EHR GO KNOWLEDGE ACTIVITY: CAUSE AND
EFFECT: CDS EVALUATION
(BACCALAUREATE) EXAM 300 ACTUAL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST UPDATE ALREADY
GRADED A+
Section 1: CDS Fundamentals and Definitions (1–35)
1. According to the Centers for Medicare and Medicaid Services (CMS), clinical
decision support (CDS) is best described as:
A. An alert, notification, or explicit care suggestion
B. HIT functionality that provides general and person-specific information,
intelligently filtered and organized, at appropriate times, to enhance health and
healthcare
C. A standalone software application that replaces clinician judgment
D. A billing code used to document preventive services
Answer: B
Rationale: CMS explicitly distinguishes CDS from simple alerts, stating that CDS
is "HIT functionality that builds upon the foundation of an EHR to provide persons
involved in care processes with general and person-specific information,
intelligently filtered and organized, at appropriate times, to enhance health and
healthcare". An alert alone is too narrow a definition.
2. Which of the following is NOT one of the four CDS topics covered in the Cause
and Effect: CDS Evaluation activity?
A. Smart documentation forms
B. Order sets, care plans, and ordering templates
C. Billing and claims processing
D. Reminders for preventive care
,Answer: C
Rationale: The four CDS topics covered in the activity are: (1) Smart
documentation forms, (2) Order sets, care plans, ordering templates, and reference
information for protocols, (3) Critiques and warnings (immediate alerts and pop-
ups), and (4) Reminders for preventive care, textual or timed alerts for the health
team. Billing and claims processing is not a CDS topic.
3. The Promoting Interoperability Programs (formerly Meaningful Use) were
established by which agency?
A. The Joint Commission
B. The Centers for Medicare and Medicaid Services (CMS)
C. The Food and Drug Administration (FDA)
D. The National Institutes of Health (NIH)
Answer: B
Rationale: CMS established the Medicare and Medicaid EHR Incentive Programs
in 2011, which were renamed the Promoting Interoperability Programs in 2018.
One of the objectives of Stage 3 is requiring providers to use CDS to improve
performance on high-priority health conditions.
4. Under Promoting Interoperability Stage 3, eligible providers must implement
how many CDS interventions?
A. One
B. Three
C. Five
D. Ten
Answer: C
Rationale: One of the measures for eligible providers is to implement five clinical
decision support interventions related to four or more clinical quality measures
(CQMs) at a relevant point in patient care.
5. The Central Clinic in the CDS Evaluation activity is seeking to enhance EHR-
assisted CDS. Who asked the learner to evaluate existing CDS?
,A. The patient
B. The clinic director
C. The insurance company
D. The EHR vendor
Answer: B
Rationale: The clinic director has asked the learner to evaluate existing CDS and
make suggestions for enhancements based on best practices.
6. Which of the following best describes the role of a CDS system in clinical
workflow?
A. To replace the nurse's clinical judgment
B. To enhance clinical judgment by offering real-time, evidence-based prompts
C. To document billing codes automatically
D. To schedule patient appointments
Answer: B
Rationale: CDS enhances, not replaces, clinical judgment by offering real-time,
evidence-based prompts such as drug interaction and allergy alerts. The technology
supports but does not substitute for clinician decision-making.
7. The CDS Five Rights framework includes all of the following EXCEPT:
A. Right information
B. Right person
C. Right price
D. Right point in workflow
Answer: C
Rationale: The Five Rights of CDS are: right information, right person, right
format, right channel, and right point in workflow. "Right price" is not part of the
framework.
8. According to the CDS Five Rights, "right information" means:
, A. The most expensive evidence-based guideline available
B. Evidence-based guidance that responds to a clinical need
C. Any information the provider requests
D. Information that is convenient for the IT department to maintain
Answer: B
Rationale: The "right information" component of the Five Rights means providing
evidence-based guidance that responds to a clinical need.
9. Which of the following is an example of CDS that provides the "right
information" to the "right person"?
A. A drug-allergy alert sent to the billing department
B. A sepsis screening alert sent to the charge nurse
C. A preventive care reminder mailed to the patient's home
D. A medication interaction alert delivered to the prescribing provider at order
entry
Answer: D
Rationale: A medication interaction alert delivered to the prescribing provider at
order entry exemplifies right information (drug interaction) to the right person
(prescriber) through the right channel (EHR) at the right point in workflow (order
entry).
10. Which of the following is NOT a category of CDS intervention format?
A. Order sets
B. Flow sheets
C. Dashboards
D. Patient satisfaction surveys
Answer: D
Rationale: CDS intervention formats include order sets, flow sheets, dashboards,
and patient lists. Patient satisfaction surveys are not a CDS format.
