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PREASSESSMENT: TECHNOLOGY APPLICATIONS IN HEALTHCARE PKFC Attempt #1 Status: Not Passed

1. 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, and the receiving nurse wishes to see the documentation for any pain medication given by the previous nurse. The leadership has not achieved meaningful use stage 2 yet. Which point of care system software will improve communication?

YOUR ANSWER

CORRECT ANSWER

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

2. 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? YOUR ANSWER

Local area network Open source software Interoperability protocols Clinical workow analysis

CORRECT ANSWER

3. Leadership at a healthcare organization implements a new electronic healthcare record system without performing appropriate workow 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?

YOUR ANSWER

CORRECT ANSWER

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

4. A health center attempted to update its electronic health record processes to reduce medication errors. However, this implementation did not appear to affect the medication error rate. Which two systems should be used to evaluate the impact on the error rate? Choose 2 answers  YOUR ANSWER

Risk management incident system Granular risk management system Computerized physician order entry system Picture archives and communication system

5. 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).

CORRECT ANSWER

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

CORRECT ANSWER

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

6. A hospital realizes patients are expecting access to personal health records on demand. In response, they want to build a mobile health application that would be widely adopted and meet the needs of the majority of the patients. Which feature of the mobile healthcare application should be the focus to meet these goals?

YOUR ANSWER

CORRECT ANSWER

Speed and accuracy Security and ease of use Designed for use on specic devices Immediate use of emerging platforms

7. As part of an enterprise implementation of a new electronic health record, a healthcare organization decides to migrate 10 years of legacy data from the previous system into a cloud. What are two benets to this organization by doing this? Choose 2 answers 

YOUR ANSWER

CORRECT ANSWER

YOUR ANSWER

CORRECT ANSWER

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

8. 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? YOUR ANSWER

CORRECT ANSWER

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

9. A patient diagnosed with cancer is searching the Internet for more information about the condition. Which website would be helpful to this patient? YOUR ANSWER

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

CORRECT ANSWER

10. The agendas of providers, case managers, and the administrative support staffwithin the healthcare systemcreatesforacompetitivepriority.  Whichinformation technology integration offers balance?

YOUR ANSWER

CORRECT ANSWER

YOUR ANSWER

CORRECT ANSWER

Workowintegration Centralized integration Wrap-around integration Patient managementintegration

11. Afacility that meets Meaningful Use Stage 2 will have implemented a patient portal.  Which advantage can the facility expect from increased patient engagement?

Improved health literacy Decreasedofce visits Streamlined check-in process Decreased labs and radiology services

12. The managers at a healthcare organization are trying to improve service to their patients. They need to use the best suited software to retain existing patients and attract new patients. Which system should be used? YOUR ANSWER

CORRECT ANSWER

YOUR ANSWER

CORRECT ANSWER

EHR DSS CRM CPOE

13. An orthopedic hip replacement patient has a ve-day stay and is discharged home. The patient calls the hospital's medical affairs ofce with concerns about the care provided by the nurses on the orthopedic care unit. Which system should be used to document this complaint? YOUR ANSWER

CORRECT ANSWER

Electronic medical record Administration complaint log system Electronic discharge system software Customer/patient relationship management system

14. A chief nursing ofcer 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? YOUR ANSWER

EMR follow-up call module Customer risk management software

CORRECT ANSWER

YOUR ANSWER

CORRECT ANSWER

Customer relationship management software Administrative services complaint spreadsheet

15. A leader of a steering committee at a local hospital is overseeing the implementation of a computerized physician order system. In addition, the team leader is working with the marketing department to advertise the benets of the system to providers who may be hesitant to embrace the new technology. What is one benet to providers?

YOUR ANSWER

CORRECT ANSWER

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

16. Duringthetransition process to a new electronic health record (EHR) system, administration expects benets and challenges to the current patient care process.  Which twonancial challenges are a direct result of the change process? YOUR ANSWER

Productivity Outpatient revenue Staff burnout  Identifying super users

CORRECT ANSWER

17. 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?

YOUR ANSWER

CORRECT ANSWER

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

18. 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? YOUR ANSWER

CORRECT ANSWER

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

19. A hospital was contacted to join a community-based health information exchange (HIE). During the initial meeting, representatives from the IT department discussed the system requirements. The team's goal is to make sure that data integrity and timeliness is ensured. Which standard will support the accomplishment of this goal?

