Comp 14

54 Questions  I  By Clementejose12 on April 5, 2012
Comp14

  

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1.  1.  To supplement knowledge of factors and trends in the use of EHRs, a resource of the HIMSS systems that may be useful includes which of the following?
A.
B.
C.
D.
2.  2.  If you wish to make comparisons between 2 vendor-specific EHR systems, you would rely on:
A.
B.
C.
D.
3.  3.  Which of the following is NOT a criterion used to calculate the KLAS overall score for EHRs?
A.
B.
C.
D.
4.  4.  To improve healthcare technology delivery by impartially measuring vendor performance, the KLAS rating systems use which of the following?
A.
B.
C.
D.
5.  5.  To begin evaluating software selections for ambulatory EHRs intended for clinic or practice management using KLAS ratings, which piece of information would you consider first?
A.
B.
C.
D.
E.
6.  6.  To begin evaluating software solutions for acute care EHRs intended for clinical data repository, order entry, and clinical chartings of patient information, which piece of information would you consider first?
A.
B.
C.
D.
E.
7.  7.  Provide a summary of any 2 of the following ambulatory vendors with respect to client base, annual revenue, and # of years since founded. Vendor:  Epic Client Base: Revenue: Years since founded: Vendor:  Eclipsys Client Base: Revenue: Years since founded: Vendor:  Cerner Client Base: Revenue: Years since founded:
A.
B.
8.  1. Which of the following is NOT a reason why Electronic Health Record (EHR) system should be certified by the Certification Commission for Health Information Technology (CCHIT)?
A.
B.
C.
D.
9.  2. The Certification Commission for Health Information Technology (CCHIT) can best be described as:
A.
B.
C.
D.
10.  3. Identify 1-2 characteristics the Certification Commission for Health Information Technology (CCHIT) with respect to the following:
A.
B.
C.
D.
E.
11.  4. Which of the following is a good example of meeting the functionality criterion, as given by the Certification Commission for Health Information Technology (CCHIT).
A.
B.
C.
D.
12.  5. Provide 1 example of an EHR system that would meet the Certification Commission for Health Information Technology (CCHIT) criteria on the following: CCHIT criterion A.  Functionality: B.  Security: C.  Interoperability:
A.
B.
C.
D.
13.  6. Which of the following is NOT a criterion used by the Certification Commission for Health Information Technology (CCHIT) for EHR systems?
A.
B.
C.
D.
14.  7. It is important to certify that EHRs are up to certain quality standards for all of the following reasons EXCEPT for which one?
A.
B.
C.
D.
15.  8. The process of Certification Commission for Health Information Technology (CCHIT) includes all of the following EXCEPT which one?
A.
B.
C.
D.
16.  9. Under the American Recovery and Reinvestment Act (ARRA) of 2009, hospitals and health care professionals are required to become ‘meaningful users’ of certified EHR technology in order to do which of the following?
A.
B.
C.
D.
E.
17.  10. Which of the following is an example of ‘meaningful use’ of EHRs?
A.
B.
C.
D.
18.  11. In half a page, identify SIX (6) of the EIGHT (8) criteria required for Stage 1 implementation of ‘meaningful use’ of EHRs under the American Recovery and Reinvestment Act (ARRA) of 2009. Answer:
  1. Collecting electronic health data in coded formats
  2. Implementing clinical decision support tools
  3. Reporting clinical quality measures and public health data
  4. Using EHR data to track conditions and coordinate care
  5. Providers submit at least 80% of their orders electronically
  6. Hospitals submit at least 10% of orders electronically
  7. Providers use EHRs to check for drug interactions
  8. Providers required to provide patients with electronic copies of their  medical records within 48 hours of a request.
A.
B.
19.  12. Which of the following is an example of Stage 2 for implementing ‘meaningful use’ criteria of ARRA?
A.
B.
C.
D.
20.  13. Which of the following is an example of Stage 3 criteria for ‘meaningful use’?
A.
B.
C.
D.
21.  14. Which of the following is NOT a National Patient Safety Goal?
A.
B.
C.
D.
22.  15. The role of the Food and Drug Administration (FDA) in overseeing patient safety problems include all the following EXCEPT for which of the following?
A.
B.
C.
D.
23.  16. Which of the following is a benefit of Joint Commission Accreditation?
A.
B.
C.
D.
24.  1.  A Request for a Proposal (RFP) typically includes all of the following except which one?
A.
B.
C.
D.
E.
25.  2.  All of the following are functions of a request for a proposal (RFP) EXCEPT for which one?
A.
B.
C.
D.
26.  3.  Identify TWO (2) advantages and TWO (2) disadvantages of the Request for a Proposal (RFP) process. Advantage: Advantage: Disadvantage: Disadvantage: Answer: Advantage: Assists with internal alignment Advantage: Compares potential vendors Disadvantage: Time consuming Disadvantage: Not easy to score responses   Answer: Advantage: Assists with internal alignment Advantage: Compares potential vendors Disadvantage: Time consuming
A.
B.
27.  4.  The role of a stakeholder in the adoption and implementation of an EHR vendor system includes all of the following EXCEPT for which one?
A.
B.
C.
D.
E.
