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A patient presents to the inpatient unit following surgery. The receiving nurse has not heard a report from the operating room (OR) nurse. The patient is experiencing great discomfort

Which point of care system software will improve communication?

Laboratory information system
Computerized provider order entry
Picture archiving communication system
Electronic medication administration record

A medical facility meaningful use objective is to develop a health IT system. The medical facility objective is to improve patient engagement. In order to improve patient engagement it will be necessary to communicate with patients through a patient portal.

What will be needed for this implementation?

Local area network
Open source software
Interoperability protocols
Clinical workflow analysis

Leadership at a healthcare organization implements a new electronic healthcare record system without performing appropriate workflow analysis. The staff stopped using the system within one week and the implementation was unsuccessful.

What is the primary issue that contributed to the implementation's failure?

Lack of a physician champion
Failure to incorporate legacy data
Failure to select an appropriate vendor
Lack of communication from management

A healthcare organization implemented a new electronic health records system using an in-house server. From the first week of go-live

What should have been the foreseeable cause of the system performance problem?

The server room is too hot.
The network cable runs are too long.
The server was configured incorrectly.
The user access privileges are inadequate.

A patient is at high risk of stroke. The patient's physician is concerned about adherence to the recommended weight loss and diet recommendations. The physician is on an integrated hospital management information system (HMIS).

Which documentation format will ensure accurate and timely data is presented to the physician?

Manual logging of data in a logbook for entry into the HMIS
Data sent to the HMIS from a wearable device that tracks in real time
HMIS alerts about out-of-range readings sent to the patient via a patient portal
Record of symptoms completed by patient via a paper report and faxed to HMIS

A hospital realizes patients are expecting access to personal health records on demand. In response

Which feature of the mobile healthcare application should be the focus to meet these goals?

Speed and accuracy
Security and ease of use
Designed for use on specific devices
Immediate use of emerging platforms
Decreased data storage costs

As part of an enterprise implementation of a new electronic health record

What are two benefits to this organization by doing this?

Choose 2 answers

Decreased data storage costs
Quicker learning curve among clinical staff
Preservation of the longitudinal patient record
Improved quality assurance testing during implementation phase

Social media has changed the way patients access and share medical information. One of the most active groups of information seekers is made up of those who suffer from rare or chronic conditions.

What does this new technology offer these patients?

Blogs that are reviewed by medical professionals
Communication with people who have similar conditions
Experimental treatment options that are available for use
Research on conditions that has been validated for accuracy

A patient diagnosed with cancer is searching the Internet for more information about the condition.

Which website would be helpful to this patient?

Advertisement about cures using essential oils
Presentation of oncologists and their biographies
Online support group of patients with the same condition
Summary of alternative treatments and their success rates

A privacy officer for a small hospital recently discovered that radiology reports were being e-mailed by the transcription service to the radiology department to be added to the electronic medical record.

Which secure method should be used for transmitting reports?

Transmit the files through a direct interface to the electronic medical record
Set up a local area network for transmitting the files directly to the department
Send and receive dictation and transcribed files through a HIPAA-compliant transcription application service
Transmit files in PDF format so they cannot be edited by those attaching them to the Electronic Health Record

A practice must provide patients with a clinical summary at the conclusion of the visit to meet meaningful use standards.

Which risk is possible when providing patients with clinical summaries after each visit?

Patients may ask more questions about the lab tests ordered.
Patients may discuss the clinical summary with family and friends.
Patients may give a copy of the clinical summary to other physicians.
Patients may leave paper copies behind in areas accessible to other patients.

A doctor's office is concerned that it needs to find an effective way to reduce medical error and increase patient safety.

Which system will address these concerns?

ERP
CRM
CDSS
CPOE

A hospital's chief operations officer is interested in how many patients have urology surgery versus other surgeries.

Which dataset should be queried for this information?

