Deck 5: Technical Infrastructure to Support Healthcare

Question 1

Which item is an example of information we might find in an EHR's clinical data repository?

A) A physician's surgical schedule
B) The list of medications available in a hospital's formulary
C) The result of a patient's microbiology lab test
D) Monthly billing charges for the radiology department

Answer 1

The result of a patient's microbiology lab test

Question 2

Which factor would strongly influence the reliability of an EHR's repository?

A) The redundancy of storage hardware
B) Clinician training on EHR applications
C) The coding system used for laboratory results
D) The use of strong passwords

Answer 2

The redundancy of storage hardware

Question 3

Which statement describes a repository with central storage of a longitudinal record?

A) Patient data are from a single hospital's data for the most current encounters.
B) Data from multiple hospitals are kept compact and efficient by deleting "old" data.
C) Portions of a patient's lifetime medical record are stored in databases at the facility where the data were collected.
D) The information collected by the organization is stored in a single database no matter when or where the patient was seen.

Answer 3

The information collected by the organization is stored in a single database no matter when or where the patient was seen.

Question 4

Which example best describes knowledge base content?

A) Standard admission order sets based on presenting problems
B) Patient contact information
C) Organizational structure of a healthcare enterprise
D) The most recent lab results for current inpatients

Question 5

You are leading an effort to implement a clinical decision support system. In order to improve the patient specificity of your CDS rules, you would:

A) make sure that rules cannot be changed once they are implemented.
B) give the results of the rules directly to the patient.
C) store rules in a knowledge base and allow clinician experts to review and update the rules.
D) ensure that the rules were written in the most up-to-date programming language available.

Question 6

For healthcare infrastructures with many communicating systems, an interface engine is helpful because:

A) it increases the administrative overhead with maintaining interfaces.
B) it decreases the number of interfaces that must be maintained and lessens complexity.
C) there is no other way to connect systems.
D) interface engines automatically update and rewrite the code built within legacy systems.

Question 7

A method for exchanging patient data among healthcare organizations that is endorsed by the federal government is:

A) copying information to a secure USB drive and giving it to another organization.
B) providing EHR log-in accounts to providers outside the organization.
C) implementing a secure internet connection using components of the eHealth Exchange.
D) The federal government does not endorse sharing health information among organizations.

Question 8

Which is a significant challenge to technical infrastructures in healthcare environments?

A) Implementing a data repository that will be able to handle unanticipated new information and advances in medicine
B) Arranging data entry components properly in a documentation application to improve data collection efficiency
C) Training clinicians to use EHRs effectively
D) Agreeing on policies for sharing information among healthcare organizations

Question 9

Which examples describe how clinical applications are tied to other components in the EHR infrastructure? (Select all that apply.)

A) Searching and extracting data from the repository for reporting purposes
B) Using the data dictionary to code assessment information with a documentation application
C) Utilizing clinical decision support system rules to assist with appropriate lab test ordering
D) Utilizing the master person index to document vital signs
E) Utilizing the financial system to determine patient insurance copays

Question 10

Which functions are characteristic of a master person index? (Select all that apply.)

A) Store the current and former names of a patient
B) Store the most recent vital sign information for each patient
C) Coordinate the various identifiers a patient uses, such as medical record number, insurance account number, and driver's license ID
D) Provide a unique identifier for each patient that is used by components of the EHR to positively identify the patient
E) Report potential drug interactions from new prescriptions to the medical facility and patient's pharmacy