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When determining how long you must retain paper or computerized health information and health records, you consult


A) Your organization's legal counsel.
B) Your state laws.
C) Centers for Medicare and Medicaid Services guidelines.
D) All of the above.

E) B) and C)
F) None of the above

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D

There is no easy way to check for data and information consistencies in paper records.

A) True
B) False

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Which of these languages is used frequently today for querying databases?


A) JAVA
B) MUMPS
C) Visual Basic
D) SQL

E) B) and C)
F) B) and D)

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Meaningful use requires those who use an electronic health record to be able to collect data and report that data in line with quality of care measures identified by the provider organizations.

A) True
B) False

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Identify and discuss three overlapping benefits of health information systems in health care organizations.

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Three overlapping benefits are cost reduction, operational scope, and improved patient care. Cost reduces duplicate tasks and operations; operational scope replaces manual processing with automated processing; improved patient care provides faster access to patient information and uses reminders and alerts.

The Medicare and Medicaid EHR Incentive Program is designed to engage providers to move forward with electronic health records and demonstrate they are used in a meaningful way. The program called for staged objectives, criteria, and measures to be met. Failure to meet all of the objectives within the specified time will ultimately mean the loss of federal reimbursement.

A) True
B) False

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Health informatics is the science that deals with _________________, its ____________, ________________, and its _______________.

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(in any order)uses, ...

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A key belief of PHR proponents is that patients who keep their own complete, updated, and easily accessible health records are taking a more active role in their own health care and participate in shared decision-making with their physicians.

A) True
B) False

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From a quality perspective, EHRs have resulted in which of the following?


A) System alerts prompt nursing staff to meet their schedule.
B) Medication processes are more streamlined.
C) Reductions in illegible order have been reduced.
D) Nurse time on direct patient care is increased after EHRs are in place.
E) a, b, c
F) All of the above

G) A) and D)
H) A) and E)

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Producing an integrated health information system that does everything well is now easy to accomplish.

A) True
B) False

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Select the best example of the electronic health record (EHR) documentation principle of integrity in action.


A) Physician is authenticated using a password each time he or she accesses the EHR system.
B) When a transcribed report moves from the vendor's dictation/transcription system to the facility's EHR system, the document's content remains the same as when it was transcribed.
C) The EHR system notifies the physician user of possible drug interactions when an order is placed.
D) The EHR data dictionary defines the fields used in a medical record review.

E) B) and D)
F) None of the above

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B

There have been a number of barriers to successful health information exchange. Which of the following is tied to technology?


A) Business case
B) Privacy and security
C) Lack of funding
D) Competitive disadvantage
E) All of the above

F) None of the above
G) B) and C)

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A patient record contains selected data elements for nonclinical uses called ____________________ data.

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administra...

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All the following are types of electronic networks that link databases except


A) Internet.
B) E-mail.
C) LAN.
D) WAN.

E) None of the above
F) B) and C)

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What is meant by an online transaction processing system, and what role does it play in achieving information systems benefits?

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An online transaction processing system ...

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Knowledge-based systems are used for problem solving and patient monitoring.

A) True
B) False

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Persons who rely on computer systems to perform their job are called ____________________.

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Copy and paste refer to duplicating selected text or graphics and inserting it in another location, leaving the original changed.

A) True
B) False

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You are a supervisor for the release-of-information unit in a medium-sized urban hospital. You notice that the unit is receiving an average of 100 requests a month from the Social Security Administration (SSA) for disability claims. What action and recommendation would you bring to the health information management director?


A) Analyze the work flow and amount of time it takes for a clerk to process an SSA request for information and calculate the extra amount of needed full-time equivalent time.
B) Analyze the work flow and distribute the SSA requests equally among the clerks.
C) Analyze the type of documents the SSA is requesting and create a designated record set to meet their needs.
D) Analyze the work flow and the type of documents the SSA is requesting and set up a time to meet with the SSA representative.

E) C) and D)
F) B) and D)

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The paper record continues to be used as the health care industry slowly moves to health information technology. Many organizations will be transitioning to EHR products. In addition, many organizations will be working with hybrid records on their way to electronic versions. The paper record's weaknesses in legibility, chronology, understandability, and data organization are difficult to overcome. Which of these are most likely to be solved easily by technology? Check all that apply.


A) Legibility
B) Chronology
C) Understandability
D) Data organization

E) A) and D)
F) B) and C)

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