Exam 2: Health Data Structure, Collection, and Standards

Physicians sometimes use media to describe a procedure or educate the patient about his or her care and treatment. Explain how this might be accomplished. What benefit does this have?

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Question 1

Correct Answer:

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Answers may vary, but, generally, physicians may send a CD or DVD home with the patient that includes information about a condition, a procedure, or discharge instructions; may have the patient go to a website to do so; or have the patient watch a video or view a website from the office. By doing this, the physician is sure that all patients are receiving the same patient education about a procedure or a condition.

Name and describe the sources of data from which a patient's past medical history (PMH) are derived.

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Question 2

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The patient will be interviewed, he or she may have completed a registration and past medical history form, and health records from previous physicians or hospitals may also be used. If the patient is unable to give a history, a family member may do so.

What is the patient's marital status?

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Question 3

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The ____________ allows for the exchange of information among caregivers, insurance companies, employers, and others, when there is a need for information.

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Question 4

The acronym HITECH stands for _______.

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Question 5

A __________________ is a software program that allows care providers to view higher quality images of x-rays, ultrasounds, and other radiographic images from any location.

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Question 6

Typically, paper health records are maintained how?

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Question 7

When collecting data on a computer or retrieving data from a computer, the screen becomes the replacement for ______________.

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Question 8

The progress note of Amy Shaw states that she is a 51-year-old female who has a history of lower back pain following a fall off a ladder in 2007. She has been taking ibuprofen on a daily basis with no relief. The pain is so bad that on occasion she needs to miss work. Based on her history and the results of the physician's physical exam, his treatment plan is naproxen sodium daily and an order for physical therapy to include TENS treatments with follow-up visit scheduled in four weeks. This is an example of a patient's health _______________________.

(Multiple Choice)

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Question 9

Dr. Henderson wrote a progress note in the emergency room note of Lisa Ford. This is an example of _________________ data.

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Question 10

_______________ is the acronym for the Act that increased the privacy and security of electronic health information.

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Question 11

The image above would be found in which format?

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Question 12

Which entity was founded in 2004 to certify electronic health records?

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Question 13

In a physician's office, the equivalent of a hospital's Master Patient Index is

(Multiple Choice)

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Question 14

The hospital equivalent to practice management software used in the physician's practice is known as

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Question 15

A ______________________ professional would most likely hold one of the following positions: cancer registrar, privacy officer, software analyst, or compliance officer.

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Question 16

Name and describe six (6) professionals who work in the healthcare field.

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Question 17

In 2017, an electronic health record will be required in every healthcare facility. This is due to the ____________________________________.

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Question 18

Explain the HITECH Act.

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Question 19

In a hospital setting, the management personnel and much of the staff of the department responsible for maintaining and retrieving data from health records are often certified through and members of which professional organization?

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Question 20

Showing 1 - 20 of 60

Physicians sometimes use media to describe a procedure or educate the patient about his or her care and treatment. Explain how this might be accomplished. What benefit does this have?

Name and describe the sources of data from which a patient's past medical history (PMH) are derived.

What is the patient's marital status?

The ____________ allows for the exchange of information among caregivers, insurance companies, employers, and others, when there is a need for information.

The acronym HITECH stands for _______.

A __________________ is a software program that allows care providers to view higher quality images of x-rays, ultrasounds, and other radiographic images from any location.

Typically, paper health records are maintained how?

When collecting data on a computer or retrieving data from a computer, the screen becomes the replacement for ______________.

Dr. Henderson wrote a progress note in the emergency room note of Lisa Ford. This is an example of _________________ data.

_______________ is the acronym for the Act that increased the privacy and security of electronic health information.

The image above would be found in which format?

Which entity was founded in 2004 to certify electronic health records?

In a physician's office, the equivalent of a hospital's Master Patient Index is

The hospital equivalent to practice management software used in the physician's practice is known as

A ______________________ professional would most likely hold one of the following positions: cancer registrar, privacy officer, software analyst, or compliance officer.

Name and describe six (6) professionals who work in the healthcare field.

In 2017, an electronic health record will be required in every healthcare facility. This is due to the ____________________________________.

Explain the HITECH Act.

In a hospital setting, the management personnel and much of the staff of the department responsible for maintaining and retrieving data from health records are often certified through and members of which professional organization?

An Overview of Prime Suites Practice Management and Electronic Health Record Software

Content of the Health Recordadministrative Data

Content of the Health Recordthe Past Medical, Surgical, Family, and Social Histories

Content of the Health Recordthe Care Providers Responsibility

Financial Management: Insurance and Billing Functions

Privacy, Security, Confidentiality, and Legal Issues

Management of Information and Communication

Decision and Compliance Support: Utilizing the Database

Looking Aheadthe Future of Health Information and Informatics

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