NHA - CERTIFIED ELECTRONIC HEALTH RECORD SPECIALIST
(CEHRS) FINAL EXAM PREPARATION MATERIAL QUESTIONS
AND CORRECT ANSWERS |ALREADY GRADED A+
National Health Inpatient Quality Measures - ANSWER>>A set of specific data that
hospitals must collect and report to CMS and the Joint Commission to document
quality patient care.
Occupancy Rate - ANSWER>>The percentage of licensed beds in a hospital that
have a patient assigned to them, and thus are generating revenue.
Patient Care Unit (PCU) - ANSWER>>For the purpose of census data, a PCU has a
defined number of beds and is staff assigned; also called floors, units, or wards.
Prospective Payment System (PPS) - ANSWER>>System initially implemented by
Medicare in the early 1980's that replaced fee-for-service payments for the
provision of health services with predetermined payments based on the principal
diagnosis of the patient.
Service Lines - ANSWER>>Groups of patient services by specialty; hospitals define
these individually, and they vary by facility with some similarities, such as
obstetrics; examples include cardiology, neurology, thoracic surgery, general
surgery, and the gynecology; some facilities choose to combine similar or related
lines, such as obstetrics and neonatology, obstetrics and gynecology, and cardio-
thoracic surgery; they are useful for compiling financial, compliance, and other in-
house reports.
Total Inpatient Service Days - ANSWER>>The number of inpatients receiving care
each day summed for the days in the period under study; for example, if you are
reviewing the total inpatient service days for the month of September, which has
30 days, add the patients for Sept 1 (125), Sept 2 (119), and so on; the total is the
sum of all patients per day. az
,Which of the following describes the impact on legacy systems when
implementing an EHR system? - ANSWER>>They were not built to work with
other health information technology solutions.
CPOE - ANSWER>>Allows a provider to order medications, diagnostic testing,
rehabilitation, and other services for inpatients.
ePrescribing - ANSWER>>Is the tool providers use in the outpatient setting to
send prescriptions to the patient's pharmacy. It replaces the paper prescription
pad.
eFax - ANSWER>>Is a software application that allows EHR specialists to send a
document from the computer to a fax machine.
HIS - ANSWER>>Refers to the sum total of all information systems that support
operations in a facility.
CCHIT - ANSWER>>Approves and certifies EHR technology and is the required
standard for facilities and providers wanting to participate in the Meaningful Use
incentive program.
Hybrid Record - ANSWER>>A record that is partially paper and partially electronic.
Affordable Care Act - ANSWER>>Mandates comprehensive health insurance
reform.
American Recovery and Reinvestment Act of 2009 (ARRA) - ANSWER>>Consists of
three major goals: create and save jobs, spur economic activity and invest in long-
term growth, and support accountability and transparency in recovery spending.
Authorization - ANSWER>>Required for any release of patient PHI; consists of
specific elements that make it legal and appropriate to release information.
, Accounts Receivable - ANSWER>>Patient bills for services that have already been
provided that legally are due to a facility.
Autopsy Rates - ANSWER>>The percent of autopsies performed on patients who
die in the hospital; reasons for not performing an autopsy in the hospital may
include legal inquiry or family preference.
Average Length of Stay (ALOS) - ANSWER>>The total number of patient days in a
period divided by the number of patients; for example, the ALOS for cardiology
services in February was 6.1 days.
Benchmarks - ANSWER>>Goals or metrics a facility wants to meet; for example, if
the industry standard is 90% of patients should have advance directives entered
into their patient record within 24 hour of admission, and a hospital was only
meeting this for 45% of the patients, they would use the external benchmark of
90% as a goal and track performance toward that goal by month or quarter.
Centers for Disease and Control and Prevention (CDC) - ANSWER>>A division of
the Department of Health and Human Services.
Chief Executive Officer (CEO) - ANSWER>>Leader of a facility who reports to the
Board of Directors.
Chief Financial Officer (CFO) - ANSWER>>Leader who oversees all financial and
fiscal decisions and issues for a facility; generally reports to the CEO.
Commercial Insurers - ANSWER>>Private, non-government insurers; these are
often the insurance options available through employers.
