Certificate in Medical Records and Health Information Technician /60 0 Your Examination is Complete ! Certificate in Medical Records and Health Information Technician NameEmailPhone Number 1 / 60Why is electronic access to test, lab, surgery, and x-ray results so important it allows client to see results avoiding delays and costs associated with re-testing improves client care healthcare professionals can quickly provide diagnosis information can be loaded into the system quickly 2 / 60Clients have right to correct or amend health information Notice Compliant Access Accuracy 3 / 60What does the acronym HIT means Health Information Teaching Health Information Technology Healthcare In Teaching Heathcare Information Terminology 4 / 60What was one of the first terms used to conceptualize the idea of an EHR Computer-Based Medical Record Electronic Medical Computer Medical-Based Computer Computer-Based Patient Record 5 / 60A patient has only one case record into which all documents relating to past and present medical care are placed In patient record Out patient record Comprehensive record Decentralized record 6 / 60Which is a benefit of ePrescribing pharmacy staff have more time on break it makes filing prescriptions more difficult it helps clients understand their medications all of the above 7 / 60Which of the following does not belong with the others? Progress notes Visit summary SOAP note Interdisciplinary progress notes 8 / 60Which of the following is an untrue statement regarding outcome measures? The OBQI measures can be used as part of a systematic approach to continuously improving quality of care. The utilization outcome is the patient improvement in the ability to ambulate independently. Certain outcome measures are computed using Medicare claims data. Outcome reports include a comparison to the prior year and to national reference. 9 / 60Summary of health problems of siblings, parents, and other blood relatives that could alert the physician to hereditary and/or familial disease HPI FH SH ROS 10 / 60HITECH stands for Health Information Teaching for Economic and Clinical Health Health Information Training for Economic and Clinical Health Health Information Technology for Economic and Clinical Health Health Information Technical for Economic and Clinical Health 11 / 60The medical record must include information about patient care such as admitting diagnosis physician examination report and documentation of complications discharge summary and follow-up care all of the answers are true 12 / 60In what decade were some of the first electronic medical record systems developed? 1960s 1970s 1980s 1990s 13 / 60Select out the odd one DPT – Vaccine DOTS – TB AB+ – Universal donor Adrenalin – Harmone 14 / 60What are some advantages of EHR No bulky paper records to store, manage and retrieve Fewer medical errors, improved patient safety and stronger support for clinical decision-making Easier access to clinical data All of the above 15 / 60Which of the following is a barrier to the implementation of EHR? Lack of standards E-prescribing options Identified ROI Increased patient safety 16 / 60Which is not an accreditation organization that offers deemed status to an office-based surgery practice? The Accreditation Association for Ambulatory Health Care The Joint Commission Association for Ambulatory Surgeries Facilities Community Health Accreditation Partner 17 / 60Which of the following are not found in a Medical Record CC, HPI, PMH SH, FH, DS Dx, Laboratory & X-Ray Data CPR, EHR, HIPAA 18 / 60The breathing rate in human beings is 36 per minute 12 to 20 per minute 72 per minute 20 to 30 per minute 19 / 60The reason why the patient came to see the physician HPI SH C/O ROS 20 / 60What are some ways HIT affects healthcare providers Allows better access to clients medical information allows better control of who has access to client information helps healthcare professionals provide better client care All of the above 21 / 60Which food has maximum biological value for proteins? Soyabean Egg Meat Fish 22 / 60MAR refers to Medical allergies required Medication administration record Medication and allergies record Medical alert record 23 / 60client's privacy right includes access, disclosure, accuracy, notice and complaint True False 24 / 60Which of the following are named for digital medical records Electronic Medical Record (EMR) Electronic Patient Record (EPR) Computerized Medical Record (CMR) All of the above 25 / 60Clients have the right to file a complaint of Health Insurance Portability Act (HIPAA) violations Access Accuracy Compliant Notice 26 / 60Which part of eye which can be transplanted? Retina Cornea Optic nerves Complete eye 27 / 60ePrescribing is electronic transmission of prescription data between healthcare providers, pharmacies, and insurance carriers True False 28 / 60What is the purpose of medical records to provide