NHA CEHRS Exam Study LATEST
Guide
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
What is the contrast between EMR's and EHR's? - ANSWERS-EMR's reflect
treatment of a pt by one dr as EHR reflects data from ALL sources that have
treated and ind
QUESTION 2
Personal Health Record (PHR) - ANSWERS-maintained & owned by the pt, pt
makes decisions whether to share contents w/ their dr.
QUESTION 3
Acute Care - ANSWERS-most often refers to a hospital, treats pt's w/ urgent
problems that cannot be handled in another setting (hospital records keep track of
time-limited episodes where dr charts reflect the ongoing health of ind)
***Inpatient treatment***
QUESTION 4
END OF
PAGE
1
, NHA CEHRS Exam Study LATEST
Guide
Ambulatory Care - ANSWERS-refers to treatment w/o admission to hospital
QUESTION 5
What are the advantages of EHR's? - ANSWERS-*Safety *Quality of Care
*Efficiency *Cost Reduction
QUESTION 6
Will the decision of going completely electronic have a huge impact on pt
efficiency? - ANSWERS-Yes
QUESTION 7
What is a Total Conversion? - ANSWERS-method of converting medical records
all at one from paper to electronic, may be costly, but it allows all pt data to be
converted at once while office can still service pt's ***outsourced to an external
company***
QUESTION 8
What is Incremental Conversion? - ANSWERS-gradual change to electronic
records. Advantage of this type of change are lower cost and a smoother transition
END OF
PAGE
2
, NHA CEHRS Exam Study LATEST
Guide
due to less of an impact on the office. Disadvantages are that paper still needs to be
used and not all pt data is available. ***usually begins w/ pt's w/ scheduled
appt****
QUESTION 9
What is Hybrid Conversion? - ANSWERS-using a combination of paper and
electron form of data. No matter what form is used dr still need to enter progress
notes (most dr choose dictation/transcription process) ***some may be outsourced,
others in house**
QUESTION 10
What are clinical templates and what do they allow? - ANSWERS-structured form
(progress notes) that allows dr's to document pt encounters into an EHR, once it is
entered it must be INTEROPERABLE: must be able to exchange info and use it in
a meaningful way, therefore clinical standards are important to the details of pt
info
QUESTION 11
Clinical Standards - ANSWERS--ensure consistency, reliability and safety
QUESTION 12
END OF
PAGE
3
, NHA CEHRS Exam Study LATEST
Guide
Types of Clinical Standards - ANSWERS--CLINICAL VOCABULARIES- set of
common definitions for medical terms, they ease communications by decreasing
ambiguity
-SNOMED-CT- clinical vocabulary designed to encompass all terms used in
medicine
-LOINC- terms and codes used for electronic exchange of lab results and clinical
observations
-UMLS- thesaurus database of medical terms
QUESTION 13
What are CLASSIFICATION SYSTEMS? - ANSWERS-they organize terms into
categories for easy retrieval, they are used for billing and reimbursement, statistical
reporting and admin functions
QUESTION 14
Electronic Health Record (EHR) - ANSWERS-computerized lifelong record health
care record w/ data from all sources
technology that intertwines health info from a variety of sources
every encounter an ind has w/ the health care system is documented (labs, scripts,
ER visits, etc...)
END OF
PAGE
4
Guide
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
What is the contrast between EMR's and EHR's? - ANSWERS-EMR's reflect
treatment of a pt by one dr as EHR reflects data from ALL sources that have
treated and ind
QUESTION 2
Personal Health Record (PHR) - ANSWERS-maintained & owned by the pt, pt
makes decisions whether to share contents w/ their dr.
QUESTION 3
Acute Care - ANSWERS-most often refers to a hospital, treats pt's w/ urgent
problems that cannot be handled in another setting (hospital records keep track of
time-limited episodes where dr charts reflect the ongoing health of ind)
***Inpatient treatment***
QUESTION 4
END OF
PAGE
1
, NHA CEHRS Exam Study LATEST
Guide
Ambulatory Care - ANSWERS-refers to treatment w/o admission to hospital
QUESTION 5
What are the advantages of EHR's? - ANSWERS-*Safety *Quality of Care
*Efficiency *Cost Reduction
QUESTION 6
Will the decision of going completely electronic have a huge impact on pt
efficiency? - ANSWERS-Yes
QUESTION 7
What is a Total Conversion? - ANSWERS-method of converting medical records
all at one from paper to electronic, may be costly, but it allows all pt data to be
converted at once while office can still service pt's ***outsourced to an external
company***
QUESTION 8
What is Incremental Conversion? - ANSWERS-gradual change to electronic
records. Advantage of this type of change are lower cost and a smoother transition
END OF
PAGE
2
, NHA CEHRS Exam Study LATEST
Guide
due to less of an impact on the office. Disadvantages are that paper still needs to be
used and not all pt data is available. ***usually begins w/ pt's w/ scheduled
appt****
QUESTION 9
What is Hybrid Conversion? - ANSWERS-using a combination of paper and
electron form of data. No matter what form is used dr still need to enter progress
notes (most dr choose dictation/transcription process) ***some may be outsourced,
others in house**
QUESTION 10
What are clinical templates and what do they allow? - ANSWERS-structured form
(progress notes) that allows dr's to document pt encounters into an EHR, once it is
entered it must be INTEROPERABLE: must be able to exchange info and use it in
a meaningful way, therefore clinical standards are important to the details of pt
info
QUESTION 11
Clinical Standards - ANSWERS--ensure consistency, reliability and safety
QUESTION 12
END OF
PAGE
3
, NHA CEHRS Exam Study LATEST
Guide
Types of Clinical Standards - ANSWERS--CLINICAL VOCABULARIES- set of
common definitions for medical terms, they ease communications by decreasing
ambiguity
-SNOMED-CT- clinical vocabulary designed to encompass all terms used in
medicine
-LOINC- terms and codes used for electronic exchange of lab results and clinical
observations
-UMLS- thesaurus database of medical terms
QUESTION 13
What are CLASSIFICATION SYSTEMS? - ANSWERS-they organize terms into
categories for easy retrieval, they are used for billing and reimbursement, statistical
reporting and admin functions
QUESTION 14
Electronic Health Record (EHR) - ANSWERS-computerized lifelong record health
care record w/ data from all sources
technology that intertwines health info from a variety of sources
every encounter an ind has w/ the health care system is documented (labs, scripts,
ER visits, etc...)
END OF
PAGE
4
