Electronic Health Records Multiple Choice Questions

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Electronic Health Records

Multiple Choice Questions

1. What is the catalyst that created the need of electronic health records (EHRs)? 

A. Improvement of the health insurance industry.
B. Improvement of patient medical care.
C. Improvement of the work place for healthcare professionals.
D. The advancement of computer technology.


2. In what decade were some of the first electronic medical record systems developed? 

A. 1960s
B. 1970s
C. 1980s
D. 1990s


3. What information is more available to doctors because of the inception of EHRs? 

A. Drug dosages
B. Side effects
C. Allergies
D. All of these


4. What is one advanced method used to input data into an EHR? 

A. Typing with a keyboard.
B. Use an iPod.
C. Use a voice recognition system.
D. Use of a transcriptionist.


5. What are the large bodies of preset text known as? 

A. Cut and paste
B. Templates
C. Text messages
D. Tap and Go™

6. Which of the following features is not a positive attribute of EHRs? 

A. Enhanced accessibility to clinical information
B. Improved patient safety
C. Increased quality of patient care
D. Decreased efficiency and savings


7. Which advancement in technology has brought greater mobility to healthcare providers? 

A. Handheld computers
B. Wireless connectivity
D. All of these


8. What is the definition of EHR? 

A. Software with a full range of functionalities to store, access, and use patient medical information.
B. The time and place of care being given to the patient from the health-care provider.
C. A portable, handheld computer, with the ability to document directly on the screen with a stylus pen.
D. Software capable of voice recognition systems to document patient health insurance information.


9. Which of the following is a barrier to the implementation of EHR? 

A. Lack of standards
B. E-prescribing options
C. Identified ROI
D. Increased patient safety


10. President Obama's 2009 stimulus package to fund EHR is known as: 

A. American Reimbursement and Recovery Act
B. American Reinvestment and Recosting Act
C. American Recovery and Reinvestment Act
D. American Reinvestment and Reimbursement Act

11. In what way does the use of EHR affect the practice of transcription? 

A. Transcription needs increase because providers do not have time to enter data into EHRs.
B. Transcription needs decrease because data entry at the point of care eliminated dictated records.
C. There is no change in the practice of transcription as a result of implementation of EHR.
D. None of these.


12. Which technologies have increased the availability of medical databases that can be accessed across large distances? 

A. Internet
C. Smart phones
D. None of these


13. When might internet technologies benefit a health-care provider? 

A. When accessing their EHR from a hospital.
B. When accessing their EHR from a nursing home.
C. When accessing their EHR from a home office.
D. All of these


14. Computer programs focused on fiscal management are known as: 



15. When computer data is changed from its original form to be transmitted securely it is: 

A. coded
B. encrypted
C. disguised
D. changed

16. Which of the following is not a benefit of EHR? 

A. Little or no training necessary
B. Enhanced access to clinical information
C. Improved patient safety
D. Decreased medical errors


17. EMR is an abbreviation for which of the following? 

A. Electronic Medical Record
B. Emergency Medical Record
C. Electronic Medical Resource
D. Electronic Method of Recording


18. What was one of the first terms used to conceptualize the idea of an EHR? 

A. Computer-Based Medical Record
B. Electronic Medical Computer
C. Medical-Based Computer
D. Computer-Based Patient Record


19. Which term refers to the ability of a software program to accept, send, or communicate data from its database to other software programs from multiple vendors? 

A. Continuity of health-care records
B. Interprobability
C. Interoperability
D. Operational continuity


20. What is the difference between an electronic medical record and a computerized patient record? 

A. An electronic medical record does not necessarily contain a patient's lifetime record and does not include dental, behavioral, or alternative care.
B. There is no difference.
C. A computerized patient record does not necessarily contain a patient's lifetime record and does not include dental, behavioral, or alternative care.
D. A computerized patient record contains patient data on allergies and drug interactions; an electronic patient record does not.