YOUR ANSWER

CORRECT ANSWER

HL7 HIPAA LOINC SNOMED

20. A physician’s ofce 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 ofce system, and results must be entered into the patient records manually by the staff at the physician’s ofce. Why is this scenario a concern? YOUR ANSWER

CORRECT ANSWER

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

21. To create an integrated healthcare delivery system, a hospital formed linkages with other healthcare entities such as physicians, insurers, and providers. What is a benet of this system to the patient? YOUR ANSWER

Shared risk Eliminated cost shifting

CORRECT ANSWER

YOUR ANSWER

CORRECT ANSWER

Increased quality of care Decreased unnecessary resource use

22. To create an integrated healthcare delivery system, a hospital formed linkages with other healthcare entities such as physicians, insurers, and providers. What is a benet of this system to the provider? YOUR ANSWER

CORRECT ANSWER

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

23. A patient is curious about medical information security and asks a physician group for accurate, simple statements that will explain HIPAA. Which statement satises the patient’s request? YOUR ANSWER

Related entities must request data through a health information exchange. Patient data can be shared if patient identity is masked with an encrypted code. Patients must sign an agreement with the provider limiting the release of information to other providers. Related entities must have an agreement with the patient to release information on a need-to-know basis.

CORRECT ANSWER

24. In a rural hospital, psychiatric services are not available. The doctor decides to order a telepsych consult from a psychiatric hospital on a patient with a long history of depression who is being seen for inuenza A with IV antibiotics. What is a benet of contacting this psychiatrist?

YOUR ANSWER

CORRECT ANSWER

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.

25. 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? YOUR ANSWER

CORRECT ANSWER

Open-source licensing costs Identication 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

26. Which executive leader is responsible for managing the data, technology, end-users, and functional task components during the implementation of an information system?

YOUR ANSWER

CORRECT ANSWER

CIO CFO CEO CMO

27. A healthcare facility has recently upgraded their system so physicians can access electronic health records remotely. The administration is concerned about the security of BYOD (bring your own device). How can this risk be managed? YOUR ANSWER

CORRECT ANSWER

Add rewalls Lock down ports Assign hospital-owned devices Establish authentication protocols

28. 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?

YOUR ANSWER

Include end users in the planning process Determine the appropriate training program Perform a workow analysis during planning

CORRECT ANSWER

YOUR ANSWER

CORRECT ANSWER

Train the entire group of end users at one time

29. 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? YOUR ANSWER

CORRECT ANSWER

Problem list Patient portal Provider notes Clinical summary

30. Providers at a medical clinic are frustrated about needing to remain at the ofce 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?

YOUR ANSWER

Patient portal Decision support Voice messaging Clinical summary

31.

CORRECT ANSWER

Northeast Regional Hospital, a state-owned institution, is facing severe nancial cutbacks due to the nancial recession in its home state. Senior executives propose that adopting certain software applications may result in substantial nancial savings. What is a critical success factor for computerized physician order entry system implementation in this case?

YOUR ANSWER

CORRECT ANSWER

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

32. 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? YOUR ANSWER

CORRECT ANSWER

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

33. Following the decision to proceed with a picture archiving and communication system installation, an organization will conduct a needs assessment. What is required as part of this assessment?

YOUR ANSWER

CORRECT ANSWER

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

34. 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 fulll data retrieval requirements. Which method will allow this access with the least risk? YOUR ANSWER

CORRECT ANSWER

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 les and store at a document storage facility Power down systems and return to service when needed for data access

35. Given the following helpdesk prioritization graphic for an organization:

The chief information ofcer’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? YOUR ANSWER

CORRECT ANSWER

Priority 1 Priority 2 Priority 3 Priority 4

36. Which system is responsible for the storing, archiving, digitizing, and delivering radiology images? YOUR ANSWER

CORRECT ANSWER

LIMS PACS CDSS DICOM

37. 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?

YOUR ANSWER

Pharmacy rell 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

CORRECT ANSWER

38. 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?

YOUR ANSWER

CORRECT ANSWER

Amount of cash ow Number of medication errors Amount of paper and ofce supplies purchased Number of billing and coding full-time employees

39. 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? YOUR ANSWER

CORRECT ANSWER

Recommend the accommodation of the eMAR project Accept the project and tell staff to t 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

40. 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 ofcer (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?

YOUR ANSWER

CORRECT ANSWER

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.

41. A healthcare organization is implementing a patient portal to improve communication with providers. The board has approved a vendor, and the purchase and acquisition will occur in the next quarter. The vendor has completed the feasibility analysis and the initial system testing. What should be this organization's next step to effectively implement this system?

YOUR ANSWER

CORRECT ANS...