Comp14-2
Comp14-2
- 1.
1. Which of the following is/are component(s) of the architecture of an Electronic Health Record (EHR)?
- A.
A. Users of EHR
- B.
B. Pharmacy
- C.
C. Clinical data repository
- D.
D. A and C only
- E.
E. All of the above
Correct Answer
E. E. All of the above -
- 2.
2. Which of the following is an example of “front end” hardware platforms for EHRs?
- A.
A. Database server
- B.
B. Application server
- C.
C. Mobile device
- D.
D. A and C only
- E.
E. All of the above
Correct Answer
C. C. Mobile device -
- 3.
3. Which type of EHR hardware platform exists independent of a central server?
- A.
A. Thick client
- B.
B. Thin client
- C.
C. Web based
- D.
D. Citrix
Correct Answer
A. A. Thick client -
- 4.
4. Which type of EHR hardware platform requires that most of its business logic take place on a desktop PC?
- A.
A. Thick client
- B.
B. Thin client
- C.
C. Web based
- D.
D. Citrix
Correct Answer
A. A. Thick client -
- 5.
5. Which type of EHR hardware platform may use online document processors as opposed to the traditional software?
- A.
A. Thick client
- B.
B. Thin client
- C.
C. Web based
- D.
D. Citrix
Correct Answer
C. C. Web based -
- 6.
6. Which of the following is/are example(s) of a health information system that may be included in EHRs?
- A.
A. Pharmacy
- B.
B. Radiology
- C.
C. Laboratory
- D.
D. A and B only
- E.
E. All of the above
Correct Answer
E. E. All of the above -
- 7.
7. Which of the following is/are example(s) of operating systems for EHRs?
- A.
A. MacOS
- B.
B. Linux
- C.
C. Oracle
- D.
D. A and B only
- E.
E. All of the above
Correct Answer
D. D. A and B only -
- 8.
8. For items i-vi, match the type of database with its component using either response A or B. A. Relational database B. Hierarchical database i. SQL Server: ii. PureXML iii. Structured as formally-described tables: iv. Structured tree-like with branching: v. Oracle: vi. Intersystems-Cache: Answer: i. A ii. B iii. A iv. B v. A vi. B
- A.
True
- B.
False
Correct Answer
A. True -
- 9.
9. Based upon the EHR system reviews in unit 5, which EHR system uses software that is centered around the MUMPS/Cache database?
- A.
A. Epic
- B.
B. Eclipsys
- C.
C. Quadramed
- D.
D. NextGen
- E.
E. eClinicalWorks
Correct Answer
A. A. Epic -
- 10.
10. Based upon the EHR system reviews in unit 5, which EHR system uses software that is centered around SQL Server database?
- A.
A. Epic
- B.
B. Eclipsys
- C.
C. Quadramed
- D.
D. NextGen
- E.
E. eClinicalWorks
Correct Answer
B. B. Eclipsys -
- 11.
11. Identify FOUR (4) recommended EHR security measures according to the AHIMA e-HIM work group on Security of Personal Health Information. Answer: A. Ability to assign an alias to a patient B. Ability to restrict patients from physicians who are not the “physician of record” C. Ability to block access to specific progress note or lab result D. Ability to track versioning or mask sensitive entries for release of information E. Role-based security that restricts access to predefined categories of patients, encounters, and documents based on the access a user needs to perform his or her job. F. VIP status indicators that restrict especially identified patients and encounters to those individuals with permission for VIP encounters and patients.
- A.
True
- B.
False
Correct Answer
A. True -
- 12.
12. Which of the following is/are benefit(s) of audit logs of an EHR system?
- A.
A. Allows the client to know when the system is used most.
- B.
B. Allows the client to know who uses the system and how often.
- C.
C. Allows the client to access audit logs to enhance information security.
- D.
D. A and B only
- E.
E. All of the above
Correct Answer
E. E. All of the above -
- 13.
1. Which component of interoperability focuses on the consistent meaning of terms specific to the application?
- A.
A. Technical
- B.
B. Semantic
- C.
C. Process
- D.
D. Outcome
- E.
E. Terminal
Correct Answer
B. B. Semantic -
- 14.
2. Which component of interoperability refers to the electronic sharing and exchange of electronic health information?
- A.
A. Technical
- B.
B. Semantic
- C.
C. Process
- D.
D. Outcome
- E.
E. Terminal
Correct Answer
A. A. Technical -
- 15.
3. Which of the following is a non-profit organization that aids in the development of universal healthcare standards to improve technical interoperability?
- A.
A. CPT-4
- B.
