the following is NOT a component of the HITECH Act?
a. Establishing Medicare and Medicaid EHR Incentive Programs
b. Establishing value-based incentive programs
c. Funding regional extensions centers to support providers in adopting and becoming meaningful users of EHRs
d. Funding for workforce training programs to support the education of HIT professionals
B - Establishing value-based incentive programs
6. Which of the following is the primary purpose for creating and maintaining patient records?
a. Patient care
b. Communication
c. Legal documentation
d. Billing and reimbursement
a. patient care
Which law made incentive money available for eligible professionals and hospitals to adopt and become “meaningful users” of EHR?
a. HIPAA, 1996
b. Medicare Modernization Act, 2003
c. HITECH Act, 2009
d. None of the above
c. HITECH Act, 2009
__________ is the ability to identify or segment a patient or cohort at risk for a negative health event or preventable health care utilization.
a. Segmentation
b. Identification
c. Stratification
d. Intervention
c. Stratification
Which of the following are methods for evaluating a vendor’s product and reputation?
a. Site visits to other facilities
b. Vendor user group conferences
c. Market reports
d. All of the above
d. all of the above
__________ is best defined as the ability of a system to exchange electronic health information with and use electronic health information from other systems without special effort on the part of the user.
a. Coordination of Care
b. Meaningful Use
c. Integration
d. Interoperability
D. Interoperability
9. In which component of the patient record would you find the SOAP note?
a. Problem list
b. Physicians orders
c. Medication record
d. Progress notes
Progress Notes
Which of the following is NOT a person-generated health data (PHGD) technology?
a. Fitbits
b. Food diary apps
c. Pace makers
d. None of the above
c. Pace makers
As reimbursement becomes more complex, which of the following systems must evolve to support payments based on quality and performance?
a. Revenue cycle system
b. Care management system
c. Workflow and rules engine
d. Registries and scorecards
a. Revenue cycle system
What is the final step of the system acquisition process where expectations are outlined and performance requirements are determined with the vendor?
a. Contract negotiations
b. Contract summary
c. Vendor analysis
d. Vendor agreement
a. Contract negotiations
Which of the following is the biggest barrier to health information exchange?
a. Technology
b. Incentive programs
c. Health information blocking
d. None of the above
c. Health Information Blocking
In "SOAP Notes" - SOAP stands for ______________?
Subjective
Objective
Treatment
Plan
Which entity formed a tasked force to study, identity, and make recommendations regarding system usability?
a. AMIA
b. CMS
c. AHIMA
d. NCQA
A. AMIA
Which of the following is NOT considered a patient engagement tool?
a. Scorecards
b. Patient portals
c. Social media
d. All of the above are patient engagement tools
a. Scorecards
__________ is defined as the process that occurs from the time the decision is made to select a new system until the time a contract has been negotiated and signed.
a. System acquisition
b. System implementation
c. System selection
d. System development
a. system acquisition
3. Which of the following is an example of an error of omission?
a. Prescribing a medication that has a potentially fatal interaction with another medication a patient is taking
b. Failing to prescribe a medication from which the patient would likely have benefited
c. Illegible prescriptions
d. All of the above
b. Failing to prescribe a medication from which the patient would likely have benefited
Which entity is responsible for investigating fraud involving government health insurance programs?
a. The Joint Commission
b. Centers for Medicare and Medicaid Services (CMS)
c. Office of Inspector General (OIG)
d. American Medical Association (AMA)
c. Office of Inspector General (OIG)
What are the major benefits of EHR systems?
a. Quality, outcomes, and safety
b. Efficiency, improved revenues, and cost reduction
c. Provider and patient satisfaction
d. All of the above
d. All of the above
Which of the following services is offered through telehealth?
a. Clinician-to-clinician consultations
b. Critical care
c. Cybersurgery
d. All of the above
d. All of the above
Usually, the first step in a system acquisition process is which of the following?
a. Determine system goals
b. Define project objectives and scope of analysis
c. Establish a project steering committee and appoint a project manager
d. Screen the marketplace and review vendor profiles
c. Establish a project steering committee and appoint a project manager