Unit 5 Cahims Exam Questions And Answers

Unit 5 Cahims Exam Questions And Answers /.A ___software package is offered by a commercial vendor on an as-is basis. The vendor does not allow its software to be customized to fit the provider's requirements. - Answer-COTS /.A computerized provider order entry with clinical decision support (CPOE/CDSS) would most likely check a patient's weight for which of the following reasons? To initiate a weight management education protocol To help determine which diet order the physician should choose To help prevent dosing errors To filter and use the weight metric in public health studies - Answer-To help prevent dosing errors /.A systems analyst for a hospital corporation is assigned a project involving the translation of messages from a number of outside entities for compatibility with the hospital's current EHR system. The analyst should become familiar with which of the following standards or standards organizations? HL7 NIST ASTM International Regenstrief Institute - Answer-HL7 /.A systems analyst for a hospital corporation is assigned a project involving the translation of messages from a number of outside entities for compatibility with the hospital's current EHR system. The analyst should become familiar with which of the following standards or standards organizations? NIST Regenstrief Institute HL7 ASTM International - Answer-HL7 /.AC Hospital decides to buy a commercial EHR system but wants its own in-house IT staff to modify and implement the system and to maintain the software after it is implemented. The hospital believes its own IT staff and subject matter experts have sufficient knowledge to ensure the system can meet HITECH meaningful use. The most likely form of contractual relation with the vendor for AC Hospital would be a --purchase/lease-- agreement. - Answer-purchase AC Hospital wants control over the software, so it would most likely enter a purchase agreement with the EHR vendor. /.AC Hospital establishes the EHR project goals according to guidelines it has identified that lead to successful EHR implementation. AC Hospital also wants to be confident that it has sufficient funds and that the money will be spent wisely, so it must prepare to address --project costs/the project timeline/multidisciplinary buy-in. - Answer-project costs /.AC Hospital establishes the EHR project goals based on guidelines it has identified that lead to successful EHR implementation. The hospital needs to establish a firm date for implementation by establishing an appropriate --needs assessment/multidisciplinary buy-in/project timeline. - Answer-project timeline /.AC Hospital has a psychiatric ward and a well-known psychiatrist, Dr. Patricia Behan, who heads up that area of the hospital's services. Dr. Behan should be recruited to participate on the EHR project as a --consultant/subject matter expert--. - Answer-SME /.AC Hospital has a psychiatric ward and a well-known psychiatrist, Dr. Patricia Behan, who heads up that area of the hospital's services. Dr. Behan should be recruited to participate on the EHR project as a --consultant/subject matter expert. - Answer-SME /.AC Hospital has completed the analysis and assessment steps that precede the system selection effort. What is the term for all of the accumulated documentation? Workflow analysis Needs assessment Gap analysis Project scope - Answer-project scope /.AC Hospital has reached the EHR vendor selection phase of its EHR project. Which of the following should AC Hospital do to determine which formal request documents to use for vendor selection and evaluation? The hospital should not worry too much about vendor request documents. Vendor demonstrations and site visits will suffice. The hospital should review and compare vendor responses to formal request documents in a consistent manner. The hospital should consider the size and complexity of the EHR project in order to choose the appropriate vendor request documents. The hospital should contact several vendors and ask them for recommendations. - Answer-The hospital should consider the size and complexity of the EHR project in order to choose the appropriate vendor request documents. /.AC Hospital plans for the EHR features to be implemented in phases. Which element of the organizational development plan (ODP) best addresses the impact of this decision? Personnel management Communication Change management Efforts to achieve end-user buy-in - Answer-change mgmt /.AC Hospital wants to downsize the list of possible EHR vendors identified by its preliminary search. Which of these formal request documents will AC Hospital send to vendors asking them to provide general information about their organization and EHR offerings? Request for proposal (RFP) Request for information (RFI) Request for a quote (RFQ) Quick bid - Answer-RFI /.ADR alerts are an important component of an EHR system. What does ADR stand for? Admission-depart-readmission