Comp 14

1. 16. Identify FIVE (5) types of messaging that may be supported by an EHR vendor system. Answer:

Internal e-mail

Secure email for patients

EHR linked automatic text page

Intra-office group communications

Copy chart or laboratory results to another provider with a note

Telephone message documentation

Patient scheduling

Referral letter or consultation report

9. Patient follow-up deficiency alerts

True

False

2. 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.

True

False

3. 7. Identify THREE (3) decision support functionalities that a Computerized Provider Order Entry system may support. Answer:

Dosing recommendations and calculations

Customized order sets

Bar coding scanning technology

Alerts

True

False

4. 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

True

False

5. 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

True

False

6. 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:

?

7. 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

True

False

8. 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:

Collecting electronic health data in coded formats

Implementing clinical decision support tools

Reporting clinical quality measures and public health data

Using EHR data to track conditions and coordinate care

Providers submit at least 80% of their orders electronically

Hospitals submit at least 10% of orders electronically

Providers use EHRs to check for drug interactions

Providers required to provide patients with electronic copies of their medical records within 48 hours of a request.

True

False

9. 14. Identify TWO (2) potential barriers to the implementation of the functionality of documentation in an EHR vendor system. Answer:

Increased documentation time

Overuse of checkboxes may impact cognitive processes of clinicians

True

False

10. 1. What is the name of the system that is used to manage digital radiography?

A. Digital Archiving of Pictures (DAP)

B. Radiography Images Display Systems (RIDS)

C. Picture Archiving Communications Systems (PACS)

D. Imaging Picture Display (IPD)

11. 8. The onetime cost to set up an EHR system using consultants is associated with which category of project costs?

A. Capital costs

B. License costs

C. Maintenance costs

D. Staffing costs

12. 9. Which is an example of semi-structured documentation?

A. Flow sheets for vital signs

B. Check boxes for medication administration

C. Note with structured headings and free-text entry

D. Note with only narrative free-text entry

13. 2. If you wish to make comparisons between 2 vendor-specific EHR systems, you would rely on:

A. KLAS rating system

B. HIMSS resources

C. Both of these sources

D. None of the above

14. 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. 5 – 10%

B. 15- 20%

C. 20 – 25%

D. None of the above

15. 3. Which of the following is NOT a criterion used to calculate the KLAS overall score for EHRs?

A. Quality of training

B. Quality of phone/web support

C. Overall satisfaction

D. Number of customers

16. 4. To improve healthcare technology delivery by impartially measuring vendor performance, the KLAS rating systems use which of the following?

A. Real time performance ratings

B. Key issues in the vendor market

C. Custom research products

D. All of the above

17. 6. Which of the following is NOT a criterion used by the Certification Commission for Health Information Technology (CCHIT) for EHR systems?

A. Functionality

B. Interoperability

C. Return on investment

D. Security

18. 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. Industry research reports

B. Product reviews

C. Rating scales of systems

D. Vendor comparisons

19. 12. Which of the following is an example of Stage 2 for implementing 'meaningful use' criteria of ARRA?

A. Advanced decision-support and population health

B. Submission of 80% of provider orders electronically

C. Structured data exchange and continuous quality improvement

D. Use of EHR data to track conditions and coordinate care

20. 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. Clinical notes

B. Patient assessments

C. Clinical reports

D. Advance directives and consents

21. 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. CPT code

B. ICD-9-CM code

C. ICD-10 PCS code

D. All of the above

22. 2. Which one is NOT a functionality of results review that may differ between different vendor applications?

A. Notification of critical laboratory results by the system

B. Type of laboratory result viewable by the system

C. Format for viewing laboratory results in the system

D. Viewing past laboratory results in the system

23. 10. In which type of documentation of electronic capture of clinical information would include a patient's heart rate and breathing rate?

A. Clinical notes

B. Patient assessments

C. Clinical reports

D. Advance directives and consents

24. 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. An EHR that requires authorized access.

B. An EHR has a Computerized Provider Order Entry (COPE)

C. An EHR uses HL Seven standards

D. All of the above are good examples of meeting the “functionality criterion”.

25. 2. All of the following are functions of a request for a proposal (RFP) EXCEPT for which one?

A. Compares potential vendor systems

B. Helps an organization understand potential risks

C. Assists with the internal alignment of an organization

D. Clarifies the final price of a vendor system

26. 9. Administrative overhead costs such as desktop computers and travel training are associated with which category of project costs?

