(Test Bank) Health Information Management of a Strategic Resource

Abdelhak, 5

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5th Edition

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Author(s): Abdelhak

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Health Information Management of a Strategic Resource 5th Edition Abdelhak Test Bank Chapter 01: Health Care Systems Abdelhak: Health Information, 5th Edition MULTIPLE CHOICE 1. Which classification of hospitals is organized for profit according to the American Hospital Association? a. State owned b. Federally owned c. Proprietary d. Voluntary ANS: C 2. Which type of health insurance program would a retired army general be eligible for? a. Tricare b. Medicaid c. CHAMPUS d. Merchant Seaman Health Care ANS: A 3. How would the ownership of a community hospital be classified by the American Hospital Association? a. Local, government -owned b. Voluntary, for-profit c. Volunta ry, not -for-profTi d. Investor -owned ANS: C 4. Which one of the following is most likely to be a state-financed health care facility? a. Public health service hospital b. Long -term psychiatric institution c. District hospital d. Veterans Administration hospital ANS: B 5. How would a facility be classified by the American Hospital Association if the length of stay for its inpatients averaged 4.8 days? a. Long -term care b. Acute care c. Tertiary care d. Trauma care ANS: B 6. In addition to psychiatric care, what is the primary focus of health care in a psychiatric facility? a. Clinical laboratory and pathology services b. Restorative and adjustive services c. Psychological and social services d. Occupational and rehabilitative services ANS: C 7. Which one of the following statements is true about the organization of community hospital governing boards? a. The membership is composed of employees who are empowered to conduct business on behalf of other employees. b. Members are salaried individuals who ha ve a legal responsibility for the quality of care. c. The membership is composed of a diverse group, each of whom has a skill that is of value to the function of the board. d. The membership is composed largely of individuals who have a medical background. ANS: C 8. Which one of the following legislative acts led to a rapid increase in the construction of new hospitals, purchase of equipment, and renovation of existing hospitals? a. Hill-Burton Act b. Tax Equity and Fiscal Responsibility Act c. Consolidated Omnibus Budget Reconciliation Act d. Patient Self-Determination Act ANS: A 9. All the following activities are a legitimate function of a hospital governing board except a. Delineation of clinical privileges. b. Financial stability of organization. c. Appointment of the president of the medical staff. d. Legal responsibility for the care provided. ANS: C 10. Which one of the following officers in a health care organization serves as a liaison between the medical staff and the governing board? a. CEO b. COO c. CFO d. CIO ANS: A 11. Which one of the following officers in a health care organization is responsible for developing a strategic plan for supporting the mission and goals of the organization? a. CEO b. COO c. CFO d. CIO 12. Which one of the following officers in a health care organization manages the financial, administrative, and clinical information systems of the hospital? a. CEO b. COO c. CFO d. CIO ANS: D 13. Of the following health care practitioners, which one is least likely to be eligible for medical staff membership? a. Podiatrist b. Doctor of osteopathy c. Nurse midwife d. Dietetic technician ANS: D 14. Which one of the following statements describes the primary objective of the medical staff? a. Minimize risk of medical malpractice. b. Maintain proper standards of medical care. c. Develop policies regarding performance improvement. d. Contain costs for providing medical care. ANS: B 15. In which of the following iTs EpeSrTmBisAsiNonKgSrEanLteLdEtoRp.rCacOtiMtioners by the governing bo ard to provide well-defined patient care services? a. Medical staff membership b. Board certification c. Licensure d. Clinical privilege ANS: D 16. Which one of the following medical staff committees would negotiate with the governing board regarding the purchase of an expensive piece of equipment? a. Utilization review b. Credentials c. Joint conference d. Planning and finance committee ANS: C 17. Which one of the following departments is considered to be an ancillary department in the hospital organization? a. Clinical laboratory services b. Dietary services c. Nursing services d. Social services the early 1900s? ANS: A 18. The full legal authority in a hospital rests with which organization entity? a. CEO b. Governing body c. Medical staff d. Executive committee ANS: B 19. The CEO is employed by and is directly responsible to the a. Governing body. b. Joint conference committee. c. Medical staff organization. d. Executive committee. ANS: A 20. Which officer in a health care organization is primarily responsible for its fiscal integrity? a. COO b. CFO c. CEO d. CIO ANS: B 21. Which o rganization was reTspEoSnsTibBlAe NfoKr SesEtaLblLisEhRin.g