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Health IT Final

Final Quizzes

QuestionAnswer
The use of outdated systems has been cited as a cause of financial waste in the American health care system. T or F True
The users of electronic health records are health care professionals. T or F True
A personal health record (PHR) contains admission and discharge summaries. T or F False
A physician office and an outpatient clinic are examples of ambulatory care facilities. T or F True
Electronic health record systems are inexpensive and easy to learn. T or F False
Electronic health records are less prone to privacy and security issues than are paper-based records. T or F False
The most important feature of CPOE systems is the reduced turnaround time for medication orders. T or F True
Electronic health records in a hospital setting are one of several clinical information systems. T or F True
Electronic health records that incorporate CPOE and decision-support reduce errors by providing built-in error checking of orders. T or F True
A picture archiving and communication system (PACS) is a computerized system for reporting the results of laboratory tests. T or F False
Medication errors occur primarily during the prescribing and administering stages of medication management. T or F True
Clinical documentation is an important component of a hospital’s efforts to meet quality standards set by payers. T or F True
A hospital can incorporate evidence-based guidelines into clinical practice through the use of order sets. T or F True
Even in a hospital that uses CPOE, physicians are still required to handwrite prescriptions for medications. T or F False
Decision-support tools can be used for diagnosis as well as for selecting the best medication for a patient. T or F True
All adverse events are errors. T or F False
Medical error refers to an adverse event that could have been prevented with the current state of medical knowledge and is also known as a preventable adverse event. T or F True
The Health Insurance Portability and Accountability Act of 1990 (HIPAA) was designed to protect patients’ private health information, ensure care coverage when workers change or lose jobs, and uncover fraud and abuse in the health care system. T or F False
Health information technology refers to the use of technology to manage information about the health care of patients. T or F True
Standards are commonly agreed-on specifications. T or F True
not part of the 8 core functions of an electronic health record Pharmaceutical support
advantages of electronic health records when compared with paper records, EXCEPT; Limitless access for non-health care personnel
Electronic health records are NOT in widespread use today due to the following reasons, EXCEPT; Too many standards
Two-thirds of all errors in treatment and diagnosis occur due to the following communication problems, EXCEPT; Pertinent information in medical records
Ambulatory care refers to treatment that is provided in which of the following locations? Clinic
Continuity of care The delivery of appropriate and consistent care to an individual over the course of time
Electronic prescribing A computer-based communication system that allows prescriptions to be transmitted electronically from physician to pharmacist
Standards A set of commonly agreed-on specifications
Electronic health records A computerized lifelong health care record for an individual that incorporates data from all sources
Pay for performance The use of financial incentives to improve the quality and efficiency of health care services
Evidence-based medicine Medical care that is based on the latest and most accurate clinical research in making decisions about the care of patients
Nationwide Health Information Network A nationwide interconnected computer network that facilitates the secure exchange of health care information
Electronic medical record A computerized record of the physician’s encounters with a patient over time, including medical history, diagnosis, treatment, and prognosis
Personal health records A comprehensive record of health information that is created and maintained by an individual over time
Acute care Treatment provided in an inpatient setting, such as a hospital, for urgent problems that cannot be handled in another setting
To qualify for the Medicare EHR Incentive Program, eligible professionals only need to demonstrate meaningful use of certified electronic health record technology during the first year of participation. T or F False
The following are true concerning clinical quality measures, EXCEPT; Is not a requirement for meaningful use
In order for eligible professionals to meet the requirements for Stage 1 of Meaningful Use, 15 of 25 objectives must be met. T or F False 20 of 25
Meeting Meaningful Use is ONLY required for eligible hospitals and critical access hospitals (CAHs). T or F False
Maintaining privacy and security is NOT a feature of Meaningful Use. T or F False
In order for an electronic health record to meet Meaningful Use, it needs to be certified by CMS. T or F False
