HSPM 500 Exam 2 - CH 8-14 Questions
and Answers 2025.
health |information |system |(HIS) |- |ANS- |all |components |of |computer |systems
- |networks
- |data |that |systems |create |and |capture |through |the |use |of |software
networks |- |ANScan |be |categorized |as |Intranets, |which |are |internal |to |an |organization, |or |
Extranets, |which |are |external |and |allow |users |to |share |info
systems |in |health |care |- |ANS- |standard |office |applications |such |as |word |processing, |
spreadsheet |management, |and |email |and |other |administrative |tools |to |enable |collaboration
- |budget |systems |to |manage |expenses |and |income
- |cost |accounting |systems |to |model |the |profit |(or |loss) |of |key |services/products
- |billing |and |accounts |receivable |systems |used |to |bill |clients |and |customers |for |the |goods |or |
services |of |the |entity
historical |uses |of |information |technology |- |ANS- |health |care |settings |include |hospitals, |
physician |practices, |nursing |homes, |home |health |care, |insurance |companies
- |mainly |used |for |administrative |support
- |to |support |regulatory |requirements |such |as |those |defined |by |JCAHO, |CMS, |and |CAP
- |opportunity |to |reduce |costs |and |increase |patient |safety |and |treatment |effectiveness |has |
encouraged |use |in |more |clinical |settings
,evolution |of |the |automation |of |health |care |- |ANS- |Repetitive |workloads |lend |themselves |to |
automation:
| filling |prescriptions, |resulting |
| -laboratory |tests, |completing |
| radiology |images
- |Initial |automation |was |in |each |clinical |area |and |not |'hooked' |together |or |integrated.
- |Primary |caregivers |did |not |use |computers |as |part |of |their |daily |routines.
- |Systems |were |too |cumbersome |and |time |consuming.
- |Medical |devices |are |more |sophisticated
- |Robotic |use |has |increased
- |Unification |of |medical |devices |and |information |systems
- |Systems |more |prevalent |in |the |clinical |setting
- |Health |care |managers |will |need |to |use |these |new |systems |in |their |daily |routines
what |is |EMR? |- |ANS- |an |EMR |is |a |computer |application |that |includes:
| | - clinical |data |repository
| | - clinical |decision |support
| | - controlled |medical |vocabulary
| | - physician |order |entry
| | - pharmacy |and |clinical |
| documentation
- |used |across |inpatient |and |outpatient |areas
- |used |by |all |practitioners |to |document, |monitor, |and |manage |health |care |delivery
- |legal |record |of |care |for |a |patient |during |their |encounter |at |a |care |delivery |organization |(CDO)
,electronic |medical |record |analytical |model |(EMRAM) |- |ANS- |Developed |by |industry |association
|of |health |care |information |technology |(HIT) |professionals: |The |Healthcare |Information |and |
Management |Systems |Society |(HIMSS).
- |EMRAM: |model |to |gauge |hospital |EMR |adoption.
- |Hospitals |are |scored |in |a |national |database.
- |Stages |0 |- |7 |indicate |progressively |higher |and |more |clinically |sophisticated |uses |of |HIT.
EMRAM |Stages |0-1 |- |ANSvery |basic |automation |of |individual |areas
EMRAM |Stage |2 |- |ANSability |to |start |bringing |disparate |data |together
EMRAM |Stages |3-6 |- |ANSimplementation |of |advanced |clinical |systems
EMRAM |Stage |7 |- |ANSability |to |share |or |exchange |data |with |external |entities
hospital |EMR |adoption |- |ANS- |as |of |Q1, |2015, |56% |of |all |US |hospitals |progressed |past |stage |4 |
- |only |3.7% |(197) |of |over |5467 |hospitals |have |progressed |to |stage |7
- |slow |progress |due |to:
| | - high |cost |of |systems
| | - slow |development |of |data |
| standards
| | - user |unfriendliness |of |systems
| | - patient |lack |of |trust |in |the |
| ability |of |the |industry |to |hold |
| their |information |secure
EMR |or |EHR? |- |ANS- |electronic |health |record |(EHR) |is |a |broader |term |than |EMR
, - |refers |to |total |health |of |patient, |including |immunizations, |allergies, |medications, |etc.
- |data |in |EHR |accessible |to |many, |including |patient |and |other |health |providers
physician |EMR |adoption |- |ANS- |most |patient |care |in |the |US |occurs |in |physician |offices
- |of |all |care |settings, |they |have |the |LEAST |amount |of |automation |due |to |the |previously |
defined |barriers |to |adoption
- |96.4% |hospitals |have |some |form |of |an |EMR; |62.8% |of |physician |practices |have |EMR
barriers |to |adoption |- |ANS- |cost |of |purchasing |a |system
- |loss |of |productivity
- |annual |maintenance |costs
- |adequacy |of |training
- |finding |EHR |to |meet |practice |needs
federal |response |- |ANS- |establishment |of |the |Notice |of |Privacy |Practice |(NOPP)
- |while |influential |on |the |development |and |enhancement |of |HIT, |hasn't |had |any |immediate |
impact |to |increase |adoption |and |reduce |other |barriers
- |by |2009, |adoption |continued |to |be |very |slow
- |rising |health |care |costs |led |the |Obama |administration |to |intervene
- |legislation |= |American |Recovery |and |Reinvestment |Act |(ARRA)
- |ARRA |includes |Health |Information |Technology |(HITECH) |Act |to |increase |adoption |through |
incentives |for |hospitals |and |physicians |(among |other |care |providers)
meaningful |use |- |ANS- |concept |of |"meaningful |use" |criteria |for |EHRs |focused |on |achieving |five
|health |outcomes |policy |priorities
| | - improve |quality, |safety, |
| efficiency, |and |reduce |health |
and Answers 2025.