EMR plan of care
CMS core measures
ICD 9/10 diagnosis code
ICD 9/10 procedure code

A chief nursing officer noticed that the number of patient complaints after discharge from the cardiac medical unit increased over the past three months. The director of client services is requested to identify the top reasons for patient complaints.

Which tool should be used to obtain this information?

EMR follow-up call module
Customer risk management software
Customer relationship management software
Administrative services complaint spreadsheet

A team leader of a hospital is trying to improve access to personal medical records as well as educational materials for all people who receive treatment at the hospital.

Which system should the team leader implement?

Clinical database
Online patient portal
Electronic health records
Health information exchange

A leader of a steering committee at a local hospital is overseeing the implementation of a computerized physician order system. In addition

What is one benefit to providers?

Viewing radiological images online
Saving charting time by bundling orders
Copying and pasting orders between records
Sending a radiological image back to the PACS

A patient visits a provider and is admitted to the hospital. The hospital and provider have achieved stage 2 meaningful use and are part of a health information exchange.

How can the admitting hospital use the health information exchange to obtain this patient's information?

Call the provider
E-mail the provider
Review the patient portal record
Access the summary of care record

Two facilities in the same state are members of the state operated health information exchange (HIE). Both facilities have different electronic health record (EHR) systems and wish to exchange information with the HIE system.

What should be used?

Virtual care team
Health Level 7 (HL7) standard
Interface engine links to databases
Clinical Document Architecture

A hospital was contacted to join a community-based health information exchange (HIE). During the initial meeting

Which standard will support the accomplishment of this goal?

HL7
HIPAA
LOINC
SNOMED

A physician's office sends all urine specimens out to an independent reference lab for culture. The reference lab is on a different computerized patient record system that does not interface with the physician's office system

Why is this scenario a concern?

The data must be entered by a physician
Manual entry requires a high level of experience
Entering the data manually increases the risk of errors
Retrieval of the results is delayed to the lack of interface

To create an integrated healthcare delivery system

What is a benefit of this system to the patient?

Shared risk
Eliminated cost shifting
Increased quality of care
Decreased unnecessary resource use

To create an integrated healthcare delivery system

What is a benefit of this system to the provider?

Increased care quality
Enhanced network security
Seamless continuum of care
Improved community health status

An elderly patient with chronic obstructive pulmonary disease (COPD) is not able to move around easily. The patient lives alone

Which technical concern is a common challenge that should be anticipated for the remote service?

The physician is not able to access the patient's data.
The data cannot be transmitted because the WIFI is down.
The patient has forgotten how to operate the remote device.
The nurse who manages the service has not been trained on the device.

In a rural hospital

What is a benefit of contacting this psychiatrist?

Drug interactions can be prevented.
The patient can obtain antidepressants.
There will be a higher reimbursement of payment.
The hospital can avoid any credentialing concerns.

A large urban hospital wants to implement an information and communications technology (ICT). The hospital is about to relocate and existing systems are failing. It needs to centralize its resources and unify several databases.

Which information do stakeholders need to determine if this change is executable for the hospital?

Open-source licensing costs
Identification of a project champion
A plan to ensure the project aligns with the organization's long-term goals
Options for the proposed servers to be implemented at the new location

Which executive leader is responsible for managing the data

CIO
CFO
CEO
CMO

A women's health clinic wants to add a clinical decision support system to help them identify women at elevated risk of inheritable breast cancer. This tablet-based system will prompt patients for additional information prior to their appointment while in the waiting area. The organization needs to automate processes and streamline usage of this new system.

Which step should be taken to meet this goal?

Eliminating less-common prompts from question sets
Implementing sensor-based inputs to simplify data entry
Training users on how to use the system more efficiently
Building interfaces to retrieve relevant data from the medical record

A vendor is implementing the picture archiving and communication system portion of an electronic health record at a clinic. The training needs to focus on the correct end users.

How can the correct end users be ensured in advance?

Include end users in the planning process
Determine the appropriate training program
Perform a workflow analysis during planning
Train the entire group of end users at one time

A clinic has adopted an electronic health records system. A provider at the clinic is consistently behind schedule because the physician likes to write down all instructions for patients.