CthOeMhospital standardization p rogram in a. American College of Surgeons b. American Medical Association c. American Osteopathic Association d. Joint Commission ANS: A 22. Which one 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 ANS: A 23. Which amendment to the Social Security Act of 1935 established the Medicare program? a. Hill-Burton Act b. Health Insurance for the Aged Act c. Kerr-Mills Medical Assistance Program d. Tax Equity and Fiscal Responsibility Act ANS: B 24. Each of the following has been an influential factor in how health care has been delivered in the United States except a. Increasing cost of health care. b. Growing geriatric population. c. Advances in technology. d. Demand for jobs by health professionals. ANS: D 25. Which publication communicates the goals and objectives for promoting health and preventing disease in the United States? a. Conditions of Participation b. Medicare Handbook c. Healthy People: 2010 d. Flexner Report ANS: C 26. Which one of the following organizations is currently responsible for the accreditation of health care organizations? a. American Health Association b. Commission on Accreditation for Health Informatics and Information Management Education c. Department of Health and Human Services d. Joint Commission ANS: D 27. Where are the Conditions of Participation regulations that govern the Medicare Program printed? a. AHA Guide to the Health Care Field b. Comprehensive Accreditation Manual for Hospitals c. Federal Register d. Medicare Handbook ANS: C 28. What did the Tax Equity and Fiscal Responsibility Act of 1982 mandate? a. The Medicaid program b. The prospective payment system c. Managed care services d. Conditions of Participation ANS: B 29. Which federal branch of the government is charged with the health and welfare of the U.S. people, including numerous regulatory programs? a. Department of Health and Human Services b. Department of Defense c. Department of Justice d. Institute of Medicine ANS: A 30. Which Department of Health and Human Services agency was established by Omnibus Budget Reconciliation Act in 1989 for supporting scientific research? a. Centers for Disease Control and Prevention b. Social Security Administration c. Agency for Health Care Research and Quality d. Health Resources and Services Administration ANS: C 31. In the federal government, which is a major research center composed of numerous departments, such as the National Institute on Aging and the National Center for Nursing Research? a. Food and Drug Administration b. National Institutes of Health c. Substance Abuse and Mental Health Services Administration d. Institute of Medicine ANS: B 32. An epidemic of viral infection in the United States would most likely be reported and tracked by th e a. Centers for Medicare and Medicaid Services. b. Agency for Health Care Research and Quality. c. Centers for Disease Control and Prevention. d. Health Resources and Services Administration. ANS: C 33. Which one of the following is the mechanism by which a health care organization is recognized as having met the Conditions of Participation because it is accredited by the Joint Commission? a. Deemed status b. Licensure c. Reciprocity d. Participant certified ANS: A 34. To which entity is the Centers for Medicare and Medicaid Services responsible? a. Office of Management and Budget b. Department of Health and Human Services c. American Hospital Association d. Office of Inspector General ANS: B 35. Which one of the following is mandated by law for hospitals to operate? a. Certification b. Accreditation c. Registration d. Licensure ANS: D 36. When a public health issue, such as an Escherichia coli outbreak from contaminated food, makes the news, what organization is responsible for investigating and minimizing such threats to society? a. Centers for Medicare and Medicaid Services b. Agency for Health Care Research and Quality c. Centers for Disease Control and Prevention d. Health Resources and Services Administration ANS: C 37. Which process gives legal authority to a person to practice health care in a state? a. Certification b. Accreditation c. Licensure d. Registration ANS: C 38. Which legislation established criteria for the transfer or discharge of patients and was dubbed as the "antidumping act?" a. Emergency Medical Treatment and Active Labor Act b. Tax Equity and Fiscal Responsibility Act c. Patient Self-Determination Act d. Kerr-Mills Medical AsTsiEstSanTcBe APrNoKgrSamELLER.COM ANS: A 39. Which legislation increased the public's awareness of patient rights, advance directives, and options for health care? a. Consolidated Omnibus Budget Reconciliation Act of 1985 b. Omnibus Budget Reconciliation Act c. Tax Equity and Fiscal Responsibility Act d. Patient Self-Determination Act ANS: D 40. All the following are accrediting agencies except a. American Osteopathic Association b. Commission on the Accreditation of Rehabilitation Facilities c. Community Health Accreditation Program d. Department of Health and Human Services ANS: D 41. Which entity approves medical staff appointments? a. Medical staff organization b. Executive committee