CAHIMS 1-12 2023 with verified questions and answers

Multivariant statistical analysis is an example of public health methodology for data analysis usually provide an apartment or private room that becomes the person's permanent residence. The individual maintains some degree of independence but in a monitored environment. Assisted living facilites Which of the following types of nurse requires a master's degree in nursing? Certified registered nurse anesthetist In the SOAP process, all aspects of the patient's plan of care are addressed in a single, final stage. How many steps of the nursing process address different aspects of the plan of care? 3 a nongovernmental, nonprofit agency, is the nation's oldest and largest standards-setting and accrediting body in healthcare. Joint Commission In which type of setting would an occupational nurse most likely found? a hazardous worksite How are medical diagnoses different from nursing diagnoses? Medical diagnoses refer to diseases, such as cancer. What is the main difference between certification and licensure in healthcare? Only licensure allows a clinician to legally practice in the issuing state. is a private acute care hospital that provides the same basic services as those provided by community hospitals. (HMO patients) Managed care hospitals are The chief operating officer (COO) reports to the chief executive officer (CEO). True The continuum of care can be defined as the provision of care for a particular episode of care beginning with diagnosis or onset until return to normal function. True A small country where the entire population has access to healthcare facilities owned and operated by the government and funded by a tax on citizens is an example of what kind of healthcare system model? Public healthcare system model Which of the statements about epidemiology is false? Epidemiology is a qualitative science built around concepts of probability and statistics. Epidemiology is not a qualitative science. It is a quantitative science built around concepts of probability and statistics. Who is the elected head of the medical staff at a typical hospital? Chief of staff The World Health Organization (WHO) adopted a definition of health that has not been amended since 1948- "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." healthcare services performed by clinicians who are responsible for addressing the patient's overall healthcare needs, establishing and maintaining a sustained relationship with the patient within the realm of family and community. Primary Care treatment by specialists to whom a patient has been referred by a primary care provider. secondary care -provided by physicians that specialize in areas of medicine such as cardiology, dermatology, and psychology. healthcare delivered by specialists who work for a facility that performs specialty healthcare research, development, and treatment. Tertiary Care -provided when the patient receives a referral from a primary or secondary provider and is more likely to require an inpatient hospital stay with accompanying specialization for advanced investigation and treatment of specific conditions or diseases. -burn treatment, cancer, neurosurgery, and reconstructive surgery centers. Both traditional public health efforts and the new science of population health are supported by the federal government with initiatives such as Healthy People 2020. True Inpatient care that is not highly specialized is considered -- care. secondary Healthcare costs in the United States have been rising at about the same rate as the US population is growing. False are sometimes called long-term care residential facilities. Residential facility usually provide an apartment or private room that becomes the person's permanent residence. assisted living What two divisions may be combined to form a single diagnostic and therapeutic division? Clinical support and ancillary services The US healthcare system is a mixed model because it incorporates both public and private healthcare options. True Which division of a typical hospital comes closest to the medical staff in terms of responsibility for patient care? Nursing Which integrated health delivery system (IHDS) is the largest in the United States? Veterans Health Administration (VHA) The continuum of care can be defined as birth-to-death healthcare. True To which of the following types of providers do primary care physicians (PCPs) typically refer patients? Both secondary and tertiary care providers Hospitals provide services that include treatment of minor injuries or illnesses. False is controlled by the government and financed through public funds. public healthcare system provides healthcare through privately funded organizations. private healthcare system The public aspects of the healthcare system in the United States include each of the following except commercial healthcare systems The private aspect of the healthcare system in the United States is made up of which of the following? commercial healthcare systems Acute conditions are of short duration but typically are severe-example is heart attack because it happens quickly -secondary care hospitals Chronic illnesses are persistent, of long duration, and often recurrent The average patient's stay in a _______________________ is greater than 25 days. skilled nursing facility CEO (Chief Executive Officer) Reports to board of directors Carries out the mission of the organization and addresses global issues Directs hospital staff Oversees corporate strategies COO (Chief Operating Officer) Reports to CEO Responsible for delegation of day-to-day operations Develops business policies and procedures Responsible for quality and delivery of service CFO (Chief