21. Which of the following is a feature of the EHR? 

A. Personal Health Record
B. Continuity of Care Record
C. Application Server Provider
D. Personal Care Record


22. The CCR is designed to be neutral concerning which parties? 

A. vendor, intranet
B. technology, patient
C. vendor, technology
D. technology, internet


23. Which of the following is considered a subset of the EHR? 

C. Both CCR and CCD
D. Neither CCR nor CCD


24. PHR is an acronym for which term? 

A. Personnel Health Record
B. Public Health Record
C. Personal Health Review
D. Personal Health Record


25. CCR is an acronym for which term? 

A. Credence Clearwater Revival
B. Continuity of Care Record
C. Continuity of Clinical Records
D. Computer Care Record

26. The PHR allows patients to do all of the following except: 

A. schedule appointments
B. request medication refills
C. access other patient records
D. access their lab or radiology results


27. Which of the following allows a patient to make inquiries to their health-care provider? 

C. Touch and Go
D. Voice recognition systems


28. Which president outlined a 10- year plan that would ensure most Americans to have electronic health records? 

A. Barack Obama
B. George W. Bush
C. Bill Clinton
D. Ronald Reagan


29. Which of the following could have been a reason for the lack of EHR implementation in the 1990s? 

A. Doctors perceived EHRs were difficult to operate.
B. Programs offered different features therefore data exchange was difficult.
C. Unknown cost and ROI.
D. All of these.


30. The cost of an EHR includes: 

A. The software purchase price, additional computer hardware, and training of staff
B. Customization of the system, ongoing technical support, system maintenance, and future program upgrades
C. All of these
D. None of these

31. ROI is an acronym for which term? 

A. Return on Income
B. Return on Investment
C. Record of Income
D. Record of Investment


32. In an address to Congress, which of the following is credited with stating, "Our recovery plan will invest in electronic health records and new technology that will reduce errors, bring down costs, ensure privacy, and save lives?" 

A. Barack Obama
B. George W. Bush
C. Bill Clinton
D. Ronald Reagan


33. What percentage of patients in the United States receives medications because of e-prescribing? 

A. 26%
B. 46%
C. 66%
D. 100%


34. Why did health-care providers perceive EHR systems to lack safety? 

A. The electronic medical record could be altered without his or her knowledge.
B. Because of possible power outages.
C. Because of possible computer "crashes".
D. All of these.


35. When did Congress enact the Medicare Improvements for Patients and Providers Act (MIPPA)? 

A. July 15, 2007
B. July 15, 2008
C. July 15, 2009
D. July 15, 2010

36. What percentage of private practice physicians are in the small- to medium-sized market group? 

A. 60%
B. 70%
C. 80%
D. 90%


37. What institute recognized the benefits of the EHR and in 1991 summoned their implementation? 

A. Institute of Medicine
B. Institute of Scientific Medicine
C. Institute of Biomedicine
D. The Medical Institute


38. In what year will Medicare begin payments to providers for implementation of EHR? 

A. 2001
B. 2011
C. 2015
D. 2010


39. In 2004 President George W. Bush commented: 

A. "By computerizing health records, we may create a dangerous threat to the healthcare industry."
B. "By computerizing health records, our country will increase our national debt."
C. "By computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care."
D. President Bush did not comment on EHRs.


40. In 2004, President Bush outlined a plan to ensure most Americans would have EHRs within how many years? 

A. 20
B. 15
C. 12
D. 10

41. All of the following are benefits of implementing EHRs except: 

A. Access to a patient's medical information is available at the patient's point of care.
B. The health-care provider can easily be informed of past medical history and family medical history.
C. EHRs are more time-consuming than paper charts.
D. The health-care provider can easily be informed and access immunization records.


42. Which of the following can be eliminated with the use of EHRs? 

A. Doctors
B. Clerical and clinical staff
C. Handwritten notes, orders, and prescriptions
D. All of these


43. What is one benefit of an EHR over paper charts? 

A. EHR is centralized.
B. EHR can become cluttered.
C. Paper charts are always more accessible than EHR charts.
D. EHR cannot be accessed off site.


44. Who will provide incentive payments to doctors for using a certified EHR product and demonstrating meaningful use? 



45. With the use of EHRs, drug recalls are handled efficiently because 

A. The EHR sends automated notices to patients using recalled prescription medications.
B. They can document which patients currently use specific medications.
C. The EHR sends automated notices to patients using recalled prescription medications and can document which patients currently use specific medications.
D. None of these are correct.

46. A paper chart environment is less efficient and likely to produce errors because 

A. Illegible handwriting leads to misinterpretations of orders and prescriptions
B. Paper records are often mislaid resulting in backtracking and searching
C. Misfiled records cost time and money
D. All of these are reasons that paper charts are less efficient and likely to produce errors.


47. In which of the following ways does the implementation of EHRs affect the repetition of labs and tests? 

A. Increases
B. Decreases
C. No net effect
D. None of these


48. What is the cost trend associated with chart pull when hospitals utilize EHR technology? 

A. More expensive than paper chart pulls
B. Less expensive than paper chart pulls
C. No change in cost noticed between paper and EHR chart requests
D. None of these.