c. Credentials committee d. Governing body ANS: D 42. Which one of the following legislative acts was directed at controlling costs by creating the prospective payment system? a. Health Care Quality Improvement Act b. Tax Equity and Fiscal Responsibility Act c. Consolidated Omnibus Budget Reconciliation Act of 1985 d. Social Security Act of 1935 ANS: B 43. What type of health service is covered by Part B of Medicare? a. Physician office visit b. Custodial care c. Inpatient care d. Dental visit ANS: A 44. The federal government contracts with private insurance companies to process Medicare claims and payments for inpatient hospital care. What reference title is then given to this insurance company? a. Fiscal intermediary b. Managed care provider c. Beneficiary d. Subsc riber ANS: A 45. What is the fee for a given health care procedure called that is charged by the physician and other physicians in the area? a. Fee for service b. Capitation c. Usual, customary, and reasonable d. Relative value scale ANS: C 46. 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 ANS: A 47. Which term refers to a defined geographical area served by a health care program? a. Community center b. Regional boundary c. Catchment area d. County health line ANS: C 48. Which term describes a patient needing health care assessment and evaluation for approximately 24 hours or less? a. Inpatient b. Observation c. Resident d. Admission ANS: B 49. Which one of the following is an information system that allows health care providers to input data electronically at the time care is provided or whenever necessary? a. Point -of-care system b. Optical imaging system c. Computer -assisted system d. Bedside health record ANS: A 50. Which term refers to a primary care physician who is participating in a comprehensive mana ged care plan by providing most of the care to the patient? a. Participant b. Enrollee c. Subscriber d. Gatekeeper ANS: D 51. The new Rocky Mountain Hospice Care Center will be providing patient care beginning January of next year. From which of the following resources can they anticipate financial reimbursement for their services? a. Medicaid b. Private pay c. Private insurance d. All of the above ANS: D 52. Which one of the following would be covered by Mr. Rocky State's Medicare Part A? a. Durable medical equipment b. Open heart surgery c. Prescription drugs d. Diabetes monitoring ANS: B 53. The accrediting agency for rehabilitation facilities is a. Commission on the Accreditation of Rehabilitation Facilities b. Community Health Accreditation Program c. American Osteopathic Association d. Accreditation Commission for Education in Nursing National League of Nursing ANS: A 54. What type of care is primarily provided to hospice patients? a. Palliative b. Curative c. Diagnostic d. Therapeutic ANS: A 55. The organizational structure of the medical staff in a 250 -bed hospital would most likely include which of the following? a. Officers b. Committees c. Clinical services d. All of the above ANS: D 56. Of the following, which one is a function of the credentials committee? a. Reviews medical staff applications. b. Reviews patient length of stay. c. Reviews appropriateness of admissions. d. Conducts business between medical staff meetings. ANS: A 57. As an employ ee of a manaTgeEdScTarBeAorNgKanSizEaLtioLnEiRn .thCeOarMea of quality impr ovement, whi ch of the following is an important resource for quality management? a. Commission on the Accreditation of Rehabilitation Facilities b. American Health Information Management Association c. National Committee for Quality Assurance d. Community Health Accreditation Program ANS: C 58. If an emergency department physician fails to stabilize an indigent patient before transferring the patient to another facility, he or she is in violation of a. Omnibus Budget Reconciliation Act. b. Emergency Medical Treatment and Active Labor Act. c. Patient Self-Determination Act. d. Health Insurance Portability and Accountability Act. ANS: B 59. A consumer or patient interested in changing managed care plans should review the standard performance measures that are developed by a. The Joint Commission. b. Commission on the Accreditation of Rehabilitation Facilities. c. Department of Health and Human Services. d. National Committee for Quality Assurance. ANS: D 60. Two major issues for competing managed care organizations are a. Quality and providers. b. Facilities and enrollees. c. Cost and quality. d. Providers and enrollees. ANS: C 61. Which of the following is a true statement regarding case management? a. It is a policy directed at controlling cost and access to health care services. b. It is a process of coordinating and monitoring secondary and tertiary care. c. It is an approach used by managed care organizations to compile reports regarding services, providers, and enrollees. d. It is a method used to manage health care costs by screening health care services provided. ANS: B 62. Of the levels of health care, a complete physical examination would be categorized to which level? a. Primary b. Secondary c. Tertiary d. Alternative ANS: A 63. A patient who is using natural