BTE 450 Exam 1
Which entity was charged with providing leadership for the development and nationwide implementation of an interoperable health information technology infrastructure?
ONC
CMS
IOM
None of the above
When did the Institute of Medicine first publish its report calling for the widespread adoption and use of computer-based patient records?
2001
1991
2015
2011
Which of the following is NOT one of the “triple aims” for the US health care delivery system?
Improve the patient experience of care
Improve the health of populations
Improve communication between providers
Reduce per capita cost of health care
Which of the following is an example of an error of omission?
Prescribing a medication that has a potentially fatal interaction with another medication a patient is taking
Failing to prescribe a medication from which the patient would likely have benefited
Illegible prescriptions
All of the above
HIPAA, signed into law in 1996, was designed primarily to:
Make health insurance more affordable
Simplify administrative processes
Protect the security and confidentiality of personal health information
All of the above
Which of the following is NOT a component of the HITECH Act?
Establishing Medicare and Medicaid EHR Incentive Programs
Establishing value-based incentive programs
Funding regional extensions centers to support providers in adopting and becoming meaningful users of EHRs
Funding for workforce training programs to support the education of HIT professionals
Which of the following initiatives led to the rapid advancement and adoption of e-prescribing in health care?
HIPAA
The HITECH Act
The Medicare Modernization Act of 2003
None of the Above
Which of the following is the biggest barrier to health information exchange?
Technology
Incentive programs
Health information blocking
None of the above
Which of the following statements best describes the Commonwell Health Alliance?
A consortium of HIT vendors and other organizations committed to achieving interoperability
A not-for-profit organization focused on developing technical standards for HIE
A government organization focused on legal and policy barriers associated with interoperability
A social media platform for patients to learn about their health condition and connect with other patients
__________ is best defined as the ability of a system to exchange electronic health information with and use electronic health information from other systems without special effort on the part of the user.
Coordination of Care
Meaningful Use
Integration
Interoperability
Raw unprocessed healthcare facts generally stored as characters, words, or symbols is known as:
Health care data
Health care information
Health care text
Health care knowledge
Health care data is most useful and can be best used for decision making when processed into:
Health care information
Health care knowledge
Health care statistics
Health care trends
The majority of problems with health care data content can generally be traced to:
Clinical processes
Documentation practices
Employee incompetence
Patients withholding information
According to the Medical Records Institute (MRI), which is NOT listed as one of the five major functions that are negatively impacted by poor-quality documentation:
Patient safety
Continuity of patient care
Employee satisfaction
Public safety
Errors that can be attributed to a flaw or discrepancy in adherence to standard operating procedures or systems are known as:
Systematic errors
Random Errors
Methodical errors
Programming errors
Illegible handwriting is an example of a:
Systematic error
Random error
Methodical error
Programming error
Using an abbreviation that has two different meanings is an example of a lack of:
Data currency
Data consistency
Data precision
Data granularity
Handwriting, speaking, typing, touching a screen or pointing and clicking on words or phrases are all examples of:
Data processing
Information Capture
Report generation
Data recording
What professional organization has developed and published a data quality management tool that defines a specific set of characteristics of health care data that should always be present?
AHIMA
MIO
GAO
CMS
What is an example of a way system design can help reduce errors during data collection and processing?
Standardize data entry fields
Build human capacity
Institute real-time quality checking
All of the above
Which type of information system is used to manage personnel, finances, materials, supplies, or equipment?
Administrative information system
Ancillary information system
Clinical information system
Revenue cycle system
Which of the following is NOT a feature of a patient portal?
Patients can access test results.
Patients can request a refill on prescriptions.
Patients can contact their physician during off hours in emergency situations.
Patients can view their account and pay their bill online.
Which law made incentive money available for eligible professionals and hospitals to adopt and become “meaningful users” of EHR?
HIPAA, 1996
Medicare Modernization Act, 200
HITECH Act, 2009
None of the above
Which of the following is NOT considered a function of a “basic” EHR system?
Clinical decision support
Results management
Order entry management
Health information data
What are the major benefits of EHR systems?