Which feature of this new system will help this provider?

Problem list
Patient portal
Provider notes
Clinical summary

Providers at a medical clinic are frustrated about needing to remain at the office late to return patient phone calls. They are considering adopting an electronic health records system.

Which feature of the electronic health records system will ease the burden of returning patient calls?

Patient portal
Decision support
Voice messaging
Clinical summary

Northeast Regional Hospital

What is a critical success factor for computerized physician order entry system implementation in this case?

Will result in higher patient satisfaction scores
Will reduce costs related to duplication of expensive testing
Medications are easily tracked preventing duplicate dispensing
Orders are easy to read since they are typed instead of being handwritten

A doctor is entering patient medication orders into the computerized physician order entry system (CPOE). A window pops up with the following message:

"Medication Y is contraindicated as the patient is currently on a non-steroid medication. Do you want to order this medication? Yes or No?"

Which feature of the CPOE does this action demonstrate?

Alert
Reminder
Reference to literature on Medication Y
Reference to literature on non-steroids

Following the decision to proceed with a picture archiving and communication system installation

What is required as part of this assessment?

Pulling out the old system and rolling out the new system
Identifying the difference between the current and desired state
Analyzing the increase in cost between the old and new systems
Finding a vendor and starting implementation as soon as feasible

A hospital is replacing many of its legacy applications with an integrated electronic health record (EHR). The hospital needs to allow access to legacy data to fulfill data retrieval requirements.

Which method will allow this access with the least risk?

Continue to run the applications as they were on date of cutover
Convert existing data on other systems to a centralized repository
Print reports of data to PDF files and store at a document storage facility
Power down systems and return to service when needed for data access

Given the following helpdesk prioritization graphic for an organization:


The chief information officer's personal computer (PC) will not boot. The CIO is working on a presentation for a meeting tomorrow for all C-level administrators and does not want to postpone the presentation if at all possible. The failure is with the PC.

In which helpdesk priority level does this issue fall?

Priority 1
Priority 2
Priority 3
Priority 4

Which system is responsible for the storing

LIMS
PACS
CDSS
DICOM

The move to an electronic health record system has a big impact on the safety of the care delivered.

What metric will show how the system implementation has impacted patient safety?

Pharmacy refill turnaround times
Time spent by nurses charting on patients
Number of alerts identifying potential adverse drug events
Percentage of orders completed by computerized physician order entry

A psychiatric hospital budgeted for and implemented electronic health records (EHR) system and integrated practice management (PM) system.

Which metric will indicate a reduction in billing errors and improvement in revenue cycle?

Amount of cash flow
Number of medication errors
Amount of paper and office supplies purchased
Number of billing and coding full-time employees

A hospital's six-month strategic plan includes reducing medication errors by implementing an electronic medication administration system (eMAR) with barcode scanning. Information Technology's (IT) current project load does not provide resources for such a project for one year.

How should the IT project manager respond?

Recommend the accommodation of the eMAR project
Accept the project and tell staff to fit it into their schedules
Let the eMAR vendor manage the project and provide the resources
Tell the board of directors that IT cannot take on the project for a year

A leadership team at a hospital wishes to improve patient care by integrating clinical decision support system (CDSS) with the electronic health records (EHR) system. The chief information officer (CIO) is resisting this because the EHR system just went live and is still in the six-month stabilization period.

What should the CIO do?

Decline the CDSS project altogether.
Implement the CDSS while the EHR is still in the stabilization period.
Identify project constraints and place the CDSS on future project calendar.
Reassign resources to speed up EHR stabilization to accommodate this CDSS project.

A healthcare organization is implementing a patient portal to improve communication with providers. The board has approved a vendor

What should be this organization's next step to effectively implement this system?

Planning
Directing
Controlling
Organizing

After a recent software upgrade

Which data stewardship concern is occurring?