herbs for pain management is practicing what type of health care? a. Acute care b. Preventive medicine c. Tertiary care d. Alternative medicine ANS: D 64. The Department of Health and Human Services agency whose primary responsibility is to produce and disseminate scientific research and policy -relevant information is the a. Centers for Disease Control and Prevention. b. Agency for Health Care Research and Quality. c. Health Resources and Services Administration. d. Administration for Children and Families. ANS: B 65. What did the Tax Equity and Fiscal Responsibility Act of 1983 pertain to? a. Quality health care b. Cancer care c. Confidentiality of health information d. Reimbursement of care ANS: D 66. A major change in was influenced by the Flexner Report of 1910. a. Health care reimbursement b. Patient care documentation c. Medical education d. Health care utilization ANS: C 67. is a model of primary care that emphasizes care coordination and communication. This form of care encourages comprehensive care with accessible services and an emphasis on quality and safety. a. Ambulatory care b. Accountable Care Organization c. Patient -centered medical home d. Gatekeeper function ANS: C 68. are provider collaborations created with the goal of coordinating and providing high-quality, efficient, and effective care for Medicare patients or other specific patient populations. a. Patient -centered medical homes b. Corporate physician practices c. Health Maintenance Organizations d. Accountable Care Organizations e. Integrated delivery sysTteEmSs TBANKSELLER.COM ANS: D 69. are electronic marketplaces through which individuals can shop for health insurance. a. Patient Protection and Affordable Care Act (PPACA) b. Blue Cross Blue Shield c. Medicaid d. Health Insurance Exchanges e. Accountable Care Organizations ANS: D 70. In large organizations the hospital’s nursing staff will be led by an administrator who is responsible for ensuring good clinical quality of care. This person is most likely to be the a. Chief quality officer. b. Chief executive officer c. Chief nursing officer d. Chief operating officer ANS: C COMPLETION 1. Physicians responsible for federally funded patients in a certified health care facility are referred to as physicians. ANS: participating 2. A(n) is a legal written document that specifies a patient's preference regarding future health care, especially in relation to resuscitation and life -extending measures. ANS: Advance 3. directive is the voluntary process by which an organization performs an external review and grants recognition to a program or health care facility that meets its predetermined standards. ANS: Accreditation 4. When the cost of care is based on the patient's ability to pay, it is referred to as a(n) scale fee. ANS: sliding 5. A(n) intermediary is the organization that has contracted with the federal government to process Medicare claims and payments for hospital inpatient health care services. ANS: fiscal 6. A(n) is a primary care physician who participates in a managed care plan and is chiefly responsible for most of the care provided to the enrollee. ANS: gatekeeper 7. A health care system comprising of two or more hospitals that are owned, managed, or leased by a single organization is called a(n) delivery health care system. ANS: integrated TRUE/FALSE 1. Medicaid reimbursement for health care services is administered by state government. ANS: T 2. Health care organizations may voluntarily elect to comply with nongovernmental health care standards. ANS: T 3. Prospective reimbursement altered the incentives for providing health care. ANS: T 4. The increasing burden of running an independent physician practice has resulted in more physicians seeking employment in practices owned by health systems, hospitals, managed care organizations, or other entities. ANS: T 5. One of the goals of Healthy People 2020 is to lower the cost of health care in the United States while maintaining a high quality of life. ANS: F 6. A hospital classified as a Critical Access Hospital (CAH) receives reimbursement enhancements for meeting the needs of an underserved area. ANS: T Chapter 02: The Health Informatics and Information Management Profession Abdelhak: Health Information, 5th Edition MULTIPLE CHOICE 1. Which is a primary function of American Health Information Management Association? a. Certification b. Licensure c. Program accreditation d. Both a and c ANS: D 2. All the following components were specified for a computerized patient record system by the Institute of Medicine Study of 1991 except a. Clinical support systems. b. Communications systems. c. Alerts. d. Reminders. ANS: B 3. All the following are recognized roles of a health information management professional by American Health Information Management Association except a. Clinician. b. Educator. c. Analyst. d. Researcher. ANS: A 4. What is the basis for initial certification as a health information practitioner? a. Formal education b. Examination c. Work experience. d. Both a and b ANS: D 5. Which requirements apply to certifying health care facilities for the treatment of Medicare and Medicaid