Quality, outcomes, and safety
Efficiency, improved revenues, and cost reduction
Provider and patient satisfaction
All of the above
Which of the following is NOT a person-generated health data (PHGD) technology?
Fitbits
Food diary apps
Pace makers
none of the above
Despite the proliferation in the adoption and use of EHR systems, health care providers and organizations still face which three critical issues?
Interoperability, consistency, and training
Interoperability, usability, and health IT safety
Interoperability, standardization, and satisfaction
Interoperability, inefficiency, and quality
Which of the following is NOT a barrier to interoperability?
Differing laws across states
Alignment of payment incentives
Health information blocking
Advances in technology
Which entity formed a tasked force to study, identity, and make recommendations regarding system usability?
AMIA
CMS
AHIMA
NCQA
Which of the following is a health IT safety concern as identified by Meeks and colleagues?
Lack of best practices
Cyber attacks
System-to-system interfacing
All of the above
The population health efforts most health systems and ACOs are undertaking are aimed at providing better preventive and medical care for the entire population in a specific geographic area.
True
False
Value-based care is a solution to which of the following problems?
Rising health costs
Duplication of services
Clinical inefficiency
All of the above
Shared savings programs are best defined
Making a single payment for hospital and physician services instead of separate payments
Rewarding providers with financial and nonfinancial incentives based on performance on select measures
Rewarding providers by paying a bonus that is explicitly connected to the amount by which they reduce the total cost of care
Paying the provider organization a single payment for all services associated with a hospitalization or other episode of acute care
Which of the following is NOT an outcome achieved by patient-centered medical homes?
Mitigating health disparities
Reducing hospital and emergency department visits
Increasing Medicare spending
All of the above are outcomes
Which of the following is the biggest barrier of the ACO model?
Building the infrastructure for effective data sharing
Improving patient outcomes
Controlling costs
None of the above
Population health management requires a shift in industry perspectives and health care practices. Which of the following is NOT characteristic of PHM?
Collaborative teams of providers
Offering care at centralized facilities
Keeping groups of people healthy
Customizing health care for each patient
__________ is the ability to identify a patient or cohort at risk for a negative health event or preventable health care utilization.
Segmentation
Identification
Stratification
Intervention
Which is NOT a goal of care management?
Manage the most complex patients through the health care system
Manage the overall health of a select population
Consider patient preferences and overall situation
All of the above are goals
Which of the following is best used to determine which patient records exist for a member and where the source data is located?
EHR
Record locator service
Master patient indices
Practice management system
As reimbursement becomes more complex, which of the following systems must evolve to support payments based on quality and performance?
Revenue cycle system
Care management system
Workflow and rules engine
Registries and scorecards
__________ is an individual’s constitutional right to be left alone and to limit access to his or her health care information.
Privacy
Security
Confidentiality
Protection
__________ relies on trust that information shared with a health care provider during the course of treatment will be used only for its intended purpose and not disclosed
Privacy
Security
Confidentiality
Protection
Which of the following is NOT one of the key sources regarding legal protection of an individual’s health
HIPAA
State privacy laws
The Joint Commission
Federal Trade Commission Act
Which HIPAA rule was added as part of the HITECT Act in 2009?
Privacy Rule
Security Rule
Breach Notification Rule
None of the above
Which of the following elements is NOT required on a valid release of information form?
Name of person/entity receiving information
Marital status
Patient’s signature and date
All of the above are required
Which of the following is a standard of the HIPAA Security Administrative Safeguards?
Device and media controls
Facility access controls
Workstation security
Workforce security
Which standard related to the HIPAA Security Physical safeguards requires the CE to implement policies and procedures for the movement of hardware and electronic media that contain ePHI into and out of the facility and within a facility?
Device and media controls
Facility access controls
Workstation security
Workforce security
Which of the following is NOT a specification of the access control standard related to the HIPAA Security Technical Safeguards?
Unique user identification
Emergency access procedure
Automatic log-off
Data storage
If a breach of unsecured protected health information occurs, all of the following should be notified except:
Individuals affected
Major media outlets
Office for Civil Rights
Office of the National Coordinator for Health IT
__________ is a general term for software that is written to “infect” and subsequently harm a computer system.
Spyware
Malware
Ransomware
Virus
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