Exam ReviewImplementation Manager Exam (CHTS-IM)

Questions that are likely beyond the scope of the exam are included in this review.They will be with an asterisk

Which groups can apply for incentive payments to implement electronic health records according to the HITECH Act of 2009? [hint: 2 answers]

1. Eligible Practices2. Eligible Providers3. Eligible Hospitals4. Eligible Covered Entities

*Which type of facility delivers active but short-term care for a severe injury, an episode of illness, an urgent medical condition or during recovery from surgery?

1. Ambulatory care2. Acute care3. Hospital care4. Hospice care

Which of the following is NOT an objective of a risk analysis?

1. To identify vulnerabilities and threats2. To identify existing assets and estimate their value3. To quantify possible threats and measure their monetary

impact4. To address vulnerabilities and threats

Which regulation requires a BAA between a third party contractor and a hospital if work involves access to PHI?

1. HIPAA2. TPO3. ISO 90004. AHRQ

Which of the following approaches, for protecting PHI, is the best if a billing supervisor needs to email the insurance secretary about a patient?

1. Email PHI as attachments2. Email directly to an in-office only email address that is

accessible only by the involved parties with passwords that maintain encryption.

3. Email and immediately follow-up with a phone call.4. Email using non-company email addresses.

Which of the following is the verification that an individual has a right to access data?

1. Authorization2. Integrity3. Authentication4. Encryption

Which body is responsible for protecting the health of Americans and for providing services to those least able to help themselves?

1. DHHS – Dept. of Health and Human Services2. OSHA – Occupational Safety and Health Administration3. NCQA – National Committee on Quality Assurance4. NCVHS – National Committee on Vital and Health Statistics

*Which body ensures safe and healthful work conditions for staff members ?

1. DHHS – Dept. of Health and Human Services2. OSHA – Occupational Safety and Health Administration3. NCQA – National Committee on Quality Assurance4. NCVHS – National Committee on Vital and Health Statistics

This tool has a timeline and division of duties?

1. Pert Chart2. Gantt Chart3. Critical Path4. Mind Map

Question: A payment term that is dependent on the cost of the provider to provide the service is called what?

Answer:Fee-For-Service

Which of the following best describes the right to deny your parents access to your medical records?

1. Confidentiality2. Integrity3. Security4. Privacy

Which of the following is least likely to be considered PHI?

1. Treatment2. Name3. SSN4. DOB

Which of the following best describes data security?

1. The ability to withhold patient information.2. The legal and ethical obligation to protect PHI.3. The right of the patient to control disclosure of his/her PHI.4. The technical and procedural methods used to manage PHI.

This organization generally works at the state level to help low-income patients.

1. Medicare2. Medicaid3. Tricare4. Medispan

There are 3 main types of safeguards of PHI: physical, administrative and technical. Match each one of these safeguards to the appropriate descriptions below.

1. Privacy Screen2. Encryption Software3. Privacy and Security Policy

Physical

Technical

Administrative

Which of the following documents is used to specify vendor obligations with respect to the vendor’s support timelines?

1. SLA – Service-level Agreement2. MOU – Memorandum of Understanding3. Waiver of liability4. BAA – Business Associate Agreement

*What is the potential penalty for knowingly selling PHI for marketing purposes?

1. $50,0002. 5 years in prison3. 10 years in prison and $250,0004. $100,000

What is the purpose of the FDA?

1. Monitor the safety and efficacy of all drugs, biological products and medical devices used in the care of patients.

2. Monitor and maintain safe and healthful working conditions for all staff members.

3. Monitor the provision of safe and effective treatments by health organizations.

4. Monitor the transmission of PHI.

When designing a system to convert an office from a paper system to an electronic system, which individual would be best to consult about the organization of the records?

1. The front desk staff2. The physician3. The IT staff4. The Office Manager

Which of the following defines the length of the time a project should take to complete?

1. Triple Constraint2. Pert Diagram3. Critical Path4. Milestone

Question:What is the difference between synchronous and asynchronous forms of communication?

Answer:Synchronous – real-time, simultaneous, e.g. SKYPE or Chat groupsAsynchronous – not real-time, e.g. email

What is the best way to show a person that you are listening to them?