Financial Officer) Reports to CEO Responsible for the strategic plan of financial operations Manages legal matters, properties, and partnerships Manages operating budget CMO (chief medical officer) Responsible for quality of patient care Ensures compliance with federal and state government regulations A physician CIO (Chief Information Officer) Responsible for all patient information Ensures health information technology (HIT) systems comply with regulatory requirements such as HIPAA and meaningful use Responsible for all aspects of creation and maintenance of medical and information technology tools, including EHR system CMIO (Chief Medical Information Officer) Responsible for oversight and utilization of electronic health record (EHR) and other clinical systems Facilitates use and development of health information systems (health information management and health IT) Liaison between the CMO and CIO Examples of outpatient providers and facilities include the following: Primary care physicians Community health clinics Private clinics Urgent care clinics Specialized outpatient clinics A party must be determined to be accountable for charges in the medical billing cycle. During which step of the cycle is the legal promise-to-pay relationship established? Registration Which of the following is not true of Medicaid? Medicaid is entirely funded by the federal government. Jody can choose between a variety of private health providers. However, her medical expenses are paid for by the government. What kind of system is Jody participating in? Single Payer Where was most healthcare provided in the late 19th and early 20th centuries? At patients' or doctors' homes Which of the following is not a key role of the federal government in health care? Originator of self-funded plans for business Which of the following is a main factor in steadily increasing healthcare costs in the United States? Technological inventions and improvements and an aging population Which is an advantage of fee-for-service insurance plans over managed care plans? They offer a wider choice of healthcare providers. Which of the following is not a third-party payer? a physician Which of the following is not considered a characteristic of the bundled payment model? Provides maximum flexibility for physicians when planning a patient's care Self-funded insurance is employer-provided health benefits that the employer pays for with its own funds. Private healthcare financing is offered through a variety of companies and other organizations. United Health Group Wellpoint Inc. Group Kaiser Foundation Group Aetna Group Humana Group Public sources are government-funded programs such as Medicare, Medicaid, the Children's Health Insurance Program (CHIP), the Veterans Health Administration (VHA), and others. Most of the funding for these programs is through the federal government rather than state or local sources. is any health insurance system by which a single government entity collects medical fees and premiums and then pays for all medical services. single payer health insurance is funded mainly by private healthcare insurance companies, and in contrast to single-payer insurance, it relies on the ability of the insured individual to pay. multiple payer health insurance is a system implemented by the US government for determining how much Medicare should reimburse hospitals for medical care Diagnosis relation group (DRG) makes a single sum payment for all medical services for an illness over a specific time period. The episode of care model Charge capture is most often associated with which of the following? diagnoses What is a moral hazard? A risk that individuals will behave immorally because insurance or some other agency protects them nongovernmental, general hospitals that are available to the public for inpatient acute care treatment. Community hospitals are _____________________ becomes their home. ____________________are sometimes called long-term care residential facilities. Residential facilities is for patients with profound and significant health needs who require round-the-clock nursing services. Nursing homes is the state of legally being able to practice or work in a profession as stipulated by a license, which is a document giving permission to practice. Licensure is the documented confirmation that a person is able to competently complete a job or task. ______________ usually requires the applicant to pass an examination. Certification Which of the following is a common nonclinical role for nurses? case management Which of the following is included in the preparation of social workers? Courses in case management Some states allow ___________, which honors a valid license between states. reciprocity Which of the following is a major part of the HITECH Act vision? Increased transparency and efficiency As part of the Affordable Care Act of 2010, the Pre-existing Condition Insurance Plan (PCIP) is a new health coverage option for whom? People who cannot get health insurance because of preexisting conditions Regional extension centers (RECs) are designed to help providers become meaningful users of electronic health records (EHRs). True Clinical decision support is only possible with an electronic health record (EHR) system. False Accreditation by The Joint Commission is required for facilities. True Negligence falls under which of the following categories? Tort Which of the following best describes clinical informatics? A combination of biomedical informatics, information technology, healthcare, and computer science to organize medical data for easy access and use by healthcare providers CMS, through the HITECH Act, provides sizable financial remunerations to physicians and other eligible