B. HLN-7
- C.
C. ICD-9
- D.
D. SNOMED-CT
- E.
E. LOINC
Correct Answer
B. B. HLN-7 -
- 16.
4. Which of the following is/are barrier(s) to enhancing technical interoperability?
- A.
A. Extensive and dense medical concepts
- B.
B. Multiple synonyms for medical concepts
- C.
C. Various types and formats of health reports
- D.
D. A and B only
- E.
E. All of the above
Correct Answer
D. D. A and B only -
- 17.
5. Identify TWO (2) credible sources for terminology standards discussed in Unit 6. Answer: ICD-9 CPT-4 SNOMED-CT LOINC
- A.
True
- B.
False
Correct Answer
A. True -
- 18.
6. Which of the following classification system(s) will be implemented by a deadline of October 1, 2013?
- A.
A. ICD-9-CM
- B.
B. ICD-10-CM
- C.
C. ICD-10-PCS
- D.
D. B and C only
- E.
E. All of the above
Correct Answer
D. D. B and C only -
- 19.
7. Which of the following process interoperability components includes evidence-based medicine to enhance automation systems?
- A.
A. Nomenclature tools
- B.
B. Rules editor
- C.
C. Clinical knowledge sources
- D.
D. Clinical measurement
Correct Answer
C. C. Clinical knowledge sources -
- 20.
8. Which Electronic Health Record (EHR) system discussed in Unit 6 uses a vocabulary manager to map internal codes to well-known classification systems?
- A.
A. Cerner
- B.
B. Eclipsys
- C.
C. eClinicalWorks
- D.
D. A and B only
- E.
E. All of the above
Correct Answer
E. E. All of the above -
- 21.
9. Which vendor system provides tools for managing standards related to medication management?
- A.
A. Micromedex
- B.
B. Health Language, Inc.
- C.
C. MediSpan
- D.
D. A and C only
- E.
E. All of the above
Correct Answer
D. D. A and C only -
- 22.
10. Identify THREE (3) benefits of personal health records (PHRs) for patients. Answer (any three): Greater sense of empowerment More engaged in their care Higher satisfaction Increased adherence to their care plans Better health outcomes
- A.
True
- B.
False
Correct Answer
A. True -
- 23.
11. Identify TWO (2) potential concerns of linking EHRs to PHRs. Answer (Any two): Logistics to work out to prevent misinformed patients Clinicians have to change the way they document Privacy concerns for patients, institutions
- A.
True
- B.
False
Correct Answer
A. True -
- 24.
1. For Items i-vii indicate whether True or False based on the information provided in Component 14.
- Staffing issues are key factors to consider before implementation of vendor-specific Electronic Health Record (EHR) systems. ________
- “Big bang” is a metaphor for a gradual but large-scale implementation of a new EHR system. ________
- One advantage of a phased rollout of a new EHR system is that it is a planned and focused implementation method.________
- Change management is necessary part of implementing vendor specific EHR systems.________
- There is no need for monitoring use of a new EHR system if it is of high quality.________
- Physicians and nurses are not a part of the staffing structure necessary for implementation of a vendor-provided EHR system. _________
- On-site consultants facilitate the concept of “meaningful use” during implementation of a vendor-specific EHR system. _________
- T
- F
- T
- T
- F
- F
- T
- A.
True
- B.
False
Correct Answer
A. True - 25.
2. All of the following are advantages of a big-bang rollout EXCEPT for which one?
- A.
A. Short term disruption
- B.
B. Only one system to support
- C.
C. Focused planning
- D.
D. No need for linking old and new systems
Correct Answer
C. C. Focused planning -
- 26.
3. Which of the following is a disadvantage of a phased rollout method of implementation of a new EHR system?
- A.
A. High risk to the organization
- B.
B. Risk of stagnation
- C.
C. Mass training required
- D.
D. Requires comprehensive planning
Correct Answer
B. B. Risk of stagnation -
- 27.
4. Identify TWO (2) advantages and TWO (2) disadvantages of a big-bang rollout and a phased rollout. Big-Bang Rollout Advantage: Advantage: Disadvantage: Disadvantage: Phased Rollout Advantage: Advantage: Disadvantage: Disadvantage: Answer: Big-Bang Rollout Advantage: short-term disruption Advantage: no need for linking Advantage: only one system to support Disadvantage: higher risk to organization Disadvantage: requires comprehensive planning Disadvantage: mass training required. Phased Rollout Advantage: focused planning Advantage: isolated disruptions Advantage: smaller groups of users Disadvantage: need to maintain two systems Disadvantage: risk of stagnation Disadvantage: need to correlate information from both systems
- A.