The American Recovery and Reinvestment Act of 2006 specify 3 main components of Meaningful Use. T or F False ARRA 2009
The criteria for Meaningful Use will be staged in 5 steps over the course of the next 5 years/. T or F False 3 steps
Simply put, "Meaningful Use" means providers need to show they are using certified EHR technology in ways that can be measured significantly and in quantity. T or F True
Meaningful Use is the use of any EHR technology in order to improve quality, safety, and efficiency of patient care while reducing health disparities. T or F False
Eligible hospitals and critical access hospitals (CAHs) must report on all 15 of their Clinical Quality Measures. T or F True
There are 10 required core objective under Stage 1 of Meaningful Use. T or F False 15 required core objectives
In order to meet the "Adopted" criteria of Meaningful Use, eligible professionals must be able to show evidence of installation. T or F True
The American Recovery and Reinvestment Act is an economic stimulus package which was signed into law by President George W. Bush. T or F False
One of the following is NOT an example of the 15 Core Objectives Drug formulary checks
Eligible professionals must report on 5 total Clinical Quality Measures. T or F False 6 total Clinical Quality Measures (3 required core measures; 3 out of 38 from additional set)
Which of the following is NOT part of the 3 main components of Meaningful Use? The use of certified EHR technology to maintain technological advancement
Can be measure of processes, experiences and/or outcomes of patient care? Clinical Quality Measures
Stage 1 of Meaningful Use will continue to expand on the baseline and be developed through future rule making. T or F False Stage 3
All of the following are examples of the 10 Set Objectives, EXCEPT; E-Prescribing
One of the many goals of CDSS is to promote advancement in technology. T or F False
Early CDS systems were derived from machines running artificial intelligence with the developers striving to program the computer with rules that allow it to "think" like an expert clinician when confronted with a patient. T or F True
Unstructured decisions are often called "programmed decisions". T or F False
ALL decisions require implementation. T or F True
Most knowledge-based CDS can perform the following, EXCEPT; DRG discrepancies
Administration is a function of CDSS. T or F True
The key issue in reminding the user about things they choose to be reminded about is the completeness of the reminder. T or F False
CDS can potentially lower costs, improve efficiency, and reduce patient inconvenience. T or F True
A LIS detects the occurrence of drug interactions, drug allergies and other possible medication-related complications. T or F False
Pharmacy information systems are sometimes referred to as Laboratory Information Systems (LIS). T or F False
For CDS to be effective, clinicians must be motivated to use these systems, and many features of the health care environment may decrease, rather than increase, this motivation. T or F True
Pharmacy information systems are complex computer systems that have been designed to meet the needs of a pharmacy department. T or F True
Unstructured decision scenarios have some structured and some unstructured components. T or F False
Belief that diagnosis is the dominant decision making issue is one of the main reasons why CDSS fails. T or F True
Laboratory information management systems (LIMS) tend to have a base set of functionality. T or F True
Key issues for consultation that the user seeks out (on-demand CDS) are speed and ease of access. T or F True
A knowledge-based system is a computer-based information system that supports business or organizational decision-making activities. T or F False
The following are examples of the impact and effectiveness of CDS, EXCEPT; Alter clinician decision making and actions
Computer-based decision support is less effective than manual processes for decision support. T or F False
A knowledge-based system isn't required for a decision support system to function. T or F False
CDS can be designed to do the following, EXCEPT? Over-ride and correct errors clinicians have made
The most common use of CDS is for addressing coding issues, such as ensuring accurate diagnoses, screening in a timely manner for preventable disease, or averting adverse drug events. T or F True
A decision maker needs knowledge to make decisions. T or F True
Inventory management is a key feature of a pharmacy information system. T or F True
Decisions can only be classified as structured and unstructured. T or F False
Veterans Health is charged with administering the principal healthcare program for American Indians/Alaskan Natives and provides comprehensive health services through a system of federal IHS, tribal, urban-operated facilities programs. T or F False
The following are characteristics of active tags, EXCEPT: Tag cost below $0.20
The following are advantages of RFIDs, EXCEPT: Interference with other devices
The following are true about passive tags, EXCEPT: Tag size prohibitive
