Deck 14: Health Information Technology

Question 1

Three organization elements essential for successful health information systems implementation are:

A) time, effort, and money.
B) technology, policies and procedures, and culture.
C) training, testing, and evaluation.
D) competency, character, and courage.

Answer 1

B

Question 2

Most electronic health records (EHRs) are not designed to share patient health information between systems and institutions. A solution for overcoming this limitation in current EHR design has been the development of:

A) monolithic architecture.
B) cultural sensitivity training among organizations.
C) health information exchanges (HIEs).
D) the Systematic Nomenclature of Medicine (SNOMED).

Answer 2

C

Question 3

The federated model of health information exchange architecture is best described as a model in which:

A) data resides only within each institution's system and the health information exchange database houses only a master patient index with unique patient identifiers.
B) all participating institutions agree to purchase their health information software from the same vendor.
C) patient data is maintained under control of federal regulations.
D) all participating institutions periodically send copies of clinical data to one central repository where all data reside together in one format.

Answer 3

A

Question 4

"Meaningful use" of electronic health records is best described as:

A) physicians and hospital managers passing federal examinations on electronic health record creation and applications.
B) physicians and other providers making electronic health records accessible to patients.
C) criteria defined by the Office of the National Coordinator in collaboration with the Centers for Medicare and Medicaid services that require meeting time-limited objectives in order to quality for incentive payments under the HITECH Act.
D) efficient applications of electronic health records under internal criteria established within physician practices and hospitals.

Question 5

A computerized decision support system (CDSS) is best described as an electronic system that:

A) requires physicians to adhere to recommended schedules of preventive services based on patient diagnosis.
B) allows physicians to list orders for patient treatment including prescriptions in an electronic health record.
C) matches individual patient data with a computerized knowledge base such as evidence-based clinical guidelines to remind physicians to do things for patients they might have forgotten about.
D) substitutes computerized information for physician judgments.

Question 6

The single most important factor in accelerating health information technology adoption since 2008 has been:

A) widespread recognition of technology's contribution to the quality of patient care.
B) financial incentive programs that reward "meaningful use" or the use of e-prescriptions.
C) results achieved by electronic health records in reducing expenditures.
D) patients' demands for electronic access to their personal health records.

Question 7

All of the following describe a personal health record (PHR) except:

A) an electronic health record created and maintained by the patient.
B) requires the patient to enter all of the health information into a system they can give their physicians access to.
C) is usually provided for free as part of electronic health information (EHR) systems.
D) designed to help patients insure that all of their health information is available for their health care, across multiple healthcare systems and institutions.

Question 8

Information blocking is:

A) a conscious effort on the part of some EHR vendors to make their EHR systems difficult to interface with other vendor's EHR systems, and thus require their customers to buy more of their software.
B) designed to improve system interoperability.
C) proved to be occurring in a certain group of EHR vendors by a Medicare investigation.
D) a design feature to block unauthorized access to patients' personal health information under HIPAA)

Question 9

Regional health information organizations (RHIOs) do all of the following except:

A) work with communities of regional stakeholders to set up administrative systems to allow for the exchange of health information between institutions to improve health care.
B) select health information standards that promote interoperability of EHRs between multiple health systems in a given region.
C) work to promote the development, deployment, and operation of health information exchanges (HIEs).
D) maintain a universal business model established by Medicare to fund their community-based services.

Question 10

The monolithic model of health information exchange:

A) works by having all participating institutions send copies of their healthcare data to one centralized repository on a regular basis so one regionally comprehensive record can be maintained for each patient.
B) insures all patients' data in the centralized repository is up-to-the-minute accurate.
C) allows for member institutions to easily opt out of the exchange and retrieve all of the healthcare data they supplied to the exchange.
D) is superior to the federated model of health information exchange.