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EHRs have a broader focus than EMRs as a result of interoperability, and thus the capacity to share data between providers and other users.

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EHR adoption and optimization has been slow as a result of:


A) physician resistance.
B) lack of implementation resources.
C) poor design.
D) costs.
E) All of these are correct.

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Read and analyze the following scenarios utilizing the information provided in Chapter 8, including the following criteria: major issues, what should be done, and why. -Mary, the receptionist at the Better Days Behavioral Health Facility spots a well-known actor on admission. When she goes on lunch break, she sits with Nurse Nosy, who works in the 10-bed unit for detoxification from alcohol before a client is sent to live with the rest of the residents. Mary whispers that she's positive he been out of work because he's a heroin addict. It's in all the tabloids at the grocery store checkout stands, so it must be true. Nurse Nosy says she heard it was cocaine. They make a bet, winner buys the other one lunch if they're correct. Nurse Nosy will access his medical record when she gets back to the floor and call Mary. Mary says, "No, that's not good enough. You need to take a photo to prove it." Nurse Nosy agrees, and they giggle and go their separate ways after finishing lunch.

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The major issue in this scenario is the ...

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Health care managers must be able to achieve which of the following with regard to health information systems and technology?


A) Develop competences to effectively and efficiently manage the HIT function
B) Assist staff by providing resources to maintain state-of-the-art systems
C) Provide adequate training on EHRs
D) Assure that patient health information is kept confidential
E) All of these are correct.

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Stage 1 of meaningful use is equivalent to stage 1 in the EMRAM model.

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The purposes of the Health Insurance Portability and Accountability Act include all of the following, except:


A) protecting personal health information.
B) maintaining privacy of health records.
C) requiring business associates to comply with the law.
D) providing health care coverage to more people.
E) requiring severe financial penalties for violations.

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D

Interoperability refers to the concept of being able to exchange data among providers of health care.

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Computer systems were not used initially by clinicians because early systems:


A) were expensive.
B) took more time to use.
C) were cumbersome to use.
D) both took more time to use and were cumbersome.
E) All of these are correct.

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Intranets are information networks that are external to an organization and used for information sharing.

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False

Current changes in health information systems include which of the following?


A) Producing artificial body parts with computer printers
B) Wearable devices to monitor patient status
C) Use of telehealth and telemedicine
D) Microbots for treatment and medication
E) All of these are correct.

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Computerized provider order entry (CPOE) is used only to order medications.

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Long-term care facilities, community health centers, and mental health facilities typically have the know-how and resources to devote to adoption of EHRs and other health information systems.

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Most hospitals and health care systems in the US have reached Stage 7 in the EMRAM model.

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Health information systems are commonly used to manage functions that include all of the following, except:


A) budget systems.
B) enterprise resource systems.
C) marketing systems .
D) HR systems.
E) medical record systems.
F) Health information systems are commonly used to manage all of these functions.

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F

Which of the following is a potential benefit in having clinical data automated and able to exchange with other care settings?


A) Lower cost to the patient
B) Reduction in the number of repeat tests needed
C) Ability to more quickly identify relevant information about the patient (allergies, etc.)
D) Ability to offer insurance to all Americans
E) Both reduction in the number of repeat tests needed and the ability to more quickly identify relevant information about the patient

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Which of the following is a component of e-health?


A) The practice of providing clinical services electronically
B) The provision of environmental health services
C) The use of telecommunications to delivery health information
D) The delivery of e-mail about health care
E) All of these are correct.

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Managers in the evolving health care industry need to do which of the following?


A) Understand technology
B) Embrace the features new software can provide to managing operations
C) Evaluate how employees are effectively using technology
D) All of these are correct.
E) None of these is correct.

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Which of the following statements is true?


A) EMR adoption in physician practices is not as important because most patient care occurs in hospitals.
B) EMR adoption and optimization in physician offices is lower than in hospitals.
C) EMR adoption and optimization in smaller physician practices is higher than in larger physician practices.
D) Cost as a barrier does not have the same significance in the physician practice as in the hospitals.
E) EMR adoption and optimization rates are not as important in the physician practice setting as they are in nursing homes.

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Wearable medical devices cannot always readily be linked to EHRs.

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MIPS includes concepts relating to which of the following?


A) Coordination of care
B) Improvement in population health
C) Engaging patients and families in their health care
D) Reducing health disparities
E) None of these is correct.
F) All of these are correct.

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