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A physician group is adopting a new electronic health record (EHR). Some members of the
group prefer to dictate, and others prefer direct data entry.
Which data capture method should the EHR coordinator recommend to meet the needs of
all physicians?
- Voice data entry
- Structured data entry
- Template-based entry
- Unstructured data entry - Answer: Template-based entry
A hospital's health information management (HIM) department receives numerous pages
of loose documentation on a daily basis to integrate into the patient's electronic chart.
Which procedure should the department consider implementing to improve the electronic
record process and ensure documentation is readily available?
- Barcoding
- Abstracting
- Chart reviews
- Form management - Answer: Barcoding
An administrator needs to generate reports that show patient utilization trends for the
emergency department (ED) on a quarterly basis.
Which system should be used?
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,- MPI
- EIS
- CDS
- R-ADT - Answer: R-ADT
Which benefit is provided by a hospital's birth certificate system?
- On-demand printing of birth certificates
- Modification of the labor and delivery log
- Quality review of labor and delivery records
- -Submission of social security number requests - Answer: Submission of social security
number requests
A hospital has a pharmacy information system (PIS) that is integrated with a computerized
provider order entry (CPOE) system. The physician orders medications for an inpatient
through the CPOE.
How is healthcare decision-making affected due to the integration of the PIS?
-The integration allows the CPOE system to streamline the process of medication
reconciliation.
-The integration allows the CPOE system to automatically substitute a more clinically
appropriate medication.
-The integration allows the physician to send discharge medications electronically to the
patient's pharmacy of choice.
-The integration allows the physician to be alerted to contraindication for any medication
based on the patient's allergy information. - Answer: The integration allows the physician to
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, be alerted to contraindication for any medication based on the patient's allergy
information.
An emergency department (ED) patient is sent to radiology for a two-view X-ray of the left
knee. The X-ray technician uses the hospital's radiology information system (RIS)
throughout the exam.
How does the RIS assist the technician?
-It controls radiation exposure and calculates expected rate of recovery from injury.
-It controls radiation exposure and calculates expected risk of infection from injury.
-It helps the technician decide the correct positioning of the patient and ensures image
quality.
-It helps the technician decide the correct positioning of the patient and ensures
documentation integrity. - Answer: It helps the technician decide the correct positioning of
the patient and ensures image quality.
A primary care clinic encourages its physicians to engage in patient-centered care by
actively partnering with patients during healthcare decision-making.
Which technology in the clinic's health information system (HIS) supports this process?
-Patient portal
-Patient billing
-Patient monitoring
-Patient identification - Answer: Patient portal
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