Info System II Exam 1 with answers

A migration path for an EHR is: - answer-A plan for implementation software and hardware Briefly define the intent/focus of Stage 1 - answer-Capture data Briefly define the intent/focus of Stage 2 - answer-Improve processes in healthcare Briefly define the intent/focus of Stage 3 - answer-Improve quality of care Chosen by the IOM, carries forward by HL7 and CCHIT; most comprehensive term; conforms to nationally recognized interoperability standards - answer-EHR Clinical Data repository (supporting Infrastructure element) - answer-Integrates data from multiple source systems Connectivity systems - answer-Supports the integration of data across different organizations and with patients Context Sensitivity - answer-Physician ordering a pregnancy test for a male patient an alert will come up giving the physician a chance to correct the problem Core clinical systems - answer-Used to support the operations of ancillary departments, including generating data for the EHR CPOE - answer-Computerized Physician Order Entry Define EHR - answer- Direct access, transactional, database that integrates data and provides users with detailed patient-level data and clinical decision support - answer-CDR Expected Electronic Health record function include: -24 x7 availability -CDS like alerts and reminders -Links to external databases - answer-24 x7 availability -CDS like alerts and reminders -Links to external databases In additional to core objetives, menu objectives and CQM, the HITECH MU program also mandated standards in other domains. What are the 4 domains addressed in the final rule? - answer-1. Vocabulary Standards 2. Information Exchange 3. Transport 4. Privacy and Security for PHI In your own words, explain the different roles CMS and ONC assume for implementing the ARRA/ HITECH rule. - answer-There are three buckets: 1. Certification (ONC) 2. Standards and objectives (ONC) 3. Incentives (CMS) ONCs roles was to oversee certification for EHR as well as to implement and uphold Standars and OBjectives. CMS was in charge of the MU incentives Large databases that are optimized to perform data analytics; most often with aggregate data - answer-Data warehouse Medical devices that include computing capability and that produce information contributed to the EHR - answer-Smart Peripherals ONC - answer-Office of the National Controller Over the years of implementation, the number of MU core objective have _____________ and the total number slated to be in Final Stage 3 is _________ - answer-Decreased 9 POC - answer-Point of Care Select the items that best describe unstructured data: -Speech dictation -Difficult to use in database searches -Drop-down menu options -Allows precise database query sections - answer--Speech dictation -Difficult to use in database searches Select those items that best describe structured data: -Predefined in a table or checklist -Allows for accurate and distinct data capture -Value assigned to variable to be processed by the EHR -Refers to narrative data -Difficult to use in database searches -Scanned image or a report - answer--Predefined in a table or checklist -Allows for accurate and distinct data capture -Value assigned to variable to be processed by the EHR Source systems - answer-Aids capture of data at the POC and provides for viewing information Steps taken to build an EHR system; uniquely created by each organization - answer-Migration Path System that provides electronic provider order entry with linked retrieval of diagnostic testing results - answer-CPOE Term used in the MU incentive regulations to describe requirements to earn the incentives - answer-Certified EHR The *Core Clinical Systems* that enable use of data at the point of care and define whether a care delivery organization has an EHR: Select 4 -Results mgmt -POC documentation -Medication mgmt -Clinical Decision support -Laboratory information system -inpatient pharmacy system -Continuity of care record -HIE - answer-Results mgmt -P