A. Capital costs

B. License costs

C. Maintenance costs

D. Staffing costs

27. 2. The Certification Commission for Health Information Technology (CCHIT) can best be described as:

A. A consortium of EHR vendors

B. An independent, non-profit organization

C. A professional society

D. A regulatory agency of the U.S. Government

28. 11. A financial analysis of a vendor would include all of the following EXCEPT which one?

A. Audit of financials

B. Review of management qualifications

C. Cash balance

D. Current stock price

E. Reference checks

29. 5. The use of a Computerized Provider Order Entry in an EHR system can alleviate which of the following errors?

A. Illegible handwriting for medication

B. Transcription error from transfer documents

C. Wrong format for viewing radiological reports

D. A and B

E. All of the above

30. 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. CPT code

B. ICD-9-CM code

C. ICD-10 PCS code

D. All of the above

31. 4. Which of the following is an example of the use of a Computerized Provider Order Entry in an EHR system?

A. Ordering medications

B. Discharge orders

C. Provider referrals

D. A and B

E. All of the above

32. 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. Clinical notes

B. Patient assessments

C. Clinical reports

D. Advance directives and consents

33. 10. Which of the following is an example of 'meaningful use' of EHRs?

A. Keeping track of patient appointments using an EHR system

B. Keeping track of patient demographic information using an EHR system

C. Keeping track of practitioner work schedules using an EHR system

D. Keeping track of medications administered to a patient using an EHR system.

34. 14. Which of the following is NOT a National Patient Safety Goal?

A. Accurately reconcile medications

B. Identify patients correctly

C. Improve the safety of using medications

D. Improve tracking of public health data

35. 7. Labor costs are associated with which category of project costs?

A. Capital costs

B. License costs

C. Maintenance costs

D. Staffing costs

36. 13. Which of the following is NOT an option for creating a clinical note that may be supported by an EHR vendor system?

A. Macros

B. Templates

C. Voice recognition

D. Microsoft office word©

37. 15. All of the following are potential differences in the functionality of documentation among different EHR vendor systems EXCEPT for which one?

A. Medication abbreviations

B. Structured documentation

C. Templates and macros

D. Voice recognition software

38. 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. Overall KLAS score of EHR product

B. Name of vendor

C. Name of product

D. Size of the clinic or practice (# of physicians)

E. Size of the facility (# of beds)

39. 1. A Request for a Proposal (RFP) typically includes all of the following except which one?

A. Detailed business requirements

B. Proposal format

C. Due date

D. Point of contact

E. Final price

40. 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. Overall KLAS score of EHR product

B. Name of vendor

C. Name of product

D. Size of the clinic or practice (# of physicians)

E. Size of the facility (# of beds)

41. 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. Evaluate patient care through quality assurance measures

B. Foster information exchange among clinicians and patients

C. To ensure adoption of the system by all clinicians in a facility

D. To support clinical decision making by clinicians and patients

42. 3. Identify 1-2 characteristics the Certification Commission for Health Information Technology (CCHIT) with respect to the following:

A. Type of Organization (profit/nonprofit/other):

B. Year Founded:

C. Governing Body:

D. How Financed:

A,b,c

43. 12. When should a financial analysis of an EHR vendor take place?

A. Before signing a contract

B. After signing a contract

C. Both before and after signing a contract

D. It is not necessary to conduct a financial analysis

44. 8. The process of Certification Commission for Health Information Technology (CCHIT) includes all of the following EXCEPT which one?

A. Providing system vendors with certification handbooks

B. Providing system vendors with test scripts

C. Providing system vendors with example EHRs

D. None of the above

45. 16. Which of the following is a benefit of Joint Commission Accreditation?

A. To achieve the National Patient Safety Goals

B. To be eligible for Medicare reimbursement

C. To verify correct use of EHRs in providing patient care

D. All of the above

46. 13. All of the following are key steps involved in selecting an EHR EXCEPT for which one?

A. Develop and distribute an RFP

B. Involve all stakeholders early in process

C. Determine detailed costing of purchase and implementation

D. Determination of the financial strength of vendor

E. All of the above are key steps involved in selecting an EHR

47. 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. Avoid financial penalties

B. Practice medicine

C. Receive incentive payments

D. A and C only

E. A and B only

48. 13. Which of the following is an example of Stage 3 criteria for 'meaningful use'?