The initial “core” system of the DHCP consisted of the following, EXCEPT: Cardiology Clinic
VistA was originally known as the Composite Health Care System. T or F False
Which of the following is not part of the 4 main components of RPMS? Infrastructure
2D QR (Quick Read) Bar Codes contain a maximum alpha-numeric character capacity of 2,335. T or F False
A bar coding system for blood administration cannot reduce the errors related to bedside or labeling errors. T or F false
A linear barcode contains a maximum of which of the following alphanumeric character capacities? 48
All of the following are FDA Guidelines pertaining to RFIDs, EXCEPT The RFID tag can substitute a linear bar code
All of the following are examples of Administrative Applications, EXCEPT: Clinical Reporting System
All of the following are examples of Clinical Applications, EXCEPT Emergency Room System
Applications in the clinical category generally collect all patient-related information gathered during patient contacts. T or F True
Applications in this category are used to collect, store, and report patient demographic information Administrative Applications
Applications in this category support the RPMS environment with management, development, and communication tools. Infrastructure Applications
Bar code solutions are being deployed in a variety of healthcare applications, including hospital wristbands, labeling for pharmaceutical unit-dose medications, IV mixtures, lab and pathology specimens, blood products, asset tags, file labels. T or F True
Bar codes accurately identify medications by type, recommended dosage and frequency of administration at the unit-dose level, thus providing nurses with a “second check” and decision support tool in the administration of patient meds. T or F True
Bar codes can be matched with radio frequency identification (RFID) tags to create two-tiered identification, resulting in more robust point of care, patient-specific medical media. T or F True
Barcodes at the point of care can be used for the following, EXCEPT: Courier and Asset Management
GTIN is the global document type identifier number. T or F False
In 1984, the IHS began implementation of the VA Armed Forces Health Longitudinal Technology Application (AHLTA) software, then referred to as DHCP. False
National Institutes of Health operates the nation’s largest medical system. T or F False
Passive tags are "difficult to fix to a package". T or F False
Pharmaceutical manufacturers are required to bar code their products at the unit-dose level. T or F True
RFID can be used in long-term care to track elderly and disoriented patients. T or F True
RFID in health care has been limited primarily to asset management and supply chain applications. T or F True
RFID provides a wireless extension of the network to physical objects. T or F True
RFID tags may be passive (requiring a small batter to allow continuous monitoring) or active, in which the RFID tag is required to be in close proximity to the reader in order to be read. T or F False
RPMS software applications fall into 4 Major Categories. T or F False
RPMSs are integrated solutions for the management of clinical, business practice and administrative information in healthcare facilities of various sizes. T or F True
Readers aggregate and assemble data received from a number of tags and readers and pass them to the local computers for further processing. False
A digital signature is an electronic representation of a handwritten signature. True
A laboratory may leave of voicemail containing the results of a blood chemistry report on a patient's phone. False
A patient can request ammendment of his health information. T or F True
All ECMs are alike therefore; One ECM system fits all. T or F False
All individuals working in a health care setting can make entries into the medical record. T or F False
conditions wherein the Privacy Rule does NOT preempt state law, EXCEPT: An exception is made by the Congress
An EDMS can provide disaster recovery and data integrity enhancements. T or F True
Content can be classified into structured such as information from scanned images and electronic documents to complex forms and even rich media. T or F False
Content can be defined as corporate knowledge stored in formats such as video, web pages, multimedia, etc. T or F True
Content is information that is setting up competitive differentiation, not specifically products and processes. T or F True
Digital signatures are those that are stored on electronic media such as disks that can be read by a computer. T or F True
Document capture can be facilitated via the following, EXCEPT: OCR (Optical Character Recognition)
Document imaging refers to creating a digital representation of a paper document through the use of an input device, such as a scanner. T or F True
Document management refers to the storage and retrieval of both static digital images and dynamic documents with a digital source such as Microsoft Office documents. T or F True
Electronic signature (e-signature) is a generic, technology-neutral term for the various ways that an electronic record can be signed (attested). T or F True
