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MHA 705 EXAM 3 QUESTIONS AND CORRECT ANSWERS
electronic health records (EHRs)
In January 2004, the President Bush raised the profile of
__________________________ in his State of the Union address by outlining a
plan to ensure that most Americans would have an EHR by 2014.
This goal was reaffirmed by President Obama
American Recovery and Reinvestment Act of 2009
included the HITECH Act to specifically incentivize health organizations and
providers to become "meaningful users" of EHRs.
ARRA Requirements
Providers and hospitals must use a certified EHR that meets a set of standard
functional definitions to be eligible for the increased reimbursement incentive.
The Department of Health and Human Services (HHS)
initially granted two organizations the authority to accredit EHRs: The Drummond
Group and the Certification Commission for Healthcare Information Technology.
-In 2015, there are five recognized bodies for testing and certifying EHRs
Certification Criteria
Developed by the National Institute of Standards and Technology (NIST) and
endorsed by the Office of the National Coordinator for Health Information
Technology for EHRs
45 initial certification criteria
that range from the basic ability to record patient demographics, document vital
signs, and maintain an up-to-date problem list, to more complex functions, such as
electronic exchange of clinical information and patient summary records
Higher stages of the Electronic Medical Record Adoption Model include
more sophisticated use of decision support tools and medication administration
tools, through Stage 7, where the EMR has data sharing and warehousing
capabilities and complete interface with emergency and outpatient facilities
Stage 1 meaningful use criteria
focus on data capture and sharing
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Stage 2 (by 2014) criteria
advance several clinical processes and promote health information exchange (HIE)
and more patient controlled data
Stage 3 (by 2016) criteria
focus on improved outcomes for individuals and populations and on patient self-
management tools
replaces paper-based medical record
A data warehouse or repository of information regarding the health status of a
client;
The systematic documentation of a client's health status and health care
in a secured digital format, meaning that it can be processed, stored, transmitted
and accessed by authorized interdisciplinary professionals for the purpose of
supporting efficient, high-quality health care across the client's healthcare
continuum
Health information and data
the patient data required to make sound clinical decisions, including demographics,
medical and nursing diagnoses, medication lists, allergies, and test results
Results management
the ability to manage results of all types electronically, including laboratory and
radiology procedure reports, both current and historical
Order entry management
the ability for a clinician to enter medication and other care orders directly into a
computer, including laboratory, microbiology, pathology, radiology, nursing,
supply orders, ancillary services, and consults
Decision support
computer reminders and alerts to improve the diagnosis and care of a patient
Electronic communication and connectivity
MHA 705 EXAM 3 QUESTIONS AND CORRECT ANSWERS
electronic health records (EHRs)
In January 2004, the President Bush raised the profile of
__________________________ in his State of the Union address by outlining a
plan to ensure that most Americans would have an EHR by 2014.
This goal was reaffirmed by President Obama
American Recovery and Reinvestment Act of 2009
included the HITECH Act to specifically incentivize health organizations and
providers to become "meaningful users" of EHRs.
ARRA Requirements
Providers and hospitals must use a certified EHR that meets a set of standard
functional definitions to be eligible for the increased reimbursement incentive.
The Department of Health and Human Services (HHS)
initially granted two organizations the authority to accredit EHRs: The Drummond
Group and the Certification Commission for Healthcare Information Technology.
-In 2015, there are five recognized bodies for testing and certifying EHRs
Certification Criteria
Developed by the National Institute of Standards and Technology (NIST) and
endorsed by the Office of the National Coordinator for Health Information
Technology for EHRs
45 initial certification criteria
that range from the basic ability to record patient demographics, document vital
signs, and maintain an up-to-date problem list, to more complex functions, such as
electronic exchange of clinical information and patient summary records
Higher stages of the Electronic Medical Record Adoption Model include
more sophisticated use of decision support tools and medication administration
tools, through Stage 7, where the EMR has data sharing and warehousing
capabilities and complete interface with emergency and outpatient facilities
Stage 1 meaningful use criteria
focus on data capture and sharing
, 2|Page
Stage 2 (by 2014) criteria
advance several clinical processes and promote health information exchange (HIE)
and more patient controlled data
Stage 3 (by 2016) criteria
focus on improved outcomes for individuals and populations and on patient self-
management tools
replaces paper-based medical record
A data warehouse or repository of information regarding the health status of a
client;
The systematic documentation of a client's health status and health care
in a secured digital format, meaning that it can be processed, stored, transmitted
and accessed by authorized interdisciplinary professionals for the purpose of
supporting efficient, high-quality health care across the client's healthcare
continuum
Health information and data
the patient data required to make sound clinical decisions, including demographics,
medical and nursing diagnoses, medication lists, allergies, and test results
Results management
the ability to manage results of all types electronically, including laboratory and
radiology procedure reports, both current and historical
Order entry management
the ability for a clinician to enter medication and other care orders directly into a
computer, including laboratory, microbiology, pathology, radiology, nursing,
supply orders, ancillary services, and consults
Decision support
computer reminders and alerts to improve the diagnosis and care of a patient
Electronic communication and connectivity