11. The term "intelligently filtered" in the CMS definition of CDS means:
EFFECT: CDS EVALUATION
(BACCALAUREATE) EXAM 300 ACTUAL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST UPDATE ALREADY
GRADED A+
Section 1: CDS Fundamentals and Definitions (1–35)
1. According to the Centers for Medicare and Medicaid Services (CMS), clinical
decision support (CDS) is best described as:
A. An alert, notification, or explicit care suggestion
B. HIT functionality that provides general and person-specific information,
intelligently filtered and organized, at appropriate times, to enhance health and
healthcare
C. A standalone software application that replaces clinician judgment
D. A billing code used to document preventive services
Answer: B
Rationale: CMS explicitly distinguishes CDS from simple alerts, stating that CDS
is "HIT functionality that builds upon the foundation of an EHR to provide persons
involved in care processes with general and person-specific information,
intelligently filtered and organized, at appropriate times, to enhance health and
healthcare". An alert alone is too narrow a definition.
2. Which of the following is NOT one of the four CDS topics covered in the Cause
and Effect: CDS Evaluation activity?
A. Smart documentation forms
B. Order sets, care plans, and ordering templates
C. Billing and claims processing
D. Reminders for preventive care
,Answer: C
Rationale: The four CDS topics covered in the activity are: (1) Smart
documentation forms, (2) Order sets, care plans, ordering templates, and reference
information for protocols, (3) Critiques and warnings (immediate alerts and pop-
ups), and (4) Reminders for preventive care, textual or timed alerts for the health
team. Billing and claims processing is not a CDS topic.
3. The Promoting Interoperability Programs (formerly Meaningful Use) were
established by which agency?
A. The Joint Commission
B. The Centers for Medicare and Medicaid Services (CMS)
C. The Food and Drug Administration (FDA)
D. The National Institutes of Health (NIH)
Answer: B
Rationale: CMS established the Medicare and Medicaid EHR Incentive Programs
in 2011, which were renamed the Promoting Interoperability Programs in 2018.
One of the objectives of Stage 3 is requiring providers to use CDS to improve
performance on high-priority health conditions.
4. Under Promoting Interoperability Stage 3, eligible providers must implement
how many CDS interventions?
A. One
B. Three
C. Five
D. Ten
Answer: C
Rationale: One of the measures for eligible providers is to implement five clinical
decision support interventions related to four or more clinical quality measures
(CQMs) at a relevant point in patient care.
5. The Central Clinic in the CDS Evaluation activity is seeking to enhance EHR-
assisted CDS. Who asked the learner to evaluate existing CDS?
,A. The patient
B. The clinic director
C. The insurance company
D. The EHR vendor
Answer: B
Rationale: The clinic director has asked the learner to evaluate existing CDS and
make suggestions for enhancements based on best practices.
6. Which of the following best describes the role of a CDS system in clinical
workflow?
A. To replace the nurse's clinical judgment
B. To enhance clinical judgment by offering real-time, evidence-based prompts
C. To document billing codes automatically
D. To schedule patient appointments
Answer: B
Rationale: CDS enhances, not replaces, clinical judgment by offering real-time,
evidence-based prompts such as drug interaction and allergy alerts. The technology
supports but does not substitute for clinician decision-making.
7. The CDS Five Rights framework includes all of the following EXCEPT:
A. Right information
B. Right person
C. Right price
D. Right point in workflow
Answer: C
Rationale: The Five Rights of CDS are: right information, right person, right
format, right channel, and right point in workflow. "Right price" is not part of the
framework.
8. According to the CDS Five Rights, "right information" means:
, A. The most expensive evidence-based guideline available
B. Evidence-based guidance that responds to a clinical need
C. Any information the provider requests
D. Information that is convenient for the IT department to maintain
Answer: B
Rationale: The "right information" component of the Five Rights means providing
evidence-based guidance that responds to a clinical need.
9. Which of the following is an example of CDS that provides the "right
information" to the "right person"?
A. A drug-allergy alert sent to the billing department
B. A sepsis screening alert sent to the charge nurse
C. A preventive care reminder mailed to the patient's home
D. A medication interaction alert delivered to the prescribing provider at order
entry
Answer: D
Rationale: A medication interaction alert delivered to the prescribing provider at
order entry exemplifies right information (drug interaction) to the right person
(prescriber) through the right channel (EHR) at the right point in workflow (order
entry).
10. Which of the following is NOT a category of CDS intervention format?
A. Order sets
B. Flow sheets
C. Dashboards
D. Patient satisfaction surveys
Answer: D
Rationale: CDS intervention formats include order sets, flow sheets, dashboards,
and patient lists. Patient satisfaction surveys are not a CDS format.
11. The term "intelligently filtered" in the CMS definition of CDS means:
