Care Everywhere CE 101 Questions With Complete Solutions

Care Everywhere CE 101 Questions With
Complete Solutions
 Course
 CE101
1. What is Care Everywhere, and what is its primary function?
Answer:
Care Everywhere is Epic Systems’ health information exchange (HIE) platform. Its primary
function is to allow secure sharing of patient medical information between different
healthcare organizations, regardless of whether both organizations use Epic or not. This
facilitates coordinated care, reduces duplication of tests, and improves clinical outcomes.


2. A patient has records at Hospital A and visits Hospital B. What must Hospital B do to
retrieve the patient's external records via Care Everywhere?
Answer:
Hospital B must:
 Search for outside records using the Care Everywhere chart review or encounter
reconciliation workflow.
 Ensure that patient matching identifiers (like name, DOB, SSN, MRN, etc.) are
correctly entered.
 Once a match is found, request and import the records.
 Ensure the patient has given consent, if applicable (especially in regions with opt-in
policies).


3. What types of clinical data can typically be exchanged through Care Everywhere?
Answer:
Care Everywhere can exchange:
 Problem lists
 Medication histories
 Allergies
 Lab results
 Immunizations
 Radiology reports

,  Surgical and procedural history
 Clinical notes
 Care plans and encounters


4. What standard does Care Everywhere use to structure and send clinical data between
systems?
Answer:
Care Everywhere uses the IHE (Integrating the Healthcare Enterprise) standards,
specifically:
 XDS.b for document sharing
 XCA (Cross-Community Access) for querying documents across networks
 C-CDA (Consolidated Clinical Document Architecture) format for clinical content


5. If a provider wants to confirm that a patient's outside lab results were received through
Care Everywhere, where should they look in Epic?
Answer:
Providers can:
 Go to Chart Review > Care Everywhere tab
 Use filters (e.g., “Labs”) to view imported results
 Alternatively, in Results Review, imported labs may appear with an external source
indicator (often a building icon)


6. What must be configured for Care Everywhere to function properly at a hospital site?
Answer:
Configuration requirements include:
 Correct linking to Care Everywhere networks (like eHealth Exchange, CommonWell,
Carequality)
 Data sharing policies enabled in Epic’s settings
 Master patient index (MPI) and patient matching algorithms
 User access controls and training

,  Consent model compliance (opt-in or opt-out, depending on state/country laws)


7. What is the purpose of the Encounter Reconciliation tool in Care Everywhere?
Answer:
The Encounter Reconciliation tool helps clinicians:
 Compare external encounter data (e.g., diagnoses, meds, problems) with internal
records
 Decide whether to reconcile and incorporate external data into the patient's Epic chart
 Ensure data consistency and accuracy across care settings


8. A provider claims they cannot see any external data for a patient. What are possible
causes? List at least 3.
Answer:
 The patient has not given consent (if consent is required)
 The external organization is not connected to the Care Everywhere network
 Patient demographics do not match between institutions (e.g., name misspelled, DOB
mismatch)
 Care Everywhere user role permissions are not assigned
 System downtime or network issues


9. True or False: Care Everywhere can only share data between Epic-based systems.
Answer:
False.
While Care Everywhere is Epic’s HIE platform, it supports interoperability with non-Epic
EHRs through national frameworks like Carequality and adherence to HL7/IHE standards.
It can query Cerner, Allscripts, MEDITECH, and others if those systems are connected to the
same exchange network.


10. What audit trail or logging capabilities exist for Care Everywhere exchanges in Epic?