health |information |system |(HIS) |- |ANS- |all |components |of |computer |systems
- |networks
- |data |that |systems |create |and |capture |through |the |use |of |software
networks |- |ANScan |be |categorized |as |Intranets, |which |are |internal |to |an |organization, |or |
Extranets, |which |are |external |and |allow |users |to |share |info
systems |in |health |care |- |ANS- |standard |office |applications |such |as |word |processing, |
spreadsheet |management, |and |email |and |other |administrative |tools |to |enable |collaboration
- |budget |systems |to |manage |expenses |and |income
- |cost |accounting |systems |to |model |the |profit |(or |loss) |of |key |services/products
- |billing |and |accounts |receivable |systems |used |to |bill |clients |and |customers |for |the |goods |or |
services |of |the |entity
historical |uses |of |information |technology |- |ANS- |health |care |settings |include |hospitals, |
physician |practices, |nursing |homes, |home |health |care, |insurance |companies
- |mainly |used |for |administrative |support
- |to |support |regulatory |requirements |such |as |those |defined |by |JCAHO, |CMS, |and |CAP
- |opportunity |to |reduce |costs |and |increase |patient |safety |and |treatment |effectiveness |has |
encouraged |use |in |more |clinical |settings
,evolution |of |the |automation |of |health |care |- |ANS- |Repetitive |workloads |lend |themselves |to |
automation:
| filling |prescriptions, |resulting |
| -laboratory |tests, |completing |
| radiology |images
- |Initial |automation |was |in |each |clinical |area |and |not |'hooked' |together |or |integrated.
- |Primary |caregivers |did |not |use |computers |as |part |of |their |daily |routines.
- |Systems |were |too |cumbersome |and |time |consuming.
- |Medical |devices |are |more |sophisticated
- |Robotic |use |has |increased
- |Unification |of |medical |devices |and |information |systems
- |Systems |more |prevalent |in |the |clinical |setting
- |Health |care |managers |will |need |to |use |these |new |systems |in |their |daily |routines
what |is |EMR? |- |ANS- |an |EMR |is |a |computer |application |that |includes:
| | - clinical |data |repository
| | - clinical |decision |support
| | - controlled |medical |vocabulary
| | - physician |order |entry
| | - pharmacy |and |clinical |
| documentation
- |used |across |inpatient |and |outpatient |areas
- |used |by |all |practitioners |to |document, |monitor, |and |manage |health |care |delivery
- |legal |record |of |care |for |a |patient |during |their |encounter |at |a |care |delivery |organization |(CDO)
,electronic |medical |record |analytical |model |(EMRAM) |- |ANS- |Developed |by |industry |association
|of |health |care |information |technology |(HIT) |professionals: |The |Healthcare |Information |and |
Management |Systems |Society |(HIMSS).
- |EMRAM: |model |to |gauge |hospital |EMR |adoption.
- |Hospitals |are |scored |in |a |national |database.
- |Stages |0 |- |7 |indicate |progressively |higher |and |more |clinically |sophisticated |uses |of |HIT.
EMRAM |Stages |0-1 |- |ANSvery |basic |automation |of |individual |areas
EMRAM |Stage |2 |- |ANSability |to |start |bringing |disparate |data |together
EMRAM |Stages |3-6 |- |ANSimplementation |of |advanced |clinical |systems
EMRAM |Stage |7 |- |ANSability |to |share |or |exchange |data |with |external |entities
hospital |EMR |adoption |- |ANS- |as |of |Q1, |2015, |56% |of |all |US |hospitals |progressed |past |stage |4 |
- |only |3.7% |(197) |of |over |5467 |hospitals |have |progressed |to |stage |7
- |slow |progress |due |to:
| | - high |cost |of |systems
| | - slow |development |of |data |
| standards
| | - user |unfriendliness |of |systems
| | - patient |lack |of |trust |in |the |
| ability |of |the |industry |to |hold |
| their |information |secure
EMR |or |EHR? |- |ANS- |electronic |health |record |(EHR) |is |a |broader |term |than |EMR
, - |refers |to |total |health |of |patient, |including |immunizations, |allergies, |medications, |etc.
- |data |in |EHR |accessible |to |many, |including |patient |and |other |health |providers
physician |EMR |adoption |- |ANS- |most |patient |care |in |the |US |occurs |in |physician |offices
- |of |all |care |settings, |they |have |the |LEAST |amount |of |automation |due |to |the |previously |
defined |barriers |to |adoption
- |96.4% |hospitals |have |some |form |of |an |EMR; |62.8% |of |physician |practices |have |EMR
barriers |to |adoption |- |ANS- |cost |of |purchasing |a |system
- |loss |of |productivity
- |annual |maintenance |costs
- |adequacy |of |training
- |finding |EHR |to |meet |practice |needs
federal |response |- |ANS- |establishment |of |the |Notice |of |Privacy |Practice |(NOPP)
- |while |influential |on |the |development |and |enhancement |of |HIT, |hasn't |had |any |immediate |
impact |to |increase |adoption |and |reduce |other |barriers
- |by |2009, |adoption |continued |to |be |very |slow
- |rising |health |care |costs |led |the |Obama |administration |to |intervene
- |legislation |= |American |Recovery |and |Reinvestment |Act |(ARRA)
- |ARRA |includes |Health |Information |Technology |(HITECH) |Act |to |increase |adoption |through |
incentives |for |hospitals |and |physicians |(among |other |care |providers)
meaningful |use |- |ANS- |concept |of |"meaningful |use" |criteria |for |EHRs |focused |on |achieving |five
|health |outcomes |policy |priorities
| | - improve |quality, |safety, |
| efficiency, |and |reduce |health |