28.  A.  Stakeholder: Role in the selection process: B.  Stakeholder: Role in the selection process: C.  Stakeholder: Role in the selection process:   Answer: A.  Stakeholder: physician Role in the selection process: develop communication plans B.  Stakeholder: nurses Role in the selection process: assist with lesson and learning plans C.  Stakeholder: management Role in the selection process: develop policy and procedure changes
A.
B.
29.  6.  Maintenance costs for software and hardware are typically based on a percentage of the license or purchase cost.  Which of the following is the usually percentage range quoted by vendors?
A.
B.
C.
D.
30.  7.  Labor costs are associated with which category of project costs?
A.
B.
C.
D.
31.  8.  The onetime cost to set up an EHR system using consultants is associated with which category of project costs?
A.
B.
C.
D.
32.  9.  Administrative overhead costs such as desktop computers and travel training are associated with which category of project costs?
A.
B.
C.
D.
33.  10.  Identify the FOUR (4) categories of project cost when selecting an EHR system and give an example of each. A.  Category of Project Cost: Example of Project Cost: B.  Category of Project Cost: Example of Project Cost: C.  Category of Project Cost: Example of Project Cost: D.  Category of Project Cost: Example of Project Cost:   Answer: A.  Category of Project Cost: Capital Costs Example of Project Cost: Consulting Fees B.  Category of Project Cost: License Costs Example of Project Cost: Operating system which software runs C.  Category of Project Cost: Maintenance Costs Example of Project Cost: Labor costs, license costs D.  Category of Project Cost: Staffing Costs Example of Project Cost: Computers, cell phones, travel training
A.
B.
34.  11.  A financial analysis of a vendor would include all of the following EXCEPT which one?
A.
B.
C.
D.
E.
35.  12.  When should a financial analysis of an EHR vendor take place?
A.
B.
C.
D.
36.  13.  All of the following are key steps involved in selecting an EHR EXCEPT for which one?
A.
B.
C.
D.
E.
37.  1.  What is the name of the system that is used to manage digital radiography?
A.
B.
C.
D.
38.  2.  Which one is NOT a functionality of results review that may differ between different vendor applications?
A.
B.
C.
D.
39.  3.  Define a Computerized Provider Order Entry (CPOE).   Answer:  Holistic Rubric Rating and Description of Performance 3- Accurately defines CPOE as: A System used for direct entry of 1 or more types of orders by a provider into a system that transmits those orders electronically to the appropriate department 2- Shows partial understanding of CPOE definition. 1- Shows poor understanding of CPOE definition.
A.
B.
40.  4.  Which of the following is an example of the use of a Computerized Provider Order Entry in an EHR system?
A.
B.
C.
D.
E.
41.  5.  The use of a Computerized Provider Order Entry in an EHR system can alleviate which of the following errors?
A.
B.
C.
D.
E.
42.  6.  Which of the following is an example of a possible difference between vendors regarding EHR functionality for Computerized Provider Order Entry (CPOE) in a non-hospital setting?
A.
B.
C.
D.
E.
43.  7.  Identify THREE (3) decision support functionalities that a Computerized Provider Order Entry system may support.   Answer:
  1. Dosing recommendations and calculations
  2. Customized order sets
  3. Bar coding scanning technology
  4. Alerts
A.
B.
44.  8.  What percentage of all orders in a hospital setting must be placed using a Computerized Provider Order Entry to be considered being a “meaningful user” of an EHR system?
A.
B.
C.
D.
45.  9.  Which is an example of semi-structured documentation?
A.
B.
C.
D.
46.  10.  In which type of documentation of electronic capture of clinical information would include a patient’s heart rate and breathing rate?
A.
B.
C.
D.
47.  11.  In which type of documentation of electronic capture of clinical information would include all the medications that have been administered to a patient?
A.
B.
C.
D.
48.  12.  A patient signs a Do Not Resuscitate (DNR) before having surgery.  In which type of documentation of electronic capture of clinical information would this order be found?
A.
B.
C.
D.
49.  13.  Which of the following is NOT an option for creating a clinical note that may be supported by an EHR vendor system?
A.
B.
C.
D.
50.  14.  Identify TWO (2) potential barriers to the implementation of the functionality of documentation in an EHR vendor system.   Answer:
  1. Increased documentation time
  2. Overuse of checkboxes may impact cognitive processes of clinicians
A.
B.
51.  15.  All of the following are potential differences in the functionality of documentation among different EHR vendor systems EXCEPT for which one?
A.
B.
C.
D.
52.  16.  Identify FIVE (5) types of messaging that may be supported by an EHR vendor system.   Answer:
  1. Internal e-mail
  2. Secure email for patients
  3. EHR linked automatic text page
  4. Intra-office group communications
  5. Copy chart or laboratory results to another provider with a note
  6. Telephone message documentation
  7. Patient scheduling
  8. Referral letter or consultation report
9.  Patient follow-up deficiency alerts  
A.
B.
53.  17.  A patient recently was hospitalized for a week.  Which type of billing code will be used for summarizing his or her charges incurred during the hospital stay that will be paid to the physician?
A.
B.
C.
D.
54.  18.  Which type of billing code would be entered in an EHR system to record the supplies used during a surgery in a hospital setting?
A.
B.
C.
D.
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