patients? a. Tax Equity and Fiscal Responsibility Act b. Omnibus Reconciliation Act c. Conditions of Participation d. Health Insurance Portability and Accountability Act ANS: C 6. Which of the following is a legitimate and stated use of health information according to American Health Information Management Association? a. The development of public policy on health care b. The brokering of patient data for health care marketing c. The prevention of disease and the promotion of health d. Both a and c ANS: D 7. When did the recording of clinical information begin in the United States? a. Late 1700s b. Early 1800s c. Late 1800s d. Early 1900s ANS: B 8. The earliest medical records in the United States were a. Letter -formatted. b. Ledger -formatted. c. Formatted by patient. d. Catalogued by diseases and operations. ANS: B ESSAY 1. Discuss the significance of the American College of Surgeons’ standardization movement to the development of the health information profession. ANS: The importance of the American College of Surgeons’ standardization movement to the development of the health information profession was the discovery that patient records were necessary for the evaluation of clinical and surgical care provided to the pati ent. Patient records in the late 1890s and early 1900s contained insufficient information to make any kind of judgment with respect to the care given patients. Improving the quality of patient records then became a goal of the standardization movement. 2. Describe the role of the health information professional as a patient advocate. ANS: The health information management (HIM) professional is seen as a patient advocate because he or she facilitates access to the patient's record by the patient and others authorized to obtain patient information. The HIM professional assumes the role of a patient advocate by insisting on accurate and quality data in the patient's record. The important role of the patient advocate, however, is in t he HIM professional's commitment to the confidentiality of patient information. This commitment continues to be evidenced in the concern for confidentiality of computerized patient records. 3. Interpret the effect of the Tax Equity and Fiscal Responsibility Act of 1983 on the health information profession. ANS: The Tax Equity and Fiscal Responsibility Act of 1983 brought the prospective payment system to Medicare/Medicaid patient hospitalization. Payment was based on a system of diagnosis -related groups, and assignment to a particular group was determined by the assignment of an International Classification of Diseases, 9th edition (ICD -9) diagnostic code. Prospective pricing linked clinical information to the billing process, thereby making the patient's record the resource that documented and supported the assigned codes. For the first time, health information management (HIM) professional s had a direct influence on the dollars that flowed into health care institutions. HIM professionals began to be viewed as active participants in planning, finances, and information networking by virtue of the importance of the patient data that were their primary responsibility. 4. Explain what is meant by the statement "AHIMA is a membership organization." ANS: The statement "AHIMA is a membership organization" means that it is governed by representatives of the membership. The membership, through its hous e of delegates, establishes standards for the organization and may amend the bylaws of the association. The membership at large elects the board of directors and members of the Commission on Accreditation for Health Informatics and Information Council. The membership, through its house of delegates, elects members of the Nominating Committee, which then annually presents a slate of officers for election by the general membership. TRUE/FALSE 1. The first minimum standards pertaining to physicians and hospitals in the United States were establis hed by the AmericaTnECSoTlleBgAeNoKf SSuErgLeLonEsR. .COM ANS: T 2. Health record documentation is influenced by governmental agencies such as Medicare and Medicaid. ANS: T 3. The protection of secondary health information is an ethical tenet promoted by American Health Information Management Association. ANS: T 4. The emphasis of health care organization accreditation is on the provision of cost -effective health care. ANS: F 5. Information management standards are developed by the Joint Commission in collaboration with American Health Information Management Association and other organizations. ANS: T 6. The process of assessing the quality of physician education by the American College of Surgeons in the early 1900s was dependent on the quality of the patient record. ANS: T 7. The Joint Commission accreditation preempts the need for state licensing of a health care organization in all 50 states. ANS: F 8. The amendments to the Social Security Act of 1965 resulted in both the Medicare and Medicaid programs. ANS: T 9. At its inception, Medicare was operated as a fee-for-service reimbursement program. ANS: T 10. Current Joint Commission standards emphasize departmentalized health care versus