Comorbidity - ANSWER>>Disease that exists at the same time as a primary
disease that a patient is being treated for at the time; for example, a patient who
(CEHRS) FINAL EXAM PREPARATION MATERIAL QUESTIONS
AND CORRECT ANSWERS |ALREADY GRADED A+
National Health Inpatient Quality Measures - ANSWER>>A set of specific data that
hospitals must collect and report to CMS and the Joint Commission to document
quality patient care.
Occupancy Rate - ANSWER>>The percentage of licensed beds in a hospital that
have a patient assigned to them, and thus are generating revenue.
Patient Care Unit (PCU) - ANSWER>>For the purpose of census data, a PCU has a
defined number of beds and is staff assigned; also called floors, units, or wards.
Prospective Payment System (PPS) - ANSWER>>System initially implemented by
Medicare in the early 1980's that replaced fee-for-service payments for the
provision of health services with predetermined payments based on the principal
diagnosis of the patient.
Service Lines - ANSWER>>Groups of patient services by specialty; hospitals define
these individually, and they vary by facility with some similarities, such as
obstetrics; examples include cardiology, neurology, thoracic surgery, general
surgery, and the gynecology; some facilities choose to combine similar or related
lines, such as obstetrics and neonatology, obstetrics and gynecology, and cardio-
thoracic surgery; they are useful for compiling financial, compliance, and other in-
house reports.
Total Inpatient Service Days - ANSWER>>The number of inpatients receiving care
each day summed for the days in the period under study; for example, if you are
reviewing the total inpatient service days for the month of September, which has
30 days, add the patients for Sept 1 (125), Sept 2 (119), and so on; the total is the
sum of all patients per day. az
,Which of the following describes the impact on legacy systems when
implementing an EHR system? - ANSWER>>They were not built to work with
other health information technology solutions.
CPOE - ANSWER>>Allows a provider to order medications, diagnostic testing,
rehabilitation, and other services for inpatients.
ePrescribing - ANSWER>>Is the tool providers use in the outpatient setting to
send prescriptions to the patient's pharmacy. It replaces the paper prescription
pad.
eFax - ANSWER>>Is a software application that allows EHR specialists to send a
document from the computer to a fax machine.
HIS - ANSWER>>Refers to the sum total of all information systems that support
operations in a facility.
CCHIT - ANSWER>>Approves and certifies EHR technology and is the required
standard for facilities and providers wanting to participate in the Meaningful Use
incentive program.
Hybrid Record - ANSWER>>A record that is partially paper and partially electronic.
Affordable Care Act - ANSWER>>Mandates comprehensive health insurance
reform.
American Recovery and Reinvestment Act of 2009 (ARRA) - ANSWER>>Consists of
three major goals: create and save jobs, spur economic activity and invest in long-
term growth, and support accountability and transparency in recovery spending.
Authorization - ANSWER>>Required for any release of patient PHI; consists of
specific elements that make it legal and appropriate to release information.
, Accounts Receivable - ANSWER>>Patient bills for services that have already been
provided that legally are due to a facility.
Autopsy Rates - ANSWER>>The percent of autopsies performed on patients who
die in the hospital; reasons for not performing an autopsy in the hospital may
include legal inquiry or family preference.
Average Length of Stay (ALOS) - ANSWER>>The total number of patient days in a
period divided by the number of patients; for example, the ALOS for cardiology
services in February was 6.1 days.
Benchmarks - ANSWER>>Goals or metrics a facility wants to meet; for example, if
the industry standard is 90% of patients should have advance directives entered
into their patient record within 24 hour of admission, and a hospital was only
meeting this for 45% of the patients, they would use the external benchmark of
90% as a goal and track performance toward that goal by month or quarter.
Centers for Disease and Control and Prevention (CDC) - ANSWER>>A division of
the Department of Health and Human Services.
Chief Executive Officer (CEO) - ANSWER>>Leader of a facility who reports to the
Board of Directors.
Chief Financial Officer (CFO) - ANSWER>>Leader who oversees all financial and
fiscal decisions and issues for a facility; generally reports to the CEO.
Commercial Insurers - ANSWER>>Private, non-government insurers; these are
often the insurance options available through employers.
Comorbidity - ANSWER>>Disease that exists at the same time as a primary
disease that a patient is being treated for at the time; for example, a patient who