Managing content effective means considering its full life cycle. T or F True
Metadata refers to "data about data". T or F True
Records Management refers to the life-cycle management of documents with respect to policies, rules, and regulations. T or F True
The Privacy Rule does NOT establish requirements for notice and acknowledgement however, it does establish the right of an individual. T or F False
Privacy Rule does not require that covered entities train all members on policies/procedures with respect to PHI, but that a policy which establishes appropriate administrative, technical and physical safeguards to protect PHI should be in place. T or F False
The Privacy Rule prohibits patient access to confidential Alcohol and Drug Abuse Patient Records. T or F False
The state law always preempts the Privacy Rule. T or F False
Which of the following resolutions is ideal for standard black and white document scanning? 300 dpi
Which one of the following is not part of the content lifecycle? Content Destruction
A 17 year old female can sign an authorization for release of information. False
(PACS) – Patient Archival and Computerized System. False
1 terabyte (TB) is equivalent to which of the following? 1,000,000,000,000 Bytes
A PACS is an information system that is used to view, store, transmit and electronically display medical images and related information such as patient demographics, diagnostic reports and clinical histories. T or F False
All of the following are examples of PACS- Imaging Modalities, EXCEPT: Indwelling catheter
Computed radiography (CR) does not require an intermediate step of laser scanning. T or F False
Current HIPAA 4010 implementation guides are obsolete. T or F True
Data elements are electronic exchanges involving the transfer of information between two parties for specific purposes. T or F False
HIPAA 5010 will continue to store data content that is historical and no longer used. T or F False
HIPAA 5010 will only provide full support for the reporting of National Provider Identifiers (NPI) but not the new ICD-10 codes. T or F False
Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandates that the health care industry use standard formats for electronic claims and claims-related transactions. True
ICD is used worldwide for morbidity and mortality statistics, reimbursement systems, and automated decisions support in health care. T or F True
ICD-10 which the U.S. is about to adopt and implement was initially endorsed in 1990 and gained world-wide use in 1994. T or F True
ICD-10-CM uses a 3 to 5 digit code. T or F False
ICD-9-CM is updated every 10 years. T or F False
Increased code detail in ICD-10 includes fuller definition of the following, EXCEPT: Location
It is a 10-position, intelligence-free numeric identifier that does not carry any other information about healthcare providers, such as the state in which they live or their medical specialty. NPI
Major hospitals implementing PACS require about 4 terabytes (TB) of data space year. T or F False
More than 800 changes are needed to transition from the current version 4010 to 5010. T or F True
NCHS and CMS are responsible for overseeing all the changes and modifications to the ICD-9-CM. True
October 1, 2013 – The industry switched from HIPAA 4010 to 5010. T or F False
On January 1, 2012, the health care industry began to execute relevant changes to ICD-9 in preparation to the upcoming ICD-10 implementation. T or F True
Only certain entities covered by HIPAA must use the same standard format for electronic claims and claims-related transactions. T or F False
PACS began making their appearance in major hospitals in the 1990s. T or F True
PACS consist of the following major components, EXCEPT: Mobile dictation device
PACS consists of 2 major components; imaging modalities and infrastructure. T or F False
Radiographic images stored in PACS are classified as “static images” meaning, these are edited or altered in any shape or form. T or F False
Teaching hospitals require which of the following minimum storage space size in order to implement a PACS? 5 terabytes/year
The International Classification of Diseases (ICD) is used worldwide for the following, EXCEPT: Policy development
The current HIPAA transactions standard is version 4010. T or F False
The following are examples of the differences between HIPAA 4010 and 5010, EXCEPT: Inconsistency across transactions
examples of the eight electronic transactions and code set standards adopted under HIPAA, EXCEPT: Payment history
The long term goal of the Administrative Simplification provisions is to decrease the administrative costs of health care by standardizing the processes. T or F True
UMLS is the universal format used for PACS imaging and image transferring. T or F False
Unlike 5010, 4010 will be unable to accommodate the forthcoming and mandatory ICD-10-CM and ICD-10-PCS code sets. T or F True
Which of the following is NOT required to upgrade to HIPAA 5010 standards? Life insurance companies
Created by: CUAHIT