integrated health care. ANS: F 11. Appropriate use of hospital resources and the quality of patient care was precipitated by Medicare legislation. ANS: T 12. Prospective, fixed -rate reimbursement was initiated by the Joint Commission. ANS: F 13. Fee-for-service reimbursement was mandated in the early 1980s for all inpatients and outpatients. ANS: F 14. Elevating the standards for clinical records was the mission of the first organization of medical record librarians. ANS: T 15. Requirements for the licensing of health care organizations are called "regulations." ANS: T 16. Essentials for health information education programs are monitored by American Health Information Management Association in collaboration with the Joint Commission. ANS: F 17. Education programs for medical record technicians (now called health information technicians) began in the 1970s. ANS: F 18. The Registered Health Information Administrator (RHIA) and Registered Health Information Technician (RHIT) credentials are awarded by American Health Information Management Association on graduation from an approved education program. ANS: F 19. Continuing education is mandatory for maintenance of certification as a health information profession al. ANS: T 20. American Health Information Management Association plays an active role in developing standards for the electronic health record and confidentiality of health care information. ANS: T 21. Professional practice standards have been developed by American Health Information Management Association. ANS: T 22. The earliest medical records in the United States had some characteristics of a business record. ANS: T 23. In the early 1900s, the Joint Commission assumed the position of the American Heart Association in assessing the quality of patient records. ANS: F 24. States assume the function of licensing health care institutions. ANS: T 25. Before the mid -1990s, the accreditation of allied health education programs was a cooperative effort with the American Medication Association. ANS: T 26. The principal source of reimbursement information is the clinical record. ANS: T 27. The official publication of the American Health Information Management Association is the Journal of the American Health Information Management Association. ANS: T 28. At its inception, the Joint Commission was composed of the American College of Surgeons, the American Health Association, and other organizations. ANS: T 29. To provide continued health care to the public, a health care organization must demonstrate compliance with state licensing regulations. ANS: T 30. The Association of Medical Record Librarians of North America was the first name for the association now known as American Health Information Management Association. ANS: T 31. The membership of American Health Information Management Association elects the board of directors. ANS: T 32. The members of the Council on Certification are appointed by the board of directors of American Health Information Management Association. ANS: F 33. Fifty component st ate assoTciEatSioTnBs AplNusKaSssEoLciLatEioRn.s CinOthMe District of Colu mbia and Puerto Rico comprise the organizational structure of American Health Information Management Association. ANS: T 34. The board of directors of American Health Information Management Association manages the property, business, and affairs of the association. ANS: T 35. The first medical record organization was founded in 1938. ANS: F 36. The code of ethics is a professional practice standard applicable to all certified health information professionals. ANS: T 37. In the 1920s, the patient record was a source of needed information for board certification by the American College of Surgeons. ANS: T 38. A registered health information administrator (RHIA) who also holds a certified health data analyst (CHDA) credential needs 40 continuing -education units (CEUs) for the 2 -year reporting cycle. ANS: T Chapter 03: Health Information Infrastructure and Systems Abdelhak: Health Information, 5th Edition MULTIPLE CHOICE 1. The Electronic Disease Surveillance System is designed to a. Transfer certain clinical information to public health departments. b. Track the most prevalent diseases in the United States. c. Register individuals with unique, difficult -to-treat diseases. d. Track the incidence of preventable childhood diseases. ANS: A MATCHING Match the uses of health information with the major users of health information. a. Providers b. Payers c. Providers and researchers d. Providers, researchers, and regulators e. Providers, payers, and policy makers 1. Treat patients. 2. Measure outcomes. 3. Verify eligibility for treatment. 4. Make cost-effective decisiTonEsSreTgBarAdiNnKg StrEeaLtmLeEnRt..COM 5. Ensure public health. 1. ANS: A 2. ANS: C 3. ANS: B 4. ANS: E 5. ANS: D Match the abbreviation with the correct description. a. HL7 b. DICOM c. NCPDP d. IEEE 1073 e. CHI f. RxNorm g. SNOMED h. ASTM 1384 i. LOINC j. HIPAA transactions 6. Retrieves and transfers radiology images and diagnostic information. 7. Describes orders for medication at a retail pharmacy. 8. Transmits data from medical devices. 