Quiz 2
Started 3/21/20 10:55 PM
Submitted 3/21/20 11:37 PM
Due Date 3/29/20 11:59 PM
Status Completed
Attempt Score 25 out of 25 points
Time Elapsed 42 minutes out of 1 hour
Instructions Time limit: 1 hour
25 true/false and multiple-choice questions
Open-book/open-notes
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Question 1
1 out of 1 points
Which incentive has the strongest potential to spur the nationwide
adoption of advanced CDS?
Selected
Answer:
d.
Shift of healthcare payment from a fee-for-service model to
approaches rewarding the delivery of better quality and
outcomes at lower cost
Response
Feedback:
All of these are important elements encouraging nationwide
adoption of advanced CDS. However, as discussed in the
chapter, the shift of healthcare payment from a fee-for-
service model to approaches rewarding the delivery of better
quality and outcomes at lower cost appears to have the
strongest potential for change.
Question 2
1 out of 1 points
When did formalized home health and community-based systems
false
originate in the United States?
Selected
Answer:
c.
1800
s
Response
Feedback:
Early home health services originated in the United States in
the 1800s and were based on the district nursing model
developed in England. Often, initial programs evolved into
visiting nurse associations. Home health services increased
and changed considerably after Medicare was enacted in
1965.
Question 3
1 out of 1 points
Open shift management:
Selected
Answer:
a.
is a form of web-based self-
scheduling.
Response
Feedback:
Open shift management uses web-based technologies to
allow employee self-scheduling. Other terms used include
shift bidding systems. These systems allow employees to
sign up for open shifts over the internet.
Question 4
1 out of 1 points
A healthcare system has implemented a functionality where patients who
are overdue or almost due for a mammogram are sent letters notifying
them to schedule a mammogram based on available data and current
clinical care guidelines. Which type of CDS system is this?
Selected
Answer:
c.
A reminder
system
Response
Feedback:
This is a classic example of a reminder system. Patients
are also potential targets of CDS interventions.
Question 5
1 out of 1 points
The first use of telehealth was documented in:
Selected
Answer:
c.
189
7.
Response
Feedback:
The first use of telehealth was documented in 1897, when
a case of croup was diagnosed over the telephone.
Question 6
1 out of 1 points
The supply item master is:
Selected
Answer:
b.
a list of all items available to order in the
organization.
Response
Feedback:
The supply item master is the master list of supplies
available to order in the organization.
Question 7
1 out of 1 points
As the United States moves toward the implementation of an
interoperable EHR, which statement about the future “ownership” of the
patient record is appropriate?
Selected
Answer:
b.
Ownership may be driven by who has control and access
to the data.
Response
Feedback:
Traditional medical records have always been the property of
the service institution, but this may not be true in the future.
Consumer consent is required for health professionals to
retrieve or share patient records to ensure personal
information is not accessed inappropriately. Ultimately,
ownership may be driven by who has control and access to
the data.
Question 8
1 out of 1 points
Which would be considered a niche application?
Selected
Answer:
c.
Surgical information system
(SIS)
Response
Feedback:
Some examples of specialty department niche systems
include perioperative or surgical services, maternity care,
neonatal intensive care, and the emergency department. The
LIS is an ancillary system. CPOE and CDSS are basic
components of the EHR.
Question 9
1 out of 1 points
Public health systems have implemented vocabulary and messaging
standards, are used to make public health decisions in a clinical setting,
and provide data for public health policy. One of the best examples of a
public health system that does all of these is:
Selected
Answer:
b.
immunization information
systems.
Response
Feedback:
Immunization information systems exemplify public health
systems that implement vocabulary and messaging
standards, that are used to make public health decisions in a
clinical setting, and that provide data for public health policy.
The others lack one or more of the stated elements.
Question 10
1 out of 1 points
What is the most important element for operationalizing and ensuring
telehealth acceptance by providers?
Selected
Answer:
c.
Trainin
g
Response
Feedback:
Training is one of the most important elements in the
acceptance of telehealth by providers. The remaining
responses, although relevant, are not important drivers of
acceptance.
Question 11
1 out of 1 points
Which government organization manages the largest telehealth program
in the United States as of this writing?
Selected
Answer:
b.
Department of Veterans
Affairs
Response
Feedback:
The Department of Veterans Affairs manages the largest
telehealth program in the United States. The remaining
responses are incorrect.
Question 12
1 out of 1 points
What technology has been described as the next frontier for home health
and related community-based systems?
Selected
Answer:
d.
CD
S
Response
Feedback:
Clinical decision support (CDS) systems may be the next
frontier for home health and related community-based
systems. CDS systems are applications that analyze data
and help providers make clinical decisions.
Question 13
1 out of 1 points
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?
Selected b.
