Health Information Systems and Security Exam 1

when did the IOM first publish its report calling for the widespread adoption and use of computer-based patient records?

1991

what was HIPAA, signed into law in 1996, designed to do?

Make health insurance more affordable. Simplify administrative processes. Protect the security and confidentiality of personal health information

which of the following is an example of an error of omission?

failing to prescribe a drug from which the patient would likely have benefited

which of the following initiatives led to the rapid advancement and adoption of e-prescribing in healthcare

the Medicare Modernization Act of 2003

what entity was charged with providing leadership for developing and implementing and interoperable HIT infrastructure?

ONC

which of the following is NOT a component of the HITECH Act?

establishing value-based incentive programs

which of the following is NOT one of the "triple aims" for the U

improve communication between providers

the ability of a system to exchange EHI with and use EHI from other systems without special effort from the user

interoperability

what was NOT one of the groups of measures used to determine Medicare reimbursement under traditional MIPS?

timely outcomes

why was the 21st Century Cures Act signed into law in 2016?

that healthcare organizations were to share Electronic Health Record (EHR) information

EMRs are a digital version of paper charts while EHRs have the same functions but can communicate info between providers.

true

which of the following is the primary purpose for creating and maintaining patient records?

patient care

which of the following best defines continuum of care?

tracks patients over time through a comprehensive array of health services

which of the following is a characteristic of personal health records (PHRs)?

is maintained by the patient

which organization is the major accrediting agency for healthcare organizations in the U.S.?

the Joint Commission

in which part of the patient record would you find detailed information about tissue removed during a procedure?

pathology report

what standard billing form for health care provider services provided by a physician's office is received by a 3rd party payer?

CMS-1500

the American Hospital Association publishes and updates CPT codes annually.

true

which entity is responsible for investigating fraud involving government health insurance programs?

Office of Inspector General (OIG)

what and interoperable EHRs are key to realizing the full potential of EHR systems by the integrating of applications?

electronic health information exchange

which of the following is NOT a type of electronic health information exchange currently in use?

open exchange

what is the process that gives a facility legal approval to operate?

licensure

which agency is responsible for publishing and annually updating the ICD-10-CM classification system in the U.S.?

National Center of Health Statistics (NCHS)

what key EHR capability requires displays of data, tailored to the specific user needs goes beyond just test results?

results managemen

what is the term that describes the "health outcomes of a defined group of individuals"?

population health, also includes a distribution of outcomes in the group

interoperability:

the extent to which EHRs have electronic health information exchange capabilities

as a rule, who oversees the licensure of healthcare facilities and set their own licensure laws and regulations?

state governments

if the state in which you work does not specify retention requirements for patient records, what should you do?

maintain the records for as long as the state's statue of limitations

what do national initiatives to improve the quality of care and lower costs lead to?

value-based payment systems

what do you the three aims of the National Quality Strategy include?

Better care for the individual. Better health for the community. Lower cost of healthcare

what incentives are aligned with value-based payment systems?

lowering national health care expenditures and higher reimbursement for meeting performance standards

which of the following is NOT a function or attribute of a primary care medical home?

financial support

what is the group of doctors, hospitals, and providers that come together to provide coordinated, high-quality care to a population?

ACO

what are the proactive strategies & interventions of populations to improve the health of individuals within the group at a low cost

population health management

which legislature established the National Quality Act?

the Affordable Care Act (ACA)

stratification:

the ability to identify a patient or cohort at risk for a negative health event or preventable healthcare utilization

care management:

managing the health of a population or subpopulation as well as the most complex patients while patient preferences are considered

precision health:

provides approaches to further improve not only patient treatment, but also predication and prevention of health issues

which of the following is NOT a data source for quality measures?

billing documents

what is the process of comparing one or more performance measures against a standard?

benchmarking

health information exchange:

the ability to electronically move info among HCIS or refers to the organizations that provide health information exchange

which level of interoperability enables that use of data elements among systems with standardized data and coding schemes?

semantic

what is the largest national query-based HIN that is active in all 50 states?

e-health exchange

which of the following is NOT one of the four interoperability functional capabilities?

network

what are the three types of health information exchange?

directed exchange, query-based exchange, and consumer-mediated exchange

approximately what percent of hospitals integrated patient data into EHRs from outside sources in 2019?

70%

EHRs lacking the capability to receive data is a barrier of interoperability and sending health information.

true

why was the Trusted Exchange Framework and Common Agreement created?

because the government recognized the need to have a coherent and consistent approach to connected all the HIEs and HINs

which act was created to prohibit information blocking?

21st Century Act

which of the following is NOT a standard improved to support interoperability?

time standards

ensuring safe EHRs is a ___among vendors, health care organizations, other providers, and clinicians

shared responsibilities

which of the following is NOT a best practice of EHR usability?

information blocking

the multi-faceted approach to solve the EHR usability problem includes all of these recommendations EXCEPT what?

price