U.S. Health Care Systems Exam 3 Questions and Answers
All of the following describe a personal health record (PHR) except: - -is usually provided
for free as part of electronic health information (EHR) systems.
-Quality in health care is essential to delivering appropriate care to patients to reduce
suffering and harm. - -True
-The centralized model of health information exchange - -works by having all participating
institutions send copies of their healthcare data to one centralized repository on a regular
basis so one regionally comprehensive record can be maintained for each patient.
-All of the following describe the Medicare and Medicaid Electronic Health Record
Incentive Program, EXCEPT: - -allowed for hospitals to use multiple electronic health
records for different areas of the hospital.
-"Meaningful use" of electronic health records is best described as - -criteria defined by
the Office of the National Coordinator in collaboration with the Centers for Medicare and
Medicaid services that require meeting time-limited objectives in order to quality for
incentive payments under the HITECH Act.
-The federated model of health information exchange (HIE) - -allows contributing
institutions to maintain control over data for which they are responsible under HIPAA.
-The federated model of health information exchange architecture is best described as a
model in which - -data resides only within each institution's system and the health
information exchange database houses only a master patient index with unique patient
identifiers.
-Most electronic health records (EHRs) are not designed to share patient health
information between systems and institutions. A solution for overcoming this limitation in
current EHR design has been the development of: - -health information exchanges (HIEs).
-Virtually none of the commercially available EHR systems available in today's market or
the custom-designed systems at large academic institutions can easily exchange patients'
health information with care providers outside of their institutions. - -True
-The systematic review of studies in the peer-reviewed biomedical literature found
moderately strong evidence confirming three previously reported factors associated with
successful CDSS implementation. The evidence found that all of the following describe
successful CDSS implementation, EXCEPT: - -allows time for additional clinical data entry.
-Clinical research - -focuses primarily on the various steps in the process of medical care:
the early detection, diagnosis, and treatment of disease or injury; the maintenance of
, optimal physical, mental, and social functioning; the limitation and rehabilitation of
disability; and the palliative care of those who are irreversibly ill.
-Basic science research is best described as: - -the work of biochemists, physiologists,
biologists, pharmacologists, and others concerned with sciences fundamental to
understanding the growth, development, structure, and function of the human body.
-At the core of health systems research is: - -systems thinking.
-A confounder is a variable that - -explains the difference in the outcomes between groups
that are not known or compensated for in an observational analysis.
-The Agency for Healthcare Research and Quality (AHRQ) is a federal agency charged with
- -improving outcomes and quality of healthcare services, reducing costs, improving
patient safety, and fostering effective services.
-Evidence-based practice integrates individual clinical expertise into the best available
external clinical evidence from systematic research. - -True
-Clinical research focuses primarily on - -steps in the process of medical care such as early
detection, diagnosis, and treatment of disease or injury.
-Observational studies may be descriptive or: - -analytical.
-Systems thinking considers that actions or changes in one aspect of a health system are
likely to affect outcomes in another. Which of the following best describes why systems
thinking is necessary to navigate the complexity of health systems? - -Systems thinking
allows for a better understanding of the effects of different interventions, policies, and
behaviors on system-wide effects, positive and negative, planned and unintended
consequences.
-Enhancing healthcare treatment decisions by providing information to consumers,
providers, and payers to improve health outcomes by developing and disseminating
evidence on the effectiveness, benefits, and harms of different treatment options best
describe which research practice? - -Comparative effectiveness research
-Disasters are rarely relevant to the public health and acute care systems. - -False
-The National Incident Command System is: - -an operational approach to the
management of incidents
-Before COVID-19, rural communities experienced great difficulty with the recruitment
and retention of providers. - -True
-Which agency or office is the principal coordinating entity for emergencies in the nation? -
-Department of Homeland Security
All of the following describe a personal health record (PHR) except: - -is usually provided
for free as part of electronic health information (EHR) systems.
-Quality in health care is essential to delivering appropriate care to patients to reduce
suffering and harm. - -True
-The centralized model of health information exchange - -works by having all participating
institutions send copies of their healthcare data to one centralized repository on a regular
basis so one regionally comprehensive record can be maintained for each patient.
-All of the following describe the Medicare and Medicaid Electronic Health Record
Incentive Program, EXCEPT: - -allowed for hospitals to use multiple electronic health
records for different areas of the hospital.
-"Meaningful use" of electronic health records is best described as - -criteria defined by
the Office of the National Coordinator in collaboration with the Centers for Medicare and
Medicaid services that require meeting time-limited objectives in order to quality for
incentive payments under the HITECH Act.
-The federated model of health information exchange (HIE) - -allows contributing
institutions to maintain control over data for which they are responsible under HIPAA.
-The federated model of health information exchange architecture is best described as a
model in which - -data resides only within each institution's system and the health
information exchange database houses only a master patient index with unique patient
identifiers.
-Most electronic health records (EHRs) are not designed to share patient health
information between systems and institutions. A solution for overcoming this limitation in
current EHR design has been the development of: - -health information exchanges (HIEs).
-Virtually none of the commercially available EHR systems available in today's market or
the custom-designed systems at large academic institutions can easily exchange patients'
health information with care providers outside of their institutions. - -True
-The systematic review of studies in the peer-reviewed biomedical literature found
moderately strong evidence confirming three previously reported factors associated with
successful CDSS implementation. The evidence found that all of the following describe
successful CDSS implementation, EXCEPT: - -allows time for additional clinical data entry.
-Clinical research - -focuses primarily on the various steps in the process of medical care:
the early detection, diagnosis, and treatment of disease or injury; the maintenance of
, optimal physical, mental, and social functioning; the limitation and rehabilitation of
disability; and the palliative care of those who are irreversibly ill.
-Basic science research is best described as: - -the work of biochemists, physiologists,
biologists, pharmacologists, and others concerned with sciences fundamental to
understanding the growth, development, structure, and function of the human body.
-At the core of health systems research is: - -systems thinking.
-A confounder is a variable that - -explains the difference in the outcomes between groups
that are not known or compensated for in an observational analysis.
-The Agency for Healthcare Research and Quality (AHRQ) is a federal agency charged with
- -improving outcomes and quality of healthcare services, reducing costs, improving
patient safety, and fostering effective services.
-Evidence-based practice integrates individual clinical expertise into the best available
external clinical evidence from systematic research. - -True
-Clinical research focuses primarily on - -steps in the process of medical care such as early
detection, diagnosis, and treatment of disease or injury.
-Observational studies may be descriptive or: - -analytical.
-Systems thinking considers that actions or changes in one aspect of a health system are
likely to affect outcomes in another. Which of the following best describes why systems
thinking is necessary to navigate the complexity of health systems? - -Systems thinking
allows for a better understanding of the effects of different interventions, policies, and
behaviors on system-wide effects, positive and negative, planned and unintended
consequences.
-Enhancing healthcare treatment decisions by providing information to consumers,
providers, and payers to improve health outcomes by developing and disseminating
evidence on the effectiveness, benefits, and harms of different treatment options best
describe which research practice? - -Comparative effectiveness research
-Disasters are rarely relevant to the public health and acute care systems. - -False
-The National Incident Command System is: - -an operational approach to the
management of incidents
-Before COVID-19, rural communities experienced great difficulty with the recruitment
and retention of providers. - -True
-Which agency or office is the principal coordinating entity for emergencies in the nation? -
-Department of Homeland Security
