Mid Term EXAM Flashcards
Bloodwork results from the laboratory information systems, mammogram reports and films from radiology information systems, a listing of chemotherapy agents administered to the patient from the pharmacy information system are all delivered into the patient’s EHR. These different information systems that feed information into the EHR are called ________.
A. Interoperability
B. Clinical decision support system
C. Continuity of care record
D. Source systems
Source Systems
The identification of who documented a note in the heath record is known as
A. Authentication
B. Authorship
C. Patient identification
D. Validation
Authorship
What is the benefit of front-end speech recognition
A. The document is available immediately upon completion of the dictation.
B. It does not impact the physician
C. It eliminates data quality issues
D. It speeds availability of the document
It speeds availability of the document
The healthcare facility has decided to adopt a tool that helps with multidisciplinary care planning. Select the tool that meets this criteria.
A. Clinical practice guidelines
B. Electronic health record
C. Clinical Pathways
D. Clinical provider order entry
Clinical Pathways
Amanda uploads her diet and fitness log from her smartwatch to her doctors office EHR. She also adds information about her previous medical history. What type of system is Amanda using?
A. CPOE
B. CCR
C. PHR
D. CDSS
PHR
The purpose of meaningful use is:
A. Improve healthcare quality, safety, and efficiency
B. Support the exchange of data across heathcare entities
C. Aid in coding and billing
D. Provide documentation standards
Improve healthcare quality, safety, and efficiency
Contemporary HIM practices focus on ________.
A. Data and information
B. Processing health records
C. Processes
D. Workflow
Data and information
A process used to identify what is likely to happen the future is known as _______.
A. Predictive modeling
B. Inferential statistics
C. Descriptive statistics
D. Data modeling
Predictive modeling
The combination of paper and electronic health records is called _________.
A. Hybrid
B. Half and half
C. Combo
D. Healthy
Hybrid
A home health agency has intalled a _______ where they store forms, policies, other resources for employees.
A. Firewall
B. Intranet
C. Extranet
D. Internet
Intranet
One of the first significat historical milestones in the development of systems is:
A. Interoperability
B. Clinical decision support
C. Computer-based record
D. CPOE
CPOE
An EHR that has been evaluated by a member of the office of the National Coordinator-Authorized Certification Bodies (ONC-ACBs) and verified that it meets the criteria set by the Meaningful Use incentive programs.
Certified EHR technology
Preprogrammed clinical decision support designed to assist the user through making an entry appropriately.
Computerized provider order entry(CPOE)
Also called narrative data, can be entered in a free text format by the user, usually by typing.
Unstructured data
A core data set, which is the most relevant administrative, demographic, and clinical information about a patient’s healthcare, covering one or more healthcare encounters.
Continuity of care record (CCR)
A permanent record of significant information listed in chronological order and maintained across time, ideally from birth to death.
Longitudinal health record
Edit checks identify ________.
A. Current Data
B. Illogical data
C. Accurate data
D. Outdated data
Illogical data
Which of the following is an example of information?
A. The number of denials has decreased by 45 percent over the past year.
B. HIM professionals roles have changed
C. Heathcare facilities utilize tablets and cellular phones
D. Mary was admitted to the hospital with a myocardial infarction.
The number of denials has decreased by 45 percent over the past year
Which of the following is a use of secondary data sources?
A. Research
B. Determining diagnosis
C. Consulting with another physician for patient care
D. Determining what test to order
Research
The point of care documentation is improved because __________.
A. It uses wireless technology
B. It uses evidence-based medicine
C. It is created as soon as the care is provided
D. It uses clinical practice guidelines
It is created as soon as the care is provided.
The fact that there is missing data would be identified in _________.
A. Data analysis
B. Authorship
C. Data cleansing
D. Data mapping
Data cleansing
A tools designed to coordinate multidisciplinary care planning for specific diagnosis and treatments.
Clinical pathways
Healthcare services based on clinical methods that have been thoroughly tested through controlled peer-reviewed biomedical studies.
Evidence-based medicine
A tool that provides a detailed, step-by-step guide used by healthcare practitioners to make knowledge-based decisions related to patient care and issued by an authoritative organization such as a medical society.
Clinical practice guidelines