9. Develops message standards for health care. 10. Contains data content standards for electronic health records. 11. Facilitates electronic exchange of laboratory test orders. 12. Describes anatomy and diagnoses. 13. Facilitates electronic health care billing. 14. Describes clinical drugs. 15. Makes health care information instantly accessible among government entities. 6. ANS: B 7. ANS: C 8. ANS: D 9. ANS: A 10. ANS: H 11. ANS: I 12. ANS: G 13. ANS: J 14. ANS: F 15. ANS: E Match the agency with its primary role in health information technology. a. National Committee on Vital and Health Statistics b. National Institutes of Health c. Office of the National Coordinator d. Centers for Disease Control and Prevention e. Health Resources and Services Administration 16. Protect the health and safeTtyEoSf TthBe ApuNbKliSc EthLroLuEghRs.uCrvOeiMllance. 17. Catalyst for wider adoption of advanced technologies in the provision of health care 18. Advisory body for health information policy 19. Acquire new knowledge to prevent, diagnose, and treat disease. 20. Coordinate policy and programs to develop, apply, and use health information technology. 16. ANS: D 17. ANS: C 18. ANS: E 19. ANS: A 20. ANS: B ESSAY 1. List two benefits of using health information technology applications. ANS: Improved quality of care, better patient access, improved patient satisfaction, increased system efficiencies 2. List three private organizations and their contribution to health information technology. ANS: Any three of the organizations listed in Table 3-4, REPRESENTATIVE PRIVATE SECTOR ACTIVITIES AND ORGANIZATIONS 3. List three reasons why adoption of electronic health information systems by office -based providers is proceeding with caution. ANS: Financial benefits do not accrue to small office providers; providers must modify clinical work flow and decision -making processes; there are barriers to connecting office -based systems to external systems for information sharing. 4. List three privacy and security issues that must be addressed by a regional health information organization. ANS: Any three of the seven items listed: fraud, abuse, antitrust, and HIPAA compliance; patient, provider, and user identification; secure connectivity and transport; how, when, and by whom will data be accessed including the patient’s role in access control; data content and quality control processes; decision -making, conflict resolution; compliance with state and federal requirements 5. List three reasons why office -based providers of health care are likely to adopt electronic health record systems. ANS: The ability to download data directly into billing systems, federal incentives to use electronic systems for clinical recordTs aEnSdTpBreAscNriKbiSnEg LmLedEiRca.tiConOsM, ability to tr ack patients who n eed routine specialized examinations and send reminders, ability to have legible records, ability to monitor for quality of care practices, ability to transfer data/records digitally, and more TRUE/FALSE 1. In 2004, President George W. Bush publicly supported building a national health information infrastructure. ANS: T 2. The Nationwide Health Information Network’s goal is to share clinical information securely. ANS: T 3. The federal government is mandating that all health information be in digital format by 2014. ANS: F 4. The Institute of Medicine report “Crossing the Quality Chasm” recommends that vendors help build an information infrastructure to support the elimination of handwritten clinical notes. ANS: T 5. The Institute of Medicine report “Crossing the Quality Chasm” links health care quality to health information technology. ANS: T 6. Joint Commission standards for accredited health care facilities encourage the regional sharing of protected health information to improve patient safety. ANS: F 7. Centers for Medicare and Medicaid Services is a very large purchaser of health care in the United States. ANS: T 8. Agency for Healthcare Research and Quality mandates the use of health care data standards to improve the quality of care. ANS: F 9. Governmental agencies participate in the Consolidated Health Information Initiative plan to share medical information with one another. ANS: T 10. 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 DepartmenTt EofSDTeBfeAnNseK, aSnEdLthLeENRa.tioCnOaMl Institutes of Health. ANS: T 11. The Director of the Centers for Disease Control and Prevention, the Director of the Office of Civil Rights, and the National Coordinator for Health Information Technology all report to the Secretary of Health and Human Services. ANS: T 12. According to the Department of Health and Human Services report “Framework for Strategic Action, The Decade of HIT: Delivering Consumer -Centric and Information -Rich Health Care,” linking electronic health records nationwide is an important goal. ANS: T 13. Centers for Medicare and Medicaid Services contracts with quality improvement organizations to ensure that patients get the right care at the right time. ANS: T 14. As of January 2006, the Department of Health and Human Services is requiring electronic prescribing for M edicare prescription benefits.