A. Advanced decision-support and population health

B. Submission of 80% of provider orders electronically

C. Structured data exchange and continuous quality improvement

D. Use of EHR data to track conditions and coordinate care

49. 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. Communication Planning

B. Design Benefits Plan and Tracking

C. Process Gap Analysis

D. Policy and Procedure Changes

E. None of the above

50. 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. Acceptance of records by clinicians

B. Health information exchange

C. Impact on patient safety

D. Mandated regulations by governing bodies

51. 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. Collaborate about certification criteria

B. Focus on areas of EHR implementation that have safety risks

C. Monitor patient safety problems

D. Verify that a healthcare organization is using an EHR correctly

52. 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. Functionality: An EHR having a Computerized Provider Order Entry (COPE)

B. Security: An EHR requires authorized access for users

C. Interoperability: An EHR uses HL Seven standards

A,bcc

53. 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. 95%

B. 80%

C. 50%

D. 10%

54. 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. Online formularies

B. Customized order sets

C. Medication alerts

D. A and b

E. All of the above

Comp 14

2.

What first name or nickname would you like us to use?

3. 7. Identify THREE (3) decision support functionalities that a Computerized Provider Order Entry system may support. Answer: Dosing recommendations and calculations Customized order sets Bar coding scanning technology Alerts

9. 14. Identify TWO (2) potential barriers to the implementation of the functionality of documentation in an EHR vendor system. Answer: Increased documentation time Overuse of checkboxes may impact cognitive processes of clinicians

10. 1. What is the name of the system that is used to manage digital radiography?

11. 8. The onetime cost to set up an EHR system using consultants is associated with which category of project costs?

12. 9. Which is an example of semi-structured documentation?

13. 2. If you wish to make comparisons between 2 vendor-specific EHR systems, you would rely on:

14. 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?

15. 3. Which of the following is NOT a criterion used to calculate the KLAS overall score for EHRs?

16. 4. To improve healthcare technology delivery by impartially measuring vendor performance, the KLAS rating systems use which of the following?

17. 6. Which of the following is NOT a criterion used by the Certification Commission for Health Information Technology (CCHIT) for EHR systems?

18. 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?

19. 12. Which of the following is an example of Stage 2 for implementing 'meaningful use' criteria of ARRA?

20. 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?

21. 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?

22. 2. Which one is NOT a functionality of results review that may differ between different vendor applications?

23. 10. In which type of documentation of electronic capture of clinical information would include a patient's heart rate and breathing rate?

24. 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).

25. 2. All of the following are functions of a request for a proposal (RFP) EXCEPT for which one?

26. 9. Administrative overhead costs such as desktop computers and travel training are associated with which category of project costs?

27. 2. The Certification Commission for Health Information Technology (CCHIT) can best be described as:

28. 11. A financial analysis of a vendor would include all of the following EXCEPT which one?

29. 5. The use of a Computerized Provider Order Entry in an EHR system can alleviate which of the following errors?

30. 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?

31. 4. Which of the following is an example of the use of a Computerized Provider Order Entry in an EHR system?

32. 11. In which type of documentation of electronic capture of clinical information would include all the medications that have been administered to a patient?

33. 10. Which of the following is an example of 'meaningful use' of EHRs?

34. 14. Which of the following is NOT a National Patient Safety Goal?

35. 7. Labor costs are associated with which category of project costs?

36. 13. Which of the following is NOT an option for creating a clinical note that may be supported by an EHR vendor system?

37. 15. All of the following are potential differences in the functionality of documentation among different EHR vendor systems EXCEPT for which one?

38. 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?

39. 1. A Request for a Proposal (RFP) typically includes all of the following except which one?

40. 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?

41. 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)?

42. 3. Identify 1-2 characteristics the Certification Commission for Health Information Technology (CCHIT) with respect to the following:

43. 12. When should a financial analysis of an EHR vendor take place?

44. 8. The process of Certification Commission for Health Information Technology (CCHIT) includes all of the following EXCEPT which one?

45. 16. Which of the following is a benefit of Joint Commission Accreditation?

46. 13. All of the following are key steps involved in selecting an EHR EXCEPT for which one?

47. 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?

48. 13. Which of the following is an example of Stage 3 criteria for 'meaningful use'?

49. 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?

50. 7. It is important to certify that EHRs are up to certain quality standards for all of the following reasons EXCEPT for which one?

51. 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?

52. 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:

53. 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?

54. 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?

3. 7. Identify THREE (3) decision support functionalities that a Computerized Provider Order Entry system may support. Answer:

Dosing recommendations and calculations

Customized order sets

Bar coding scanning technology

Alerts

9. 14. Identify TWO (2) potential barriers to the implementation of the functionality of documentation in an EHR vendor system. Answer:

Increased documentation time

Overuse of checkboxes may impact cognitive processes of clinicians