Exam 1

Question 1

How has the overall percentage of Americans with health insurance coverage cahnged since the late 1980’s?

Answer 1

It has decreased

Question 2

Many Americans cannot find affordable health insurance because of

Answer 2

the cost of medical-surgical and pharmaceuticals

Question 3

what is acute care?

Answer 3

short-term medical and nursing care provided in an inpatient hospital setting to treat the acute phase of a patients injury or illness

Question 4

What is acute care provided in all settings, from the least to the most intensive specialized and expensive?

Answer 4

continuum of care

Question 5

What is the main difference between primary, secondary, and tertiary care?

Answer 5

the degree of specialization

Question 6

what is the term for health records maintained by patients and/or their families?

Answer 6

personal health records

Question 7

What are the mostly likely factors delaying the universal implementation of electronic health records (EHRs)?

Answer 7

The lack of shared vision/ An absense of functional standards

Question 8

Under what circumstances would an outpatient become an inpatient?

Answer 8

the patient was admitted to an acute unit after receiving emergency room services

Question 9

The concept of the continuum of care was initially developed in response to what trend in the healthcare environment?

Answer 9

the increasing cost of healthcare

Question 10

_____, health records are the property of the healthcare providers who created them:_____, the personal information contained in each record belongs to the patient

Answer 10

Legally; ethically

Question 11

Between 2004 and 2005, the percentage of Americans who qualified for employer-based health coverage____ and the number of people covered by government-sponsored health insurance______

Answer 11

Decreased; increased

Question 12

The current healthcare delivery system in the United States can be characterized by which of the following phrases?

Answer 12

Complex and expensive

Question 13

How have recent biomedical advances affected healthcare?

Answer 13

Recent advances have revolutionized healthcare services

Question 14

What level of care is provided by medical specialist wrking in private offices, specialty group practices, private clinics, community-based clinics, and general and community hospitals?

Answer 14

secondary

Question 15

when did hospitals begin applying computer processing to operations and managment?

Answer 15

in the 1960’s

Question 16

which of the following was not cited by president Bush as being a challenge to the current healthcare system?

Answer 16

the cost of health insurance, diagnostic test, hospital stays, and prescription drugs continue to increase

Question 17

What is President Bush’s goal for the U.S healthcare system in 2014?

Answer 17

most Americans will have their complete healthcare information available to them at the time and place of care

Question 18

According to definition put forth in the AHIMA practice brief titled “The complete medical record in a Hybrid EHR Environment” (2003 what must the functional components of a hybrid health record do?

Answer 18

Include both paper and electronic documents and use both manual and electronic processes

Question 19

Consumer education about the PHR must include which of the following intems in order for consumers to embrace the PHR?

Answer 19

information about security and confidentiality

Question 20

Public and private sector stakeholders are focusing efforts on ________________ because there is increasing evidence that health information technology can improve healthcare quality and customer safety by reducing errors and unnecessary expenditures.

Answer 20

Health information exchange (HIE)

Question 21

Which of the following entities is not included in health information exchange?

Answer 21

Public Schools

Question 22

The main purpose for forming a RHIO is facilitating information sharing among health care providers using common, federally mandated standards for data content and exchange over existing networkds and the internet

Answer 22

False

Question 23

Healthcare has ________________ other fields in the application of information technology to operations and communications.

Answer 23

Lagged far behind

Question 24

What is the term used for the record of care in any health-related setting, used by healthcare professionals while providing patient-care services or for administrative, business, or payment purposes

Answer 24

legal health record

Question 25

The ultimate goal for managing EHR information is that the information

Answer 25

Is kept in a manner that supports a facilitys business and legal processes / Eliminates the need for maintaining a duplicate paper process

Question 26

Where do healthcare facilities store confidential clinical documentation

Answer 26

In health records

Question 27

Each organization must define the parameters of its legal health record, taking into account

Answer 27

Their practice settings / state laws

Question 28

who owns the health records of patients treated in a healthcare facility?

Answer 28

The facility

Question 29

_________ is the driving force behind movement toward the universal adoption of EHR systems

Answer 29

The health insurance portability and accountability act (HIPAA)

Question 30

Copies of personal health records (PHR’s) are considered part of the legal health record when

Answer 30

used by the organization to provide treatment

Question 31

The purpose and value of documenting in the patients health records is effective communication to other care givers for continuity of customer care

Answer 31

True

Question 32

___ Health Insurance Portability and Accountability Act (HIPAA)’s Privacy Rule states that ________________________ used for the purposes of treatment, payment, or healthcare operations does not require patient authorization to allow providers access, use, or disclosure. However, only the _______________________ information needed to satisfy the specified purpose can be used or disclosed

Answer 32

Protect health information; minimum necessary

Question 33

___ The processes retention and destruction of health information are subject to specific regulations in many states as well as guidelines found in Federal regulations and _______________ standards.

Answer 33

accreditation

Question 34

Regulatory and accreditation requirements for the various health care settings are standardized

Answer 34

False

Question 35

Which healthcare settings must comply with federal documentation guidlines established by the CMS (2006) for medicare participants?

Answer 35

Almost all settings

Question 36

Due to widespread use of the intermetto distribute health-related information Americans have become more aware of what

Answer 36

the large quantity of personal information stored in their health records

Question 37

The primary objectives of _______________________ are to interconnect networks of clinicians, make information portable, and move consumers from one healthcare provider to another.

Answer 37

the National Health Information Network

Question 38

In 2003 ____________________, a public policy advisory board made up of representatives from numerous healthcare, trade, and professional organizations, recommended that standard-developing organizations be encouraged to adopt standards that promote interoperability of electronic health records and PHRs.

Answer 38

. the National Committee on Vital and Health Statistics

Question 39

How do healthcare providers use the administrative data they collect?

Answer 39

for regulatory, operational, and financial purposes

Question 40

is an organization that develops standards related to healthcare delivery

Answer 40

Health Level Seven (HL7)

Question 41

A _________________________ is a health record that includes all of the health-related information generated for an individual during his or her lifetime

Answer 41

longitudinal health record