DPRC Session 6 and 7 Full Question Bank Flashcards

1
Q

In a centralized HIS, the majority of systems are manufactured by the same vendor.

A

True

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2
Q

RIS supports the function of specimen collection.

A

False

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3
Q

PACS stands for Personal Archiving and Communication System

A

False

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4
Q

The definition of an HIS includes software and hardware but not policies.

A

False

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5
Q

In a best of breed environment, there would be more interfaces than in a centralized HIS

A

True

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6
Q

An Inpatient History and Physical and Discharge Summary are complete when signed by a nurse.

A

False

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7
Q

E-Prescribing requires communication between the physician and commercial pharmacy.

A

True

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8
Q

A nursing assessment might be focused on reducing preventable events like falls and skin breakdown

A

True

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9
Q

A surgery checklist can be automated and can prevent serious medical error

A

True

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10
Q

A synonym for EBM is “Best Practice.”

A

True

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11
Q

Department scheduling would most likely be seen in

  1. Radiology
  2. Surgery
  3. Pharmacy
A

Radiology and Surgery

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12
Q

Medication Reconciliation is performed at

A

Admission, Discharge and Transfer

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13
Q

Formulary refers to

A

list of approved drugs

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14
Q

Which is an example of medication management?

a. SNOWMED
b. BCMA
c. HIE
d. IDE

A

BCMA

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15
Q

Which are functions you might see in a Medical Records department

  1. analysis
  2. completion
  3. coding
  4. release of information
A

All four

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16
Q

A CDS module might do which of the following?

A

be used to improve compliance with vaccinations

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17
Q

The MPI module assigns which of the following in a hospital system.

a. room and bed
b. medical record number
c. unique account number
d. bill number

A

medical record number

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18
Q

The first word in the abbreviation EMPI is

A

Enterprise

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19
Q

What department manages giving copies of a record to an individual authorized to receive it.

A

Medical Records

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20
Q

In which department system would you see divisions of toxicology and hematology?

A

LIS

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21
Q

Medication Reconciliation is done at

A

For every transition of care

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22
Q

Which department (s) has the responsibility for managing the integritiy of patient records?

A

Medical Records Department

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23
Q

The masterfile in the patient accounting system that contains items, description, and charges is the

A

CDM

24
Q

Stores Diagnostic Images

A

EDI

25
Q

Stores images of documents

A

Documenting Imaging

26
Q

Processes specimens

A

LIS

27
Q

Is connected to automated instruments

A

LIS

28
Q

Generates an Income Statement and Balance Sheet

A

General Ledger

29
Q

Manages Inventory of supplies

A

Materials Management

30
Q

Electronic Exchange of data between payer and provider

A

EDI

31
Q

Processes an order for a CT scan

A

RIS

32
Q

Controls what drugs can be ordered

A

Formulary

33
Q

Processes a CPOE order and does additional safety checks

A

Pharmacy

34
Q

HIS

A

Health Information Systems

35
Q

HIT

A

Health Information Technology

36
Q

ADT stands for

A

Admission, Discharge, Transfer

37
Q

What are the “five rights” of Medication Adminstration

A
  1. right patient
  2. right drug
  3. right dose
  4. right route
  5. right time
38
Q

EBM stands for

A

Evidence-based Medicine

39
Q

AR

A

Accounts Recievable

40
Q

You would see blood pressure, respirations, temperature on a ________ ________flowsheet.

A

vital sign

41
Q

BCMA

A

Bar-coded Medications Adminstration

42
Q

List two examples of Clinical Decision Support

A
  1. system generates alerts during CPOE and E-Prescribing

2. system generates alerts during radiology procedure that patient is allergic to dye

43
Q

Accidental and incidental viewing

A

Accidentally come across information that you should not view
Report inappropriate viewings (system logged your view in audit trail
Unauthorized access is grounds for immediate job termination

44
Q

ROI

A

Release of information

45
Q

Release of information requires the following on authorization form

A
Date signed
Expiration date
To whom information may be disclosed
What is permitted to be disclosed
For what purpose the information may be used
46
Q

What is required by the patient for release of Psychotherapy Notes

A

A special authorization

47
Q

Name some exceptions to disclosure statements

A

Court orders
Workers compensation cases
Statutory reports
Research (limited data sets)

48
Q

Name some accounting disclosures

A

Listing of who received information about the patient as well as when, why and how the disclosure was made
Disclosure for TPO do not require accounting
HIPAA requires this document be kept for 6 years

49
Q

NPP stands for

A

notice of Privacy practices

50
Q

Name some of the Notice of Privacy Practices

A

Summarizes he facility privacy policies
Explains how it will use/disclose PHI
Include contact information for the privacy officer
Signed acknowledgement from patient that notice received

51
Q

BAA stands for

A

Business Associate Agreement

52
Q

What is a Business Associate Agreement and what is it for

A

A business associate is a person or organization that uses PHI TO PERFORM A service or function in behalf of a health entity
These are outsourced transcriptionist and coders, billing service, contracted vendors, collection agencies

BAA must be in place before disclosing PHI

53
Q

What are the most common threats to systems

A
Loss of laptops containing PHI
Employee curiosity
Viruses and malware
Fraud and theft
Employee sabotage
Loss of physical and infrastructure support
Malicious hackers
Malicious code
Industrial espionage
54
Q

What are risks associated with low cost remediation

A
Weak passwords
No auto-log off after inactivity
No use of encryption
No or weak anti-virus/malware protection
No or weak back-up and recovery
55
Q

A scheduling system might schedule staff, equipment, and rooms.

A

True