Component 11

1. What is a common piece of information that would be part of a data dictionary

Name of table

Field Name

Data Type

Description of field

All of the above

2. What is a use of a data dicitonary

Supports interoperability of systems within organization

Supports movement towards national interoperability

Provides clarity on the meaning for collection

All of the above

3. Encryption and decryption of information being transferred supports the following meaningful use principle

Improving quality safety and efficiency

Engaging patients in their care

Increasing coordination of care

Ensuring privacy and security

4. For EPs in the 2011 payment year _____ quality measures are required.

44

54

64

5. For EHs in the 2011 payment year ______ quality measures are required.

15

25

35

6. A system that immediatley notifies a clinician of a critical test result is what type pf clinical decision support?

Information display

Alert

Clinical practice guideline

CPOE

7. For 2013 and beyond payment year quality care measures are likely to expand to

Hospital measures

Pediatric measures

Long term care measures

B, C only

8. HIE allows EHRs to automatically check with national online databses for the most up to date information on drug-drug interactions and adverse reactions. Which meaningful use principle does this HIE enabled function support?

Improving quality safety and efficiency

Engaging patients in their care

Increasing coordination of care

Ensuring privacy and security

9. ___________ is the authority that approves an organization as an Authorized Testing and Certification Body (ATCB)

CMS

ONC

CCHIT

HIMSS

AHIMI

All of the above

10. Measures of processes, experiences, and/or outcome of patient care, observations or treatment that relate to one or more quality aims for health care is the definition for:

Certification of Health records

Quality measures

Stage one meaningful use

Stage two meaningful use

11. Sometimes we create a group or set of facts (data) with uniform definitions to be used for a special use.

Data

Data Sets

Unstructured data

Structured data

12. An example of structured data in an EHR is

Registration data

Document imaging

Transcribed reports

Videos

13. Which of the following is NOT a good reason for EHR certification?

EHR certification is required to qualify for CMS financial incentives.

EHR certification is required by law in order in order for a vendor to market their system.

EHR certification represents an evaluation by an independent and knowledgeable 3rd party.

14. ICD and CPT are

Coding systems that are used for billing

Used to retrieve information for research

Used for pulling secondary information

All of the above

15. HIE supports timely reminders and alerts on medications, testing, public health risks & environmental health risks by:

Encouraging patients to be interested

Increasing coordination of care

Supporting a variety of protocols through which the information can be communicated

Using pull technologies

16. Interoperability

Only refers to hardware and software components of an information system

Can only occur within an organizations helath care system

Principles at work in the helath care system will produce the same basic result as implementing Helath Information Exchange principles

Would not include standardized coding

17. EP stands for

Eligible Payor

Eligible Party

Eligible Professional

Eligible Provider

18. Which of the following metrics are included in the stage 1 functions metrics required for meaningful use?

Provide summary of record for at least 80% of trasitions of care and refferals

Insurance eligibility checked electronically for 80% of all unique patients seen by EP or admitted to the EH

Reminder sent to at least 50% of all unique patients seen by EP that are at least 50 or over

At least 75% of all permissible prescriptions written by EP are transmitted electronically using certified EHR technology

All of the above

19. The configuration, structure and relationships of hardware in an information system:

Data architecture

Data infrastructure

Unstructured data

Structured data

20. Which of the following represents the condition in a clinical event reminder?

Notify the physician

The serum creatinine level has doubled in one day

The patient has had a serum creatinine level checked to assess kidney function

The insurance company is billed

21. Which of the following does NOT describe a characterisitic of HIE?

HIE can be both bi-directional and uni-directional

HIE can only be achieved if the EHR is certified

HIE supports the mobilzation of health care information electronically

HIE only refers to hardware and software components of the health information system

Only A & C

22. Which of the following measures for a finding is most likely to rule out a disease in Internist-1/QMR?

High evoking strength

Low evoking strength

A high frequency

A low frequency

23. Which of the following is true with regards to CPOE?

Its use in US hospitals is widespread

A majority of overridden lab test are not justifiable

Implementation success is not related to institutional support

Custom order sets do not make it more acceptable to physicians

24. Which of the following represents the event in a clinical event monitor

Notify the physician

The serum creatinine level has doubled in one day

The patient has had a serum creatinine level checked to assess kidney function

The insurance company is billed