a written account of the health care for a patient to provide a documentation of medical services for insurance purposes to provide conformation of a patients appointments none of these 29 / 60_______________ is known as key of medical records Diagonosis index Address index Name Index Doctors name index 30 / 60In ICD-'U' code is for ______________ Not specified site Future expansion No sub site Unknown site 31 / 60To protect patient confidentiality, medical records can be released to an attorney to the patient's family members to a judge only with the patient's written consent 32 / 60Abbreviation for Physical Examination HPI PE FH ROS 33 / 60What is meaningful use when clients request that healthcare providers implement EHR systems a program for healthcare providers to earn money for using electronic documents in their practices a financial investment program used to help healthcare providers reduce practice costs a financial incentive program to encourage national use of EHR technology in order to improve client care 34 / 60Which is not a best practice for the document imaging process? Duplicate documents received for scanning should not be rescanned Placing patient's medical record number on each page of the document prior to scanning Use of highlighters is recommended to enhance and portion of the document that is difficult to read Production and quality should be measured 35 / 60All of these items except ______________ can be found in the LTCH health record. Flow sheet Medical bill Advance directives Education 36 / 60Which of the following is a way that EHR contributes to patient safety Allergy alert systems Drug utilization review Elimination of illegible handwriting All of these 37 / 60The pelvis consists of number of bones are Three Four Five Six 38 / 60Includes marital status, occupation, educational attainment, hobbies, use of alcohol, tobacco, drugs, and lifestyles HPI SH PMH FH 39 / 60Normally an adult has _______ of blood 3 to 4 litres 5 to 6 litres 6 to 7 litres 4 to 5 litres 40 / 60Which of the following is not a driving force for the adoption of the electronic health record? Lower healthcare costs Improved Joint Commission scores Fragmented clinical data across the different healthcare settings Reduce incorrect diagnosis 41 / 60When using a PHR that IS not associated with a healthcare provider or employer, medical information has to be entered manually true false 42 / 60Abbreviation for Discharge or Discontinue HPI D/C Dx DS 43 / 60Lactose is made up of Glucose + Fructose Glucose + Glucose Glucose + Galactose Fructose + Fructose 44 / 60A PHR is a(n) ______ record of health an medical information, which _______ be maintained by the client electronic, cannot electronic, can hand-written, cannot hand-written, can 45 / 60EMR is an abbreviation for which of the following Electronic Medical Record Emergency Medical Record Electronic Medical Resource Electronic Method of Recording 46 / 60Which of the following processes will not change as a result of implementation of EHR Documenting the physical exam Verifying insurance coverage Examining the patient Distributing patient education materials 47 / 60Luoco means White Yellow Blue Red 48 / 60World health day is ____________ 7 th February 7 th June 7 th April 7 th August 49 / 60Prior to the implementation of Health Information Technology, client information had to be communicated from one provider to another via _____, ______, and ______ Telephone Fax Clients All of the above 50 / 60What does PHR stand for Personal Health Record Personal Human Record Public Health Record People Health Record 51 / 60Two standard names of two types of medical records Medical History Form Patient Information Sheet Statistical Data Sheet Both A & C 52 / 60Medical Audit is to assess the ______________ of medical records Quantity Quality Efficiency Quantity & Quality 53 / 60Write medical term of an accumulation of blood in the uterus Hematometra Hematometry Hematomyelia Hematoma 54 / 60Abbreviation for Past Medical History PMH PM PMedH Dx 55 / 60Patient information in their medical record should include a record of divoreces the date of birth the date of marriage the date of the spouses birth 56 / 60Benefits of using a PHR includes client's information is stored in one place Client's can ignore healthcare provider's instruction Client's PHR can be incorporated with a client's healthcare provider's record Both A &C 57 / 60A medical record is a legal document that may be ordered by the court to be available during a malpractice case True False 58 / 60Abbreviation for Diagnosis HPI Dx DiaX D/C 59 / 60Check all of the care-related pieces of information that can be found in the HER Pharmacy Notes Laboratory results Prescription records All of the above 60 / 60What does EHR stand for Electronic Healthcare Recorder Electric Health Reader Electronic Health Record Economic Health Recorder Exit
