DPRC Session 6 and 7 Full Question Bank Flashcards

1
Q

In a centralized HIS, the majority of systems are manufactured by the same vendor.

A

True

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2
Q

RIS supports the function of specimen collection.

A

False

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3
Q

PACS stands for Personal Archiving and Communication System

A

False

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4
Q

The definition of an HIS includes software and hardware but not policies.

A

False

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5
Q

In a best of breed environment, there would be more interfaces than in a centralized HIS

A

True

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6
Q

An Inpatient History and Physical and Discharge Summary are complete when signed by a nurse.

A

False

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7
Q

E-Prescribing requires communication between the physician and commercial pharmacy.

A

True

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8
Q

A nursing assessment might be focused on reducing preventable events like falls and skin breakdown

A

True

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9
Q

A surgery checklist can be automated and can prevent serious medical error

A

True

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10
Q

A synonym for EBM is “Best Practice.”

A

True

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11
Q

Department scheduling would most likely be seen in

  1. Radiology
  2. Surgery
  3. Pharmacy
A

Radiology and Surgery

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12
Q

Medication Reconciliation is performed at

A

Admission, Discharge and Transfer

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13
Q

Formulary refers to

A

list of approved drugs

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14
Q

Which is an example of medication management?

a. SNOWMED
b. BCMA
c. HIE
d. IDE

A

BCMA

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15
Q

Which are functions you might see in a Medical Records department

  1. analysis
  2. completion
  3. coding
  4. release of information
A

All four

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16
Q

A CDS module might do which of the following?

A

be used to improve compliance with vaccinations

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17
Q

The MPI module assigns which of the following in a hospital system.

a. room and bed
b. medical record number
c. unique account number
d. bill number

A

medical record number

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18
Q

The first word in the abbreviation EMPI is

A

Enterprise

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19
Q

What department manages giving copies of a record to an individual authorized to receive it.

A

Medical Records

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20
Q

In which department system would you see divisions of toxicology and hematology?

A

LIS

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21
Q

Medication Reconciliation is done at

A

For every transition of care

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22
Q

Which department (s) has the responsibility for managing the integritiy of patient records?

A

Medical Records Department

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23
Q

The masterfile in the patient accounting system that contains items, description, and charges is the

24
Q

Stores Diagnostic Images

25
Stores images of documents
Documenting Imaging
26
Processes specimens
LIS
27
Is connected to automated instruments
LIS
28
Generates an Income Statement and Balance Sheet
General Ledger
29
Manages Inventory of supplies
Materials Management
30
Electronic Exchange of data between payer and provider
EDI
31
Processes an order for a CT scan
RIS
32
Controls what drugs can be ordered
Formulary
33
Processes a CPOE order and does additional safety checks
Pharmacy
34
HIS
Health Information Systems
35
HIT
Health Information Technology
36
ADT stands for
Admission, Discharge, Transfer
37
What are the "five rights" of Medication Adminstration
1. right patient 2. right drug 3. right dose 4. right route 5. right time
38
EBM stands for
Evidence-based Medicine
39
AR
Accounts Recievable
40
You would see blood pressure, respirations, temperature on a ________ ________flowsheet.
vital sign
41
BCMA
Bar-coded Medications Adminstration
42
List two examples of Clinical Decision Support
1. system generates alerts during CPOE and E-Prescribing | 2. system generates alerts during radiology procedure that patient is allergic to dye
43
Accidental and incidental viewing
Accidentally come across information that you should not view Report inappropriate viewings (system logged your view in audit trail Unauthorized access is grounds for immediate job termination
44
ROI
Release of information
45
Release of information requires the following on authorization form
``` Date signed Expiration date To whom information may be disclosed What is permitted to be disclosed For what purpose the information may be used ```
46
What is required by the patient for release of Psychotherapy Notes
A special authorization
47
Name some exceptions to disclosure statements
Court orders Workers compensation cases Statutory reports Research (limited data sets)
48
Name some accounting disclosures
Listing of who received information about the patient as well as when, why and how the disclosure was made Disclosure for TPO do not require accounting HIPAA requires this document be kept for 6 years
49
NPP stands for
notice of Privacy practices
50
Name some of the Notice of Privacy Practices
Summarizes he facility privacy policies Explains how it will use/disclose PHI Include contact information for the privacy officer Signed acknowledgement from patient that notice received
51
BAA stands for
Business Associate Agreement
52
What is a Business Associate Agreement and what is it for
A business associate is a person or organization that uses PHI TO PERFORM A service or function in behalf of a health entity These are outsourced transcriptionist and coders, billing service, contracted vendors, collection agencies BAA must be in place before disclosing PHI
53
What are the most common threats to systems
``` Loss of laptops containing PHI Employee curiosity Viruses and malware Fraud and theft Employee sabotage Loss of physical and infrastructure support Malicious hackers Malicious code Industrial espionage ```
54
What are risks associated with low cost remediation
``` Weak passwords No auto-log off after inactivity No use of encryption No or weak anti-virus/malware protection No or weak back-up and recovery ```
55
A scheduling system might schedule staff, equipment, and rooms.
True