49. Which of the following describes a method in which EHRs enhance communication between providers and their staff? 

A. Instant messaging
B. Text messaging
C. Digital dictation
D. Voice recognition


50. With the use of EHR, how much can providers save with the elimination of transcription needs? 

A. $300-$1000/day
B. $300-$1000/week
C. $300-$1000/month
D. $300-$1000/year

51. Which of the following identifies a reason why smaller practices demonstrate reluctance in the adoption and use of EHRs? 

A. Cost of software and hardware
B. Task of data entry
C. Change resistance
D. All of these


52. Which of the following errors potentially are eliminated with the implementation of EHR technology? 

A. Medication
B. Transcription
C. Both of these
D. None of these


53. Which of the following describes a person admitted to a healthcare facility to stay overnight for an indeterminate amount of time? 

A. Inpatient
B. Impatient
C. Outpatient
D. Discharge


54. Software content created in a language common and accessible by all EHR is referred to as: 

A. Positive
B. Negative
C. Neutral
D. Expensive


55. Which of the following Internet companies launched patient portals to enable the general public to store and update their own medical records? 

A. WebMD
B. Yahoo!
C. Microsoft
D. All of these

56. What is the estimated percentage of the population that has accessed a Web-based Model of the EHR? 

A. 3%
B. 5%
C. 7%
D. 9%


57. In what way does the use of a stylus affect the process of data entry in an EHR? 

A. Increases the time needed for data entry because using a stylus is similar to writing with a pen in a paper chart.
B. Decreases the time needed for data entry because the stylus is used to tap entries in a template, increasing the efficiency of documentation.
C. All of these
D. None of these


58. Enacted by Congress in 2008, this legislation increases benefits to low-income beneficiaries and other vulnerable areas of the population. 



59. Which of the following is defined as handheld mobile device that functions as a personal information manager? 


60. Which of the following represents the measure, expressed as a percentage, which a company earns as the result of investing money to make a purchase? 

A. Profit
B. Loss
C. Gain
D. Return on investment


61. What is the name of a set of standards, services, and policies that enable secure health information exchange over the Internet? 

A. National Health Information Network
B. Health Information Exchange
C. Health Information Portability and Accountability Act


62. Which is a part of the federally funded insurance program that covers medical providers' supervision, outpatient hospital care, diagnostic tests, and other ambulatory services? 

A. Medicaid
B. Medicare Part A
C. Medicare Part B
D. Medigap


63. Which is a part of the federally funded insurance program that covers hospitals, skilled nursing facilities, home health agencies, and other non-ambulatory services? 

A. Medicaid
B. Medicare Part A
C. Medicare Part B
D. Medigap


64. What is the term used to describe the use of computerized tools to create and sign prescriptions? 

A. point of care prescribing
B. E-prescribing
D. None of these

65. Which of the following processes will not change as a result of implementation of EHR? 

A. Documenting the physical exam
B. Verifying insurance coverage
C. Examining the patient
D. Distributing patient education materials


66. The use of EHR results in a significant timesaving for clinicians because 

A. Typing documentation is faster than writing
B. Streamlined job processes increase efficiency
C. Voice recognition software records dictation as the physician interacts with patients
D. Preset templates allow the physician to document patient encounters with the use of yes or no questions


67. Which error results in decreased reimbursement for providers? 

A. Unbundling
B. Under-coding
C. Bundling
D. Up-coding


68. Which of the following is a way that EHR contributes to patient safety? 

A. Allergy alert systems
B. Drug utilization review
C. Elimination of illegible handwriting
D. All of these


69. This EHR model stores patient data on the health information system at a particular healthcare facility or with a third-party hosting company. 

A. Distribution-based model
B. Facility-based model
C. Web-based model
D. Insurance-based model

70. EHR is an acronym for 

A. Emergency Health Record
B. Electronic Health Record
C. Emergency Health Repository
D. Electronic Health Repository


71. One of the first terms used to conceptualize the idea of an EHR was 

A. Telemedicine
B. WebMD


72. How much funding did the HITECH Act contribute to the establishment of the Health Information Technology Extension program? 

A. $677 thousand
B. $677 million
C. $677 billion
D. $677 trillion


73. Which of the following represents methods that have consistently shown superior results and are used as a benchmark or standard until improvements are discovered or developed? 

A. Best practice guidelines
B. Continuity of Care
C. Evidenced-based medicine
D. None of these


74. Failure to implement EHR could result in financial penalty to the provider beginning in what year? 

A. 2013
B. 2014
C. 2015
D. 2016

75. Which of the following does not represent a manner in which the Regional Extension Centers were mandated to assist with implementation of EHR? 