Answer: Nursing/clinical documentation (flow sheets) and clinical
decision support
Response
Feedback:
Stage 1 includes the installation of ancillaries (lab, radiology,
pharmacy). Stage 2 includes clinical data repository (CDR),
controlled medical vocabulary, and clinical decision support
system (CDSS) and may also include document imaging and
health information exchange. Stage 3 would require clinical
documentation (flow sheets), CDSS (error checking), and a
picture archiving system (PACS) available outside radiology.
Question 14
1 out of 1 points
The development of telemedicine and telehealth across state lines has
been most hampered by:
Selected
Answer:
c.
the need to obtain licenses to practice in each state in
the network.
Response
Feedback:
Regulating the delivery of healthcare services is the domain
of each individual state. A medical professional who is
licensed in one state may not be legally permitted to practice
his or her profession in another state without getting a
license there as well.
Question 15
1 out of 1 points
Why have most clinical decision support (CDS) systems not shown to
significantly impact patient outcomes in clinical trials, despite the fact that
a majority of systems have been shown to significantly improve care
processes?
Selected
Answer:
b.
Many CDS system evaluation trials are underpowered to
detect changes in care outcomes.
Response
Feedback:
The sample sizes of many CDS system evaluation studies
were too small or conducted with too short of a time period
to detect changes in care outcomes.
Question 16
1 out of 1 points
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?
Selected
Answer:
b.
Barcoding
system
Response
Feedback:
A closed-loop medication management system would
connect the pharmacy system to the CPOE, eMAR, and
barcoding systems.
Question 17
1 out of 1 points
The migration of informatics and telehealth toward uHealth means:
Selected
Answer:
c.
ecosystems of interoperable technologies and services
organized to meet global patients’ needs in a ubiquitous
manner.
Response
Feedback:
The migration of informatics and telehealth toward uHealth
means ecosystems of interoperable technologies and
services will be organized to meet global patients’ needs in
a ubiquitous manner.
Question 18
1 out of 1 points
Which system is recommended as a method to address patient safety and
reduce errors that occur during the actual administration of medicines?
Selected
Answer:
b.
Barcode medication administration
(BCMA)
Response
Feedback:
Barcode medication administration (BCMA) is a method used
to address patient safety and reduce errors that occur during
the actual administration of medicines. CPOE is used to
decrease transcription errors during the ordering process.
ePrescribing is also used by the physician to order the
medication (not administer). The eMAR is used to document
the medications that are given.
Question 19
1 out of 1 points
Materials management in the healthcare environment involves all of the
following EXCEPT:
Selected
Answer:
b.
logistics management and
pipelines.
Response
Feedback:
Materials management is a subset within supply chain
management that focuses on the storage, inventory and
quality control, and operational management of supplies,
pharmaceuticals, equipment, and other items used in the
delivery of patient care or managing the patient care system.
Logistics involves the flow of goods and services from the
point of origin to the point of consumption and thus falls
outside the realm of materials management.
Question 20
1 out of 1 points
All of the following are core functions of public health except:
Selected
Answer:
d.
treatme
nt.
Response
Feedback:
Public health is focused on prevention and the health of
populations before they are injured or ill; clinical care, not
public health, involves treating individuals.
Question 21
1 out of 1 points
Financial reporting is a vital part of decision making in healthcare
organizations. Which report would be used to show a snapshot of the
bottom line?
Selected
Answer:
a.
Income statement or statement of
operations
Response
Feedback:
Income statements reflect the following formula: revenue –
expenses = profit. This is often referred to as the bottom
line. The balance sheet, on the other hand, reflects an
organization’s assets, liability, and equity.
Question 22
1 out of 1 points
Which statement is not part of the Ten Commandments of CDS?
Selected
Answer:
a.
Alerting is the most effective approach
to CDS.
Response
Feedback:
The Ten Commandments of CDS include speed is everything,
fit into the user’s workflow, and ask for additional information
only when you really need it. Alerting may not be the most
effective approach to CDS as it may cause alert fatigue, so it
is not one of the Ten Commandments of CDS.
Question 23
1 out of 1 points
As EHR adoption expands to include data from multiple healthcare
entities, more opportunities for error exist. Which process can affect data
integrity?
Selected
Answer:
d.
System
failure
Response
Feedback:
Data integrity refers to the accuracy and consistency of
stored and transmitted data that can be compromised when
information is entered incorrectly, deliberately altered, or the
system protections are not working correctly or suddenly fail.
Question 24
1 out of 1 points
A financial information system (FIS) includes:
Selected
Answer:
b.
accounts receivable management, accounts payable
management, and fiscal reporting management.
Response
Feedback:
FISs are not involved with the clinical management of care.
Accounts receivable management, accounts payable
management, and fiscal reporting management are financial
management processes and included in an FIS.
Question 25
1 out of 1 points
The public health supply chain needs to evolve to an information ecology
approach. This would involve:
Selected
Answer:
d.
being partners with others to receive, reuse, and
republish data.
Response
Feedback:
Information ecology involves the reuse and
sharing of data.