providers for implementing EHR systems and meeting certain standards referred to as meaningful use criteria. True The Redmond Physician Group has started using patient health data to identify those who are least healthy. They plan to discontinue service to those patients so that they can boost their overall health outcomes. Is this an ethical or unethical use of health data? Unethical Third-party payers can influence EHR implementations by offering financial bonuses for improved performance, the documentation of which typically requires an EHR system. True Which of the following best describes translational research? An approach that facilitates the integration of basic science, clinical research, and clinical practice with the ultimate goal of implementing research findings into routine clinical practice more quickly Without public health informatics efforts, there would likely be a significant lag time between the outbreak of contagious diseases and their identification as an epidemic, which could be quite detrimental to public health. True Which of the following best characterizes the role of CMIO, which emerged with the increased use of health information technology? Provides a bridge between physician clinical practice and technology If you wanted to learn about mobile health applications, which of the following organizational websites would you visit first? HIMSS If you were an IT professional interested in effective strategies used in healthcare organizations, which of the following sites would you visit first? Dr. Nathyla is uncertain how to diagnose a particularly complex medical case. Which EHR tool would be most useful for her in making an accurate diagnosis at the point of care? CDSS The admission-transfer-discharge (ADT) is part of the registration information system. True A chief medical officer would like to generate a report showing how many men over the age of 50 were admitted to the hospital for heart failure in the past 3 years. Which is the most accurate representation of the client/server interaction from the moment the report is requested to the moment the report is received? client → server → client Examples of client hardware are Laptops, smartphones, and tablets If you want to access all the data files related to medical imaging, which system would you go to? PACS Because of the complex nature of multiple information systems needing to communicate with each other in a healthcare organization, what should be your primary consideration when trying to simplify system interaction? A common interface engine Would you be able to find a patient's next of kin on the summary screen of an EHR? No focuses on monitoring and controlling the care that doctors deliver in an effort to control costs. Managed care The term third-party payer came about because the patient is considered the first party, the healthcare provider is the second party, and the entity that pays the bill is the third party. ... is required for connecting the systems and to facilitate communication among them, particularly those that send and receive large amounts of data, such as imaging information systems. High bandwidth ensures that clinical and business data can pass efficiently from one system to another Interface engine When a healthcare provider enters orders for medications, laboratory tests, or medical images, for instance, directly in the computer its called CPOE (Computerized Provider Order Entry) -helps medical practitioners create and manage orders for medications and medical services. a type of computer technology whereby physicians use handheld or personal computer devices to review drug formularies and to transmit prescriptions to a printer or to a local pharmacy. E-prescribing (Electronic prescribing) involves the sharing of electronic health information across organizational boundaries, often within a city, a state, or a region. HIE (Health Information Exchange) is an organization formed by groups of hospitals or other healthcare providers to exchange health information. regional health information organizations (RHIOs) hosts the EHR or patient management applications Application server stores all patient data as well as customizations to how information is presented for applications such as CDSS and pharmacy information systems (PIS). Database server allows data from serial devices to move over to the local area network (LAN). It enables serial devices such as scanners and barcode readers to send information to and retrieve information from database and application servers without having to be directly connected to those servers. Terminal server carries out the instructions of a computer program Centreal processing unit memory used to store data and programs on a temporary basis Random access memory (RAM) is simply two or more computer systems and devices linked together. Connecting systems facilitates communication among users and allows them to share information. Network A network that connects computers within a relatively limited geographical location, such as a business or organization, is called a local area network (LAN). A network that connects computers across multiple locations and great distances is called a wide area network (WAN). connects two or more devices using a wireless connection method. A wireless area network (WLAN) The use of EHRs improves efficiency of healthcare delivery in the following ways: 1.)Information sharing across providers 2.)Patient satisfaction 3.)Cost savings 4.)Master patient index (MPI) Is a active hardware device that is attached to the network- can include workstations, wireless devices, and printers A node the count of the number of patients in a hospital on a given day. patient census serves as a