1. Eye Contact2. Nod in agreement3. Clarify what you have heard4. Don’t interrupt

Assertive Communication helps to replace poor responses with constructive ways to resolve a conflict between two individuals. One effective approach is to …

1. Focus on the individual, not yourself. Use “you” statements and focus on them and why you disagree with them. Keep your feelings out of it.

2. Find common ground by ignoring the issue and finding something you both are in agreement with. This will help to build a good relationship.

3. Focus on how the person’s action makes you feel. Use “I” statements that focus on your feelings and how the other person’s action effects you. This will appear less judgmental.

The conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients is called ______.

1. Medical best practices2. Expert systematized practice3. Evidence based decision support4. Evidence based medicine

CPOE is a major improvement in patient safety, primarily as a result of the Institute of Medicine's 1999 report on medical errors and the formation of the _________________ - a group of companies that put pressure on institutions by sending their employees only to those institutions that install these safer systems.

Leapfrog Group

Office of the National Coordinator for Health Information Technology was formed in the year ________. This was the first real government push for EHRs in every practice.

2004

______________________ established certification criteria for EHR systems and funded a workforce development program to train people in health IT. They did this as part of the __________ Act in 2009. This Act was part of the ___________ Act, otherwise known as The Stimulus Package.

ONCHITECHARRA

What organization defined the Meaningful Use criteria and provides incentives for the Meaningful Use of EHRs?

CMS

CMS is responsible for two health insurance programs that offer MU incentives. What are the two health insurance programs?

MedicareMedicaid

Which is NOT a goal of the HITECH Act?1. Improve health outcomes and care delivery2. Increase transparency and efficiency3. Increase health insurance availability4. Improve Privacy and Security

These organizations were established to assist providers with EHR implementation.

1. REC Centers2. HIEs3. RHIOs4. Covered Entities

These communities are provided funding by the ONC to act as role models for the rest of the Health IT community.

1. Extension communities2. Beacon communities3. Early adopter communities4. Covered entities

HITECH attempted to fix the following technology hurdles except which one?

1. Low adoption of EHRs2. Lack of standardization3. Rising healthcare costs4. Privacy and Security

Indicate with a “TRUE” or “FALSE” whether or not each of the following are HITECH additions to HIPAA.

1. Individuals must be notified of a breach2. Media must be notified for a breach of more than 500

people3. A log of breaches must be maintained and reported to the

DHHS annually.4. A breach of 500 or more people, DHHS must be notified

when the media is notified5. Automatic posting of breach on DHHS website6. Breaches result in increase in penalties

TRUE

TRUE

TRUE

TRUE

TRUE

TRUE

Name the first ATCB (Authorized Testing and Certification Body).

CCHIT

What is Clinical Decision Support?What is CPOE?How do they work together in the EHR?What is Alert Fatigue?

Name a potential, unintended harm of CPOE.Name some benefits of CPOE.

This is a system that classifies hospital cases into groups for the purpose of reimbursement. There are nearly 500 groups.

DRG – Diagnoses Related Groups

The sharing of electronic patient information between different organizations is often referred to as ________.

1. HIE2. RHIO3. REC4. HMSS

In what year does CMS plan to impose “payment adjustments” (otherwise known as penalties) on providers who do not demonstrate the meaningful use of EHRs?

1. 20152. 20163. 20174. 2018

These are research projects funded by HITECH to help create a Nationwide Health Information Exchange.

1. SMART – Strategic Measurable Advanced Research Technologies

2. SHART – Strategic Health Advancement Research Technologies

3. SHARP – Strategic Health IT Advanced Research Projects4. START – Strategic Timely Advanced Research Technologies

_____________is the analysis of existing health data in real time to provide immediate analysis and feedback to those charged with investigation and follow-up of potential outbreaks.

1. Disease Trend Detection2. Syndromic Monitoring3. Disease Control Detection4. Syndromic Surveillance

_____________ is the ability to see the whole picture with respect to time and space.

1. Situational Awareness2. Mindful Consciousness3. Environmental Sensibility4. Present Cognizance

What is the difference between Telemedicine and Telehealth?

Otherwise known as the Kennedy Kassebaum Act, Public Law 104-191.

HIPAA

What does HIPAA stand for?

Health Insurance Portability and Accountability Act

The original HIPAA rules considered covered entities to be 1. ________________2. ________________3. ________________

1. Health Plans2. Providers3. Clearinghouses

UMLS (Unified Medical Language System) is __________.