A. Provide technical assistance as needed.
B. Offer guidance to assist with achieving standards of meaningful use.
C. Recommend training and support services.
D. Subsidize the expense of new hardware and software.


76. Which of the following terms can be defined as the time and place the healthcare provider gives the patient medical care? 

A. Scheduled appointment
B. Routine office visit
C. Point of care
D. Patient portal


77. In which year did the federal government develop the financial incentive program to support the implementation of EHR? 

A. 2008
B. 2009
C. 2010
D. 2011


78. In which EHR model is selected healthcare data transmitted to a centralized electronic record? 

A. Distribution-based model
B. Facility-based model
C. Web-based model
D. Center-based model

79. Which of the following allows the patient to become an interactive source of health information and health management through an Internet-based connection to the practice website? 

A. WebMD


80. Dependent upon the date of implementation, meaningful use of EHR could result in incentive payments of how much (over five years)? 

A. $18,000
B. $12,000
C. $44,000
D. $2,000


81. What is contained in the definition of the term ambulatory? 

A. Inpatient
B. Outpatient
C. All of these
D. None of these


82. Which of the following is not a benefit to patient care through the use of evidence-based medicine? 

A. Protocols and recommendations ensure optimal patient care.
B. Electronic reminders generate revenue for the office.
C. Clinical decision support systems assist with diagnosing.
D. Electronic reminders may be personalized to meet specific patient needs.


83. Which of the following may increase the price of EHR implementation? 

A. Computer hardware
B. Staff training
C. System maintenance
D. All of these

84. In 1991, which of the following organizations first called for the implementation of EHRs and the elimination of paper-based patient records? 



85. Which of the following describes factors of the twenty-first century that influenced the transition to EHR? 

A. Increased instant communication
B. Demand for immediate availability of information
C. Highly mobile society
D. All of these


86. The acronym TPO refers to which of the following? 

A. Third Party Operator
B. Treatment, Payment, or Operations
C. Treatment Provider Organization
D. Third Party Organization


87. Computers and practice management systems were used in independent medical offices for insurance claims and financial accounting during which decade? 

A. 1960s
B. 1970s
C. 1980s
D. 1990s


88. Which of the following is not available in a paper chart environment? 

A. Office visit documentation
B. Automated drug interaction review
C. Patient insurance information
D. All of these are available in a paper chart environment

89. Which of the following provides practitioners and healthcare facilities who adopt EHR with financial incentives paid over a five year period through the Medicaid and Medicare programs? 



90. In what ways do EHR provide meaningful improvements with the use of e-prescribing? 

A. Cost
B. Quality
C. Patient safety
D. All of these


91. Which of the following was passed as part of ARRA to aid in the development of a national healthcare infrastructure? 



92. The purpose of which of the following organizations is to create a sophisticated network of healthcare information accessible by hospitals, insurers, doctors, pharmacies, and other stakeholders nationwide? 

A. National Health Information Network
B. Health Information Technology Extension Program
C. Health Information Technology Research Center
D. Beacon Community Cooperative


93. With the adoption of an EHR program physicians are able to see how many more patients daily? 

A. None-they see the same amount of patients.
B. 2 to 4
C. 4 to 6
D. 6 to 8

94. National attention to patient safety is driving the healthcare industry toward drastically reducing errors with the use of which of the following? 

A. Electronic prescriptions
B. Electronic provider orders
C. Electronic prescriptions and electronic provider orders
D. None of these


95. Which of the following have reduced costs and increased reimbursements because of EHR implementation? 

A. Rapid documentation
B. Accurate Coding
C. Both rapid documentation and accurate coding
D. Neither rapid documentation nor accurate coding


96. Providers did not fully utilize EHR technology until recently because 

A. Lack of standards
B. Unknown ROI
C. Difficulty in operating EHR
D. All of these


97. Which of the following allows the patient access via the Internet to store and update personal medical information and ask questions about prescriptions, appointments, or other medical concerns? 

A. WebMD


98. Which of the following indicates the primary difference between EMR and EHR programs? 

A. EHR costs exceed that of EMR
B. EHR presents a full range of higher-end functionalities not available with EMR.
C. EHR is compatible with both Microsoft and MacIntosh, EMR is not.
D. EHR is no different than EMR.

99. Which of the following parties will have access to clinical data via the Internet and use of EHR? 

A. Patients
B. Medical Personnel
C. Third-party entities
D. All of these


100. Which of the following information would not be included in a patient's EHR? 

A. Allergies
B. Demographics
C. Family history
D. All of these are found in the EHR



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