Electronic Health Records Management
Textbook Exam Questions
Course Introduction
Electronic Health Records Management explores the principles, practices, and technologies involved in the creation, maintenance, and security of digital patient health records. The course covers topics such as data entry standards, interoperability, compliance with legal and ethical guidelines, workflows for health information exchange, and strategies for ensuring data privacy and security. Students will examine the roles of EHR systems in improving patient care, operational efficiency, and healthcare analytics, as well as challenges such as system implementation, user training, and adapting to evolving regulatory requirements. Through practical exercises and case studies, learners gain a comprehensive understanding of managing electronic health information in contemporary healthcare environments.
Recommended Textbook
Health Information Management of a Strategic Resource 4th Edition by
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17 Chapters
1064 Verified Questions
1064 Flashcards
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Page 2
Mervat Abdelhak
Chapter 1: Health Care Systems
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77 Verified Questions
77 Flashcards
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Sample Questions
Q1) Which of the following was the impetus for the accreditation of medical schools initiated by the American Medical Association?
A) Flexner Report
B) Papyri documents
C) Hippocratic oath
D) Hospital standardization program
Answer: A
Q2) Which term refers to a health care organization's ability to provide a full range of health care services from the least acute to the most acute?
A) Continuum of care
B) Comprehensive care
C) Managed health care
D) Health care maintenance
Answer: A
Q3) A health care system comprising of two or more hospitals that are owned, managed, or leased by a single organization is called a(n)
Answer: integrated delivery health care system
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Chapter 2: The Health Informatics and Information Management
Profession
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Sample Questions
Q1) Elevating the standards for clinical records was the mission of the first organization of medical record librarians.
A)True
B)False
Answer: True
Q2) Health record documentation is influenced by governmental agencies such as Medicare and Medicaid.
A)True
B)False
Answer: True
Q3) Essentials for health information education programs are monitored by American Health Information Management Association in collaboration with the Joint Commission.
A)True
B)False
Answer: False
Q4) The first medical record organization was founded in 1938.
A)True
B)False
Answer: False
Page 4
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Chapter 3: Health Information Infrastructure and Systems
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) Ensure public health
A)Providers
B)Researchers
C)Payers
D)Policy makers
E)Regulators
F)Providers and researchers
G)Providers, researchers, and regulators
H)Providers, payers, and policy makers
Answer: G
Q2) Consolidated Health Information Initiative participants include the Department of Veterans Affairs, the Centers for Medicare and Medicaid, the Centers for Disease Control and Prevention, the Department of Defense, and the National Institutes of Health.
A)True
B)False
Answer: True
Q3) List two benefits of using health information technology applications.
Answer: Improved quality of care, better patient access, improved patient satisfaction, increased system efficiencies
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Page 5
Chapter 4: Health Data Concepts
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Sample Questions
Q1) Name a data element comprising socioeconomic data.
Q2) OASIS
A)Data set for tracking the mix of patients in managed care
B)Comprehensive assessment of a long-term care patient
C)Data content standard by ASTM
D)Data set for hospitals used by federal and state agencies for billing
E)Agency that collects vital statistics data
F)Database supportive of health care policy and research
G)Agency that collects reportable morbidity information of public interest
H)Data set for ambulatory care
I)Agency that accredits rehabilitation organizations
J)Data set for home health care
K)Agency that encourages the use of guidelines to improve healthcare
L)Data set for long-term care
Q3) Which data type is the following: physician notified of patient fall out of bed (Yes/No)?
A) Narrative
B) Logic
C) Categorical
D) Text
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Chapter 5: Electronic Health Record Systems
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Sample Questions
Q1) Which is a communication system?
A) Electronic mail
B) Expert
C) Point of care
D) Encoder
Q2) Computerized health information systems have demonstrated a reduction in health care costs.
A)True
B)False
Q3) Internet-derived technologies are used in applications that communicate:
A) Between individuals in separate organizations using the public transport.
B) Between individuals and published Web sites of all kinds using public transport.
C) Internal and external applications using public transport and institutional Intranets.
D) All of the above.
Q4) Name one use of secondary data.
Q5) Successful selection and implementation of electronic health records requires that key barriers be addressed. Identify three barriers.
Q6) Contrast a decision-support and an executive information system.
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Chapter 6: Classification Systems, Clinical Vocabularies, and Terminology
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Sample Questions
Q1) Which of the following would require a Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) code?