1. A language system designed for diagnoses.2. A grouping of reserved words in the UMLS programming

language.3. A compilation of controlled vocabularies used in biomedical

sciences.4. An EHR system with the ability to translate from one spoken

language to another.

The concept of Meaningful Use rested upon DHHS’s “5 Pillars of Health Outcomes”. What are they?

1. Improving care coordination2. Reducing healthcare disparities3. Engaging patients and their families4. Improving population and public health5. Ensuring adequate privacy and security

Eligible Providers must report on the following for Meaningful Use:

a. All ___ core measures.b. ___ menu measures• One of these measures must be a _______ _______ measure.

c. A total of ___ CQMs.

a. 13 b. 5, Public Health c. 9

Match the MU stages (Stages 1, 2, and 3) with the objectives below:

a. Improved Outcomesb. Data capture and information sharingc. Advanced clinical processes

a. Stage 3 b. Stage 1 c. Stage 2

Which statement regarding Meaningful Use eligibility is TRUE?

1. PAs are eligible under Medicare but not Medicaid.2. NPs are eligible under Medicare but not Medicaid.3. NPs are eligible under Medicaid but not Medicare.4. PAs are eligible for both Medicare and Medicaid.

Which of the following statements about Meaningful Use are correct?

1. Stage 1 previously required 6 CQMs to be reported. Starting in 2014, both Stages 1 and 2 require 9 CQMs.

2. Stage 1 required the reporting of smoking status for patients 13 and over. Stage 2 requires the reporting of smoking status for patients 12 and over.

3. Stage 1 required the provider to implement 1 CDS rule. Stage 2 requires the provider to implement 5 CDS rules.

4. Stage 1 previously required that patients should be provided with an electronic copy of their health information upon request and to be given timely access to their PHI. In 2014, Stages 1 and 2 require the provider to give patient the ability to view their PHI online within 4 days.

1. What is the maximum MU incentive amount for Eligible Providers under Medicare?

2. What is the maximum MU incentive amount for Eligible Providers under Medicaid?

1. $44,000 2. $63,750

True or False: Eligible providers under Medicaid do not need to demonstrate Meaningful Use their first year. They have an option that is not offered under Medicare. Explain this option.

Adopt / Implement / Upgrade

The science and art of preventing disease, prolonging life and promoting health through organized efforts and informed choices. The focus is on prevention, not curing.

1. Syndromic Surveillance

2. Disease Prevention

3. Informed Consent

4. Public Health

Which is not a core function of Public Health?

1. Maintenance

2. Assessment

3. Policy Development

4. Assurance

There are 10 Essential Public Health Services that fall under the 3 Public Health Core Functions. The service titled “Inform, Educate, Empower” falls under which one?

1. Maintenance

2. Assessment

3. Policy Development

4. Assurance

Define interoperability.

Answer:the ability of making systems and organizations to work together .

In what year did HIPAA (Kennedy Kassebaum Act, Public Law 104-191) pass?

Answer:1996

The Health Information Technology Standards Panel (HITSP) began a process for reconciling the different technical and vocabulary standards in healthcare. This effort is being continued under HITECH with the formation of the HIT Standards Committee (HITSC). The term given to this process is __________ ___________.

1. Standards Harmonization

2. Vocabulary Reconciliation

3. Standards Systemizing

4. Vocabulary Grouping

The___________________________, is the arm of government charged with enforcement of HIPAA.

1. Department of Health and Human Services - DHHS

2. Office for Civil Rights - OCR

3. Health Information Technology for Clinical and Economic Health - HITECH

4. Office of the National Coordinator for Health Information Technology - ONC

HITECH places new restrictions and requirements on covered entities for accounting of disclosures. Which of the following are new restrictions or requirements under HITECH?

1. Covered entities must track all disclosures including ones for Treatment, Payment and Operations (TPO).

2. Workers could keep their health insurance coverage when they changed or lost their jobs for a specified period of time.

3. Organizations must post a Notice of Privacy Practices.

4. Organizations must make sure that they receive authorization to use PHI under certain conditions.

5. Covered entities must honor the restriction to not report a visit to insurance companies if the patient is paying cash for treatment.

6. Patients have the right to request an electronic copy of their PHI and request that the covered entity transfer information directly to other entities.