hub to enable the various clinical systems to communicate with each other. Interface engine is a data network designed to store, retrieve, and transfer digital medical images. PACS (Picture Archiving and Communication System) Its current structure is designed to ensure the interoperability of systems used to produce, store, display, process, send, retrieve, query or print medical images and derived structured documents as well as to manage related workflow Digital Imaging and Communications in Medicine (DICOM) an ANSI-accredited standards developing organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services. HL7 (Health Level Seven International) helps medical practitioners create and manage orders for medications and medical services. Healthcare revenue cycle Clinical decision support systems are commonly associated with which of the following systems? Computerized provider order entry (CPOE) When a surgical procedure is performed, it must be recorded and assigned an International Classification of Diseases (ICD) code before being submitted to the payer (insurance). False Which is a strategy used by healthcare organizations to ensure integration of functions? data preservation Which of the following is considered a more advanced function of a CDSS? Drug-to-laboratory value check Clinical document architecture (CDA) documents use which markup language to provide universal coding, language, and structure components? XML DICOM supports TCP-IP, which allows which of the following? Transmission over the internet Image-guided surgery is when a surgeon __________. uses surgical tools in tandem with displayed images for the purpose of guiding the procedure An elderly patient living at home who needs frequent blood pressure checks would benefit from a Remote monitoring device A key strategy in healthcare enterprise integration is data preservation with an emphasis on standardizing the access and meaning of data so they are accessible. Which of the following is mentioned as an important means to preserve patient data? Data warehouse Consumer health informatics (CHI) and consumer health IT are the same. True In physician-centered care, patients are treated as partners in choosing treatment options for health-related issues. False Which of the following is not a role a personal health record (PHR) serves for a consumer? Provide consumers with direct access to their electronic health record (EHR) Consumer health informatics (CHI) is an emerging field of study that primarily addresses the needs of which of the following? Patients and consumers for managing and engaging in their own healthcare. providing care that is respectful of and responsive to individual patient preferences, needs, and values" and "ensuring that patient values guide all clinical decisions. patient-centered care The core concepts of patient-centered care are dignity and respect, information sharing, participation, and collaboration. an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual." PHR (personal health record) The main advantage of having a ______________ PHR is that it is automatically updated whenever the EHR is updated tethered _______________ PHRs are those that consumers develop and maintain themselves and have complete control over. unthethered Who is responsible for keeping a tethered PHR private and secure? The sponsoring organization A file system allows multiple users to use the same file at the same time. A database file system restricts the number of users. False-The file system restricts access to one user per file at a time. The database file system allows multiple users to use a database at the same time. A community clinic is considering adding technology to support telemedicine services. The administrators want to determine what portion of their patient base would most likely use these services. Which of these groups would not be candidates for telemedicine? Medicaid patients and patients who have no insurance Which of the following is an advantage of using an email Web service in a healthcare environment? A.)A record is kept of all email communications, and they can be called up later as evidence in a lawsuit. B.)Patient health data can be securely transmitted by email. A.)A record is kept of all email communications, and they can be called up later as evidence in a lawsuit. Which of the following best defines HTTP? Protocol that enables Web browsers to talk to Web servers Most computers are about the same size and have the same capacity as a PC. False Which of the following is an advantage of a wireless network compared to a wired network? A.)The distance from the WAP switch on a wireless network determines the throughput. B.)Users with mobile devices such as laptops, tablet PCs, and smartphones can roam freely within the confines of the wireless network's reach. B.)Users with mobile devices such as laptops, tablet PCs, and smartphones can roam freely within the confines of the wireless network's reach. Which of the following was a drawback of early mobile devices that negatively affected adoption in healthcare? Minimal memory and slow processing speeds Random access memory (RAM) is __________. temporary storage A gigabyte represents 1,024 megabytes Software exists to support computer hardware. False What device would a network administrator need to tie an intranet into the Internet? A modem/router Every shared site on the Internet is assign a ____________ IP address. public is permanent memory contained in chips mounted to the computer's motherboard. Read-only memory (ROM) is the "brain" of the computer. It loads (fetches) and stores data and instructions from software programs, keeping track of all data and processes (threads) to be executed. The CPU