Advanced Practice Nursing 7th
Edition By Mary Fran Tracy, Eileen
O'Grady, Susanne Phillips (All
Chapters 1-23, 100% Original
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,Chapter 23: Using Healthcare Information Technology to Evaluate and Improve
Performance and Patient Outcomes
Tracy & O’Grady: Hamric & Hanson’s Advanced Practice Nursing, 7th Edition
MULTIPLE CHOICE
1. The requirement that outlines that a facility must utilize an EHR and technology that meets
government criteria, exchanges standardized health data and information, advances clinical
processes, and reports quality measures is defined as:
a. Health care standardization initiative
b. Adverse event reduction program
c. Meaningful Use/Promoting Interoperability
d. Informatics integration program
ANS: C
Promoting interoperability (previously termed meaningful use) is the specific utilization of
technology in health care to improve outcomes, engage patients and families in their own care,
improve care coordination, increase population health, and improve diagnostic accuracy while
decreasing costs and test duplication.
2. The design and implementation of health information exchanges (HIE) offer the opportunity
for which of the following?
a. Increased billing efficiency
b. Decreased cost of testing
c. Reduced dependence of EHR vendors
d. Access to standardized health data
ANS: D
Health information exchanges offer access to medical records and patient health data so that
they may be accessed by providers at any time. This allows for increased continuity of care
and decreases the need for duplicate testing whether it be inside of an organization or
nationwide.
3. Which of the following would be used for a patient during admission to a hospital facility and
allow for indication of “present on admission” to identify chronic conditions on claims?
a. ICD-10-CM
b. CPT
c. HCPCS
d. SNOMED CT
e. LOINC
ANS: A
ICD-10 taxonomy codes allow for the APRN to indicate if specific conditions were “present
on admission” for patients admitted to hospital facilities. This indication differentiates many
conditions such as infections or pressure injuries to document if they were present prior to the
hospital encounter.
4. Which of the following is influenced most heavily by the clinical note documentation
completed by the APRN for hospital stays?
a. SNOMED CT
, b. LOINC
c. RxNorm
d. MS-DRG
e. CPT
ANS: D
Medicare Severity Diagnosis-Related Groups (MS-DRGs) are utilized by hospitals for
reimbursement for a patient’s hospitalization costs. They are weighted on the detail of the
examination, level of medical decision making and associated conditions as represented
primarily by the documentation by the provider.
5. Alphanumeric designations maintained by the World Health Organization (WHO) that
correlate with nearly every procedure, diagnosis, symptom, and cause of death are known as
which of the following?
a. ICD-10-CM
b. CPT
c. HCPCS
d. SNOMED CT
e. LOINC
ANS: A
The WHO maintains the ICD taxonomy, now in its tenth revision.
6. Which of the following coding taxonomies is used worldwide to best identify medical
laboratory tests and clinical observations?
a. SNOMED CT
b. LOINC
c. RxNorm
d. MS-DRG
e. CPT
ANS: B
LOINC is a naming taxonomy that focuses on medical laboratory tests and clinical
observations. In 2015 an alpha version forged from an agreement with SNOMED CT allowed
for a more powerful integration of these two taxonomies.
7. Which of the following provides a standardized naming convention allowing for semantic
interoperation between systems for pharmaceuticals from the National Library of Medicine?
a. ICD-10-CM
b. ICT-10-PCH
c. CPT
d. RxNorm
e. MS-DRG
ANS: D
RxNorm is a normalized data set maintained by the National Library of Medicine to allow for
interoperability between systems for pharmaceutical trade names, brand names, and dosages.
8. Documentation through the use of ICD or SNOMED CT codes allows for documentation to
be queried. This is best described as:
a. Discrete or structured data
, b. Nondiscrete or unstructured data
c. Discrete or unstructured data
d. Nondiscrete or structured data
ANS: A
Discrete or structured data that are “coded” through the use of systems such as ICD,
SNOMED CT, and others allow for compilation, evaluation, and analysis of the information in
a quick and efficient way.
9. Documentation that is handwritten in long form or dictated without the use of diagnosis codes
cannot be easily queried. This is best described as:
a. Discrete or unstructured data
b. Nondiscrete or unstructured data
c. Nondiscrete or structured data
d. Discrete or structured data
ANS: B
Nondiscrete or unstructured data refer to information that is not systematically organized such
as dictated reports, handwritten progress notes, or those that contain natural language. This
type of data requires additional effort and time for analysis and compilation.
10. Which of the following is used to report and monitor an APRN and their practice at a
particular location of service?
a. NPI and TIN
b. TIN and ICD-10
c. LOINC and NPI
d. NPI and ZIP
e. CPT and NPI
ANS: E
The National Provider Identifier (NPI) in addition to the facility Tax Identification Number
(TIN) are used from claims data by MACRA to associate providers with individual practice
locations to report provider responsible for ordering or providing patient care.
11. An APRN is working on an improvement initiative for sepsis. He or she designed
measurement processes, collected and analyzed data, and then presented the data back to an
oversight committee in an effective manner. The activities completed by the APRN is best
described as:
a. Descriptive analytics
b. Machine learning
c. Data processing
d. Data analytics
ANS: D
The activities of collecting and analyzing the data, and presenting the data back to
stakeholders in a timely and effective manner are termed data analytics
12. An APRN wishes to become familiar with all of the reporting measures or metrics required by
his or her specific practice role. Which of the following would be the best resource for this
information?
a. National Quality Forum