A) Hospital ambulatory surgery visit
B) Hospital outpatient visit for removal of stitches
C) Both a and b
D) None of the above
Q2) Variations in inpatient and outpatient coding rules do not affect the clinical usefulness of the data.
A)True
B)False
Q3) The Healthcare Common Procedure Coding System Common Procedural Coding System contains levels of codes.
A)True
B)False
Q4) Logical Observation Identifiers Names and Codes (LOINC) uses naming standards to organize and retrieve data.
A)True
B)False
Page 8
Q5) List the five axes used by the LOINC naming nomenclature.
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Chapter 7: Technology, Applications, and Security
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Sample Questions
Q1) Clinical context object workstation (CCOW) is specifically mentioned in the Health Insurance Portability and Accountability Act (HIPAA) Security Rule.
A)True
B)False
Q2) Explain the differences between a data mart and a data repository.
Q3) List three functions that an ADT system can support.
Q4) Each wireless network has a service set identifier.
A)True
B)False
Q5) Give an example of a type of document that would be found on an organization's Intranet.
Q6) Standard query language (SQL) is a type of database model. A)True
B)False
Q7) What are the typical five roles defined in role-based access control (RBAC)?
Q8) What is the hierarchical model effective for?
Q9) Explain what S-HTTP refers to.
B)False Page 9
Q10) Frames are required to be in each Web page containing health information. A)True
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Page 10
Chapter 8: Information Systems Life Cycle and Project Management
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Sample Questions
Q1) Which of the following describes the process of installing and starting up a system in all organization units at the same time?
A) Gradual phase-in by unit
B) Gradual roll-out by unit
C) Abrupt changeover
D) Gradual changeover
Q2) Which of the following best describes cost-effectiveness evaluation?
A) Attempts to evaluate beneficial consequences in nonmonetary terms
B) Determines the costs to operate a current system
C) Assigns dollar values to the costs and benefits of a system
D) Determines whether a system will fully recover its cost
Q3) Which of the following system startup approaches is most risky?
A) Gradual phase-in of each application in selected organizational units
B) Gradual phase-in of all applications across the organization
C) Abrupt changeover from one system to another
D) Total phase-in of all applications in one unit at a time
Q4) Attributes describe both entities and relationships in a database.
A)True
B)False
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Chapter 9: Managing Electronic Health Record Systems:
Collaboration and Implementation
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Sample Questions
Q1) Frequent users of an electronic health record system will likely get to know how to use the system better than information systems staff.
A)True
B)False
Q2) List three reasons why the "go live" period is typically stressful.
Q3) Operational workflow planning is the purview of the system users.
A)True
B)False
Q4) User expectations of what the system will do should match the information systems staff's expectations.
A)True
B)False
Q5) Who drives and defines the implementation process?
Q6) Trust is essential for the success of a major systems project.
A)True
B)False
Q7) Why is system testing a by users a big deal? An important task?
Page 12
Q8) List three examples of improvements that could be measured in an electronic health record (EHR) implementation.
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Chapter 10: Statistics and Data Presentation
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Sample Questions
Q1) What is the term for the number of new cases of a disease?
A) Incidence
B) Prevalence
C) Attack rate
D) Spectrum of disease
Q2) A type I error is when the researcher:
A) Accepts the null hypothesis when it is false
B) Rejects the null hypotheses when it is true
C) Accepts the alternative hypothesis
D) Both a and b
Q3) In an 800-bed health care facility during the month of January the total inpatient days for adults were 13,500. What was the percentage of occupancy?
A) 54.9%
B) 54.4%
C) 60%
D) 55.4%
Q4) ____________________ is a measure of how often data are classified in the same manner.
Q5) The ____________________ is the average number of observations.
Q6) A whole number divided in 100 parts is a ____________________.
Page 14
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Chapter 11: Research and Epidemiology
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Sample Questions
Q1) The incidence rate of the exposed group divided by the incidence rate of the unexposed group is the formula to determine the:
A) Relative risk
B) Odds ratio
C) Incidence
D) Prevalence
Q2) Used when researcher has loss of subjects
A)Cross-sectional study
B)Descriptive study
C)Analytic study
D)Case-control study
E)Odds ratio
F)Relative risk
G)Prospective study
H)Clinical trial
I)Life-table analysis
J)Outcome measures
Q3) The hypothesis is an opinion or value judgment.
A)True
B)False
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Chapter 12: Performance Management and Patient Safety
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Sample Questions
Q1) Failure mode and effects analysis is a useful tool for:
A) Cost analysis
B) Clinical practice management
C) Risk analysis
D) Lean thinking
Q2) The six sigma approach was introduced by:
A) Honda.
