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4. Decision support
5. Health status parameters such as exercise
Question 16
Type: MCMA
Which of the following are found with the electronic health record (EHR) but are not found with the computer-
based patient record (CPR)?
Standard Text: Select all that apply.
1. Evidence-based decision support
2. Assists with the work of planning and delivering evidence-based care
3. Quality management
4. Public health disease surveillance and reporting
5. Comprehensive lifetime record that includes all information from all specialties
Question 17
Type: MCSA
Personal health record (PHR) security issues relate to HIPAA and physical security of data. HIPAA only covers
PHRs provided by covered entities such as health plans, health care clearinghouses, and providers. No
governmental coverage exists for other sites unless it is at the state level. To avoid these types of breaches, the
American Health Information Community's consumer empowerment working group made a recommendation.
Which of the following was recommended for PHRs in order to avoid breaches?
1. Deletion of sensitive data
2. Educating the general consumer about PHRs
3. Restricting the number of authorized users
4. A PHR certification process
Question 18
Type: MCSA
The EHR offers benefits to nurses, physicians, and other health care providers, the health care enterprise, and
most importantly, the consumer. Much must be done before the benefits associated with the EHR can be realized.
Which of the following is one action that has been proposed by experts?
1. Health care professionals should institute major changes in the way they work.
2. Consumers need education to choose providers based upon appropriate financial and insurance considerations.
3. Individual consumers should have lesser responsibility for data.
4. Government intervention should promote information exchange among software vendors and health care
systems.
Question 19
Type: MCMA
The electronic health record (EHR) has the potential to integrate all pertinent patient information into one record.
It also has potential to improve the quality of health information, patient safety, and productivity, contain costs,
support research, decrease wait time for treatment and contribute to the body of health care knowledge. Which of
the following are reasons why traditional paper records on clients no longer meet the needs of today's health care
industry?
Standard Text: Select all that apply.
1. Paper records are episode-oriented with a separate record for each client visit.
2. Key information may be lost from one episode to the next, jeopardizing patient safety.
3. Only one person can access a paper record at any given time.
4. Different versions of the same information may be stored in several places.
5. Paper records cannot incorporate diagnostic studies that include images and sound.
Question 20
Type: MCMA
Electronic medical record (EMR) result reporting and data repository components include unstructured data.
Which of the following are examples of unstructured data?
Standard Text: Select all that apply.
1. Automated laboratory results
2. History and physical
3. Consultation findings
4. Magnetic resonance imaging
5. A social services text report
Question 21
Type: MCSA
The mere implementation of an electronic medical record (EMR) does not guarantee that benefits will be
achieved. Which of the following can affect data integrity?
1. System failure
2. Data analysis
3. Data downloading
4. Data mining
Question 22
Type: MCSA
Which of the following statements about meaningful use is correct?
1. Meaningful use will provide invaluable information that will define the numbers of staff members needed at the
bedside.
2. Meaningful use will provide invaluable information that will improve patient outcomes and population health
changing many current practices as we transform our health care delivery system.
3. Meaningful use is an ongoing process and not an issue associated with the EHR.
4. Meaningful use is an issue that must be addressed before implementing any upgrade.
Question 23
Type: MCSA
The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from
all specialties. Most of the data included in the CPR is which of the following?
1. Structured data
2. Unstructured data
3. Fragmented data
4. Complete data
Question 24
Type: MCSA
Which of the following best describes the electronic medical record (EMR)?
1. Legal record created in hospitals
2. Legal record created by vendors
3. An electronic stand alone database
4. Method to identify outcomes
Question 25
Type: MCSA
The relationship between meaningful use and the adoption of the EHR in hospitals, physician offices, and other
settings is best described as which of the following?
1. The meaningful use requirement must be considered before beginning the development process.
2. The meaningful use requirement is achieved with the adoption and use of the EHR system as part of the daily
routine.
3. The meaningful use requirement is unique to every health care provider.
4. The meaningful use requirement and use of EHR systems are unrelated.
Question 26
Type: FIB
_________________________ would permit the uniform capture of data required to build a longitudinal record
comprised of integrated information systems from multiple vendors.
Standard Text:
Question 27
Type: MCSA
The goals of implementing the EHR in all health care systems are fraught with a number of roadblocks. The
largest barrier facing most institutions is which of the following?
1. The lack of fully trained professional staff
2. A technology committee that cannot agree on the institution's needs
3. Indecision regarding the choice of vendors
4. Cost
Question 28
Type: MCMA
Which of the following are considered impediments to a fully functional electronic health record (EHR) system?
Standard Text: Select all that apply.
1. Development of an electronic infrastructure
2. Cost
3. Common vocabulary
4. Caregiver compliance
5. Privacy
