Ch. 12 Electronic Health Records

true/false. HIPAA standards did not affect the development of EHRs.

false

true/false. CHI is the acronym for Clinical Health Institute.

false

true/false. OV is the abbreviation for Office Visit.

true

true/false. The catalyst for the need of electronic health records is to improve patient medical care.

true

true/false. One advanced method used to input data into an EHR is a keyboard.

false

true/false. Past medical history is abbreviated PMHS.

false

true/false. Drug formularies are databases of approved medications in drug therapy categories.

true

An addendum is a medical note added subsequent to the original note that will supplement the clinical information.

true

true/false. An electronic chart is a software screen that contains icons,

false

true/false. Operability is the ability of a software program to accept, send or communicate data from its database to other software programs from multiple vendors to communicate.

false

true/false. Patient tracker enables all users across the network to see at a glance the current location and the status of all patients in the clinic.

true

true/false. Patient of care is the time and place of care being given to the patient from the healthcare provider.

false

true/false. A tablet PC is a portable, handheld personal computer, with the ability to document directly on the screen with a stylus pen.

true

true/false. Pre-structured portions of the software for common visits are templates.

true

true/false. HIE is the abbreviation for Health Inpatient Exchange.

false

true/false. Healthcare providers’ use of certified EHR technology in ways that can be measured significantly in quality and in quantity is called meaningful use.

true

true/false. The physical, technological, and administrative safeguards used to protect individually identifiable health information is privacy.

false

true/false. The application of computers and telecommunications equipment to store, retrieve, transmit, and manipulate data, often in the context of a business or other enterprise is called health technology.

false

true/false. The acronym MIPPA stands for Medicare Improvement for Patients and Providers Act.

true

true/false. The definition of EHR is software with a full range of functionalities to store, access, and use patient medical information.

true

PMS in regards to EHR stands for:

Practice Mangement System

Office Visit is abbreviated:

OV

A voice recognition system:

refers to finding the identity of “who” is speaking, rather than what they are saying

If a practice with several clinics shares the same database out of different locations:

they can view complete patient medical records from any clinic location

CCR is the abbreviation for:

Continuity of Care Record

ROI is the acronym for:

Return on Investment

Improvement of patient medical care is the catalyst for the need of:

EHR

Which of the following is a benefit of EHR charts over paper charts?

EHR charts can be found in the same place

The abbreviation for Past Medical History is:

PMHX

Databases of approved medications in drug therapy categories is called a(n):

drug formulary

A medical note added subsequent to the original note that will be supplement the clinical information is:

addendum

Practice guidelines are also known as:

care plans

This sheet contains more consistent patient information such as demographics, allergies, problem list, PMHX, FMHX, social history and more.

face

FMHX is the abbreviation for:

family medical history

The ability of a software program to accept, send, or communicate data from its database to other software programs from multiple vendors to communicate is:

interoperability

When computer data is changed from its original form to be transmitted securely so as to be unintelligible to unauthorized parties and then decrypted back into its original form for use it has been:

encrypted

LAN is the abbreviation for:

local area network

A wired or wireless connection of computers in a single facility is a(n):

LAN

Reminders such as when an electronic prescription system can generate and warn when two drugs known to have adverse interactions are prescribed for same patient is called a(n):

alert

This allows for specific parts of the patient’s record to be shared with practitioners across disciplines who have been identified as needing to know the information.

data segmentation

Medical information is transferred via telephone or networks for the purpose of consulting, and sometimes remote medical procedures or examination is:

telemedicine

One of the most valuable uses of ____ is that it allows doctors in remote areas to consult with specialists at medical centers.

telemedicine

The privacy of personal health information contained in all prescriptions, whether written or electronic, is protected by:

HIPAA

The delivery of appropriate and consistent care over time is:

continuity of care

Pharmaceutical products and dosages deemed the best, most economical treatment is:

formulary

What is NOT a purpose of a pharmacy drug formulary?

allows the government to access patient information

Clinicla guidelines are:

recommended patient care based on the best scientific evidence

P4P is the abbreviation for:

pay for performance

The means by which a physician electronically transmits instructions for a pateint’s treatment or the ordering of tests to a testing facility is:

CPOE- Computerized Provider Order Entry

The organization dedicated to developing standards for the exchange of electronic health information is:

HL7

A set of commonly agreed upon specifications is a:

standard

A set of standards, services, and policies that enable the secure exchange of health information over the internet is called:

NwHIN- Nationwide Health Information Network

Voice recognition is a method of entering information to a computer via a:

microphone

Method of electronically capturing text and images from paper documents is called:

scanning

MIPPA is the acronym for:

Medicare Improvements for Patients and Providers Act

Which is NOT one of the three distinct EHR models?

patient-based

This allows patients to become interactive. Patients can schedule appointments, receive reminders, request medication refills, and ask questions about their health.

personal health record

This payment model reqrds physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures for quality and efficiency.

P4P

A healthcare provider’s use of certified EHR technology in ways that can be measured significantly in quality and in quantity is:

meaningful use

Information that is organized in a coded manner so that is identifiable, storable, retrievable, and analyzable in a computer system is called:

structured data

For password management, it is recommended that passwords expire every:

90 to 120 days

Modes of data entry into the EHR include all EXCEPT which of the following?

intranets

Who is responsible for the protection and privacy of information in EHR programs?

the physician

Statistical data of a person that is typically comprised of address, phone number, age, gender, and marital status is called:

demographics

Software with a full range of functionalities to store,a ccess, and use patient medical information is:

EHR

Electronic protected health information is abbreviate:

ePHI

This enables each user to preset the default practice name, physician name, schedule, and various other features when a user logs into the EHR:

user preference