B) Motorola.
C) Xerox.
D) Leapfrog Group.
Q3) The "best" process solutions often are the quickest fixes, those that can be implemented in a short time period.
A)True
B)False
Q4) Which hospital department often is responsible for monitoring patient incident data?
A) Social services
B) Patient accounting
C) Infection control
D) Risk management
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Chapter 13: Data Reporting, Interpretation, and Use
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Sample Questions
Q1) Which of the following cases is ineligible for inclusion in the hospital-based cancer registry?
A) Patient admitted to hospice care
B) Patient receiving planned therapy
C) Patient who was diagnosed elsewhere and is receiving part of therapy elsewhere
D) Both a and c
Q2) What is the required follow-up rate for approved hospital cancer programs?
A) 60%
B) 75%
C) 80%
D) 90%
Q3) To provide a randomly sample of cases for quality control review, the registrar selects cases from:
A) The follow-up file.
B) The cancer case file.
C) The accession register.
D) The physician attending register.
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Chapter 14: Privacy and Health Law
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Sample Questions
Q1) Referring to the scenario below, would you agree that the defendant is more likely to win this case because the doctrine of res ipsa loquitur probably does NOT apply here?
Assume that at a medical malpractice trial alleging postoperative infection exactly 50% of the evidence favors the plaintiff and 50% of the evidence favors the defendant physician and hospital. Among the defendant's evidence is some indication that the patient did not comply with postoperative care instructions, including taking antibiotics to fight infection.
A) Yes
B) No
Q2) Referring to the information given, who retains the burden of proof if the doctrine of res ipsa loquitur does not apply? Assume that at a medical malpractice trial alleging postoperative infection exactly 50% of the evidence favors the plaintiff and 50% of the evidence favors the defendant physician and hospital. Among the defendant's evidence is some indication that the patient did not comply with postoperative care instructions, including taking antibiotics to fight infection.
A) Defendant
B) Plaintiff
C) Both a and b
D) Neither a nor b
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Chapter 15: Human Resource Management
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Sample Questions
Q1) The 2009 Act named for Lilly Ledbetter - a retired Goodyear Tire employeeaddresses which of the following issues in the workplace?
A) Equal treatment under the law
B) The statute of limitation for filing a discrimination claim under the Equal Pay Act
C) Racial and religious freedoms
D) All of these
Q2) All the following statements are true of effective employee recruitment EXCEPT: A) Recruitment targets should be based on human resource supply and demand analysis.
B) The most cost-effective form of recruitment for any health care position is local newspaper advertisement.
C) Recruitment should be evaluated for its costs and benefits like any other human resources management functions.
D) Yield analysis is one quantitative method of evaluating the relative effectiveness of various recruitment activities.
Q3) Why must every organization have a complaint or grievance procedure?
Q4) What is the primary purpose of a progressive preventive disciplinary process?
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Chapter 16: Operational Management
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Sample Questions
Q1) A statistical report of the quarterly clinical record review that contains errors and needs to be redone would be counted as a "productive unit of work."
A)True
B)False
Q2) The color red is rarely used in offices because it can cause headaches and increase blood pressure.
A)True
B)False
Q3) Work sampling using random observations is effective because:
A) Data are obtained with less time and expense.
B) The employee gets the manager's attention.
C) The manager can see whether work is distributed equitably.
D) It interrupts the normal work routine for shorter periods of time.
Q4) The task of strategic planning in an organization would most likely be completed by:
A) Top management.
B) Middle managers.
C) Consultants.
D) Supervisors.
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Chapter 17: Revenue Cycle and Financial Management
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Sample Questions
Q1) Balance sheet numbers are used in computing liquidity and capitalization ratios.
A)True
B)False
Q2) Referring to the information given, compute the current ratio.
Q3) In the process of calculating the net cash outflow, equipment depreciation was considered an outflow. Do you agree?
A) Yes
B) No
Q4) What is the purpose of a budget?
Q5) Why is the cash budget so important in managing a health care institution?
Q6) Performance ratios use data from the statement of revenues and expenses.
A)True
B)False
Q7) Which financial statement depicts the financial condition of an organization as of one date in time?
Q8) The predicted cost for two new full-time employees to operate the Health Information Imaging Service for physician offices would be included in the ____________________ budget.
Q10) What does it mean to say that a cost is direct? Page 21
Q9) Under what conditions would you advocate developing a flexible budget?
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