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amb 400 > AMB 400 > Flashcards

AMB 400 Flashcards

1
Q

Identify the three levels of the procedure setup hierarchy from most specific to most general

A

Procedure
Procedure Category
System Definitions

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2
Q

What is the purpose of the procedure category master file?

A

To set up values that apply to clusters/categories of procedures.

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3
Q

Name an example of a procedure category record

A

Any of these:
diagnostic imaging orderables
chemistry orderables
outpatient referral orderables

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4
Q

what is are three purposes of the procedure master file?

A

Placing orders
Documenting that a procedure was performed
Trigger charges if needed

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5
Q

True or false: all orders are captured in the procedure master file.

A

FALSE. Medications are not included in procedure.

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6
Q

How do you make a procedure available?

A

Set Proc Type field to Charge.

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7
Q

What are the four options for Record Purpose in the procedure master file?

A

Orderable
Performable
Chargeable
Historical

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8
Q

In addition to setting up the Proc Type to “Charge”, what else do you have to do in order to get the procedure set up for charging?

A

Set Billing Status to “Active”

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9
Q

What is Clinically Inactive used for?

A

When a procedure should be available only for financial purposes. When set to Yes, the procedure is not available in the clinical applications.

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10
Q

Where does an end user see Order Class in an order in hyperspace?

A

In the Class field of Order Composer.

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11
Q

Where does an order class need to be specified in order to configure it in procedure category or procedure records?

A

System Definitions, Procedure Order Classes screen, list the subset of order classes from ORD-60 that apply to procedures.

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12
Q

Does the order class of Normal need to be listed in System Definition Procedure Order Classes?

A

No. It is assumed.

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13
Q

What impact does Order Type have on orders?

A

determines what tab the order will file to in Chart Review.

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14
Q

Where are the values for Order Type defined?

A

Category list ORD-30

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15
Q

Would you typically specify the Order Type at the procedure level? Why/why not?

A

No. While you CAN set it in the Override Order Type field, it makes more sense to establish this at procedure category level to cover an entire group of similar procedures.

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16
Q

Is it better to set up default values for orders at the procedure level or the procedure category level? Why?

A

Defaults should be set up in the procedure categories as much as possible for ease of maintenance.

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17
Q

True or false: default priority and order class defaults can be set at either the procedure or procedure category level.

A

TRUE.

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18
Q

Where are referral defaults set up?

A

Procedure or procedure category.

Also, there can be system-level setup in Referral System Definitions

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19
Q

Procedure Record Purpose: define “Orderable”

A

Things that the physician wants performed or done for a patient. These things can sometimes create charges.

20
Q

Procedure Record Purpose: define “Performable”

A

Things that need to be documented, but not charged.

21
Q

Name some examples of an orderable procedure

A

External imaging, nursing procedures, referral orders

22
Q

Name an example of a performable procedure

A

Diabetic foot exam performed as part of an office visit.

23
Q

Procedure Record Purpose: define “Performable/Chargeable”

A

Things that need to be documented/updated/resulted and charged.

24
Q

Procedure Record Purpose: define “Chargeable”

A

Things that charge immediately (i.e., supply charges)

25
Q

Procedure Record Purpose: define “Historical”

A

Things that need to be documented as performed in the patient’s past.

26
Q

What are the items that create the patient sig?

A

route, frequency, and dose

27
Q

On what screen do you configure frequency and route?

A

Outpatient Order Composer Button Selections

28
Q

On what screen do you configure dose?

A

Outpatient Order Defaults

29
Q

Default specimen type is set up on which screen of the procedure record?

A

EpicCare Settings

30
Q

Are default specimen type and default and allowed specimen sources set up at the procedure leve, procedure category level, or either one?

A

Procedure level only.

31
Q

Can I link a procedure or procedure category record to any question record?

A

No, you can only link them to question records that are “order-specific” type questions.

32
Q

Name the three SmartText functional types used with procedures, and for what purpose they are used.

A

MR Orders - used for comments
MR Procedure Process Information - used for process instructions
MR Procedure Scheduling Instructions - used for scheduling instructions.

33
Q

The question “Is the patient pregnant?” should appear for any imaging orderables. What type of question record needs to be built?

A

order-specific

34
Q

Describe the most efficient way to have the same question appear for all the diagnostic imaging procedures.

A

Link the procedure category for those imaging tests to the question.

35
Q

Dr. Mica orders a procedure called Amb Referral to Dermatology. Would this be an orderable, performable, chargeable, or combination? Explain.

A

The referral would be an orderable because it’s like saying, “Somebody please do this” and isn’t actually being performed or charged now.

36
Q

I created a SmartText with functional type MR Orders. Why am I unable to use it for a process instruction in a procedure?

A

You cannot use it because MR Orders is the functional type for SmartText used as comments.

37
Q

True or False: Procedures that are chargeables should be marked as active for billing.

A

True

38
Q

In a procedure, what is the purpose of the Override Procedure Category Questions item?

A

It allows the administrator the option of having questions from both levels appear (or not) when the procedure is ordered.

39
Q

True or False: Lab-related SmartLinks look to the procedure that was ordered.

A

False

40
Q

If you list Glucose as a result component in a Glucose Accucheck procedure record, how does that affect the end user who results this test?

A

In the Enter/Edit Results activity, the end user sees the component by default, thus saving her time.

41
Q

In the procedure category for Lab Send Outs, two buttons were set up for the Class field. However, whenever Dr. Mica orders an iron assay (which is a procedure linked to the Lab Send Outs procedure category), she sees four buttons for the Class field. Explain why.

A

The system searches for details using the procedure > procedure category hierarchy, so it found the four buttons defined in the procedure record and displayed them.

42
Q

Dr. Quartz complains that whenever he orders any diagnostic imaging test for any patient, the question “Is the patient pregnant?” appears. What setup is wrong?

A

The linked question record should have been limited to females of a certain age.

43
Q

You set up item buttons to display for the Class field. What must you do to make sure the Class field appears in the Order Composer?

A

Define Class among the desired display items at the appropriate level’s OCC record.

44
Q

If you choose a display item that has “Collapsed” in its name (like Comment Collapsed), how does that appear in the Order Composer?

A

It appears as a hyperlink.

45
Q

Dr. Quartz complains that whenever he orders any outpatient referral, a default department specialty of Obstetrics and Gynecology appears. What did an administrator do incorrectly, and what should have been done?

A

The administrator defined that department specialty in the referral procedure category. She should have defined it only in appropriate referral procedure records.

46
Q

True or False: Additional order detail display items can only be set up in a system-level OCC record.

A

False

amb 400 (1 decks)

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