True
- B.
False
Correct Answer
A. True -
- 28.
5. Staffing requirements for EHR implementation are influenced by all of the following EXCEPT for which factor?
- A.
A. Application module
- B.
B. Time of year
- C.
C. Physical location
- D.
D. Type of roll-out
Correct Answer
B. B. Time of year -
- 29.
6. Identify FIVE (5) staffing categories that should be incorporated in an EHR implementation team. Answer:
- Physician champion
- Project director
- Project manager
- Principal trainer
- Network support
- A.
True
- B.
False
Correct Answer
A. True - 30.
7. During which of the following phases is a command center fully operational?
- A.
A. Project planning phase
- B.
B. Implementation phase
- C.
C. Immediate after the “go-live” phase
- D.
D. Maintenance phase
Correct Answer
B. B. Implementation phase -
- 31.
8. Identify SIX (6) roles that on-site consultants can play during an EHR project. Answer:
- EHR selection
- EHR implementation
- Meaningful Use
- EHR vendors
- IT consulting
- EHR review
- EHR training
- EHR certification
- A.
True
- B.
False
Correct Answer
A. True - 32.
9. All of the following are examples of usage monitoring EXCEPT for which one?
- A.
A. Number of documents created
- B.
B. Number of staff on project by project phase
- C.
C. Orders written during the implementation phase
- D.
D. Orders filled during the implementation phase
- E.
E. Prescriptions written by project phase
Correct Answer
B. B. Number of staff on project by project phase -
- 33.
10. In which project phase is change management an important aspect?
- A.
A. Project planning phase
- B.
B. Implementation phase
- C.
C. Immediate post go-live phase
- D.
D. Maintenance phase
Correct Answer
D. D. Maintenance phase -
- 34.
11. List the SIX (6) steps of system change management, as given in Component 14. Answer:
- Record/classify
- Assess
- Plan
- Build/test
- Implement
- Close/gain acceptance
- A.
True
- B.
False
Correct Answer
A. True - 35.
1. Which of the following is/are characteristic(s) of clinical decision support programs?
- A.
A. Assist with clinical decisions
- B.
B. Interpret medical data
- C.
C. Considered an expert system
- D.
D. A and B only
- E.
E. All of the above
Correct Answer
E. E. All of the above -
- 36.
2. Which of the following diagnostic expert system was designed to diagnose certain blood infections and is represented by as a set of IF-THEN rules?
- A.
A. INTERNIST
- B.
B. Quick Medical Reference (QMR)
- C.
C. MYCIN
- D.
D. DXplain
Correct Answer
C. C. MYCIN -
- 37.
3. Which of the following diagnostic expert system produces a ranked list of diagnoses using a Bayesian Network?
- A.
A. INTERNIST
- B.
B. Quick Medical Reference (QMR)
- C.
C. MYCIN
- D.
D. DXplain
Correct Answer
D. D. DXplain -
- 38.
4. Which of the following diagnostic expert system was developed at the University of Pittsburgh and utilizes patient observations to create differential diagnoses?
- A.
A. INTERNIST
- B.
B. Quick Medical Reference (QMR)
- C.
C. MYCIN
- D.
D. DXplain
Correct Answer
A. A. INTERNIST -
- 39.
5. All of the following are functions of alerts/reminders in clinical decision support programs EXCEPT for which one?
- A.
A. Identify critical abnormalities in laboratory reports
- B.
B. Identify contraindications for drug prescriptions
- C.
C. Create a list of diagnoses based upon symptoms
- D.
D. Alert providers of incorrect drug dosages
Correct Answer
C. C. Create a list of diagnoses based upon symptoms -
- 40.
6. Which of the following is/are component(s) of the Medical Logic Modules (MLM)?
- A.
A. Data
- B.
B. Evoke
- C.
C. Inaction
- D.
D. A and B only
- E.
E. A, B, and C
Correct Answer
D. D. A and B only -
- 41.
7. Identify the THREE (3) categories of rules for implementing clinical decision support alerts. Answer: Communication Monitoring Intervention Techniques
- A.
True
- B.
False
Correct Answer
A. True -
- 42.
8. Which of the following is/are solution(s) to the challenge of modifying or implementing alerts?
- A.
A. Closed architecture
- B.
B. Open architecture
- C.
C. Rigid standards
- D.
D. A and C only
- E.
E. A, B, and C
Correct Answer
B. B. Open architecture -
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Apr 23, 2012Quiz Edited by
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Apr 05, 2012Quiz Created by
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