Integrity
Security
Transparency
Confidentiality

A nurse leaves a telephone message for a patient that lists the next appointment date

How did the nurse violate Health Insurance Portability and Accountability Act (HIPAA) guidelines?

Gave the date of the next appointment
Disregarded the minimum necessary standard
Neglected to mail a letter before leaving a phone message
Left a recorded message instead of speaking to the patient

A clinic's policy is to leave appointment reminders on voicemail of patients who have given written authorization. A clerk at the clinic is leaving messages including the name of the clinic

What should the clerk be told to change about the appointment reminders?

Omit the name of the clinic
Withhold the name of the procedure
Wait until you reach the patient directly
Provide a written appointment reminder

A nurse employed by a university clinic saw a student who complained of a headache. After taking the student's temperature

Which violation has occurred?

GLBA
HIPAA
FERPA
HITECH

A hospital has provided physicians with electronic mobile devices so they can access patients' health records easily.

Which security measure must also be put into place?

Access control list for the device
Token and password requirements
Biometric identifiers on the home screen
Device encryption with password requirement

and notify affected patients through prominent media outlets.

according to the Health Information Technology for Economic and Clinical Health Act (HITECH)?

and notify affected patients through prominent media outlets.

and contact each affected patient by phone.

and send a notice to all patients via first class mail.

and notify affected patients through prominent media outlets.

An often overlooked asset in an enterprise when looking at security is the multifunction printer (MFP). An unsecured MFP is a prime target for hacking into the enterprise.

Which key regulation requires manufacturers to eliminate exposure to the network and the organization's data to hacking or data compromise?

Sarbanes-Oxley Act
Family Education Rights and Privacy Act
Health Insurance Portability and Accountability Act
Health Information Technology for Economical and Clinical Health
Developing a security management program

A healthcare organization wants to establish an IT security program and is fully aware of the basic framework requirements. They will begin by addressing key risk management goals.

Which two goals should leadership target first?

Choose 2 answers

Send security team to advanced training
Developing a security management program
Selecting technology to track system breaches
Executing an information security risk assessment

A hospital wants to use state-of-the-art clinical and information technology. The medical data flow in the network will be extensive so security goals must be ensured.

Which technology will help meet this goal?

Wireless infrastructure
Biometric authentication
Robust network backbone
Unified communication solution

The neurology office training program includes review of the current policy of ensuring at least two phone calls are attempted to the patient to relate test results before leaving the test results on the patients answering machine/voicemail.

Which concern should the privacy officer have with the current policy?

Communication of protected health information (PHI) should only be given to the patient.
Protected health information (PHI) should be blinded before communicating to the patient.
There must be three attempts of contact before protected health information (PHI) disclosure.
Phone calls should be documented when communicating protected health information (PHI).

An established dialysis center is acquired by a healthcare system. There is a need to review how information will flow from the newly acquired dialysis center into the billing system of the acquiring healthcare system.

Which HL7 concept will ensure seamless billing in this situation?

IDC/CPT clinical coding accuracy
Coding dictionary interface operability
Physician documentation completeness
Wireless encryption with security interface

A patient arrives in the emergency department (ED) and requests his medical record. The clerk in the ED prints it and gives it to the patient.

What is required to be in compliance with the Health Insurance Portability and Accountability Act?

Driver's license of patient
Healthcare power of attorney
Authorization for release of information
Patient account balance is not past due
HIPAA non-compliance

A local hospital has decided to incorporate single sign-on authentication with facial recognition and desktop virtualization into its clinical and administrative information technology systems.

Which two vulnerabilities will be mitigated by doing this?

Choose 2 answers

HIPAA non-compliance
Authentication weakness
Unauthorized code set use
Incomplete EMR functionality

A medical center provides teleconference services to consult on stroke patients. During one of the sessions

Which privacy violation took place?

Patient failed to sign HIPAA consent form
Security incident report failed to be created
Testing and revision procedures failed to be reinforced
Employee failed to follow procedures outlined in HIPAA training