Deck 6: Key Patient-Centric Technologies: EHR, CPOE, CDS PP

Question 1

Which of the following least concerns most patients about the use of electronic health records?

A) Security
B) Privacy
C) Fiscal value
D) Confidentiality

Answer 1

C

Question 2

In theory, the use of EHR should reduce the incidence of:

A) data duplication.
B) privacy violations.
C) data entry errors.
D) lawsuits.

Answer 2

A

Question 3

EHR are supposed look at a patient's history in what way with regard to time?

A) All possible time points
B) A snapshot of the past month
C) Last appointment
D) Times selected by the patient

Answer 3

A

Question 4

To whom does CPOE first provide information?

A) Physician and patient
B) Patient and administration
C) Pharmacy and government
D) Physician and government

Question 5

Third-generation EHR is approximately how old?

A) 10-15 years old
B) 15-20 years old
C) 20-30 years old
D) 30-35 years old

Question 6

What percentage of preventable errors remain in a system fully using fourth-generation EHR?

A) 5%
B) 10%
C) 15%
D) 20%

Question 7

If your local hospital still uses paper records, what might be the reason?

A) State regulation
B) Community objections
C) Budget
D) Accreditation issues

Question 8

Which part of EHR most immediately affects a hospital's internal pharmacy?

A) CDR
B) CDS
C) CPOE
D) PP

Question 9

Which of the following is an optional part of EHR?

A) CPOE
B) LIS
C) CMV
D) CDS

Question 10

A CDS can help a physician or nurse do what for a treatment decision?

A) Rationalize it
B) Defend it in court
C) Explain it to family
D) Publish it

Question 11

Which of the following is a non-critical part of a CDS?

A) Inference engine
B) Model management subsystem
C) Knowledge base
D) Legal dataset

Question 12

In a CDS, what does the inference engine do?

A) Guess at needed medicines
B) Change physician's decisions automatically
C) Integrate other parts
D) Allow nurses to overrule physicians

Question 13

CDS can help to point out easily missed medication conflicts.

Question 14

PP lets patients play a more active role in their therapies, if they choose to do so.

Question 15

The growth of HMIS in the 1960s and 1970s saw collaboration across the Atlantic Ocean.

Question 16

AI began to have a role in medicine during the 1960s.

Question 17

Medical errors, including those leading to patient deaths, have dropped as EHR have been implemented.

Question 18

PIS is an optional part of EHR that is used by an internal pharmacy.

Question 19

LIS and PIS are ancillaries of an EHR's CPOE system.

Question 20

If you are a hospital administrator looking to use physician time more efficiently, check the data in the CPOE portion of your hospital's EHR database.

Question 21

In CDS, translation and interpretation of results are performed by the intelligent graphical interface.

Question 22

Patient portals were designed to act as a check on the authority of physicians.

Question 23

With patient portals in full operation, clerks can be freed up for more critical tasks than scheduling.

Question 24

Patient portals are key in _________ patients about their conditions and care.

Question 25

Health care is very much data _________.

Question 26

What is the rationale for classifying EHR, CPOE, and CDSS as patient-centric management systems?

Question 27

Why might it be important to link EHR to CPOE and/or CDSS? What about linking EHR to LIS, PIS, RIS, and any other clinical-based IS? What about linking it to a physician PDA?

Question 28

Why is user resistance-particularly from physicians and nurses-often considered the greatest obstacle to successfully implementing patient-centric management systems?

Question 29

What are the benefits for healthcare consumers of PHR versus EHR? Does this imply that EHR can simply be replaced with PHR or that both systems may be necessary? Why or why not?

Question 30

Why are patient portals important, and how do they benefit patients?