Adverse drug reaction Antigen drug reversal Admission-discharge-readmission - Answer-Adverse drug reaction /.An application programming interface (API) that responds to data requests for data referenced in the Common Clinical Data Set is an example of a feature that advances which of the following? Privacy and security Improving patient safety Facilitating health information exchange - Answer-Facilitating health information exchange /.An HL7 version 2 message is composed of a series of what kind of element? Tags Segments Modules Sections - Answer-segments /.An OMD dietary order is an example of which of the following? An HL7 message type A document standard An XML tag A custom programming interface - Answer-An HL7 message type /.Arural Hospital has established its goals for the EHR project. It is ready now to identify the requirements so the project timeline can be finalized. What process is the hospital is ready to begin? Workflow analysis Needs assessment Gap analysis Project scope - Answer-needs assessment /.Arural Hospital has started negotiations with its top EHR vendor. The vendor gave the negotiation team a copy of the vendor's standard contract. What is the common name for such a contract? Term of agreement Contract clause Boilerplate contract Service level agreement - Answer-Boilerplate contract /.Arural Hospital is ready to document its current processes and procedures in the units where the EHR will be implemented. What process is the hospital about to undertake? Workflow analysis Needs assessment Gap analysis Project scope - Answer-workflow analysis /.Arural Hospital should experience seamless access to data across EHR components if it chooses the --single-vendor solution/best-of-breed solution--. - Answer-single-vendor /.Arural Hospital will complicate its EHR contract negotiation efforts if it chooses the --single-vendor solution/best-of-breed solution. - Answer-best-of-breed solution. /.Arural Hospital would like to install an EHR system. The hospital management knows that to succeed, the project must include every opportunity to encourage the clinicians and staff to take ownership of the EHR and the project. What strategy helps encourage project ownership? Managing expectations Soliciting opinions Eliciting buy-in Managing people - Answer-Eliciting buy-in /.Arural Hospital would like to install an EHR system. The hospital plans to encourage users to actively participate in the project, particularly during the system selection and evaluation effort. What strategy will ensure this goal is reached? Managing people Soliciting opinions Eliciting buy-in Managing expectations - Answer-Soliciting opinions /.Austin Regional Clinic hired an outside consulting group to develop and conduct its training during the EHR implementation effort. Which option presents a viable method of training the clinic might have used? Select Yes or No for each option. Train internal staff members to be trainers. --Yes No Have internal staff members learn the system and develop a training plan. --Yes No Hire temporary staff to be on hand at implementation and to show the staff how to operate on a one-on-one basis. --YesNo Send the staff in groups to vendor training sessions. - Answer-yes yes no yes /.Authentication, access control features, and automatic log-off are examples of features that support which of the following certification goals? Reducing health disparities Facilitating health information exchange Privacy and security - Answer-Privacy and security /.CHealth Clinic is proud to have a superior patient-safety ranking. It would like to further enhance this area of its practice, which also might decrease its malpractice insurance expense. CHealth hopes to address this --internal/external-- concern with new features of the EHR system, particularly clinical decision support system alerts and e-prescribing. - Answer-internal /.CHealth Clinic prides itself on its many specialty services, including orthopedics. Recently, a new HCO facility opened nearby that specializes only in orthopedics. CHealth feels this new facility is an --internal/external-- threat to revenue. Therefore, CHealth has ranked support for orthopedic features as critical to EHR system selection. - Answer-external /.CHealth has a capitated billing agreement with a third-party payer (insurance company). That payer offers a significant annual financial incentive if CHealth physicians meet pre-established cost-control and quality criteria. The third-party payer sends a quarterly status, but CHealth would like to monitor monthly. This --internal/external-- need for improved reporting ability is ranked as an important feature for the EHR system CHealth will choose. - Answer-internal /.Clinicians should be considered --institution/community-- stakeholders in an EHR project. - Answer-institution /.Clinicians will serve on the --project team/steering committee-- for the EHR project effort. - Answer-project team