Deck 6: Electronic Health Records and Applications for Managing Patient Care

Question 1

Which description best defines the electronic health record (EHR)?

A) An electronic version of the traditional paper record created and used by the healthcare provider
B) An electronic stand-alone database implemented and used in hospitals
C) An electronic version of a patient's medical record used in the clinical setting
D) An electronic record of patient health information created by encounters across multiple settings

Answer 1

An electronic record of patient health information created by encounters across multiple settings

Question 2

The Health Information Management Systems Society (HIMSS) developed an EMR adoption model that includes eight stages toward creating a paperless patient record environment. All application capabilities within each stage must be operational before the next stage can be achieved. Your organization has implemented systems for Stages 1 and 2. Which system should your organization consider as Stage 3 adoption?

A) Computerized provider order entry (CPOE) and clinical decision support
B) Nursing/clinical documentation (flow sheets) and clinical decision support
C) Closed-loop medication administration
D) Physician-structured documentation and clinical decision support

Answer 2

Nursing/clinical documentation (flow sheets) and clinical decision support

Question 3

Which system is recommended as a method to address patient safety and reduce errors that occur during the actual administration of medicines?

A) Computerized provider order entry (CPOE)
B) Barcode medication administration (BCMA)
C) Electronic medication administration record (eMAR)
D) Electronic prescribing (ePrescribing)

Answer 3

Barcode medication administration (BCMA)

Question 4

Which would be considered a niche application?

A) Computerized provider order entry (CPOE)
B) Laboratory information system (LIS)
C) Clinical decision support system (CDSS)
D) Surgical information system (SIS)

Question 5

A university hospital wants to implement a closed-loop medication management system. Current systems include registration, computerized provider order entry, electronic medication administration record, laboratory, radiology, and pharmacy. Which system is needed to complete the loop?

A) Clinical documentation
B) Clinical decision support system
C) Barcoding system
D) Electronic prescribing

Question 6

As the United States moves toward the implementation of an interoperable EHR, which statement about the future "ownership" of the patient record is appropriate?

A) The electronic medical record will be the property of the service institution.
B) Provider access to the electronic record would not require consumer consent.
C) Ownership may be driven by who has control and access to the data.
D) Consumers will control and own the record.

Question 7

As EHR adoption expands to include data from multiple healthcare entities, more opportunities for error exist. Which process can affect data integrity?

A) System failure
B) Data analysis
C) Data downloading
D) Data mining

Question 8

Which issues are considered impediments to a fully functional electronic health record (EHR) system? (Select all that apply.)

A) Cost
B) Standardization
C) Care coordination
D) Organizational culture
E) Privacy and confidentiality
F) Education

Question 9

The eight-stage EMR model requires which of the following to have been implemented by the end of Stage 3? (Select all that apply.)

A) A basic CDS system
B) A PACS available outside Radiology
C) Closed-loop medication administration
D) A full radiology-picture archiving and communication system
E) Major ancillary systems including Laboratory, Radiology, and Pharmacy

Question 10

The university hospital is getting ready to implement computerized provider order entry and some decision support capabilities to include drug-drug and drug-allergy alerts. Which actions should the implementation team take to increase user acceptance of the system? (Select all that apply.)

A) Involve users early in the design, testing, and implementation of the system
B) Conduct a quantitative research study to provide deeper insight into CPOE issues
C) Design the new system to support communication and workflow
D) Educate clinicians on how to use the system features
E) Plan for continuous safety monitoring

Question 11

The general attitude of consumers toward health information technology is positive. Which items are perceived EHR benefits for the consumer? (Select all that apply.)

A) Collaborative interaction between patients and providers
B) Security and privacy of personal information
C) Timely access to personal health information
D) Online access to educational materials
E) Customized care through reminders